PICOT STATEMENT PAPER

Details:

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.  

THE DOCUMENT IS ATTACHED BELLOW..

THE ASSIGNMENT HAS TO BE FREE OF PLAGIARISM

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

Evidence-Based Solution

Nursing Intervention

Patient Care

Health Care Agency

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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center

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10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project

10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project

Week Two Assignment Instructions DNP 820

Please read the instructions thoroughly there are strict requirements

I need at least 10 different articles/literature reviews added to the ones in the 815 attachment. I have also included the chart to be filled out All within 5 years and pertinent to the subject.

Tutor MUST have a good command of the English language

The Rubric must be followed, and all the requirements met

This is a thorough professor, and she has strict requirements

I have attached the PICOT and the first 10 points (DNP 815) assignment. This is a continuation of that assignment. Please read the attachments

The following needs to be addressed:

Please note the followings: The introduction and the literature review are complete and thorough. The problem statement is written clearly PICOT is clear and very good Sample: 

· How will you determine the sample size? 

· What are the inclusion/exclusion criteria of the subjects? Methodology: Why is the selected methodology is appropriate? Please justify! 

· Data collection approach needs to be clear. How will you collect your data? What is needed here is to describe the process of collecting data form signing the informed consent until completing the measuring.

· Data analysis-What test will you use to answer your research question? 

Clinical/PICOT Questions:  

“In adult patients with CVC at a Clear Lake Regional Medical Center, does interventional staff education about hub hygiene provided to RN’s who access the CVC impact CLABSI rates compared to standard care over a one-month period?”

P: Patients with Central Venous Catheters

I: Staff re-education related to Hygiene of the hub

C: Other hospitals

O: Reduce probability of CLABSIs

T: Two months

“In Patients > 65 years of age with central line catheters at a Clear Lake Regional Medical Center, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, before every approach compared with other area hospitals, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) over a one-month period?”

P: Patients > 65 years of age with a Central line

I: Staff training and reinforcement of Central Catheter, Hub Hygiene 

C: Other area hospitals 

O: Reduce probability of CLABSIs

“In adult patients, with define CVC (CVC), does interventional staff education about hub hygiene provided to RN’s who access the CVC impact CLABSI rates compared to pre and post-intervention assessments 

1. I used central Missouri as an example, replace with a description of your site. 

2. While you might be interested in CLASBI rates as a primary variable, there are other patient outcomes that would also be important to consider

3. Ensure you can find validity and reliability measures on CLASBI rates if you cannot, we need to determine another question to help

4. How are your two comparison groups different, as they are currently stated the groups seem very much the same, could you state, standard care instead of pre and post intervention assessments? 

5. One month is the longest time you can use for a prospective project

Please note the following regarding the instructors grading

IMPORTANT INFORMATION ABOUT MY GRADING STYLE

As you prepare for written papers and manuscripts I’d like to give you some details about my grading style. I provide significant feedback on your papers, this is because I believe you should be working towards improving your writing so that at the end of this program you are able to successfully write your DPI project. In order to write well, you need feedback and you need to review that feedback and make progress on the next written work. To that end I always grade accordingly. This means that if I provide feedback one an item (for example APA format of your reference page) I expect that this will be improved on the next written submission. Otherwise I will deduct additional points. In addition, some other criteria to get down pat now. References should always

1. Be current, no older than 5 years that means 5 years from your proposed graduation date (2014-2019). Otherwise you will have to redo everything in DNP 955.

2. Be primary sources. You can no longer cite Young declared literary war in 1956 (as cited by Brown 2006). You must cite Young 1956. That means go find that paper and read it and make sure that you agree with what Brown said. What if you don’t agree due to some very valid points? Then the literary war is not what occurred, but instead you have concerns regarding point ____, ____, and ____.

3. You may no longer cite textbooks, they are 1) secondary sources and 2) not current enough, and please use peer reviewed manuscripts.

One more item that is not a reference. You may not use direct quotes any longer. There is no need. This may be difficult at first, but you are moving towards a different type of writing. This is manuscript writing (scientific writing). Scientific writing is terse, clear, and concise. No frilly words. In order to avoid the use of direct quotes you will synthesize the literature. There is a great resource for synthesizing the literature under Resources – Add-ons. These are also some other great writing resources there.

Details:

In the prospectus, proposal, and scholarly project there are 10 strategic points that need to be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. The 10 strategic points emerge from researching literature on a topic that is based on or aligned with the learner’s personal passion, future career purpose, and degree area. These 10 points provide a guiding vision for DPI Project. In this assignment, you will continue the work begun in DNP-815, working on your draft of a document addressing the 10 key strategic points that define your intended research focus and approach.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Locate      the “The 10 Strategic Points for the      Prospectus, Proposal, and Direct Practice Improvement Project” that      you completed in DNP-815.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center. An abstract is not required.
  • This      assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the      expectations for successful completion.
  • You      are required to submit this assignment to Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Use the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” resource to draft statements for each of the 10 points for your intended research study.

You worked on this last in DNP 815. Pick up from where you left off (if you transferred in and did not complete this, you will have to begin fresh). Please include a copy of your last instructor feedback when you submit this assignment. You can either copy and paste the instructor feedback into your current paper (as an appendix and clearly marked); or upload two separate papers. I expect significant improvement from your last submission.

Please review the 10 Strategic Points document for additional instructions and an example. Add references to this document, I suggest 5-10 at this point. You need to realize that your literature review chapter will need at least 50+ articles by the time you get to DNP 955, so work on expanding your literature search each week, to include more and more to this paper as you move through each course. If you cannot locate 50+ articles you can ask your faculty for assistance or chose a different topic.

For the methodology and design sections. Methodology should cover the broad methods you plan to use (qualitative, quantitative, or mixed methods). The design portion will then go into more detail and discuss the design (i.e. correlational, cross-sectional, pre/posttest, etc.). Describe each and explain why your chosen methodology and design are appropriate to your topic and project questions. You may NOT use qualitative, GCU leadership does not support a qualitative methodology.

Intervention. You must have an intervention that you implement. Since you cannot evaluate a project that has already been implemented, please write up a description of your intervention and what your role will be in implementing this intervention. This is not a section listed on your 10 Strategic Points document as of yet, so add it after the methodology and design sections. Describe step by step what the intervention consists of, how it is evidence based, how you will implement, and your role in implementation.

Data collection should go step by step (extremely over-detailed) on how you will collect the data. Tell me about all instruments, surveys, and/or questions you will ask of participants. One MUST be a valid and reliable tool.

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Analysis Paper

I need help with MSN analysis paper.

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Chcccs005

COMMUNICATE AND WORK IN HEALTH OR COMMUNITY SERVICES

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What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family

Topic 5 DQ 2

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

Violence and abuse is described as any intentional physical, mental, or psychological harm inflicted on a vulnerable person. This includes punching, berating, screaming, and other types of intentional cruelty. Domestic violence also involves threats or mild verbal or physical attacks, and victims seek to comply with the abuser’s demands. Victims feel trapped, reliant, helpless, and powerless. They can experience depression as a result of being stuck in the abuser’s power and control loop. As a victim’s self-esteem deteriorates as a result of prolonged abuse, he or she will blame themselves for the violence and be unable to see a way out of the situation. Neglect is described as any deliberate or unintentional lack of concern for someone’s well-being, such as failing to meet a dependent’s basic needs. Child abuse, child neglect, dependent adult abuse, dependent adult neglect, and domestic violence are all examples of abuse and neglect

If a family member shows apparent signs of bruising, malnutrition, depression, extreme fear, extortion, or other similar factors, a mandatory leader can suspect violence or neglect. However, this list is little and not an exhaustive, and other elements which exist. There is no one-size-fits-all solution, but mandatory reporters are expected to search for trends of concern and various indicators of problems; they are expected to ask questions if required and to report anything they believe, even if they are not 100 percent certain.

A instructor, for example, can suspect child abuse if a student is chronically underweight and seems desperate to eat all they can while at school. If a woman arrives at the emergency room with severe bruises and physical injuries that do not seem to match her reasons for the medical problems, a nurse may suspect domestic abuse. A mental health professional may suspect elder abuse if a senior citizen pays large sums of money to a single person or if a family member micromanages their finances.

A required reporter must be aware of the appropriate authority to which the alleged violence and neglect should be reported. In the case of child violence, each state has a department of child services (also known as social services) that should be contacted through the appropriate channels, such as hot lines. Domestic abuse should be reported to local law enforcement. Adult services agencies in each state deal with elder abuse and other forms of maltreatment of dependent adult.

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Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the Plan

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

  • Review the standards of practice related to your chosen specialty- Psychiatric Mental Health Nurse practitioner.
  • Download the Nursing Specialty Comparison Matrix.
  • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
  • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

  • Complete the Nursing Specialty Comparison Matrix, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization- Selected specialization is Psychiatric mental health nurse practitioner and the second -preferred specialization is Family nurse practitioner.
  • Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
  • Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.    – American psychiatric nurses association.

Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.

Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan:

·   Complete the Nursing Specialty Comparison Matrix comparing at least two nursing specialties, including your selected specialization and second-preferred specialization.

·   Write a 2-3 paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this week’s Discussion Forum.

·   Identify the professional organization related to the specialization you have chosen to focus on for this Assignment and explain how you can become an active member of this organization.–

Levels of Achievement:  Excellent 77 (77%) – 85 (85%)    Good 68 (68%) – 76 (76%)    Fair 59 (59%) – 67 (67%)    Poor 0 (0%) – 58 (58%)

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.  A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

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Explain the role of the community health nurse in partnership with community stakeholders for population health promotion.

1 DQ 1

Population health promotion involves the improvement of the quality of life of the community through the provision of primary, secondary and tertiary healthcare services. The community health nurse should, therefore, play a supervisory role of the community member to control and regulate their health behavior. The primary function of the nurse in the partnership with the community stakeholders is to guide and advise them on the healthy practice that can promote a healthy living of the community (Eldredge et al., 2015).

For instance, the community health nurse can decide to encourage the community stakeholders to champion the construction of toilets by each household in the community. That way, the nurse will be providing primary care through the community stakeholders who can prevent the development of disease in the community. The nurse can also take advantage of the community stakeholders to organize a community meeting whereby the nurse can advise and educate the community on health-seeking behavior and health promotion activities.

Appraising community resources like religious and nonprofit making organizations in the community is vital in enhancing community participation in health promotion. For instance, religious institutions are against some social acts that can encourage the spread of diseases like premarital sex. Appraising such values in such institutions helps to improve the community’s understanding and participation in disease prevention and health promotion.

Using 200-300 words APA format with references in support of the discussion

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

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Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention.

Topic 1 DQ 2

Geopolitical and phenomenological place influence the context of a population or community assessment and intervention in various ways. A community could be defined by one of two designations, phenomenological (relational) or geological (spatial). A geographic community is a community within defined jurisdictional boundaries. These communities could include city communities, rural municipalities or towns. Phenomenological communities, on the other hand, define a group of people with shared or similar-minded relationships, beliefs, goals, and interests (Leipert, 1996). They might not necessarily share the same geographical boundaries as geographical communities. These communities could include social groups or religious groups. These people mostly come together to achieve the feeling of belonging in their relational designations. These people may have a group perspective that differentiates them from other groups on matters including culture, values, beliefs, characteristics, and goals.

Everyone lives in a geographic community and many people are also part of a phenomenological group. These groupings present various challenges for public health nurses. The main challenge is the issue of cultural and language barriers. Some of the practices that can help overcome these challenges include reflective practice and obtaining knowledge of different cultures and practices. Nurses should also self-evaluate and ensure that their personal beliefs do not interfere with the nursing process.

The nursing process is utilized to assist in identifying health issues because it involves the appropriate application of a systematic series of actions that aim at ensuring that individuals achieve their optimal level of health. The main steps in the nursing processes include assessment, diagnosis, planning, implementation, and evaluation. Assessment refers to the collection and evaluation of information regarding the status of health in the community (Rector, 2013). It aids in discovering potential or existing needs and assets as a basis for any future action plans or interventions.

Using 200-300 words APA format with references to support the discussion.

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population.

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Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness

1 postsRe: Topic 3 DQ 1

In the nineteenth century, health was described as the absence of disease.Because of the lack of sanitary conditions, diseases spread more widely.Sanitary conditions were better known in the late 19th and early 20th centuries, and steps were taken to adequately control them, resulting in diseases that were more manageable. Vaccines were invented in the twentieth century, and the concept of health changed from cure to prevention. As the field of health promotion expanded, the term “health” came to mean a combination of factors such as physical, emotional, and spiritual well-being (Falkner, 2018). Today’s goals is to create a community of wellness in which health promotion and disease prevention take precedence over seeking careonce an illness has developed.We now realize that fitness and wellbeing go hand in hand with disease prevention. We may not always have control over our health, but we can make decisions to improve our well-being.

Promoting good health has existed for as long as there have been efforts to improve the public’s health. “The method of encouraging people to gain control over and improve their health is known as health promotion” (World Health Organization, 2019, para. 1).It shifts the emphasis away from human actions and toward a variety of social and environmental interventions.The nurse’s position in health promotion is critical, and it includes being an advocate, a provider of care/services, a care manager, an educator, and a researcher. The nurse is pushing reform to strengthen procedures in order to improve patient safety by using EBP to do so.

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Scientific Paradigms

Write a 195-word message in which you discuss:

1-Why are both paradigms important to the development of nursing science?

2-How do the authors justify having an alternative hierarchy of evidence for nursing, as contrasted with medicine (pp. 24–26, Types of Evidence and Evidence Hierarchies, Ch. 2, Nursing Research)?

Read instructions: ( used attached documents to write the word message discussion. Stay on topic given on the 2 questions above. all information needed is been attached. thank you. )

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    EvidenceandEvidenceHierarchies.docx
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    PARADIGMSANDMETHODSFORNURSINGRESEARCH.docx

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