Home>Homework Answsers>Nursing homework helpNo Plagiarismfor tomorrowPICOT:For adult surgical oncology patients in the preoperative setting, does the implementation of aromatherapy impact anxiety in 10 weeks?What are the important considerations in the protection of human subjects and confidential information in your project?Protecting the rights and privacy of all participants involved with the DNP project will be of the highest priority. Health Insurance Portability and Accountability Act (HIPPA) compliance will protect the sensitive patient health information obtained from being disclosed without the patient’s consent or knowledge. Participants who partake in the DNP project will first need informed consent provided by the DNP student. To appropriately gain informed consent, consents need to be simplistically written to allow for full participant understanding (LeCompte & Young, 2020). All surveys will be numbered. Names of participants and demographic information will be excluded from the project. De-identifying personal information safeguards participants’ protected health information. In addition, the data collected, will be kept for a total of 7 years on a password- protected computer, located in a locked office. The privacy of human subjects has become one of the crucial considerations in clinical research because of changes in research practice, predominately because of the sole use of electronic databases for private protected patient information (Nurmi et al., 2019). Vayena and Blasimme (2017) found that the public’s trust can be altered if there is a privacy breech given the robust data protection measures currently available for research institutions to utilize.How will you assure an ethical and protective process for all involved in this project, including patients and other stakeholders?IRB approval will be obtained from Chamberlain University and the practicum site before implementation. Submitting the project through these IRBs ensures that ethical and human rights are protected. Once approved by both, the DNP student will safely carry out the DNP project. Adhering to the outlined steps of the DNP proposal will ensure that the patient’s and stakeholder’s ethical and protective rights are guarded.Please give an update on your project status. Is IRB approval required from your project site? If so, have you started this process? If not, do you have a letter from the site stating that IRB is not required?About a year ago, our institution started using an electronic submission process. Took me a little bit to work my way through the electronic application, although I submitted my DNP proposal last week. Prior to that, I ran into many obstacles relating to “ownership.” My hospital is part of a larger conglomerate, the larger conglomerate is a large research-based institution, therefore they maintain the electronic IRB submission process. The lack of contact information or direction is discouraging. Despite many emails and calls I am stuck in one of the steps (COI disclosure forms for the other supporting staff in my project).As I stated in a prior class, this has opened my eyes to the IRB process. I feel that there should be a delineation between research studies being submitted and DNP projects. They are not the same and most DNP projects do not require a lot of the research studies paperwork. School is my priority right now, although when I am done, I really think this aspect of the submission process needs to be changed. I also think there should be contact people within our own institution to help with this process. All in all, I am confident that I will get some answers soon and be on my way!ReferencesLeCompte, L.L. & Young, S.J. (2020). Revised common rule changes to the consent process and consent form.Ochsner Journal, 20(1), 62-75.https://doi.org/10.31486/toj.19.0055 (Links to an external site.)Nurmi, S.M, Kangasniemi, M., Halkoaho, A., & Pietila, A.M. (2019). Privacy of clinical research subjects: An integrative literature review.Journal of Empirical Research on human Research Ethics, 14(1), 33-48.https://doi.org/10.1177/1556264618805643 (Links to an external site.)Vayena, E. & Blasimme, A. (2017). Biomedical big data: New models of control over access, use and governance.Journal of Bioethical Inquiry, 14, 501-513.https://doi.org/10.1007/s11673-017-9809-6I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS3 years ago03.03.20227Report issueAnswer(1)brilliant answers4.8(29k+)4.9(6k+)ChatPurchase the answer to view itNOT RATEDEthicalConsiderationsinResearch.docxethicsinreserach.pdf3 years agoplagiarism checkPurchase $7Bids(106)BRIGHT MIND PROFDr. Freya WalkerPROF_ALISTERProf Double Rpacesetters2121firstclass tutorJudithTutorDr CloverMARTHA92_PHDMajesticMaestroColeen AndersonDiscount AssignBrilliant GeekTeacher A+ WorkTeacher A+ WorkAshley EllieDiscount AnsLarry KellyMUSYOKIONES A+prof bradleyother Questions(10)I need a business or accounting tutor to do a detailed analysis of Toyota caseDATA MININGq 1E-Business Assignment2 Discussions need back3 pages with reference and please no plagiarismUnit VII projectneed turnitin report for my assignmentNarrative 5Diversity work case study

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Your topic is good but your PICOT is not in correct format. Please redo your question using the template I provided in the week 1 CAT and resubmit for a grade. Please send me a note in the IF so I can reset your assignment.

P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)

I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)

C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B )

O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)

T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed).

Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component.

For an intervention/therapy:

In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?

For etiology:

Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?

Diagnosis or diagnostic test:

Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?

Prevention:

For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

Prognosis/Predictions

Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?

Meaning

How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.

 Examples of Evidence-Based PICOT Questions

1. Population: Bariatric adolescents considering or undergoing gastric bypass surgery.

Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.

Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient.

Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.

Time: perioperative including the 6 weeks post recovery.

PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training?

2. Intervention PICOT Question: An Intervention example: In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care.

3. Therapy PICOT Question: A non-intervention example: What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)?

4.  Etiology PICOT Question: Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)?

5. Diagnostic PICOT Question: Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old.

6. Prevention PICOT Question: In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)?

7. Prognosis/Prediction PICOT question: Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)?

8. Meaning PICOT Question: How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?

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Your team has been chosen to participate in a fellowship at a prestigious health care organization. As one of your fellowship assignments, the CIO has asked your team to prepare a presentation about electronic medical records for the stakeholders.

Include the following in your presentation:

• Analyze the significance of an EMR.

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