Nursing  db1

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nit 1  – Advanced NurUnit 1 Discussion – AdvancedIt is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).Advanced Nursing Practice SituationScenario: Today is a busy day at the community health center since yesterday was a holiday. I am seeing walk-ins, and my three examination rooms are full. I hope I will be able to see more than 20 patients today—the expectation of ‘management’—and will be rewarded with a productivity bonus. My next patient is John, a 42-y.o. man I have known for several years. He is accompanied as usual by his wife Mary. Today, John is complaining of lower extremity swelling and pain in most of his joints. He is worried about losing his job as a truck driver, because he is having difficulty climbing in and out of his truck. He is afraid that he may have lupus, because all of his siblings and his mom have this disorder. He also requests a refill on his antidepressant, which doesn’t seem to be working as well as it did a month ago. While reviewing his chart, I notice that John has gained weight—he now weighs over 300 lbs. In reviewing his medications, I see that the antidepressant he is taking may be contributing to his weight gain. John’s physical examination is unremarkable. His heart rate is regular without murmur or irregularity, and his lung sounds are without wheezes or crackle. Since John is a large man, all of his joints areas are large, but they are all symmetrical, with good range of motion and only mild palpation tenderness in his wrists. His ankles are large but without erythema or other skin discoloration or disruption, and his pedal pulses are strong and equal bilaterally.I ponder how to manage this visit. Do I take the time to investigate John’s depression more thoroughly, wondering about his 11 y.o. daughter, who at his last visit was on chemotherapy for a neuroblastoma? Should we discuss the pros and cons of different antidepressants? Should we discuss the possibility of a gastric bypass again, even though I know the thought of anesthesia terrifies him? Do we again discuss the importance of a healthy diet and increased exercise, giving consideration to his joint pain? I am torn between what I feel this patient deserves and the call of the clock. Would it be unreasonable to order the necessary lab tests to investigate the possibility of lupus, hypothyroidism, or some other disorder and postpone these time-consuming discussions until his next visit?If I am expedient with this visit, the other patients waiting also will be grateful. Maintaining a caring practice in an economically driven discipline requires skill and grounding in those values that are essential for quality patient care. In the context of the caring theory and analysis of the Advanced Practice Nursing Situation above, let’s discuss this situation using “multiple ways of knowing.”Questions for this week’s Postings:In your posting this week please provide a word metaphor that might express the meaning of this situation as described above?Remember this is your opportunity to tap into the aesthetics of knowing that is seeing the beauty and uniqueness in this situation so think about it a bit before responding.Make it your own word and not just what someone else said.Please explain why you chose this word and if you have experienced this type of situation before and what did feel about that situation?Please be sure to validate your opinions and ideas with citations and references in APA format.Estimated time to complete: 1 hourSearch entries or author Filter replies by unreadUnread   Collapse replies Expand replies Subscribe ReplyReply to Unit 1 Discussion – Advanced Nursing Practice Situationsing Practice Situation

 
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Nursing  500 word essay

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Research questions

 
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Nursing  Time Travel

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Time TravelAssume you have been given the ability to travel back in time, and you are about to set off on a trip to the nineteenth and twentieth centuries. The purpose of your trip is to visit artists in their studios and view firsthand the creation of some of their paintings and sculpture.In your time travels, you will collect information on five different styles of nineteenth- and twentieth-century art, as represented by one artist from each style. Before you set out, decide which specific styles you would like to explore.Selectonestyle fromeachof the five categories listed below:Late Nineteenth Century: Impressionism or Post ImpressionismEarly Twentieth Century: Fauvism, Expressionism, or FuturismCubism: Analytic or SyntheticPost-World War I Art: Dada or SurrealismPost-World War II Art: Abstract Expressionism, Minimalism, or Pop ArtFor each of your five selected styles, identify one artist who represents that style whose studio you will explore in your time travels. In your visits to each artist’s studio, plan to identify one work of art that best exemplifies the artist’s style.When you return from your time travels, prepare a report that includes the following information foreachof your five representative works of art:A photograph of the objectIdentifying information:Name of the artistTitle of the workDate of the workMedium/materials used to create the workIdentify the style of the work of art. Then, write a paragraph of 4-6 sentences that:Describes the visual characteristics that makes the object representative of its stylePlaces the work within its social and historical context and explains why it is culturally significantFinally, in a well-developed paragraph of 6-8 sentences, summarize what you have learned from your “time travels,” highlighting key similarities and distinctions between the artists you visited and their representative works of art.

 
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Nursing  Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

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As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.Include the following:Describe the intervention or treatment tool and the specific patient population used in the study.Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful

 
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Nursing  MN576 Discussion Board: Pelvic Pain – Peer Response

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No plagiarism please.Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.Peer Resp.#1Pelvic pain can be caused by many reasons such as ovarian cysts, urinary tract infections, appendicitis, sexually transmitted infections, pelvic inflammatory disease (PID)…In this discussion, I will address PID as the cause of pelvic pain. PID is an infection or inflammation of the upper genital tract in women (Shen et al., 2016). For PID, it is considered acute if the symptoms last 30 days or less (Ferri, 2018). The condition is chronic if the symptoms last more than 30 days. PID is a sequela of sexually transmitted infections, so it is commonly diagnosed in young and sexually active women. Patients usually complain of lower abdominal pain, abnormal vaginal discharge/ bleeding, postcoital bleeding, dysuria, dyspareunia, or fever (Ferri, 2018). If a patient also complains of nausea and vomiting, we need to rule out peritonitis. Since the disease can cause infertility, ectopy pregnancy and can permanently damage other organs such as the uterus, ovaries, fallopian tubes, the patient needs to be referred to a gynecologist immediately to have a proper treatment (Shen et al., 2016). Some women may not have any symptoms, so we need to do a thorough history and physical examination, as well as offer STI screenings to avoid underdiagnosis. We can order basic labs and imaging studies such as urinalysis and urine culture, CBC, CMP, CRP, ESR, and ultrasound pelvic/transvaginal so that the patient can have them done before seeing the gynecologist. An endometrial biopsy or laparoscopy can be done by the gynecologist to confirm the diagnosis of PID (Ferri, 2018).To write a referral to a specialist, we first need to include our information (name, address, phone, fax, email) and the specialist’s information. Second, the reason for consult/referral, the patient’s biographical data, chief complaint, history of present illness, past medical history, allergies, current medications, family history, social history, vital signs, review of system, and physical examination need to be addressed. Also, we need to include labs and imaging studies, treatment plan, diagnosis, and recommendations. After the patient has been seen and treated by the gynecologist, we are responsible for advising the patient to come back to see us for follow-ups. Since PID can be recurrent, the patient needs to be tested for gonorrhea and chlamydia three to six months after the treatment (Ferri, 2018). Her sexual partner needs to be treated as well to prevent her from being re-infected. Untreated gonorrhea and chlamydia can cause PID; therefore, it is essential for NPs to screen female patients aged less than 25 and those at increased risk for these infections to reduce the incidence of PID (Kreisel, Torrone, Bernstein, Hong, & Gorwitz, 2017). We also need to offer HIV and other STI screenings to all women with PID.Peer Resp.#2EndometriosisEndometriosis is a painful disorder that results from the endometrium growing outside of the uterus.  This generally involves the pelvic region, ovaries, fallopian tubes and the pelvic lining.  It can affect areas outside of the pelvic region as well.  Though the endometrium is displaced, it continues to act as normal by thickening, breaking down and then bleeding during menstruation.  Unfortunately, there is no place for this to go and it becomes trapped.  Eventually, this causes scarring and adhesion’s which cause pelvic organs to adhere together.  All this together causes the pain and can lead to infertility (Mayo Clinic, 2018).  I chose this subject because I had endometriosis.  It is a horrible disorder and very painful.  There were times that it felt like someone was stabbing my insides with a knife.  I would ball up into the fetal position and cry until the pain went away.  I eventually had to have a hysterectomy at the age of 29.  This was horrible because we tried to have another baby, but it left me unable to have anymore.  I was so bad that I had bleeding outside of my menstrual cycle and it was in my rectum.  Before my surgery, I bleed for more than 2 weeks straight despite medications.  He said if I did not have the surgery, I would eventually hemorrhage.Endometriosis S/SDysmenorrheaChronic Pelvic PainDyspareuniaAbdominal PainMenorrhagiaBackache (during menses)Perimenstrual TenesmusDiarrheaConstipationDyscheziaDysuriaHematuriaNausea(Youngkin, Davis, Schadewald & Juve, 2013)Referral ProcessEndometriosis generally does not require a referral.  With this being said, women may become infertile with this issue (Johns Hopkins, 2018).  If the woman would like to have children and has infertility issues, she can be referred to a fertility specialist.  Some women require hysterectomies if the disease is severe (Johns Hopkins, 2018).  In some cases, the woman may need to be referred to a physician within the practice that performs this.Follow-up After ReferralIt is known that 17-19% of women with endometriosis have spontaneous resolution of lesions.  Many more women have a progression of lesions.  This makes up 24-64% of the cases.  Others remain stable.  This is 9-59% of the cases.  Follow-ups will depend on the treatment plans that are decided on.  There should be, at the very least, a three-month follow-up to report any new, worsening or resolving symptoms.  At the follow-up, side effects of treatment should be discussed as well.  This follow-up can be used to discuss further pregnancy options if need be (Youngkin, Davis, Schadewald & Juve, 2013).

 
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Nursing  Discussion Make sure you provide 2 references and utilize APA style..

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Discussion # 2 : End of LifeEnd-of-Life Care (including advanced directives, palliation) Topics to review: Article: Nurses roles and responsibilities Providing care and support at end of life. https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdfFor your initial post/ threat choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life managementUsing the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.Practice1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.Education1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.Research1. Increase the integration of evidence-based care across the dimensions of end-of-life care.2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.Administration1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.4. Support the development and integration of palliative care services for all in- and outpatients and their families.

 
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Nursing  Acupunture

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Nontraditional treatment for this presentation.AcupunctureAnswer the following:a. The spiritual, cultural, or familial origins of the health beliefs (nontraditional treatment)b.   The potential health implications of the health beliefs and culture, specifically any that may potentially cause harmc.   How to integrate the health beliefs into nursing cared. The long-term benefits of exploring and assessing health beliefse. Each group will discuss how their pros and cons of use of nontraditional treatments will affect transcultural nursing.f.   Discussion of the insurance payments for nontraditional treatments

 
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Nursing  Synthesized Literature Review Introduction

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IntroductionTypically, a review of the literature is extensive as it should address all known aspects of a problem and describe how the problem has been studied in the past.  For example,What variables and questions related to the problem have already been studied and how does that to relate to the question being posed in the study you are proposing?  Are the previous study findings applicable to today’s practice?Who were the subjects in these other studies and how do they compare with your proposed subjects?What research design, theoretical framework, data collection tool(s), statistics, etc., were used; and how do they compare to what you are proposing?A good review of the literature lays down the proverbial breadcrumbs for future researchers to follow the rationale for how we arrived here from there.  Sometimes it means we state the obvious, and other times it means we identify conflicting outcomes, outdated paradigms, gaps in practices, statistical test results to questions similar to ours, or suggest questions for future research.  This assignment will give you a good understanding of how to compile the research findings needed for writing financial reports, grant applications/reports, business plans/Pro-forma, practice policies, processes, academic reports, clinical case studies, etc.NRAO Majors:  The review you write for this assignment should be a good start for your scholarly project due in your final MSN course.  You and your advisor will work together to complete this requirement.Upon successful completion of the Literature Review assignment you should be able to:Address an identified problem through a systematic synthesized review of the literature.ResourcesTextbook: Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018), Chapters 4 and 5PowerPoint:Chapter 4 Writing Strategies & Ethical ConsiderationsFile:Chapter 4 Writing Strategies & Ethical Considerations, NotesPowerPoint:Chapter 5 The IntroductionFile:Chapter 5 The Introduction, NotesTextbook: Practical Research: Planning and Design (2016), Chapters 3, 5, and 13PowerPoint:Chapter 3 Review of Related LiteraturePowerPoint:Chapter 5 Writing the Research ProposalPowerPoint:Chapter 13 Plan & Prep Final ReportTextbook: Preparing Literature Reviews: Qualitative and Quantitative Approaches (2016), Chapters 1 and 14File:Horton APA Grading Guide IWU Version Final.docxFile:6.2 Template for Literature Review – 1.15.2018.docxFile:Proposal Summary Form(due in 6.3)File:Lit Review – SAMPLEFile:Sample Spreadsheet of Articles Reviewed(due with the Literature Review)File:Spreadsheet of Research Study Analysis(due with the Literature Review)Website:Evidence Based Practice Toolkit for NursingWebsite:IWU Off Campus Library ServicesWebsite: How to Conduct a Literature Searchhttp://0-apastylecentral.apa.org.oak.indwes.edu/learn/browse/TUT-10and/orhttp://media.indwes.edu/media/Lit+Search+-+how+to+in+OCLS/0_7dn204mbWebsite: How to Write a Literature Reviewhttps://www.youtube.com/watch?v=t2d7y_r65HUandhttps://www.youtube.com/watch?v=2IUZWZX4OGIPart Ihttps://www.youtube.com/watch?v=UoYpyY9n9YQPart IIhttps://www.youtube.com/watch?v=FK6Lsl1tcm0Part IIIInstructionsRead chapters 4 and 5 in Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018); chapters 3, 5, and 13 in Practical Research: Planning and Design; chapters 1 and 14 in Preparing Literature Reviews: Qualitative and Quantitative Approaches. Review all other materials listed.Using the quantitative research question developed in Workshop One, the articles analyzed in Workshops Two through Five and the draft summaries, write a synthesized literature review.  Synthesize a minimum of 16 research articles.  Use the TEMPLATE found in the resources above and the sample review as a guide.You are not presenting everything about each study that you have read.  Rather, present only the parts of the articles/studies which are applicable to your study.Begin with an introduction section (Example: This is a review of the literature and research findings related to the perception of nursing as a call or as a choice by those who have been registered nurses over varying lengths of time.), and follow with sections and subsections (entitled specific to your problem), according to the rubric below.Use the resources shared throughout the course, especially those in Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018), chapter 2, Practical Research: Planning and Design, pages 67-70, and the checklist in Preparing Literature Reviews: Qualitative and Quantitative Approaches (2016),pages 116-124 and the examples on pages 149-166.  (Watchhttps://www.youtube.com/watch?v=t2d7y_r65HU(10 minutes if you would like to learn more about how to write your literature review.)  KEY: The lit review is NOT an annotated bibliography, rather it is a synthesized presentation of the most recent and classic studies addressing your question focus, written in a scholarly manner.It is difficult to give a page requirement because it will depend to some degree on the amount of literature available on the chosen topic.  Most literature reviews are minimally in the range of 15 – 20 pages and are larger to accommodate a more complex question.APA comprises 70 points in the rubric and will consider the points in the Horton fuideline (see Resources list above).  An APA Reference page should be included at the end of the review.When you have completed your assignment, you will submit three documents:Submit your Literature Review into Dropbox by day seven of the workshop (TurnItIn enabled).Submit your completed Spreadsheet of Articles Reviewed into the same Dropbox.Submit your completed Spreadsheet of Research Study Analysis into the same Dropbox.Please carefully read the rubric below for the necessary inclusions in your literature review/ content according to the rubric.  You should use APA formatted headings throughout your paper which correlate with the bolded criteria below.  All areas must be included.  If there are some areas that do not apply to your particular literature review and proposed research study then you must explain the rationale for why that area is left out and confirm via literature.Click here to access the dropbox.Assessment Criteria, Literature ReviewAssessed Criteria ItemsPointsSynthesize a minimum of 16 research articles and address each of the highlighted topics below.  Any area not covered sufficiently should be explained in the paper and preapproved by faculty as points will be deducted for any missing area.  You should have a Level 2 heading for each bolded component listed below with appropriate content.Presentation of the Literature (230)Introduce the topic of inquiry, description of the problem, and its relevancy to nursing and the population of the proposed study. Do not use Introduction as a heading.10Organization of the Review – Describe how you have organized your paper and the outline the scope/boundary of your study. Tell what you are going to tell! Basically, describe the flow of the paper according to the major headings.10Definitions of the key terms pertinent to the topic which reflect current language and gives a reference for each.10Describes the Literature Sources, Study Types, Authors, Search Strategies included in the review. Describe search strategies, databases, key words/terms/phrases and engines.10Propose the quantitative Research Question and Variables (e.g., perhaps one of the studies suggested your study question) around which the review is focused. Present each of the independent and dependent Variables (as applicable) by its type. Describe each variable and how it generally interacts and the combined relationship around which the review is focused; describe other variable types as applicable i.e. confounding, etc.30Summarize the various Research Designs and Theoretical Frameworks (methodology, e.g., concept analysis) of the studies included in your literature review.20Summarize the Data Collection Instruments/tools used in the studies and how (the method used) data was collected.20Summarize the representative Population, Sample Participants, Risk, studied, how (methodology) they were selected, protected, and Informed Consent obtained. Address participant inclusion and exclusion criteria, IRB level of review, and informed consent.25Summarize the Statistical Analyses used to run the data to answer the question.25Summarize Study Results Related to the Problem, Question, and/or Variables, e.g., an organizing theoretical framework or model used in the studies.10Now present the key findings of the studies and compare them, e.g. one study found this and another found that related to the same variable.  Present Other Considerations Related to the Proposed Study, and any Areas for Further Research as well.  Use Level 2headings for your variables and/or topic, problem, and Level 3 headings for your subtopics, subproblems, or sub-concepts.30Present a Summary of the key points from the studies which frame the current status of the problem and variables.  Last, summarize the attributes from the studies you will use in your proposed study, e.g. declare the:Design appropriate for the proposed study.Population and sample appropriate for the proposed study.Data collection tool appropriate to the proposed study.Statistics appropriate to the proposed study.Theory, concept, or model appropriate to the proposed study.30Mechanics According to the Horton Grading Guideline (70)Headings include the bolded words in the previous section; study topics and subtopics/subproblems/sub-concepts are specific headings.15Manuscript is organized in a logical fashion with appropriate subject topics under correctly formatted APA headings.5At least 16-20 current research studies are presented in a synthesized fashion; does not read like a series of annotated bibliographies.20Writing is coherent, smooth, and scholarly and without bias; APA formatting, and grammar are correct.20References appear in the review and vice versa with alphabetical reference list.5Studies are properly cited throughout the paper using APA format e.g. Davis & Jones, 2018; Kershaw & Rose, 2017; Holmes & Greer, 2015).5Total Points300

 
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Nursing  SOAP NOTE week 6

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Pediatric SOAP Note template . See bellow the attach document how to completed it.

 
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Nursing  paper

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Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.PICOT QuestionRevise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Research CritiquesIn the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.Proposed Evidence-Based Practice ChangeDiscuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.General RequirementsPrepare this assignment according to the APA 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.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistanceTeacher’ s feedbackthese are quantitative studies. Please complete a qualitative critique next week- using 2 qualitative studies. This is a worksheet, provided for you to gather your thoughts. The assignment is an APA paper. Please see the templates that I provided for your success in your welcome message in the individual forum and announcements. Also, your book is required for all assignments in this class- scholarly support takes a summary and makes it into a critique. Please reach out for questions.with experimental research there is a control with dependent and independent variables. The researchers seek to identify, if this, then that. With non-experimental, the researchers do not manipulate anything- instead they are on a data search. They want to describe something, correlate one entity to another to increase their knowledge and understanding. Thanks for your post.

 
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