PICO paper

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Pick an idea for your PICO paper/project; some ideas are great, but don’t work as a PICO project, so . . . – THe idea has to be appropriate to NURSING;

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PART A — PICO Topic Selection (25 points):

– Pick an idea for your PICO paper/project;  some ideas are great, but don’t work as a PICO project, so . . .

– THe idea has to be appropriate to NURSING;
– You MUST find at least three articles to support your PICO paper/project BEFORE submitting this idea;

PART B — PICO Question(25 points):
– Write your idea for research as a PICO question (to support your paper/project idea).
– For extra credit, provide another correct name for a PICO question.

Rubric

392 PICO (T) Topic Selection & PICO Question
392 PICO (T) Topic Selection & PICO Question
Criteria Ratings Pts
Topic/ Research Question

DRIVE model, attribute R: L.O. 2 Students will create a hypothesis for further study. (“Students prepare a PICO question and hypothesis.”)

5.0 pts

Mastery
The topic/research question fits easily with both PICO(T) structure and nursing quality improvement.

4.0 pts

Proficiency
The topic/research question fits somewhat with both PICO(T) structure and nursing quality improvement.

3.5 pts

Developing
The topic/research question fits with one of the following: PICO(T) structure or nursing quality improvement.

3.0 pts

Beginning
The topic/research question does not fit with either of the following: PICO(T) structure or nursing quality improvement.
5.0 pts
Explanatory Paragraph

DRIVE model, attribute R: L.O. 2 Students will create a hypothesis for further study. (“Students prepare a PICO question and hypothesis.”)

5.0 pts

Mastery
A concise paragraph thoroughly explains how the topic lends itself to both PICO(T) structure and nursing quality improvement, and includes the student’s hypothesis regarding the research.

4.0 pts

Proficiency
A concise paragraph provides some explanation of how the topic lends itself to both PICO(T) structure and nursing quality improvement, and includes a hypothesis about the research.

3.5 pts

Developing
A concise paragraph provides some explanation of how the topic lends itself to one of the following: PICO(T) structure or nursing quality improvement; hypothesis may be unclear.

3.0 pts

Beginning
A concise paragraph provides no explanation of how the topic lends itself to either of the following: PICO(T) structure or nursing quality improvement; hypothesis is absent.
5.0 pts
PICO Question

DRIVE model, attribute R: L.O. 2 Students will create a hypothesis for further study.

5.0 pts

Mastery
Correctly identifies all five components of the PICO (T) topic using the following format: P- I- C- O- (T)- PICO (T) question is written correctly and all of the components are inserted correctly.

4.0 pts

Proficiency
Correctly identifies four of the five components of the PICO (T) topic using the following format: P- I- C- O- (T)- PICO (T) question is written with most information inserted correctly.

3.0 pts

Developing
Correctly identifies three of the five components of the PICO (T) topic using the following format: P- I- C- O- (T)- PICO (T) question is written with only some of the information inserted correctly.

2.0 pts

Beginning
Correctly identifies one or two of the four components of the PICO (T) topic using the following format: P- I- C- O- (T) OR Does not use the correct format.
5.0 pts
Total Points: 15.0

 

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In the Cleveland Clinic case, and related HBR article, there are many issues to consider. What is their responsibility? What should they do, and what resources can they bring to help this patient? In your report, please use the data provided in the case as much as possible to help you make informed decisions, and to support your arguments. 

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In the Cleveland Clinic case, and related HBR article, there are many issues to consider. What is their responsibility?

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In the Cleveland Clinic case, and related HBR article, there are many issues to consider. What is their responsibility? What should they do, and what resources can they bring to help this patient? In your report, please use the data provided in the case as much as possible to help you make informed decisions, and to support your arguments.

Wendy Leebov provides an outstanding presentation on communication practices. Additionally, AIDET is a framework for communication in health care. I am also posting Behaviors of Excellence from a health care organization with which I have worked that show how communication can be operationalized into job descriptions and performance reviews. Other best practices have been implemented to ensure service quality. What other examples can you share?

Finally, Sievert (NEJM) shares an incredibly powerful narrative about a patient that, to me, touches on many topics that we have covered in this class, and is related to the Cleveland Clinic case. What are your thoughts on this?

This course is designed to prepare investigators involved in the design and or conduct of research involving human subjects to understand their obligations to protect the rights and welfare of subjects in research.

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This course is designed to prepare investigators involved in the design and or conduct of research involving human subjects to understand their obligations to protect the rights and welfare of subjects in research.

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Week 6: Assignment – Human Subjects Protection

This course is designed to prepare investigators involved in the design and or conduct of research involving human subjects to understand their obligations to protect the rights and welfare of subjects in research.

The course material presents basic concepts, principles, and issues related to the protection of research participants.

Evidence-based research involving human subjects requires that researchers be cognizant of and adhere to the important tenets necessary to protect subjects from abuse, harm, injury, and/or other undesirable outcomes resulting from the research process.

Based on this fact, write a minimum of 2 pages (Title page and Reference not included in page count) of an APA formatted paper answering the following questions with a minimum of 3 “short” sentences for each question.

You are expected to answer each question with at least 3 short sentences, points will be deducted for using a single sentence. Title and Reference pages are required.

  1. Historical background of human subjects protection?
  2. Find and discuss at least one historical incident of human subjects abuse in research and what human right was violated.
  3. What steps will you take to minimize risks on human subjects?
  4. What populations are considered vulnerable populations and why?
  5. What are the appropriate ways to recruit subjects?
  6. How would you properly obtain consent?
  7. What are the elements of a properly executed consent?
  8. What committees are responsible for monitoring the protection of human subjects?

Statistical Analysis of Community Health Problem.

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Statistical Analysis of Community Health Problem. Complete the Second Section of the course template and submit. (Keep this section attached to Weeks 1 and 3 assignments.)

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N4465 Care of Vulnerable Populations

COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION

Modules 1-3 (Weeks 1 – 3) Assignment Template

Use of the Three-Part Course Template

  • The use of the three-part template to submit weekly Major Course Paper Assignments goes as follows:
  • Week 1:  Clinical Experience: Windshield Survey and Key Informant Interviews. Complete the  First Section of the  course template and submit. (Keep this section attached to Weeks 2 and 3 assignments.)
  • Week 2:  Statistical  Analysis of Community Health Problem. Complete the Second Section of the course template and submit.  (Keep this section attached to Weeks 1 and 3 assignments.)
  • Week 3:  Community Health Nursing Intervention. Complete the Third Section of the course template and submit.  By now, you should have Sections 1-3 as one whole document.

 

  • Each section of the course template is submitted on a WEEKLY basis, depending on which week you

are working on.  DO NOT wait to submit all three sections at the end of the third week.

  • Please note that students are not to make any changes to the content of the course template, for example, removal of questions or examples imbedded in the response box of the template.

 

  • Removal of the questions or examples imbedded in the response box of the template is

considered tampering with the content and will result in a 10-point grade deduction per assignment.

Should removal of the questions or examples imbedded in the response box of the template persist by the student, in addition to the 10-point deduction, the student will be referred to the Office of Student Conduct for final disposition.  You are strongly encouraged to be mindful of this course policy.

 

  • The ONLY change students may make to the template is to enlarge the space to make their entries in the response boxes.

 

  • Should you encounter any difficulties with these course policy guidelines, please consult with your

Academic Coach.

 

 

 

 

Clinical Experience: Windshield Survey and Key Informant Interviews

 

Student Name: ________Salma Gamal______________Dates: 2/28/20_________________

Name of Community or Zip Code: ____CEDAR HILL___75104______________

 

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

Elements Descriptors
Physical Environment Make sure you address fully what you observed and NOTE if something was not found within your community area.
   ● Boundaries What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

I would definitely say roads are what define Cedar hill TX it’s such a small city, but we do not have any railroads or lakes in the city. The closest would be Grand prairie lake reserve which is 10miles from where I live.

 

 
   ● Housing and Zoning What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing?  Multi-family housing?

Cedar hill was founded around 1846. Cedar hill currently has 5 home listed on the national park service’s national register of the Texas historical commission’s list of recorded Texas historic landmarks. Almost all homes I saw were made out brick I couldn’t find any exact material information online but I did notice that our town has many old homes as well as new modern brick ones.

 
   ● Common Meeting Places Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

Starbucks, AMC cedar hill (our only theater in town) Uptown cedar hill Mall (outdoor shopping center that has many mall based stores.

 
   ● Indicators of Growth or Decline Is this a “thriving” community or does it look “run down?”  Is there new or ongoing construction?  Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

I think I would say it’s a thriving community, we have many shopping, dining places that are up to date on what’s popular in the state , I didn’t notice any trash anywhere, neither did I notice dirt of graffiti.
   ● Employment Opportunities What places for employment are there is this area? Name the businesses and industries in this area.

There’s many retail Employment opportunities, however I didn’t notice any big businesses in our town, we have large business bank branches but other than that I cant think of any other ones we have.

 
   ● Transportation How to people get from one place to another?  Is public transportation available?  How timely is it? Personal autos? Bikes?  Walking?

Mostly everyone gets around by personal transportation, we don’t have a dart train nearby neither did I notice any bus stops, I believe one would have to go to Duncanville ( the next town over to use public transportation.
People Make sure you address fully what you observed and NOTE if something was not found within your community area.
   ● Race and Ethnicity What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?  The racial and ethnic composition of the population is 51% black, 25.8 white 0.5 hispanic black, 2% Asian, .5 native American , this city is very family oriented, and often times I would see families together but also single people at times. Median age of the city is 34 years old. I do believe many people that live here stay a while and many generations stay here.

 
   ● Cultural Characteristics What cultural similarities or differences do you observe? Languages spoken?  Clothing?  Ethnic eating places?  Culturally-based celebrations? Signs in languages other than English?

English is obviously #1, then I would say Spanish is second most common, and Asian. Theres many different diverse eating places such as Chinese, American, Mexican, Asian, country fried, seafood.
   ●Lifestyle Healthy Behaviors What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

Theres many gyms In the area, Such as Planet fitness, 24 fitness, LA fitness, Orange theory, I never saw people biking to be honest, I did observe people who drive and passengers wearing seat belts, There is rare healthy food options in the town but a couple such as smoothie king, subway, sprouts.

 
● Lifestyle Risk Behaviors What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows?  Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed.

I didn’t observe any risky lifestyle behaviors, I did observe people smoking cigarettes while driving. No fighting, no bars on doors or windows seen.

I do see many overweight people and I also observed the town is filled with fast food chains and unhealthy dining options which can’t help the health crisis of the city. I rarely saw children playing in the streets however while passing by a park I did observe them there. I didn’t come across any homelessness nor street people. Everyone I saw in the streets seemed like average people.

 
● Poverty Indications Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed.

No I didn’t notice anyone lying or living in any side of the town.

 
Services in the Community Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.
● Social Services Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services?   Describe each.

We do have a cedar hill recreation center. Its in the middle of town near Joe Wilson road so I believe it should be close to everyone in town, also on that street there is a park with a walking trail.

 
● Health Services Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services?  Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

I didn’t notice any hospital chains , only a Emergency 24hr clinic. I didn’t see any mental health service clinics. I did see many massage businesses such as massage envy and a palm reader.
   ● Fire and Police Services Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

The closest police station is near my neighborhood on jewels rd. in the middle of town also the fire department is a couple miles down from it.

 

This assignment is to evaluate learners’ analytical skills in addressing pharmacological issues related to nursing roles and responsibilities.

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This assignment is to evaluate learners’ analytical skills in addressing pharmacological issues related to nursing roles and responsibilities.

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ASSIGNMENT QUESTION

 

 

OBJECTIVE:

This assignment is to evaluate learners’ analytical skills in addressing pharmacological issues related to nursing roles and responsibilities.

 

SYNOPSIS:

 

A substantial amount of literature about medication errors is based in the hospital setting, but there are differences in the type of clinical problems encountered, and classes of medications used. Despite considerable efforts in the reduction of error including both process changes and the implementation of new technologies, medication administration errors remain a serious safety problem (Bravo, Cochran and Barrett, 2019).

 

QUESTION:

Discuss the contributing factors to medication administration error in the hospital setting, and the nurse’s roles and responsibilities significance in ensuring safe drug administration for the prevention of medication error.

 

 

 

 

 

[Total Marks: 50

US Colleges of Nursing’s curriculum framework.

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Jean Watson’s Theory of Human Caring is a conceptual thread in the US Colleges of Nursing’s curriculum framework.

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Jean Watson’s Theory of Human Caring is a conceptual thread in the US Colleges of Nursing’s curriculum framework.

1. Students will select one nursing research article that focuses on a study that used Jean Watson’s Theory of Human Caring as a theoretical framework.

2. Students should use as a guide, an appropriate Rapid Critical Appraisal Checklist found in Melnyk & Fineout-Overholt (2019; pp. 708-722).

3. The critiques are to be informal, although correct grammar, spelling, etc., are expected. The critique should include a brief description of the study that was reviewed and should address elements of the study relevant to critique.

4. Students will provide a written critique on a critical appraisal of the elements relevant to the nature of the research study such as type of study, design, quality of the study; and rationale, as well as implications for practice and further research and/or evaluation.

Assignment Prompt Jean Watson’s Theory of Human Caring is a conceptual thread in the US Colleges of Nursing’s curriculum framework.

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Assignment Prompt Jean Watson’s Theory of Human Caring is a conceptual thread in the US Colleges of Nursing’s curriculum framework. The purpose of this assignment is to offer students the opportunity to be exposed to Human Caring Science while providing s

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Assignment Prompt Jean Watson’s Theory of Human Caring is a conceptual thread in the US Colleges of Nursing’s curriculum framework. The purpose of this assignment is to offer students the opportunity to be exposed to Human Caring Science while providing students with the skills of critical appraisal of evidence.

1. Students will select one nursing research article that focuses on a study that used Jean Watson’s Theory of Human Caring as a theoretical framework.

2. Students should use as a guide, an appropriate Rapid Critical Appraisal Checklist found in Melnyk & Fineout-Overholt (2019; pp. 708-722).

3. The critiques are to be informal, although correct grammar, spelling, etc., are expected. The critique should include a brief description of the study that was reviewed and should address elements of the study relevant to critique.

4. Students will provide a written critique on a critical appraisal of the elements relevant to the nature of the research study such as type of study, design, quality of the study; and rationale, as well as implications for practice and further research and/or evaluation.

1.Durgun Ozan, Y., & Okumus, H. (2017). Effects of nursing care based on Watson’s theory of human caring on anxiety, distress, and coping when infertility treatment fails: A randomized controlled trial. Journal of Caring Sciences, 6(2), 95-109.

Point of Care (PoC) Technology

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Point of Care (PoC) Technology

t of Care (PoC) technology encompasses the devices and systems that support health-care professionals in their daily activities of monitoring patients, caring for them, and documenting their health progress.

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Point of Care (PoC) Technology

Point of Care (PoC) technology encompasses the devices and systems that support health-care professionals in their daily activities of monitoring patients, caring for them, and documenting their health progress. Here is a list of examples of point of care. This might assist you in thinking about the technologies that are used in these areas. You, by no means are limited to these technologies.

  • Monitors
  • Invasive Central Venous Pressure (CVP) lines
  • Arterial lines
  • Non-invasive tools BP, HR, RR, ECG
  • Portable Devices
  • Blood Glucose monitors
  • Thermometers
  • Wireless scanners
  • Medication administration records
  • Integrated Smart Pumps
  • Wireless
  • Large Volume Pumps linked to pharmacy databases
  • Syringe pumps with medication administration protocols
  • Patient Controlled Analgesia (PCA) pumps
  • Communication Devices Phones, pagers, alarms
  • Wireless ECG monitoring
  • Bluetooth wireless enabled lateral flow tests for pregnancy and ovulation
  • Smartphone applications

o   Smartphone-based semen analysis

o   Smartphone applications for seizure management

o   Smartphone apps for orthopaedic surgeons

o   Smartphone applications for mental health

o   Smartphone applications for fitness

o   Smartphone applications for pain management

o   Smartphone applications for hypertension management

  • Colon cancer screening
  • Targeted nucleic acid testing
  • Ultrasound plug-ins for smartphones
  • Nanopore-based devices
  • Digital microfluidics
  • Other Setting-Specific Devices

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

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Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

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Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

  • Chapter 2: The Research Process and Ways of Knowing
  • Chapter 4: Finding Problems and Writing Questions

Optional:

Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 56(3), 167-171. permalink (Links to an external site.)

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58-61. permalink

Discussion

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

  • Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
  • Write your clinical question in the PICO(T) format for your nursing practice problem. *To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link:

NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)

  • List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence

Cleveland Clinic: Improving the Patient Experience,

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HBSP Case (“Cleveland Clinic: Improving the Patient Experience,” by Ananth Raman and Anita Tucker:

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HBSP Case, available online; “Cleveland Clinic: Improving the Patient Experience,” by Ananth Raman and Anita Tucker (2011), Prod. #: 612031-PDF-ENG: http://hbr.org/product/Cleveland-Clinic–Improvi/an/612031-PDF-ENG (Links to an external site.)

HBSP Case (“Cleveland Clinic: Improving the Patient Experience,” by Ananth Raman and Anita Tucker: This three-page paper will challenge you to apply concepts discussed previously in this class to describing specific issues, assessing opportunities utilizing analytic tools, and determining a course of action going forward. Please answer the three questions (one page maximum each) provided below.

Please answer 3  questions. This assignment should be written as completely yet concisely as possible, in no more than three (3) single-spaced 8.5 x 11” pages, in 12 point font, with 1” margins all around.

 

  1. Dr. Berwick realized that there are ties between clinical effectiveness and patient experiences. Dr. Cosgrove’s wake-up call at Harvard was that patients don’t decide to go to a specific hospital on clinical outcomes alone. Dr. Merlino also asserted that there is a relationship among discharge information, nurse communication, and readmission rates. What is your assessment of the realization that there is a relationship between clinical quality and patient perspectives? How does this impact the description of patient experience as “customer service” and “nonclinical factors” that may be “competitive differentiators”

 

 

  1. Managing patients’ expectations is an important way to manage perceptions of quality. Describe how Cleveland Clinic’s efforts to manage patient expectations relate to the Gap Model of Service Quality. Assess Dr. Merlino’s comments on and response to quiet-at-night as a specific initiative to manage patient expectations. Given what we know from this course, is his perspective reasonable? What else would you suggest that he consider when strategizing around increasing scores for noiseat-night?

 

  1. Assess the following statement, given what we have covered in this class and what is covered in the case: “Improving the patient experience is the right thing to do for our patients, but at what point does the burden of improvement exceed the responsibility of hospitals?” What advice would you give to Dr. Cosgrove about investing in the OPE, and what he might measure to gauge ROI?