Nursing  Research Critiques and PICOT Statement Final Draft

Research Critiques and PICOT Statement Final DraftPrepare 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 assistance.AttachmentsNRS-433V-RS-Research-Critique-Guidelines.docxResearch Critiques and PICOT Statement Final Draft – RubricNo of Criteria: 14 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory83.00 %Good94.00 %Excellent100.00 %Content60.0     Nursing Practice Problem and PICOT Statement5.0A nursing practice problem is not clearly described and/or a PICOT statement is not included.PICOT statement describes a nursing practice problem but lacks reliable sources. PICOT statement describes a nursing practice problem and includes a few reliable sources.PICOT statement articulates a nursing practice problem using supporting information from reliable sources.PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.Background of Study 5.0Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation. Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation. Method of Study5.0Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.Results of Study5.0Discussion of study results including findings and implications for nursing practice is incomplete.Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation. Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.Ethical Considerations5.0Discussion of ethical considerations associated with the conduct of nursing research is incomplete.Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.Conclusion5.0Conclusion does not summarize a critical appraisal and applicability of findings.Conclusion is vague and does not discuss importance to nursing. Conclusion summarizes utility of the research and importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.Evidence of Revision 10.0Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.Incorporation of research critique feedback or evidence of revision is incomplete.Incorporation of research critique feedback and evidence of revision are present.Evidence of incorporation of research critique feedback and revision is clearly provided.Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)10.0Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included. Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation. Proposed Evidence-Based Practice Change (C. 3.2)10.0The proposed evidence-based practice change is not included.The proposed evidence-based practice change is incomplete or incorrect.Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details. The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.Organization and Effectiveness30.0     Thesis Development and Purpose10.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction10.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)10.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format10.0     Paper Format (use of appropriate style for the major and assignment)5.0Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

 
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Nursing  Introduction to planning and the planning hierarchy

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

 
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Nursing  Process Analysis

Learning ResourcesNote: To access this Week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsBaker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.Chapter 15, “Using Comparative Data” (pp. 161-173)Review: In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.Thorpe, L., Kovach, S., Vins, W., & Stefanak, M. (2010). Business process analysis and redesign methods: improving response to telephone-based reports in a local health department. Public Health Reports, 125(6), 903–908.Retrieved from the Walden Library databases.In this article, the authors describe a case in which one local health department used the business process analysis and redesign methods to test their effect on response time to pressing public health problems. It demonstrates the importance of analyzing current organizational processes in order to improve system design.Jenkins, A., & Eckel, S. (2012). Analyzing methods for improved management of workflow in an outpatient pharmacy setting. American Journal of Health-System Pharmacy, 69(11), 966–971.Retrieved from the Walden Library databases.This article details an analysis of a central outpatient pharmacy. The authors explain the need to transfer pharmacists’ dispensing-oriented activities from technical dispensing functions toward more pharmacist-patient related interactions.CareLogistics (n.d.). Hospital Operating System: Unleashing throughput potential (Executive Summary). Retrieved from http://www.iise.org/uploadedFiles/SHSNew/Tools_and_Resources/Case_Studies_and_Tools/Exec%20Summary-White%20Paper%20-%20Hospital%20Operating%20System.pdfThis white paper discusses whether or not a hospital would be able to manage throughput if it becomes a system of interconnected activities.Required MediaLaureate Education (Producer). (2012). Process analyses. Baltimore, MD: Author.Note:  The approximate length of this media piece is 6 minutes.In this video, Dr. William Ward describes brown paper analysis, process flow analysis, and value stream mapping. Dr. Ward demonstrates the application of the three types of analyses to the same scenario to highlight their different uses.Discussion: Process Flow AnalysisHave you ever encountered a process that had too many steps or was overly complicated? Perhaps you examined the process and looked for areas where you could remove steps or simplify its flow. If you did, you were conducting a process flow analysis. Process analysis is an important step in determining the financial well-being of an organization and pinpointing areas where changes could help improve the bottom line. In this Assignment, you will create a process flow analysis (also known as workflow diagramming) for an activity in your own organization (or one with which you are familiar).To prepare:Review the information in the Learning Resources (including the Media) for this week dealing with how to perform a process flow analysis.Identify a process that is completed on a consistent basis in your organization (or one with which you are familiar). Examples of a process include such things as how a patient is moved through the system, or what must occur to prepare an examination room or hospital room for the next patient.Create a simple flow analysis map detailing the process using Microsoft Word using one of the methods below:Select SmartArt from the Insert menu and select a diagram that matches the flowchart structure you would like to use.Select Shapes from theInsert menu and select the shape that matches the flowchart piece you would like to use. Continue inserting shapes and connect them using the arrow shapes.Reflect on the ease or difficulty of obtaining the necessary information to create your flow analysis map.Identify “white space” as defined in the article, “Hospital Operating System: Unleashing Throughput Potential” found in the Learning Resources for this week.Determine strategies for improving the process flow.Reflect on the role of the process flow analysis in financial decision making and how it can have positive impacts on the process. Attach your Flow Analysis Map to your Discussion post.Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space that need to be addressed and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map when you turn in your paper.Reminder: This Discussion assignment serves as your Portfolio Assignment for this course. Be sure to save this Discussion Assignment on both your hard drive and on an external drive.By Day 3Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map as part of your post.

 
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Nursing  Discussion

Discussion # 2 : End of Life initial post.End-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  For Expert_Researcher ONLY Assessment 5-6

Details attached.

 
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Nursing  DQ1 week 5

What is your definition of “spiritual care?” How does it differ or accord with the description given in the topic readings? Explain.

 
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Nursing  Core

CORE CompetencyObjectiveUse effective verbal and nonverbal communication when delivering a speechAssignment OverviewIn this practice exercise, you will explore four styles that effective speakers use when delivering speeches.DeliverablesA one-page (250-word) paperStep 1 Research a speech.Using your course materials and the internet, research a speech that you feel is particularly effective, then analyze each speaker’s style and language strategies.Step 2 Answer the questions.In a one-page (250-word) paper, address the following:Who was the speaker, and what was that speaker’s main topic?What CORE style(s) does the speaker use in his or her speech? Cite the choice of word phrases and other clues from the speech to justify your answer.What you believe is the speech’s specific purpose?What strategies did the speaker use to achieve the specific purpose of the speech?Do you believe the speaker was successful in achieving the specific purpose of the speech?How does style and word choice in this speech impact the effectiveness of the message?How can you incorporate some of these techniques into your own speeches?

 
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Nursing  NURSING THEORY

PLEASE FOLLOW THE INSTRUCTIONS ON THE WORD DOCUMENT

 
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Nursing  writing assignment

Choose a different author from the list below for each question. Use each author only once.A. F. Scott Fitzgerald (“Babylon Revisited”)      B. Willa Cather (“Neighbor Rosicky”)1. How would you describe the protagonist in the work of your first author?  Clearly identify three of the protagonist’s most important characteristics and supply examples that support your idea.2. Using the definitions from the course lectures, discuss how the idea of naturalism or modernism is depicted in your author’s work. For naturalism, you will be looking for ways that the characters are portrayed as victims of their society or economy.  For modernism, you will be looking for ways the text challenges traditional ideas and/or portrays the failure of the American Dream.  Give examples of the particular period you find in the story or poems. 250 word each passage

 
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Nursing  Vulnerable Populations

As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community. Identify three local organizations in your community that deliver healthcare services to vulnerable populations. Based on your research findings, answer the following:Which population does each organization serve?What services does it provide?Where does it get its funding (local, state, or federal sources)?Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.

 
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