PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

To prepare:·        

• Download and review the Week 10: Case Study from this week’s Learning Resources. 
   
• Review this week’s Learning Resources and reflect on the insights they provide.

By Day 3

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

• Which diagnosis should be considered?
• What is the DSM-V Coding for the diagnosis you are considering?
• What is your rationale for the diagnosis? Be sure and link the  client’s signs and symptoms to the DSM-V diagnostic criteria to support  your diagnosis.
• What tests or tools should be considered to help identify the correct diagnosis?
• What differential diagnosis should be considered?
• What Treatment Strategy would you recommend?
• What treatment would you prescribe and what is the rationale?
• Safety
• Psychopharmacology
• Diagnostic Tests
• Psychotherapy
• Psychoeducation
• What standard guidelines would you use to treat or assess this patient?
• Clinical Note: Is depression a normal part of aging?

  When creating your persuasive speech rough draft outline, please be sure to follow the format of the speech outline example that is included in the directions. Be sure to use Roman numerals for each main point and capital letters, lowercase letters, and numbers for sub-points and sub-sub-points 

The post should be written in outline form. To prepare the Persuasive outline, use the full-sentence outline method. The outline should have enough content in order to deliver an 8-10 minute persuasive speech. The outline should include the following:

• Specific Purpose
• Central Idea (aka:  Thesis Statement or Preview Statement)
• Introduction – capture attention, establish YOUR speaker credibility, preview the speech
• Body – key points (minimum of 3), transitions between main points, supporting materials from at least 3 sources including in-text references to the sources.
• Conclusion – signal the end, summarize main points
• Researched supporting material references (minimum 3) – include a works cited at the end of your outline, use APA format.
• Identification of a presentation aid (visual)
• Use persuasive techniques and language

Please be sure to validate your opinions and ideas with in-text citations and references in APA format.

PICO and Literature Search

Purpose: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy. It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization. 

Assessment: This assignment is worth 68 points and represents 20% of your final course grade. It is graded according to the embedded rubric in this submission folder. Late submissions will incur a 10% deduction per day, unless a Late Pass is used.

Instructions:

1. Write a PICO question based on a scenario you choose from the list of scenarios attached below. Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the “I”) that has been studied and published to solve the problem.

2. Identify the PICO elements for each question. 

3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords. 

4. Locate 4 articles that help answer your PICO question. The articles must meet the following requirements: 

· must be primary source quantitative research articles. 

· No article can be older than 2016. 

5. Obtain pdfs of the four articles you selected from the ResU database. If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it. 

6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below.

7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below.

8. Name each document (one Word doc and 4 article pdfs) as follows and upload to the appropriate submission folder in Brightspace: 

· Lastname PICO, 

· Lastname article 1,

· Lastname article 2,

· Lastname article 3,

· Lastname article 4

Attachments

EBP Step by Step 3.pdf

(188.01 KB)

PICO and Lit Search Template with Example.docx

(30.11 KB)

PICO and Literature Search Scenarios.doc

(44.5 KB)

APA and Writing LibGuide

Link to MeSH Terms W

Criteria

 Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease? 

300 words, add references

Unit 5 Discussion – Misleading Statistics are Out There 

Instructions:

This week you will look at misleading information that you are exposed to every day.  Find an example of a survey or poll or even a tweet that you think might be misleading.

How would you support your conclusions? You want to use statistical reasoning here, not personal opinion. Places to look at might be online polls where anyone can answer.  If the title of a survey is misleading, how would you correct it?

Was the sample representative?  Be sure to read the methodology of a survey and not only the responses to the questions.  For example, you may think the sampling was not representative of the population, but you have to discuss how sampling was actually done to support your claim. 

Another place to look are articles written by people who clearly don’t understand statistics but use legitimate data like the example below.

The article’s title, New Low of 49% in U.S. Say Death Penalty Applied Fairly  (https://news.gallup.com/poll/243794/new-low-say-death-penalty-applied-fairly.aspx (Links to an external site.)), is misleading because 49% is the point estimate.  You have to click on survey methods at the bottom to find the margin of error was 4%.  This means the true percentage in the population could have been as low as 45% but as high as 53%. Therefore the title of the article is very misleading. 

After locating your inaccurate poll or article, respond to the following questions.

• How did the poll or article misrepresent the facts? How might you rewrite the title of the article more accurately?
• What was the author trying to get you to think? Why?  What could be the ramifications of believing false information?
• Find and describe an article that refutes this information, if possible.
• Have you ever been sent articles that you believed just by reading the title? What was the result?

Please be sure to validate your opinions and ideas with citations and references in APA format.

M3: Lesson 11 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence.

Qualitative Research Designs

Instructions:

1. In your own words, discuss what it meant by the qualitative research approach to knowledge generation.
2. What are the characteristics of qualitative research studies?
3. Locate a nursing related journal article that used a qualitative research approach.  Using what you know about qualitative research, answer the following questions:
4. What was the problem area and research question?
5. What were the study’s concepts, independent variables, dependent variables, and operational definitions (if any)?
6. How did the author overcome the limitations of doing a qualitative study?
7. Did the author question any collective subjective beliefs? If so, what were they?
8. Did the qualitative study incorporate “human concern” for the client with effective nursing practice?  Explain, providing examples from the study. 

A 17 year old male client in an inpatient psychiatric unit is being uncooperative. The client is standing in front of the nursing station, where the nurse answers incoming phone calls and discusses patient care with the treatment team. The nurse kindly asks the client to return to the dayroom and join the rest of patients for group. However the client says, “No, I am perfectly fine where I am.” A staff member observes the situation and steps in and states, “you need to go to group now, or we will have to escort you to the quietroom.” The client looks at the staff member and says in a calm tone, “you can’t make me move, I am not doing anything wrong.” The nurse realizes this situation is escalating and is stuck between a rock and a hard place. Please consider all the details provided above and answer the following questions:

1. What does the principle of the least restrictive environment have to do with this situation?
2. What role does HIPAA play in this scenario and why does it make the situation more complicated?
3. Which nurse would be more likely to initiate a restrictive intervention for this client, a nurse with a utilitarianism view of ethics or a deontological view of ethics? And why?
4. Finally, how would you resolve this situation?

REQUIRES;

SCHOLAR ARTICLES>>>APA FORMAT>>>NO PLAGIARISM 

1. Search and locate one systematic review or practice guideline in your topic of interest (Include the citation). 
2. Evaluate the following: 
   1. The systematic review or practice guideline relies primarily on studies conducted in the last five years. 
   2. The review provides support for the importance of the study 
   3. The authors have use primary, rather than secondary sources. 
   4. Studies are critically examined and reported objectively 
   5. The systematic review or practice guideline is organized so that a logical unfolding of Ideas is apparent that supports the need for the review 
   6. The systematic review or practice guideline ends with a summary of the most important knowledge.