PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

Describe one of the following three ways to assess reliability of a research instrument in your own words. How would you assess for this type of instrument reliability in a published research study?  
Include at least 1 reference (APA format). 

three ways to assess reliability

A 7-year-old boy has a one-week history of leg pains. He wakes up at night and cries because his legs hurt; however, during the day, he feels fine with no pain and no movement limitations. He has no history of trauma, fever, or joint swelling. The family history is negative for rheumatic or collagen vascular disease. The boy’s height and weight are at the 50th percentile for age, he is afebrile, and the physical examination is unremarkable.

Questions

1. What are 3 differential diagnoses of leg pains in school-age children? Include the pathophysiology of the 3 differentials.
2. What laboratory or radiographic studies are appropriate for children with leg pains? Explain
3. How do musculoskeletal injuries in children differ from those in adults? In terms of injury type and location.
4. How does the nurse practitioner decide the extent of the diagnostic work-up in a child with extremity pain?
5. What fractures are common in pediatric patients, and what are the ages associated with them?
6. Choosing one of the diagnoses you’ve come with; how would you treat the condition?

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.

1. Define CAM.
2. Describe the patient who uses CAM the most.
3. List some common misconceptions about CAM.
4. Identify methods of including the use of CAM in patient education.
5. Discuss the safe use of CAM.
6. List ways in which conventional medicine and CAM can be integrated.
7. Define ethical theories, ethical principles, and values.
8. Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
9. Explain what is meant by “ethical patient education practices”.
10. Explain the purpose of informed consent.
11. Discuss what factors determine the patient’s ability to give informed consent.
12. Compose a sample informed consent form. .
13. Discuss the process of communication to use with the patient and the family when obtaining informed consent.