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The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Using the below listed case scenario you are to create a 1-2 page paper (excluding the title page and reference page). It is important that you review the APA sample paper and APA requirements for writing your paper. 

 11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest. Mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society. Auscultation demonstrates wheezes on forced expiration throughout all lung fields.

Be sure that you are addressing the following within the body of your paper:

• Analyze processes related to cardiovascular and respiratory disorders
• Analyze alterations in the cardiovascular and respiratory systems and the resultant disease processes
• Analyze racial/ethnic variables that may impact physiological functioning
• Evaluate the impact of patient characteristics on disorders and altered physiology 

Make sure that you are following APA guidelines for writing your paper, in-text citation and references.

Instructions:

POWERPOINT!!! —  Students will chose one real quality improvement (QI) measure from approved list below and describe strategies for improving outcomes of care in the setting as it relates to the QI. 

1) Use a variety of sources of information to review outcomes of care and identify potential areas for improvement. 

2) Propose appropriate aims for quality improvement efforts. 

3) Assist leadership in shaping the dialogue about chosen QI by referencing key points of impact for providing best practices. 

4) Use a minimum of three resources cited in APA format. 

Topics:

Hospital acquired pressure ulcers (HAPU) 

Patient falls – with injury 

Catheter associated urinary tract infection (CAUTI) 

Central line associated bloodstream infections (CLABSI) 

Patient handovers 

Surgical site infections including colorectal and/or hysterectomy 

Sepsis 

Delirium 

Venous thromboembolism (VTE) 

APA Assignment 

I need a 4 pages essay with the information bellow. APA stile, with a minimum of 5 references,

1- Sickle cell disease is an adaptive response against malaria. Through evolution, this adaptation is part of the genetic disease called sickle cell disease. This genetic adaptation occurred in African people in countries that neighbor large bodies of water. Malaria is transmitted by the bite of the female Anopheles mosquito. People with sickle cell disease rarely get infected with, plasmodium falciparum,  the parasite that causes malaria. 

Describe  why such an adaptation occurred? Discuss this question to help strengthen your knowledge of disorders of erythrocytes. Explain why people who no longer live in parts of the world where malaria is prevalent still develop the disease?

 This assignment builds on your first assignment.  We are going to investigate the food you ate in greater detail focusing on nutrition labeling and the macro-nutrients you have learned about in the last few weeks.  For this assignment, you will complete the attached worksheet using your food record and your Food Details Report from Assignment 1 

Download the worksheet to your computer.  Answer the questions using your food record and Food Details Report from Assignment 1 

Please see attachment for all food records and the assignment worksheet. 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

PLEASE SEE ATTACHED

Financial characteristics of long-term care facilities and nursing homes. Need done Today !