Identify of the problem or opportunity is the first step in evidence-based nursing

Purpose
Clear identification of the problem or opportunity is the first step in evidence-based nursing. In a previous course, you identified a practice problem of interest and developed a PICOT question. This assignment is a review of PICOT with the opportunity to revise or refine it. You will post your PICOT in the Week 1 Discussion for your classmates to review and provide feedback.

Due date: Sunday at 11:59 PM MT at the end of Week 1

Students are given the opportunity to request an extension on assignments for emergent situations. Supporting documentation must be submitted to the assigned faculty. If the student’s request is not approved, the assignment is graded and a late penalty is applied as follows:

Monday = 10% of total possible point reduction
Tuesday = 20% of total possible point reduction
Wednesday = 30% of total possible point reduction
If the student’s request is approved, the student will be informed of the revised due date. Should the student fail to meet the revised due date, the assignment is graded and a late penalty is applied as follows:

Monday = 10% of total possible point reduction
Tuesday = 20% of total possible point reduction
Wednesday = 30% of total possible point reduction
Course Outcomes
This assignment enables the student to meet the following Course Outcome (CO):

CO 2: Using current knowledge, standards of practice, and research from evidence-based literature, synthesize a foundation for the nurse executive role. (PO 3,4)

Total Points Possible: 50
Requirements
Description of the Assignment

Use the PICOT worksheet found above to complete the Week 1 Assignment PICOT Worksheet.

Step 1: State your PICOT question. This should be the PICOT question that you previously developed in NR505 and which you should have continued to build upon in the Nurse Executive track courses. If your PICOT question has changed since NR505, please note the changes in this section so it’s clear to the instructor what was original and what has been updated.

Step 2: Clearly define your PICOT question. List each element: P (problem, population, or problem), I (intervention), C (comparison with other treatment or current practice), O (desired outcome), and T (time frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles.

Step 3: Describe the issue or problem that will be the focus of your CGE evidence-based practice change project. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature?

Step 4: How was the practice issue identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.

Step 5: What terms did you use in order to make sure your search is wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed?

Criteria for Content

Access the PICOT worksheet found above.
Follow the instructions on the PICOT worksheet and complete the form.
Submit the completed PICOT worksheet form.
Example 1

What is the PICO(T) question?

Will influenza immunization compliancy rates increase if flu clinics are provided in flu PODS and immunization clinics at convenient times that cover all shifts?

Define each element of the question below.

P (patient, population, or problem): Require hospital employees and volunteers to have the influenza immunization annually.

I (intervention): Offer multiple flu PODS and immunization clinics to hospital employees and volunteers, making it convenient to receive the required immunization. Offer these at a variety of times, available to all shifts.

C (comparison with other treatment or current practice): Compare analytics showing employees and volunteers who received flu shots prior to 2016, when flu PODS and immunization clinics were not offered, to 2016, when flu PODS and immunization clinics are offered to accommodate shifts. Track the number of employees or volunteers coming at each time frame.

O (desired outcome): The desired outcome is increased employees and volunteer compliance with the flu shot policy.

Example 2

What is the PICO(T) question?

For nondiabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly versus not observing for signs of hyperglycemia promote improvement of pulmonary complications?

Define each element of the question below.

P (patient, population, or problem): nondiabetic patients on corticosteroid therapy

I (intervention): monitoring for headache, fatigue, nausea, vomiting, and blurred vision

C (comparison with other treatment or current practice): no observations for signs of hyperglycemia

O (Desired outcome): improvement of pulmonary complications

T (time): 90 days

 

 

Topic:
The career you are pursuing (nursing), one conflict you might face professionally (the personal and professional boundary that exists in nursing), and suggestions for overcoming the situation.
Introduction (Two paragraphs)
Begin with a rhetorical question (the attention grabber). Respond to the question. Narrate what motivated you to pursue the career. (First person paragraph)
Describe the major responsibilities, and what you think will be the most rewarding part of the career. Is it possible that you will encounter communication, personality or behavioral issues with colleagues, clients, or the public within your career? Explain one kind of issue you might anticipate with your chosen career. Recognize that the career will have drawbacks that you will have to learn to overcome. End with a thesis that explains what you want your reader to know by the end of your essay. The thesis should focus on the conflict or situation that you will need to resolve. (Third person paragraph)
Body
Topic sentence. Introduce, describe, and discuss the conflict or situation. Define it thoroughly. Explain why it exists within the career. How do credible sources describe it? (One of your sources) Illustrate a specific example of the conflict; in other words, summarize an actual situation. (One of your sources) Remember that anytime you introduce an outside source, you must respond to it. What should people think when they read the information? What does this information suggest about the career or society? Why is the information that you have quoted or paraphrased important? Illustrate a second example of the conflict/issue/situation. Make sure to summarize part or an entire source and respond to it. (One of your sources)
Topic sentence. Introduce, describe, and discuss one solution to the conflict/situation/issue. Summarize and respond to a credible source. Remember that anytime you introduce an outside source, you must respond to it. What should people think when they read the information? What does this information suggest about the career or society? Why is the information that you have quoted or paraphrased important?
Topic sentence. Introduce, describe, and discuss another solution to the conflict/situation/issue. Summarize and respond to a credible source. Remember that anytime you introduce an outside source, you must respond to it. What should people think when they read the information? What does this information suggest about the career or society? Why is the information that you have quoted or paraphrased important?
Conclusion
Restate the thesis in words that are different from the introduction. Express what you think your reader has learned through your essay. Close with a motivational quote.

Works Cited (On an individual page)
You will cite five or six sources within the essay, and each must be listed on the references page. Sources must be credible, preferably from a library database. Credible sources outside a database must be .edu, .gov, or .org.

Assignment Details
Because crime is one of the more appealing themes in popular culture, the public receives a skewed version of crime.
The public’s knowledge may be particularly lacking with regard to the entire field of criminology, specifically the following:
The differences between blue-collar/street crime and white-collar crime
The general perception of the incidence of crime in the United States
Please provide the content for an information session on the field of criminology. The expectation is to make sure that you provide sufficient information to differentiate between the fictions presented in different media outlets.
Please answer the questions below, and complete the requirements for your paper of 3–4 pages. As you answer each question, complete the following:
Provide support or evidence that will enhance and empirically prove your answers.
Academic criminal justice articles or real-life criminal justice findings that are found in journals or other academic sources must be used in supporting your answers.
Please use APA format for all cited sources, including your reference page.
Remember when answering the questions below that there is a big difference between the public sector and the private sector. The public sector of criminal justice includes being a police officer, a crime scene technician, a federal law enforcement officer, and so on. The private sector may include you being an investigator for a company, a private investigator, a security manager for a large company, a security manager for an amusement park or a sports team, and so on.
The questions are as follows:
Explain the differences between criminologists and criminalists and their respective areas of study. How are the criminologists and criminalists used in the public sector (working within a governmental body)? How are they used in the private sector (in businesses and not in law enforcement)?
If you were a criminalist, what type of job or career may you want in the private sector? In the public sector? Explain why you may want each of these careers.
If you were a criminologist, what type of job or career may you want in the private sector? In the public sector? Explain why you may want each of these careers.
Discuss the differences between white-collar crime and street or blue-collar crime. Which types of crime are measured by the Federal Bureau of Investigation (FBI) in the Uniform Crime Reports?Which of the two (blue-collar or white-collar crime) is heavily focused on in popular culture through the media?
What is the difference between a Part-I index crime and a Part-II index crime as measured in the Uniform Crime Reports of the FBI? Which Part-I crimes would you classify as violent crimes, and which would you classify as property crimes?

 

In the Chinn & Kramer (2008) reading, chapter 5, the authors discuss personal knowing and its impact on nursing theory and nursing practice. Consider professional development of nursing and apply the concepts of personal knowing on the development of nursing practice. Answer all of the following

1. What is personal knowing?
2. How does it affect nursing theory and practice?
3. How does your personal knowing affect your personal professional development?
4. What are 2 professional strengths and 2 weaknesses you have?
5. How can you apply nursing theory to address your weaknesses and further develop your strengths?
Post response no later than Thursday. Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position. Please see grading rubric for additional requirements.

Students are expected to:
1. Post an initial substantive response of 200-250 words to each question.
2. Read postings and engage in the discussion boards 4-5 days per week.
3. Respond to at least two other student’s postings with substantive comments.
Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
The postings should be at least one paragraph (approximately 100 words) and include references as indicated by the instructor.
4. References and citations should conform to the APA 6th edition.
Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
Plagiarism is never acceptable – give credit when credit is due – cite your sources