Assessment 3 PICO(T) Questions and an Evidence-Based Approach

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Home>Homework Answsers>Nursing homework helpNURSENursa year ago14.06.202410Report issuefiles (4)Assessment1ESSAY.docxAssessment2ESSAY.docxAssessment3.docxcf_Exemplar_NURS-FPX4030_Assessment_3.pdfAssessment1ESSAY.docx2Locating Credible Databases and ResearchIntroduction:Evidence-based practice (EBP) uses the best available evidence to guide optimal nursing care to enhance safety and quality. EBP is a significant core of nursing practice as it combines the available evidence literature with the experience of practicing nurses. When optimum results for desired patient outcomes are based on quality care from EBP, without this significant factor, the nurse cannot be an effective leader. Effective leadership in nursing will only be realized through knowledge and expertise obtained by knowing how scholarly resource searches work and which databases and websites can be trusted while effecting changes in practice supported by evidence.Communication and Collaboration:Being a baccalaureate prepared nurse, my responsibilities now entail mentoring and orienting newly recruited nurses in the process of research and practice with EBP. Effective communication and collaboration are vital to ensuring that the nurses are well supported in their search for evidence for clinical diagnoses. I would be supportive of the new nurse by researching the diagnosis provided, which is a UTI, through having a mentor relationship where I get the chance to show the new nurse how to use databases for conducting research and how to understand evidence-based practice. Facilitating regular discussions for the nurse to ask questions and receive constructive feedback would be necessary (Dickson et al., 2024). Online training modules or visual aids, such as video tutorials on how to access particular databases, would also go a long way in increasing their knowledge base. All these would help the nurse understand the importance of EBP in achieving better patient outcomes and, at the same time, increase the nurse’s belief in being able to conduct good quality research.Best Places to Complete the Research:The UTI diagnosis result can be done by searching the online library and computer lab of the hospital. In this case, it is possible to use the CINAHL, PubMed, Medline, and the Cochrane Library. Through access to nurse workstations, research databases can be accessed directly for convenience and immediacy. It is significant to search through hospital-specific policies and guidelines that may be accessed online so that assurance is placed on following the institutional protocol. Checking the websites of professional organizations, such as the American Nurses Association, may provide one with many resources and guidelines on how to conduct in-depth research.Sources of Online Information:The following are the top five sources that evidence on UTI was found to be relevant and reliable: PubMed, a robust database from the National Library of Medicine, containing thousands of peer-reviewed articles, clinical trials, and reviews. CINAHL holds vast resources for nursing and allied health professionals: from scholarly articles to evidence-based care sheets and quick lessons on UTIs. The Cochrane Library is also renowned for its quality systematic reviews; it is a good starting point for locating detailed reviews on treatments and interventions about UTIs. Medline also consists of an extended coverage of biomedical literature, thus availing numerous research opportunities (Bono et al., 2023). The NGC helps access evidence-based clinical practice guidelines that are very important in understanding the standard protocols, as well as recommendations for the management of UTI.Rationale for Selected Sources:These resources have been chosen because they provide high-quality, peer-reviewed information, which is necessary to establish sensible clinical decisions. PubMed supplies the broadest range of medical research, being de facto the gold standard for a source of reliable data for clinical evidence (Al Lawati et al., 2023). CINAHL is made for nursing and allied health literature, so it is very relevant to nursing practice. The Cochrane Library holds high standards in assembling systematic reviews; it thus provides the best evidence for clinical practice (Fazly Bazzaz et al., 2021). Medline has broad coverage of biomedical literature, allowing complete research opportunities (Flores-Mireles et a., 2020). The National Guidelines Clearinghouse provides access to evidence-based guidelines, which is essential in assuring best practices in patient care.Conclusion:Mentoring and effective communication strategies are imperative to insist on EBP-oriented research in practice. Utilizing selected sources and resources in the healthcare setting would assist the nurse in finding more evidence-based, credible evidence to support patient safety, care focused on the patient, and beneficial patient care outcomes. The CRAAP test can be a supplementary tool for appraising the quality of sources, thus ensuring that the best evidence is selected for clinical practice.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zFlores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2020). Urinary Tract infections: epidemiology, Mechanisms of Infection and Treatment Options.Nature Reviews Microbiology,13(5), 269–284. https://doi.org/10.1038/nrmicro3432Assessment2ESSAY.docx2Locating Credible Databases and ResearchContemporary nursing relies on evidence-based practice (EBP) to improve patient outcomes. It combines the best evidence, clinical expertise, and patient values. It incorporates clinical knowledge, patient values, and the best evidence. Nurses can guarantee their therapies are safe, effective, and focused on the needs of the patient using thorough research data. Successful EBP requires reliable evidence. Nursing practice integrity requires discerning reliable from unreliable sources in an information-rich society. Thus, EBP nurses must learn to evaluate excellent evidence. These characteristics are crucial for diagnosing UTI beyond this basic introduction. Reliable evidence helps nurses manage UTIs that may impact patient outcomes. Thus, this research will examine how practitioners evaluate UTI treatment evidence and emphasize cases when legitimate sources advise safe therapy and improve patient outcomes.Chosen DiagnosisUrinary tract infection is the chosen diagnosis for this EBP study. UTIs are the most frequent bacterial infections globally, especially in women and the elderly. The incidence, recurrence, and possible repercussions of untreated cases make them a major cost on healthcare systems. UTIs may cause sepsis, kidney damage, and higher healthcare expenses (Al Lawati et al., 2023). UTIs are common and may be severe, thus evidence-based prevention, diagnosis, and treatment are needed. This investigation addresses UTIs, a clinically significant condition that affects patient well-being and healthcare resource consumption. EBP may improve patient outcomes by guiding antibiotic usage, prevention, and education for UTIs. Thus, our EBP study of UTIs provides for a full assessment of evidence-based nursing treatments to a prevalent and clinically relevant health concern.Criteria for Determining CredibilityThe credibility of resources, especially journal articles and websites, should be assessed using numerous criteria to guarantee trustworthiness and relevance. Journal papers should focus on the genesis, diagnosis, therapy, and management of the problem being examined. Quality is also determined by peer review, since papers with thorough peer review are more likely to be accurate and dependable. Author credentials and affiliations also matter, since knowledge and association with recognized institutions boost content trustworthiness. material publication date and currency are also important since healthcare practices change quickly and obsolete material may no longer match best practices or recommendations. Websites should also evaluate authority and trustworthiness since trustworthy sources deliver accurate information. Since healthcare choices depend on information, accuracy and dependability are crucial. Healthcare information must be current and reflect the latest evidence and recommendations. Finally, websites with.edu,.gov, or.org domains are usually affiliated with educational institutions, government agencies, or trustworthy organizations. Healthcare practitioners may verify credibility, relevance, and reliability of evidence-based practice materials by carefully analyzing these characteristics.Analysis of Credibility and Relevance of Evidence and ResourcesAl Lawati et al. (2023)’s American Journal of Kidney Diseases paper on urinary tract infections (UTI) is credible and relevant. This study in a recognized peer-reviewed journal covers UTIs and 2024 core curriculum revisions. DOI links improve accessibility and source validity. In the Journal of Clinical Medicine, Dickson et al. (2024) discuss microbiological and immunological components of lower urinary tract inflammation and infection, which may help control UTIs. Both articles have current publication dates, confirming relevance to modern healthcare. Additionally, the resource from the National Library of Medicine by Bono et al. (2023) provides reliable material backed by the publishing platform and writers’ experience. Fazly Bazzaz et al. (2021) in the African Journal of Urology adds new viewpoints on UTIs and herbal therapies, despite being older. These materials enhance UTI knowledge, include evidence-based ideas from multiple perspectives, and aid clinical decision-making.Evidence-Based Practice ModelStructured evidence-based practice (EBP) models integrate research information into clinical decision-making to improve patient outcomes. These approaches help nurses formulate clinical questions, seek for relevant evidence, critically appraise it, and apply it to practice. EBP models like the Iowa Model of Evidence-Based Practice, Stetler Model, and Johns Hopkins Model utilize EBP differently. Practicality and versatility make the Stetler Model ideal for urinary tract infections (UTI). This paradigm includes preparation, validation, comparative assessment and decision-making, translation/application, and evaluation. Nurses are urged to evaluate evidence’s reliability and relevance at each level, using prior criteria. The Stetler Model must include trustworthy evidence to base clinical choices on the finest research, improving patient care (Huybrechts et al., 2021). A systematic EBP approach like Stetler helps nurses navigate the complicated world of UTI care, translating research into practice confidently and efficiently to improve patient outcomes.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023, November 13).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zHuybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021). The Building Blocks of Implementation Frameworks and Models in Primary Care: A Narrative Review.Frontiers in Public Health,9, 675171. https://doi.org/10.3389/fpubh.2021.675171Assessment3.docxAssessment 3PICO(T) Questions and an Evidence-Based ApproachINTRODUCTIONCreate a 3-5 page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and evaluate the evidence you locate, which could help to answer the question.PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.It stands for:· P – Patient/population/problem.· I – Intervention.· C – Comparison (of potential interventions, typically).· O – Outcome(s).· T – Time frame (if time frame is relevant).The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.ReferenceBoswell, C., & Cannon, S. (2015).Introduction to nursing research. Jones & Bartlett Learning.PROFESSIONAL CONTEXTAs a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.SCENARIOFor this assessment, please use the diagnosis you worked with in the first two assessments.INTRODUCTIONAfter reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a research question and research it.Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your chosen diagnosis, and explain how the evidence would help you plan and make decisions related to your question.If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.In your submission, make sure you address the following grading criteria:· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:·Assessment 3 Example [PDF]Download Assessment 3 Example [PDF].Your assessment should meet the following requirements:·Length of submission: Create a 3-5 page submission focused on defining a research question and interpreting evidence relevant to answering it.·Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.·APA formatting:Format references and citations according to the current APA style.Portfolio Prompt:Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:· Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.· Explain the findings from articles or other sources of evidence that are relevant to the health care issue.· Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.· Identify sources of evidence that could be potentially effective in answering a PICO(T) question.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Competency 3: Apply an evidence-based practice model to address a practice issue.· Define a practice issue to be explored via a PICO(T) approach and develop a PICO(T)-formatted research question.· Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.cf_Exemplar_NURS-FPX4030_Assessment_3.pdfThis file is too large to display.View in new windowcf_Exemplar_NURS-FPX4030_Assessment_3.pdfThis file is too large to display.View in new windowAssessment1ESSAY.docx2Locating Credible Databases and ResearchIntroduction:Evidence-based practice (EBP) uses the best available evidence to guide optimal nursing care to enhance safety and quality. EBP is a significant core of nursing practice as it combines the available evidence literature with the experience of practicing nurses. When optimum results for desired patient outcomes are based on quality care from EBP, without this significant factor, the nurse cannot be an effective leader. Effective leadership in nursing will only be realized through knowledge and expertise obtained by knowing how scholarly resource searches work and which databases and websites can be trusted while effecting changes in practice supported by evidence.Communication and Collaboration:Being a baccalaureate prepared nurse, my responsibilities now entail mentoring and orienting newly recruited nurses in the process of research and practice with EBP. Effective communication and collaboration are vital to ensuring that the nurses are well supported in their search for evidence for clinical diagnoses. I would be supportive of the new nurse by researching the diagnosis provided, which is a UTI, through having a mentor relationship where I get the chance to show the new nurse how to use databases for conducting research and how to understand evidence-based practice. Facilitating regular discussions for the nurse to ask questions and receive constructive feedback would be necessary (Dickson et al., 2024). Online training modules or visual aids, such as video tutorials on how to access particular databases, would also go a long way in increasing their knowledge base. All these would help the nurse understand the importance of EBP in achieving better patient outcomes and, at the same time, increase the nurse’s belief in being able to conduct good quality research.Best Places to Complete the Research:The UTI diagnosis result can be done by searching the online library and computer lab of the hospital. In this case, it is possible to use the CINAHL, PubMed, Medline, and the Cochrane Library. Through access to nurse workstations, research databases can be accessed directly for convenience and immediacy. It is significant to search through hospital-specific policies and guidelines that may be accessed online so that assurance is placed on following the institutional protocol. Checking the websites of professional organizations, such as the American Nurses Association, may provide one with many resources and guidelines on how to conduct in-depth research.Sources of Online Information:The following are the top five sources that evidence on UTI was found to be relevant and reliable: PubMed, a robust database from the National Library of Medicine, containing thousands of peer-reviewed articles, clinical trials, and reviews. CINAHL holds vast resources for nursing and allied health professionals: from scholarly articles to evidence-based care sheets and quick lessons on UTIs. The Cochrane Library is also renowned for its quality systematic reviews; it is a good starting point for locating detailed reviews on treatments and interventions about UTIs. Medline also consists of an extended coverage of biomedical literature, thus availing numerous research opportunities (Bono et al., 2023). The NGC helps access evidence-based clinical practice guidelines that are very important in understanding the standard protocols, as well as recommendations for the management of UTI.Rationale for Selected Sources:These resources have been chosen because they provide high-quality, peer-reviewed information, which is necessary to establish sensible clinical decisions. PubMed supplies the broadest range of medical research, being de facto the gold standard for a source of reliable data for clinical evidence (Al Lawati et al., 2023). CINAHL is made for nursing and allied health literature, so it is very relevant to nursing practice. The Cochrane Library holds high standards in assembling systematic reviews; it thus provides the best evidence for clinical practice (Fazly Bazzaz et al., 2021). Medline has broad coverage of biomedical literature, allowing complete research opportunities (Flores-Mireles et a., 2020). The National Guidelines Clearinghouse provides access to evidence-based guidelines, which is essential in assuring best practices in patient care.Conclusion:Mentoring and effective communication strategies are imperative to insist on EBP-oriented research in practice. Utilizing selected sources and resources in the healthcare setting would assist the nurse in finding more evidence-based, credible evidence to support patient safety, care focused on the patient, and beneficial patient care outcomes. The CRAAP test can be a supplementary tool for appraising the quality of sources, thus ensuring that the best evidence is selected for clinical practice.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zFlores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2020). Urinary Tract infections: epidemiology, Mechanisms of Infection and Treatment Options.Nature Reviews Microbiology,13(5), 269–284. https://doi.org/10.1038/nrmicro3432Assessment2ESSAY.docx2Locating Credible Databases and ResearchContemporary nursing relies on evidence-based practice (EBP) to improve patient outcomes. It combines the best evidence, clinical expertise, and patient values. It incorporates clinical knowledge, patient values, and the best evidence. Nurses can guarantee their therapies are safe, effective, and focused on the needs of the patient using thorough research data. Successful EBP requires reliable evidence. Nursing practice integrity requires discerning reliable from unreliable sources in an information-rich society. Thus, EBP nurses must learn to evaluate excellent evidence. These characteristics are crucial for diagnosing UTI beyond this basic introduction. Reliable evidence helps nurses manage UTIs that may impact patient outcomes. Thus, this research will examine how practitioners evaluate UTI treatment evidence and emphasize cases when legitimate sources advise safe therapy and improve patient outcomes.Chosen DiagnosisUrinary tract infection is the chosen diagnosis for this EBP study. UTIs are the most frequent bacterial infections globally, especially in women and the elderly. The incidence, recurrence, and possible repercussions of untreated cases make them a major cost on healthcare systems. UTIs may cause sepsis, kidney damage, and higher healthcare expenses (Al Lawati et al., 2023). UTIs are common and may be severe, thus evidence-based prevention, diagnosis, and treatment are needed. This investigation addresses UTIs, a clinically significant condition that affects patient well-being and healthcare resource consumption. EBP may improve patient outcomes by guiding antibiotic usage, prevention, and education for UTIs. Thus, our EBP study of UTIs provides for a full assessment of evidence-based nursing treatments to a prevalent and clinically relevant health concern.Criteria for Determining CredibilityThe credibility of resources, especially journal articles and websites, should be assessed using numerous criteria to guarantee trustworthiness and relevance. Journal papers should focus on the genesis, diagnosis, therapy, and management of the problem being examined. Quality is also determined by peer review, since papers with thorough peer review are more likely to be accurate and dependable. Author credentials and affiliations also matter, since knowledge and association with recognized institutions boost content trustworthiness. material publication date and currency are also important since healthcare practices change quickly and obsolete material may no longer match best practices or recommendations. Websites should also evaluate authority and trustworthiness since trustworthy sources deliver accurate information. Since healthcare choices depend on information, accuracy and dependability are crucial. Healthcare information must be current and reflect the latest evidence and recommendations. Finally, websites with.edu,.gov, or.org domains are usually affiliated with educational institutions, government agencies, or trustworthy organizations. Healthcare practitioners may verify credibility, relevance, and reliability of evidence-based practice materials by carefully analyzing these characteristics.Analysis of Credibility and Relevance of Evidence and ResourcesAl Lawati et al. (2023)’s American Journal of Kidney Diseases paper on urinary tract infections (UTI) is credible and relevant. This study in a recognized peer-reviewed journal covers UTIs and 2024 core curriculum revisions. DOI links improve accessibility and source validity. In the Journal of Clinical Medicine, Dickson et al. (2024) discuss microbiological and immunological components of lower urinary tract inflammation and infection, which may help control UTIs. Both articles have current publication dates, confirming relevance to modern healthcare. Additionally, the resource from the National Library of Medicine by Bono et al. (2023) provides reliable material backed by the publishing platform and writers’ experience. Fazly Bazzaz et al. (2021) in the African Journal of Urology adds new viewpoints on UTIs and herbal therapies, despite being older. These materials enhance UTI knowledge, include evidence-based ideas from multiple perspectives, and aid clinical decision-making.Evidence-Based Practice ModelStructured evidence-based practice (EBP) models integrate research information into clinical decision-making to improve patient outcomes. These approaches help nurses formulate clinical questions, seek for relevant evidence, critically appraise it, and apply it to practice. EBP models like the Iowa Model of Evidence-Based Practice, Stetler Model, and Johns Hopkins Model utilize EBP differently. Practicality and versatility make the Stetler Model ideal for urinary tract infections (UTI). This paradigm includes preparation, validation, comparative assessment and decision-making, translation/application, and evaluation. Nurses are urged to evaluate evidence’s reliability and relevance at each level, using prior criteria. The Stetler Model must include trustworthy evidence to base clinical choices on the finest research, improving patient care (Huybrechts et al., 2021). A systematic EBP approach like Stetler helps nurses navigate the complicated world of UTI care, translating research into practice confidently and efficiently to improve patient outcomes.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023, November 13).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zHuybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021). The Building Blocks of Implementation Frameworks and Models in Primary Care: A Narrative Review.Frontiers in Public Health,9, 675171. https://doi.org/10.3389/fpubh.2021.675171Assessment3.docxAssessment 3PICO(T) Questions and an Evidence-Based ApproachINTRODUCTIONCreate a 3-5 page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and evaluate the evidence you locate, which could help to answer the question.PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.It stands for:· P – Patient/population/problem.· I – Intervention.· C – Comparison (of potential interventions, typically).· O – Outcome(s).· T – Time frame (if time frame is relevant).The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.ReferenceBoswell, C., & Cannon, S. (2015).Introduction to nursing research. Jones & Bartlett Learning.PROFESSIONAL CONTEXTAs a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.SCENARIOFor this assessment, please use the diagnosis you worked with in the first two assessments.INTRODUCTIONAfter reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a research question and research it.Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your chosen diagnosis, and explain how the evidence would help you plan and make decisions related to your question.If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.In your submission, make sure you address the following grading criteria:· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:·Assessment 3 Example [PDF]Download Assessment 3 Example [PDF].Your assessment should meet the following requirements:·Length of submission: Create a 3-5 page submission focused on defining a research question and interpreting evidence relevant to answering it.·Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.·APA formatting:Format references and citations according to the current APA style.Portfolio Prompt:Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:· Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.· Explain the findings from articles or other sources of evidence that are relevant to the health care issue.· Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.· Identify sources of evidence that could be potentially effective in answering a PICO(T) question.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Competency 3: Apply an evidence-based practice model to address a practice issue.· Define a practice issue to be explored via a PICO(T) approach and develop a PICO(T)-formatted research question.· Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.cf_Exemplar_NURS-FPX4030_Assessment_3.pdfThis file is too large to display.View in new windowAssessment1ESSAY.docx2Locating Credible Databases and ResearchIntroduction:Evidence-based practice (EBP) uses the best available evidence to guide optimal nursing care to enhance safety and quality. EBP is a significant core of nursing practice as it combines the available evidence literature with the experience of practicing nurses. When optimum results for desired patient outcomes are based on quality care from EBP, without this significant factor, the nurse cannot be an effective leader. Effective leadership in nursing will only be realized through knowledge and expertise obtained by knowing how scholarly resource searches work and which databases and websites can be trusted while effecting changes in practice supported by evidence.Communication and Collaboration:Being a baccalaureate prepared nurse, my responsibilities now entail mentoring and orienting newly recruited nurses in the process of research and practice with EBP. Effective communication and collaboration are vital to ensuring that the nurses are well supported in their search for evidence for clinical diagnoses. I would be supportive of the new nurse by researching the diagnosis provided, which is a UTI, through having a mentor relationship where I get the chance to show the new nurse how to use databases for conducting research and how to understand evidence-based practice. Facilitating regular discussions for the nurse to ask questions and receive constructive feedback would be necessary (Dickson et al., 2024). Online training modules or visual aids, such as video tutorials on how to access particular databases, would also go a long way in increasing their knowledge base. All these would help the nurse understand the importance of EBP in achieving better patient outcomes and, at the same time, increase the nurse’s belief in being able to conduct good quality research.Best Places to Complete the Research:The UTI diagnosis result can be done by searching the online library and computer lab of the hospital. In this case, it is possible to use the CINAHL, PubMed, Medline, and the Cochrane Library. Through access to nurse workstations, research databases can be accessed directly for convenience and immediacy. It is significant to search through hospital-specific policies and guidelines that may be accessed online so that assurance is placed on following the institutional protocol. Checking the websites of professional organizations, such as the American Nurses Association, may provide one with many resources and guidelines on how to conduct in-depth research.Sources of Online Information:The following are the top five sources that evidence on UTI was found to be relevant and reliable: PubMed, a robust database from the National Library of Medicine, containing thousands of peer-reviewed articles, clinical trials, and reviews. CINAHL holds vast resources for nursing and allied health professionals: from scholarly articles to evidence-based care sheets and quick lessons on UTIs. The Cochrane Library is also renowned for its quality systematic reviews; it is a good starting point for locating detailed reviews on treatments and interventions about UTIs. Medline also consists of an extended coverage of biomedical literature, thus availing numerous research opportunities (Bono et al., 2023). The NGC helps access evidence-based clinical practice guidelines that are very important in understanding the standard protocols, as well as recommendations for the management of UTI.Rationale for Selected Sources:These resources have been chosen because they provide high-quality, peer-reviewed information, which is necessary to establish sensible clinical decisions. PubMed supplies the broadest range of medical research, being de facto the gold standard for a source of reliable data for clinical evidence (Al Lawati et al., 2023). CINAHL is made for nursing and allied health literature, so it is very relevant to nursing practice. The Cochrane Library holds high standards in assembling systematic reviews; it thus provides the best evidence for clinical practice (Fazly Bazzaz et al., 2021). Medline has broad coverage of biomedical literature, allowing complete research opportunities (Flores-Mireles et a., 2020). The National Guidelines Clearinghouse provides access to evidence-based guidelines, which is essential in assuring best practices in patient care.Conclusion:Mentoring and effective communication strategies are imperative to insist on EBP-oriented research in practice. Utilizing selected sources and resources in the healthcare setting would assist the nurse in finding more evidence-based, credible evidence to support patient safety, care focused on the patient, and beneficial patient care outcomes. The CRAAP test can be a supplementary tool for appraising the quality of sources, thus ensuring that the best evidence is selected for clinical practice.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zFlores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2020). Urinary Tract infections: epidemiology, Mechanisms of Infection and Treatment Options.Nature Reviews Microbiology,13(5), 269–284. https://doi.org/10.1038/nrmicro3432Assessment2ESSAY.docx2Locating Credible Databases and ResearchContemporary nursing relies on evidence-based practice (EBP) to improve patient outcomes. It combines the best evidence, clinical expertise, and patient values. It incorporates clinical knowledge, patient values, and the best evidence. Nurses can guarantee their therapies are safe, effective, and focused on the needs of the patient using thorough research data. Successful EBP requires reliable evidence. Nursing practice integrity requires discerning reliable from unreliable sources in an information-rich society. Thus, EBP nurses must learn to evaluate excellent evidence. These characteristics are crucial for diagnosing UTI beyond this basic introduction. Reliable evidence helps nurses manage UTIs that may impact patient outcomes. Thus, this research will examine how practitioners evaluate UTI treatment evidence and emphasize cases when legitimate sources advise safe therapy and improve patient outcomes.Chosen DiagnosisUrinary tract infection is the chosen diagnosis for this EBP study. UTIs are the most frequent bacterial infections globally, especially in women and the elderly. The incidence, recurrence, and possible repercussions of untreated cases make them a major cost on healthcare systems. UTIs may cause sepsis, kidney damage, and higher healthcare expenses (Al Lawati et al., 2023). UTIs are common and may be severe, thus evidence-based prevention, diagnosis, and treatment are needed. This investigation addresses UTIs, a clinically significant condition that affects patient well-being and healthcare resource consumption. EBP may improve patient outcomes by guiding antibiotic usage, prevention, and education for UTIs. Thus, our EBP study of UTIs provides for a full assessment of evidence-based nursing treatments to a prevalent and clinically relevant health concern.Criteria for Determining CredibilityThe credibility of resources, especially journal articles and websites, should be assessed using numerous criteria to guarantee trustworthiness and relevance. Journal papers should focus on the genesis, diagnosis, therapy, and management of the problem being examined. Quality is also determined by peer review, since papers with thorough peer review are more likely to be accurate and dependable. Author credentials and affiliations also matter, since knowledge and association with recognized institutions boost content trustworthiness. material publication date and currency are also important since healthcare practices change quickly and obsolete material may no longer match best practices or recommendations. Websites should also evaluate authority and trustworthiness since trustworthy sources deliver accurate information. Since healthcare choices depend on information, accuracy and dependability are crucial. Healthcare information must be current and reflect the latest evidence and recommendations. Finally, websites with.edu,.gov, or.org domains are usually affiliated with educational institutions, government agencies, or trustworthy organizations. Healthcare practitioners may verify credibility, relevance, and reliability of evidence-based practice materials by carefully analyzing these characteristics.Analysis of Credibility and Relevance of Evidence and ResourcesAl Lawati et al. (2023)’s American Journal of Kidney Diseases paper on urinary tract infections (UTI) is credible and relevant. This study in a recognized peer-reviewed journal covers UTIs and 2024 core curriculum revisions. DOI links improve accessibility and source validity. In the Journal of Clinical Medicine, Dickson et al. (2024) discuss microbiological and immunological components of lower urinary tract inflammation and infection, which may help control UTIs. Both articles have current publication dates, confirming relevance to modern healthcare. Additionally, the resource from the National Library of Medicine by Bono et al. (2023) provides reliable material backed by the publishing platform and writers’ experience. Fazly Bazzaz et al. (2021) in the African Journal of Urology adds new viewpoints on UTIs and herbal therapies, despite being older. These materials enhance UTI knowledge, include evidence-based ideas from multiple perspectives, and aid clinical decision-making.Evidence-Based Practice ModelStructured evidence-based practice (EBP) models integrate research information into clinical decision-making to improve patient outcomes. These approaches help nurses formulate clinical questions, seek for relevant evidence, critically appraise it, and apply it to practice. EBP models like the Iowa Model of Evidence-Based Practice, Stetler Model, and Johns Hopkins Model utilize EBP differently. Practicality and versatility make the Stetler Model ideal for urinary tract infections (UTI). This paradigm includes preparation, validation, comparative assessment and decision-making, translation/application, and evaluation. Nurses are urged to evaluate evidence’s reliability and relevance at each level, using prior criteria. The Stetler Model must include trustworthy evidence to base clinical choices on the finest research, improving patient care (Huybrechts et al., 2021). A systematic EBP approach like Stetler helps nurses navigate the complicated world of UTI care, translating research into practice confidently and efficiently to improve patient outcomes.ReferencesAl Lawati, H., Blair, B. M., & Larnard, J. (2023). Urinary tract infections: Core curriculum 2024.American Journal of Kidney Diseases,83(1). https://doi.org/10.1053/j.ajkd.2023.08.009Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2023, November 13).Urinary tract infection. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/Dickson, K., Zhou, J., & Lehmann, C. (2024). Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.Journal of Clinical Medicine,13(2), 315. https://doi.org/10.3390/jcm13020315Fazly Bazzaz, B. S., Darvishi Fork, S., Ahmadi, R., & Khameneh, B. (2021). Deep insights into urinary tract infections and effective natural remedies.African Journal of Urology,27(1). https://doi.org/10.1186/s12301-020-00111-zHuybrechts, I., Declercq, A., Verté, E., Raeymaeckers, P., & Anthierens, S. (2021). The Building Blocks of Implementation Frameworks and Models in Primary Care: A Narrative Review.Frontiers in Public Health,9, 675171. https://doi.org/10.3389/fpubh.2021.675171Assessment3.docxAssessment 3PICO(T) Questions and an Evidence-Based ApproachINTRODUCTIONCreate a 3-5 page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and evaluate the evidence you locate, which could help to answer the question.PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.It stands for:· P – Patient/population/problem.· I – Intervention.· C – Comparison (of potential interventions, typically).· O – Outcome(s).· T – Time frame (if time frame is relevant).The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.ReferenceBoswell, C., & Cannon, S. (2015).Introduction to nursing research. Jones & Bartlett Learning.PROFESSIONAL CONTEXTAs a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.SCENARIOFor this assessment, please use the diagnosis you worked with in the first two assessments.INTRODUCTIONAfter reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a research question and research it.Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your chosen diagnosis, and explain how the evidence would help you plan and make decisions related to your question.If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.In your submission, make sure you address the following grading criteria:· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:·Assessment 3 Example [PDF]Download Assessment 3 Example [PDF].Your assessment should meet the following requirements:·Length of submission: Create a 3-5 page submission focused on defining a research question and interpreting evidence relevant to answering it.·Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.·APA formatting:Format references and citations according to the current APA style.Portfolio Prompt:Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:· Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.· Explain the findings from articles or other sources of evidence that are relevant to the health care issue.· Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.· Identify sources of evidence that could be potentially effective in answering a PICO(T) question.· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.· Competency 3: Apply an evidence-based practice model to address a practice issue.· Define a practice issue to be explored via a PICO(T) approach and develop a PICO(T)-formatted research question.· Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.cf_Exemplar_NURS-FPX4030_Assessment_3.pdfThis file is too large to display.View in new window1234Bids(58)Miss DeannaDr. Ellen RMMISS HILLARY A+Dr. Aylin JMSheryl HoganProf Double REmily ClareDr. Sarah BlakeProWritingGurufirstclass tutorFiona DavaMUSYOKIONES A+Dr ClovergrA+de plusJahky BIsabella HarvardBrilliant GeekTutor Cyrus KenWIZARD_KIMTeacher A+ WorkShow All Bidsother Questions(10)Week 5_Interactive Assignmentwrite a mini ad critiquePolitical thought Extra credit paperHLT-555 Week 1 Assignment Environmental Health From a Historical Perspective PapertutorialAbout Your Signature AssignmentCan you do this nowunit 3 dbCase Study Part 1 – PC Specs (Word)WORKSHEet DUE IN TWO HOURS

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