PICOT

Home>Homework Answsers>Nursing homework helpLeadershipmanagementSee attached17 days ago14.06.202510Report issuefiles (2)QAPI1.docxdownloadfile8.PDFQAPI1.docx2DiscussionStudent’s NameInstitutional AffiliationProfessor’s NameCourse NameDue DateThe uniqueness of Continuing Care Retirement Communities (CCRCs) needs to be maintained as their services are extended. Learning from the market, the demographics of the immediate area, and the changing needs of older persons is the first step towards strategic expansion. CCRCs need to advocate for health, independence, and care continuity in a person-centered manner. The SQUIRE 2.0 framework fosters responsible expansion through contextual awareness, theory-guided interventions, and careful evaluation (Ogrinc et al., 2015). Adapting expansion plans to the surrounding area’s values, interests, and needs facilitates scaling and sustaining healthcare ecosystems.One of the most critical aspects of a CCRC’s growth plan must be developing successful, not competing, relationships with the hospital and other long-term care organizations. Partnerships with local hospitals, university programs, and telemedicine providers may enhance specialist care and reduce hospital readmissions without compromising the CCRC’s goal. Using external knowledge and internal autonomy, CCRCs may become major healthcare players. Integrating electronic health records and predictive analytics for resident health monitoring increases operational efficiency and resident outcomes, harmonizing with SQUIRE 2.0’s “systems” approach to linked healthcare services (Ogrinc et al., 2015).Growing without losing its identity requires a solid communication strategy that defines the CCRC. Comprehensive care, resident empowerment, and aging continuity must be promoted in community marketing. Service design should include regular needs assessments and stakeholder input to enhance quality (Brown et al., 2021). It creates a feedback-rich environment where growth attempts match resident and community expectations. Transparency in decision-making and resident and family participation in governance committees may strengthen community ownership and reduce alienation as the organization grows.The importance of ethical considerations in growth cannot be overstated. Expanding too quickly or without enough infrastructure might undermine care quality and staff well-being, breaking quality improvement framework ethics (Ogrinc et al., 2015). Before implementing interventions, CCRCs must consider opportunity costs, such as diverting resources from current programs, and rigorously analyze treatments. Sustainable development must be iterative and led by real-world data, as SQUIRE studies treatments and adapts depending on contextual input. CCRCs may grow while retaining their identity and value to communities by following this balanced, ethical, and data-driven plan.ReferencesBrown, H., Jacobson, S., Cockrell, M., Sutt, J., Allen, K., & Copeland, A. (2021). A Five-Step Stakeholder Communication Plan for More Effective Natural Resource Management.Journal of Extension,59(Autumn 2021). https://doi.org/10.34068/joe.59.04.06Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process.American Journal of Critical Care,24(6), 466–473. https://doi.org/10.4037/ajcc2015455downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
for
Asking
PICOT
QuestionsINTERVENTIONIn
____________________(P),
how
does
____________________
(I)
compared
to____________________(C)
affect
_____________________(O)
within
___________(T)?THERAPYIn
__________________(P),
what
is
the
effect
of
__________________(I)
compared
to_____________
(C)
on
________________(O
within
_____________(T)?PROGNOSIS/PREDICTION

In
______________
(P),
how
does
___________________
(I)
compared
to
_____________(C)influence
__________________
(O)
over
_______________
(T)?DIAGNOSIS
OR
DIAGNOSTIC
TESTIn
___________________(P)
are/is
____________________(I)

compared
with_______________________(C)
more
accurate
in
diagnosing
_________________(O)?ETIOLOGYAre____________________
(P),
who
have
____________________
(I)
compared
with
thosewithout
____________________(C)
at
____________
risk
for/of____________________(O)
over
________________(T)?MEANINGHow
do
_______________________
(P)
with
_______________________
(I)

perceive_______________________
(O)
during
________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
Definitions
of
Different
Types
of
Questions

Intervention/Therapy:
Questions
addressing
the
treatment
of
an
illness
or
disability.

Etiology:
Questions
addressing
the
causes
or
origins
of
disease
(i.e.,
factors
that
produce
or

predispose
toward
a
certain
disease
or
disorder).

Diagnosis:
Questions
addressing
the
act
or
process
of
identifying
or
determining
the
nature
and

cause
of
a
disease
or
injury
through
evaluation.

Prognosis/Prediction:
Questions
addressing
the
prediction
of
the
course
of
a
disease.

Meaning:
Questions
addressing
how
one
experiences
a
phenomenon.Sample
Questions:

Intervention:
In
African-‐American
female
adolescents
with
hepatitis
B
(P),
how
does

acetaminophen
(I)
compared
to
ibuprofen
(C)
affect
liver
function
(O)?

Therapy:
In
children
with
spastic
cerebral
palsy
(P),
what
is
the
effect
of
splinting
and
casting(I)

compared
to
constraint-‐
induced
therapy
(C)
on
two-‐handed
skill
development
(O)?

Prognosis/Prediction:

1)
For
patients
65
years
and
older
(P),
how
does
the
use
of
an
influenza
vaccine
(I)
compared
to

not
received
the
vaccine
(C)
influence
the
risk
of
developing
pneumonia
(O)
during
flu
season

(T)?

2)
In
patients
who
have
experienced
an
acute
myocardial
infarction
(P),
how
does
being
a

smoker
(I)
compared
to
a
non-‐smoker
(C)
influence
death
and
infarction
rates
(O)
during
the

first
5
years
after
the
myocardial
infarction
(T)?

Diagnosis:
In
middle-‐aged
males
with
suspected
myocardial
infarction
(P),
are
serial
12-‐lead

ECGs
(I)
compared
to
one
initial
12-‐lead
ECG
(C)
more
accurate
in
diagnosing
an
acute

myocardial
infarction
(O)?

Etiology:
Are
30-‐
to
50-‐year-‐old
women
(P)
who
have
high
blood
pressure
(I)
compared
with

those
without
high
blood
pressure
(C)
at
increased
risk
for
an
acute
myocardial
infarction
(O)

during
the
first
year
after
hysterectomy
(T)?

Meaning:
How
do
young
males
(P)
with
a
diagnosis
of
below
the
waist
paralysis
(I)
perceive

their
interactions
with
their
romantic
significant
others
(O)
during
the
first
year
after
their

diagnosis
(T)?downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
for
Asking
PICOT
QuestionsINTERVENTIONIn
____________________(P),
how
does
____________________
(I)
compared
to____________________(C)
affect
_____________________(O)
within
___________(T)?THERAPYIn
__________________(P),
what
is
the
effect
of
__________________(I)
compared
to_____________
(C)
on
________________(O
within
_____________(T)?PROGNOSIS/PREDICTION

In
______________
(P),
how
does
___________________
(I)
compared
to
_____________(C)influence
__________________
(O)
over
_______________
(T)?DIAGNOSIS
OR
DIAGNOSTIC
TESTIn
___________________(P)
are/is
____________________(I)

compared
with_______________________(C)
more
accurate
in
diagnosing
_________________(O)?ETIOLOGYAre____________________
(P),
who
have
____________________
(I)
compared
with
thosewithout
____________________(C)
at
____________
risk
for/of____________________(O)
over
________________(T)?MEANINGHow
do
_______________________
(P)
with
_______________________
(I)

perceive_______________________
(O)
during
________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
Definitions
of
Different
Types
of
Questions

Intervention/Therapy:
Questions
addressing
the
treatment
of
an
illness
or
disability.

Etiology:
Questions
addressing
the
causes
or
origins
of
disease
(i.e.,
factors
that
produce
or

predispose
toward
a
certain
disease
or
disorder).

Diagnosis:
Questions
addressing
the
act
or
process
of
identifying
or
determining
the
nature
and

cause
of
a
disease
or
injury
through
evaluation.

Prognosis/Prediction:
Questions
addressing
the
prediction
of
the
course
of
a
disease.

Meaning:
Questions
addressing
how
one
experiences
a
phenomenon.Sample
Questions:

Intervention:
In
African-‐American
female
adolescents
with
hepatitis
B
(P),
how
does

acetaminophen
(I)
compared
to
ibuprofen
(C)
affect
liver
function
(O)?

Therapy:
In
children
with
spastic
cerebral
palsy
(P),
what
is
the
effect
of
splinting
and
casting(I)

compared
to
constraint-‐
induced
therapy
(C)
on
two-‐handed
skill
development
(O)?

Meaning:
How
do
young
males
(P)
with
a
diagnosis
of
below
the
waist
paralysis
(I)
perceive

their
interactions
with
their
romantic
significant
others
(O)
during
the
first
year
after
their

diagnosis
(T)?QAPI1.docx2DiscussionStudent’s NameInstitutional AffiliationProfessor’s NameCourse NameDue DateThe uniqueness of Continuing Care Retirement Communities (CCRCs) needs to be maintained as their services are extended. Learning from the market, the demographics of the immediate area, and the changing needs of older persons is the first step towards strategic expansion. CCRCs need to advocate for health, independence, and care continuity in a person-centered manner. The SQUIRE 2.0 framework fosters responsible expansion through contextual awareness, theory-guided interventions, and careful evaluation (Ogrinc et al., 2015). Adapting expansion plans to the surrounding area’s values, interests, and needs facilitates scaling and sustaining healthcare ecosystems.One of the most critical aspects of a CCRC’s growth plan must be developing successful, not competing, relationships with the hospital and other long-term care organizations. Partnerships with local hospitals, university programs, and telemedicine providers may enhance specialist care and reduce hospital readmissions without compromising the CCRC’s goal. Using external knowledge and internal autonomy, CCRCs may become major healthcare players. Integrating electronic health records and predictive analytics for resident health monitoring increases operational efficiency and resident outcomes, harmonizing with SQUIRE 2.0’s “systems” approach to linked healthcare services (Ogrinc et al., 2015).Growing without losing its identity requires a solid communication strategy that defines the CCRC. Comprehensive care, resident empowerment, and aging continuity must be promoted in community marketing. Service design should include regular needs assessments and stakeholder input to enhance quality (Brown et al., 2021). It creates a feedback-rich environment where growth attempts match resident and community expectations. Transparency in decision-making and resident and family participation in governance committees may strengthen community ownership and reduce alienation as the organization grows.The importance of ethical considerations in growth cannot be overstated. Expanding too quickly or without enough infrastructure might undermine care quality and staff well-being, breaking quality improvement framework ethics (Ogrinc et al., 2015). Before implementing interventions, CCRCs must consider opportunity costs, such as diverting resources from current programs, and rigorously analyze treatments. Sustainable development must be iterative and led by real-world data, as SQUIRE studies treatments and adapts depending on contextual input. CCRCs may grow while retaining their identity and value to communities by following this balanced, ethical, and data-driven plan.ReferencesBrown, H., Jacobson, S., Cockrell, M., Sutt, J., Allen, K., & Copeland, A. (2021). A Five-Step Stakeholder Communication Plan for More Effective Natural Resource Management.Journal of Extension,59(Autumn 2021). https://doi.org/10.34068/joe.59.04.06Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process.American Journal of Critical Care,24(6), 466–473. https://doi.org/10.4037/ajcc2015455downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
for
Asking
PICOT
QuestionsINTERVENTIONIn
____________________(P),
how
does
____________________
(I)
compared
to____________________(C)
affect
_____________________(O)
within
___________(T)?THERAPYIn
__________________(P),
what
is
the
effect
of
__________________(I)
compared
to_____________
(C)
on
________________(O
within
_____________(T)?PROGNOSIS/PREDICTION

In
______________
(P),
how
does
___________________
(I)
compared
to
_____________(C)influence
__________________
(O)
over
_______________
(T)?DIAGNOSIS
OR
DIAGNOSTIC
TESTIn
___________________(P)
are/is
____________________(I)

compared
with_______________________(C)
more
accurate
in
diagnosing
_________________(O)?ETIOLOGYAre____________________
(P),
who
have
____________________
(I)
compared
with
thosewithout
____________________(C)
at
____________
risk
for/of____________________(O)
over
________________(T)?MEANINGHow
do
_______________________
(P)
with
_______________________
(I)

perceive_______________________
(O)
during
________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
Definitions
of
Different
Types
of
Questions