Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

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Research Critiques and PICOT Question Guidelines – Final Draft

Quantitative and Quantitative Studies

Background

  1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

  1. Discuss how these articles will be used to answer your PICOT question.
  2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

  1. State the methods of the articles you are comparing and describe how they are different.
  2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

  1. Summarize the key findings of each of the studies into a comprehensive summary.
  2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

  1. Discuss two ethical consideration in conducting research.
  2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

  1. What are the anticipated outcomes for your PICOT question?
  2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

 

 

Compare a healthcare delivery system of a capitalist country: USA, to the one from a socialist delivery system:

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The topic for the research paper is to “Compare a healthcare delivery system of a capitalist country: USA, to the one from a socialist delivery system: Mexico, Canada, etc.”.
The paper should include information about the advantages/disadvantages of each one, and then, your opinion based on those characteristics.
The paper should contain at least three pages of information (excluding cover page and bibliography) and follow APA guidelines.
The paper is due the week before the final examination.

Discuss implications for nursing practice

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  • The paper will include the Title Page, 2-3 pages for the Main Body of the paper, and a Reference list.
  • The paper must include a minimum of 2 professional nursing articles published within the past 5 years.
    • Articles must be research or evidence based, preferably from nursing journals but may be from a related health field if appropriate for the topic. Opinions, blogs, editorials, etc. are not research or evidence based.
    • Each article must have a minimum of one nurse author
    • QCC Library Research Process Guide: http://qcc.mass.libguides.com/researchprocess
  • Discuss one health initiative within your paper/presentation as described below and how it relates to your topic. See specific health initiative per course:
  • Discuss implications for nursing practice

Demonstrate your ability to describe an overview and foundation of psychiatric/mental health nursing care and to articulate your assessment using language of the discipline of psychiatric mental health practitioners.

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448X –Learning Path Assessment #11Assessment 1: MentalHealth Foundations -Short Answer PaperRelated Competency Set: NURS 448X Mental Health Nursing Across the Continuum of CareCompetency assessment description:In this assessment, students demonstrate competency with processes associated with mentalhealth assessment including application of a theoretical model, and standards of psychiatric/nursing practice.How to complete this Competency Assessment

A.Familiarize yourself with the general guidelines for written work for this competency assessment found in the Competency Set Syllabus.

B.This assessment comprises 15%of the total grade for this competency set. The scoring rubric for this assessment is at the end of this learning guide. You must complete the Assessment with a grade of C or higher. C.Pre-assessment: Fourpre-assessment questions in learning path are provided to guide your preparation for the assessment.

D.Assessment directions:The purpose of this assessment is to demonstrate your ability to describe an overview and foundation of psychiatric/mental health nursing care and to articulate your assessment using language of the discipline of psychiatric mental health practitioners. Before you begin this assessment, you will need a good understanding of a foundational overview of psychiatric mental health. The readings in the resource section of this learning path are very importantto improve your understanding of mental health concepts. We strongly suggest that you use the textbook and the other resources listed in the learning path to complete this assessment. •For this assessment you will write referenced, scholarly paragraphs (1 -5) on each of the following topics and use these asAPA level one headings to separate your answers.•Please review the readings and rubric carefully. Remember to use the four headingsbelow foryour answers. •Use the headings on page two as centered, bolded level one headings to separate your paper topicsE.You may accessAssessment 1 and the Scoring Rubric from the “Assessment 1” section of this Competency Set. When you complete this assessment, please upload it to the Assessment link in Canvas (under the Assessment #1) . You may accessAssessment 1 and the Scoring Rubric from the “Assessment 1” section of this Competency Set.

Describe how you would modify assessment techniques to match the age and developmental stage of the child.

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The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Who identified the need- department of health, compared to national statistic?

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    1. Assessment of Needs and Rationales (30%)
    • Topic for project/ paper –  Diabetes mellitus on adults population (New Diagnosed Client)
    • Location/ Site- Arlington free Clinic
    • Address- 2921 11th St South, Arlington –VA, 22204.
    • Students required are to do online article research about the assigned clinic for the project or other articles pertaining to the work as well.
    • Remember, to know the type of client and take into consideration and the type of teachings. (Level of understanding)
  2. Group/Aggregate description (10% = 4 x 2.5% each)
  3. What is the health teaching need- What service does the site provide -From website and considering census data
  4. Who identified the need- department of health, compared to national statistic?

iii. How was the need identified- (for teaching) Statistics explain the process of justifying a reason for planning teaching

  1. What does the evidence say about this group and their teaching needs (application of evidence-based practice- cite research)- For example – older diabetics learn best by… or teens are most responsive to learning by having someone close to their age talk to them about their experience (have an article to site for this). Or any other justification for your teaching plan.
  2. Assessment of readiness (There may be possible constraints in assessing this area due to limited group availability or the setting). (10% = 5 x 2% each)
  3. Readiness- of population – depending of what they are teaching – diabetics more ready than those just getting screening. Are teens ready to learn? What factors influence the use of contraceptives in teens?
  4. Motivation- Age of client’s factors in. Prevention is not motivation; a recent MI (heart attack) is motivation. Example: Motivation was definitely one of several very important behavior elements in helping to control bloodpressure,” says researcher Laura P. Svetkey, MD, director of the HypertensionCenter at Duke University School of Medicine. “A little nudge in the right direction seems to go a long way in helping people lose weight, increase their physical activity, and eat healthier to lower their blood pressure and reduce risk of cardiovascular disease. And if it only takes a little nudge to get people motivated to be on the right track, that’s terrific. (Make sure you cite anything you use!!)

iii. Experiential background (previous teaching?)- Have they been told by health care providers in the past?  What will change their view to be open to learning this time?

  1. Current status (age intellectual level and/or educational level, etc)-describe the population you are teaching, how does this affect your teaching method. Teens, older perhaps high school educated, primarily Spanish speakers, homeless population (they have so many other factors in their life this may not be high on the list)
  2. Interest and actual and/or potential barriers to learning- Lack of transportation, homeless, poverty level, feel like it is out of their hands, fear of failure, lack of motivation, environment, lack of money to buy medications/go to appointments, etc
  1. Two Community/Group Diagnoses (10% = 2 x 5% each)- Nursing diagnoses appropriate for the teaching plan Explain why, not just listing, Each one should be a paragraph.
  2. Knowledge deficit
  3. Risk for infection
  1. Teaching Plan (40%)

Note. Teaching plan worth and strategies worth more percentage and more information is needed on teachings and strategies.

  1. Teaching project on time. What specific gains are you aiming for with your aggregate? (10%) – What is your goal in teaching the selected population? The Learning objective or objectives that you use can be based on three areas of learning: knowledge, skills and attitudes. Learning objectives define learning outcomes and focus teaching. They help to clarify, organize and prioritize learning. You need to explain why the objectives are appropriate for your patients/clients.
  2. 2 Objectives (10%)
  3. Teaching Strategies 15%:
  4. Identify at least 3 teaching strategies/methods student to use -(Q & A, pretest/post test, discussion, lecture, video, handouts, survey, case study, demo, role playing, ppt slides, poster board, web links, readings, self-report, group work, brain storming, visual aids, etc…) Explain why
  5. Multilanguage or pictures / diagrams
  6. Demonstration
  7. Compelling video
  8. Content based on literature review on reference page – 4 evidence-based resources within the past 5 years. Research on handwashing example – the health issue and relating it to population.

iii. APA Format.

  1. What financial needs to be in place in order to make the changes occur? – (5%) Go with the one that pertains to your client or case. Example, hand washing- if suggest more sinks financial need of buying sinks….plumbing… increase number of times washing hands more soap paper towel. Thinking about this…. Do you need to have a support group in the clinic on weekends or evenings- then it needs to be staffed for 1-2 hours, what does this cost?

Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

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Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.
The PICOT question will provide a framework for your capstone project change proposal.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Describe the problem in the PICOT question as it relates to the following:
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.

NOTE: Please you can use databases research articles from PubMed (www.ncbi.nlm.nih.gov) and Lippincott Advisor, CDC, etc. Please the article should be peer-reviewed and WITHIN 5YEARS OR LESS. Thank you.

Resources
Read “Selecting the Best Theory to Implement Planned Change,” by Mitchell, from Nursing Management (2013).URL: http://home.nwciowa.edu/publicdownload/Nursing%20Department%5CNUR310%5CSelecting%20the%20Best%20Theory%20to%20Implement%20Planned%2
Read “Science of Improvement: Testing Changes,” located on the Institute for Healthcare Improvement website. URL:http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx
Read “Asking Focused Questions,” located on the Centre for Evidence-Based Medicine website.
URL:
http://www.cebm.net/asking-focused-questions/

Read “Formulating a Researchable Question: A Critical Step for Facilitating Good Clinical Research,” by Aslam and Emmanuel, from Indian Journal of Sexually Transmitted Diseases and AID (2010).
URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140151/

Read “Research Questions, Hypotheses and Objectives,” by Farrugia, Petrisor, Farrokhyar, and Bhandari, from Canadian Journal of Surgery (2010).
URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912019/
Explore Nursing Theory website. This website provides information on leading nursing theories.
URL:

Nursing Theory

Explore the Nursing Theories page of the Current Nursing website. This website provides information on leading nursing theories.
URL:
http://currentnursing.com/nursing_theory/

Discuss generalizability as it applies to nurse research.

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Describe the sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nurse research.

Read Chapter 3 in Nursing Research: Understanding Methods for Best Practice. SOURCES: [YOU DO NOT HAVE TO USE ALL] URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/nursing-research_understanding-methods-for-best-practice_1e.php Review “The ICN Code of Ethics for Nurses,” by the International Council of Nurses (2012), located on the ICN website. URL: https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf Read “Sampling Methods in Clinical Research: An Educational Review,” by Elfil and Negida, from Emergency (Tehran) (2017). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325924/ Read “Appraising Quantitative Research in Health Education: Guidelines for Public Health Educators,” by Jack et al., from Health Promotion Practice (2010). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012621/ Read “What Are the Major Ethical Issues in Conducting Research? Is There a Conflict Between the Research Ethics and the Nature of Nursing?” by Fouka and Mantzorou, from Health Science Journal (2011). URL: http://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.pdf Read “Science, Technology, and Innovation: Nursing Responsibilities in Clinical Research,” by Grady and Edgerly, from Nursing Clinics of North America (2009). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792873/pdf/nihms130830.pdf

What Are the Major Ethical Issues in Conducting Research?

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Read Chapter 3 in Nursing Research: Understanding Methods for Best Practice.

SOURCES: [YOU DO NOT HAVE TO USE ALL]
URL:
https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/nursing-research_understanding-methods-for-best-practice_1e.php
Review “The ICN Code of Ethics for Nurses,” by the International Council of Nurses (2012), located on the ICN website.

URL:
https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf

Read “Sampling Methods in Clinical Research: An Educational Review,” by Elfil and Negida, from Emergency (Tehran) (2017).

URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325924/

Read “Appraising Quantitative Research in Health Education: Guidelines for Public Health Educators,” by Jack et al., from Health Promotion Practice (2010).

URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012621/

Read “What Are the Major Ethical Issues in Conducting Research? Is There a Conflict Between the Research Ethics and the Nature of Nursing?” by Fouka and Mantzorou, from Health Science Journal (2011).

URL:
http://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.pdf

Read “Science, Technology, and Innovation: Nursing Responsibilities in Clinical Research,” by Grady and Edgerly, from Nursing Clinics of North America (2009).

URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792873/pdf/nihms130830.pdf

What measures can the nurse suggest to the client to ensure accuracy and compliance with the medication regimen?

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The nurse is visiting a 78-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client’s sight is moderately impaired despite the use of eyeglasses. The client’s medication regimen includes Humulin insulin 70/30 (combination insulins) 35 units subcutaneously in the morning, lisinopril (Zestril) 5 mg by mouth daily, and nabumetone (Relafen) 500 mg by mouth twice daily.
• What are 2 important medication safety issues the nurse will assess in the client?
• What measures can the nurse suggest to the client to ensure accuracy and compliance with the medication regimen?
• The client reports feeling “dizzy” at times. How will the nurse evaluate this concern?