PICOT Statement

PICOT Statement

Question descriptionReview the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

 
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Preventing central venous catheter-related infections

Practice Issue and Evidence Summary Worksheet/completion of ONE form with two worksheets​


Question descriptionPurpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.) Please type your answers directly into the worksheet.My topic is :

Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.proxy.chamberlain.edu:8080/doi/10.1002/14651858.CD010140.pub2/full

Info to access the article: D40636555

198302

My clinical Question asked using PICOT method is, In patients who are adults (population), how effective is skin antisepsis regimen (Intervention) as compared to no skin antisepsis (Comparison intervention) in controlling central venous catheter-related infections (Outcome) with time? Since the PICOT method stands for Population Intervention Comparison Outcome and Time, the intervention question is formulated as follows:

Population- It could be children, adolescents, adults or the elderly. In this case, it is Adults with CVT

Intervention: The method used for treatment. In this case, it is, skin antisepsis regimen

Comparison intervention: The method used to establish a comparison with the proposed method. In this case, it is no skin antisepsis

Outcome: The results of treatment of the disorder or disease. In this case, it is, Controlling central venous catheter-related infections

Time: With time

The question on the use of antiseptic to reduce the susceptibility of patient contracting infections related to the central venous catheter is very critical in my current and future practice as a nurse. Since most patients admitted required blood transfusion, fluids, as well as medication to be injected into the body through the CVT, it is critical to identify whether in antiseptics are useful as an intervention strategy to control infections or not. The current gap that requires to be adequately filled in the determination of an intervention strategy that will be most effective in significantly reducing the patient contracting infections along the where the CVT is inserted into the patient’s body.

 
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Describe 3 main differences between historical and current nursing practice.

Describe 3 main differences between historical and current nursing practice.

short answer assignment. 1) Describe 3 main differences between historical and current nursing practice. 2) Briefly discuss the following areas in relation to the Australian Health Care system: – Structure (levels of Government) and function – funding issues – Government and non-government services – Governing health care bodies e.g AHMAC – Medicare – Alternative medicine (complimentary therapies) 3a) Discuss a health policy in relation to a current health issue, relating to Aboriginal people. 3b) Describe 5 health risk factors for aboriginal people.

short answer assignment. 1) Describe 3 main differences between historical and current nursing practice. 2) Briefly discuss the following areas in relation to the Australian Health Care system: – Structure (levels of Government) and function – funding issues – Government and non-government services – Governing health care bodies e.g AHMAC – Medicare – Alternative medicine (complimentary therapies) 3a) Discuss a health policy in relation to a current health issue, relating to Aboriginal people. 3b) Describe 5 health risk factors for aboriginal people.


 

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review the Healthy People 2020 initiative. Pay close attention to the objectives, goals and the indicators.

 
FLORIDA NATIONAL UNIVERSITY
NURSING DEPARTMENT
RN TO BSN PROGRAM
COMMUNITY HEALTH NURSING LAB
PROF. E. CRUZ, RN MSN
EPIDEMIOLOGY ASSIGNMENT
INSTRUCTIONS:
1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals and the indicators.
2. Using your city or county public health department identify an epidemiological and surveillance data related to population based communicable illnesses described in table 5-1 page 72 of our class text book. Besides the illnesses describe you can also choose influenza or any other illnesses that are currently affecting your community.
3. Once you have chosen your topics you must send me an e-mail telling me what illnesses you choose.
4. Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.
5. Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required. The assignment must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC. Once again, the assignment will be posted in turnitin under the tab epidemiology assignment to verify originality and on the discussion tab of the blackboard under forum/thread epidemiology assignment. You are posting the assignment twice but only you will receive one grade.
6. Assignment is due in the discussion tab of the blackboard for discussion and in turnitin for grading Saturday, September 22, 2018 @ 11:59 PM.
If you have any questions, please feel free to contact me via FNU email.
 
Prof. Cruz
 

 
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What processes are in place to ensure the new employee has read all organizational policies and procedures?

Unit IV Case Study

Consider the scenario you selected in Unit I from your textbook:

Considering Malpractice (p. 7)

As part of the preparations for the legal case involving the employee in the scenario you selected in Unit I, you are now asked to provide an assessment of the organization’s personnel management program, including processes used to ensure personnel are competent to fulfill their duties, have clear guidance, and are made aware of policies and procedures that will impact performance. You should discuss the local and state laws that may apply and their legal implications in this scenario.

Continue using the same organization on which you based your Unit III assignment research.

You should prepare your assessment as a report that responds, but is not limited to the following questions.

1.What processes are in place to ensure the new employee has read all organizational policies and procedures?

2.What evidence is there that the employee is aware of the expectations for their position?

3.Does the organization have a drug-free workplace commitment? How is this monitored?

4.How are personnel certification and licensure renewals handled?

5.How are ongoing competency and ability to perform the duties of the position monitored?

Your paper should include a brief introduction of the scenario. You may include other tools for personnel management that you feel may be relevant to the case.

Your paper should be a minimum of three pages, not including the title and reference pages.

You are required to use a minimum of three sources, one of which may be your textbook. These may include peer-reviewed articles, professional organization websites, and government websites/documents.

All sources used must be referenced; paraphrased and quoted material must have accompanying citations.

All references and citations used must be in APA style. Information about accessing the grading rubric for this assignment is provided below.

 
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Describe your organizational development (OD) practitioner competencies.

FOR THIS ASSIGNMENT, YOU WILL BE CREATING AN ORGANIZATIONAL DEVELOPMENT (OD)

For this assignment, you will be creating an organizational development (OD) intervention strategy presentation of approximately 6?? slides for a fictitious company. Your ability to persuade and influence leadership with precise and concise points is key to good consulting. Your knowledge and emotional intelligence are needed to assist this organization in increasing team performance and overall company effectiveness. You are to read the scenario provided and follow the directions below to create the presentation as an external consultant for the board of directors.
Background Scenario
Declining employee morale, conflict within and between workgroups, and employee performance problems led the newly appointed division manager of company X to search for an industrial/organizational (I/O) psychology professional. The manager would like you to assist with the analysis and development of an organizational development (OD) intervention strategy that will improve team effectiveness and organizational performance. There are twenty-five staff members employed in the division. There is no union organization involved. After an initial meeting with the division manager, you have been asked to present the organizational development (OD) intervention strategy to the executive board. You will be bidding for the opportunity to assist company X in its efforts to improve morale and increase employee and group performance within the division.
Other consultants will be presenting to the executive board as well.
Directions:
In 6 to 8 slides (including detailed speaker’s notes):

Describe your organizational development (OD) practitioner competencies.

What makes you the best candidate for this opportunity?
What are your credentials?

Select an organizational development (OD) intervention strategy for the scenario above. Begin by reviewing the four categories of organizational development (OD) interventions. There may be multiple issues to be addressed at the same time.
Develop and explain your intervention plan.

How will you organize the plan so the organization can change effectively and efficiently?
What will most likely transform the organization in the given scenario (i.e., structural, technical, or behavioral change or a combination of these)?

Develop 8??0 pertinent interview questions you will ask management.
Include your rationale for selecting your intervention strategy.
Explain what assessments you will need to perform.
Describe the data that you might need to collect from the organization. Explain how you will collect data and measure results. Justify your answer.
Create and explain a reinforcement strategy or a transfer-of-skills plan. How will you be certain that the change has become the new normal and will continue once your consulting contract is terminated?

Your final product will be a Microsoft PowerPoint presentation of approximately 6 to 8 slides in length (including detailed speaker’s notes). You will utilize three to four scholarly sources in your research. Your presentation should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

 
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why Nurse practitioners are not able to practice to their full extent and independently.

Question description
In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/
A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.
Each annotation must address the following critical elements:
•Explanation of the main purpose and scope of the cited work
•Brief description of the research conducted
•Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
•Possible shortcomings or bias in the work
•Conclusions or observations reached by the author
•Summary as to why this research lends evidence to support the potential problem identified specific to your role option.
The problem to address is the debate over why Nurse practitioners are not able to practice to their full extent and independently.

 
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Treatment plan development with goals and measurable objectives

Intervention
3 page paper
Present a mutually developed and agreed upon intervention strategy with specific goals and objective. Provide a rationale for your selection.
Describe your intervention from beginning to end, including termination. How did you help the client prevent or resolve problems? How did you negotiate mediate and advocate for your client. Select and discuss at least 3 practice skills (micro/macro) used in your intervention with the client.
Write a critique of your work with the client. What did you do well in terms of the intervention? What could have been done to improve the outcomes with the client? How was the intervention empowering? How may it have been discriminatory or oppressive?
Provide a discussion of whether the intervention was developed from a theoretical practice model. If so, which practice theory? If not, what practice theory could have been used to facilitate better outcomes? Regardless, analyze and provide evidence-based knowledge about the theory-based intervention (used or proposed) and its effectiveness.
Here are the section headings (in red) you should have to get maximum credit–3 points per section. Have one certain intervention in mind when you write this section—Cognitive behavior theory (CBT), Motivational interviewing (MI), , Solution Focused, Strengths based, etc.
Treatment plan development with goals and measurable objectives
For example:
Goal: Increase and practice ability to manage anger:
Objectives: (pick one or two) These will be used to write your evaluation section, so the more measurable the better. SMART objectives are explained in another file under Course Materials
-In the next 2 weeks, the Client is able to walk away from situations that trigger strong emotions as measured by a client observation checklist 100% of the time.
-During the next 30 days, the client will be 90% free of tantrums/explosive episodes measured by self report and client incident sheet documentation.
-In the next week the client will learn two positive anger management skills and be able to discuss these with the therapist 100% of the time when asked.
Intervention description—describe the detailed implementation of the intervention selected
3 Intervention skills describe 3 intervention skills used based on the intervention selected (in TF CBT, for example, you might pick a relaxation exercise, trauma narrative and cognitive challenging).
Intervention strengths and weaknesses what are the benefits (=strengths) or not (= weaknesses of using this intervention with the client?
Theory behind the intervention what is the theory behind the intervention—who researched it for clients like yours and what are the results of these studies? This section can be moved toward the beginning of the section if that helps. Please cite your references and add a reference list at the end.

 
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Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why.

Nurs 6541 Case Senario
You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign.

Questions

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

 
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· What to do: "Let's figure out what's happening on the days he doesn't bite, and do more of that."

Unit 4AA Discussion 1 & 2? $30.00 Due (Friday) 7/29/2018.
Unit 4 Discussion 1
Theoretical Approaches and Counseling Techniques
Compare the counseling techniques you observed in the person-centered counseling videos (with the child, Wood), to the counseling techniques you observed in the video that corresponded to the additional chapter you selected in Counseling Children.
Identify the key similarities and differences between the two theoretical approaches in the following areas, using course readings to support your conclusions:
· Typical therapeutic goals for helping children and adolescents.
· Counseling methods and process used by the counselors used in the video sessions.
· Specific techniques used by the counselors, and the client’s response.
· Adaptability of the theory for use with children from diverse cultures and backgrounds.
o APA Style and Format.
[u04d2] Unit 4 Discussion 2
Unit 4 Discussion 2
How Theories Determine Interventions
Discussion Scenario
For this discussion, first imagine the following scenario.
A father of a 4-year-old boy brings his son to counseling. His son has recently begun biting other children at preschool. As would be expected, this behavior is extremely upsetting to the teachers, the children who have been bitten, and their parents. The director of the preschool has told the father that the problem must be addressed by a professional if the child is to remain in preschool.
The father of the boy wants to get the best help he can, so he arranges an initial session with five counselors who advertise themselves as working from five different theoretical perspectives. He asks them all the same two questions: “Why is my child biting? And how will you make him stop?” He receives the following answers:
Psychodynamic Counselor
· Why: “Your child may have an oral fixation that he has tied to his aggressive impulses.”
· What to do: “When your child’s unconscious motives have been freely expressed and resolved, his behavior and peer interactions will become more age-appropriate.”
Behavioral Counselor
· Why: “It doesn’t matter why; what matters is precisely selecting the behavior you want to change.”
· What to do: “Through observation, we will determine the contingencies that are reinforcing this biting behavior and eliminate them, while simultaneously establishing rewards for desired behaviors.”
Adlerian Counselor
· Why: “It will be important to know what need your son is seeking to satisfy with this behavior—power? Attention? Self-Protection?”
· What to do: “When we find more constructive ways for your son to satisfy his need and encourage his use of these alternate ways, the biting behavior will discontinue.”
Person-Centered Counselor
· Why: “I wonder if your child feels truly seen and understood, and feels prized for who he is.”
· What to do: “When we create a space where your son feels unconditionally accepted, he will work through this on his own and I expect the biting will stop.”
Solution Focused Counselor
· Why: “I don’t know why, but answer this: Are there days when he doesn’t bite?”
· What to do: “Let’s figure out what’s happening on the days he doesn’t bite, and do more of that.”
This whimsical scenario is overly simplified to the point of being humorous. Nevertheless, it underlines the point that the same problem would be understood and addressed differently by counselors working from different orientations. It also makes the point that the answer to what to do is based on the counselor’s answer to why the problem is occurring.
Discussion Instructions
Now it is your turn. Select a common problem behavior that a child or teen might display (such as school refusal, bed-wetting, lying to teachers, sneaking out at night, obsessive fingernail biting, or always losing homework).
· Briefly describe the problem.
· Then, offer responses, from three different counselors who represent three different theoretical perspectives, to the why and the what to do questions.
· Use your textbook to ensure that you design responses that are consistent with the theories on which they are based.
· Offer a rationale, citing your support, for how you see each of your responses as exemplifying each of your chosen theories.

 
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