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Surgical site infection (SSI) rates have increased significantly at your hospital. As the unit manager, you have been tasked with reviewing the literature and making subsequent recommendations to determine if a chlorhexidine/alcohol combination skin scrub prior to surgery will decrease your SSI rates as compared to your current practice of betadine skin scrub. 

For this assignment:

• Create a PICOT question based on the information above. Possible question guides can be found here. 
• Research your PICOT question using at least 4 peer-reviewed journals. Sources should be less than 5 years old.
• Create an APA-formatted annotated bibliography of the references you used to research your PICOT question. Use this template.
• Create your PICOT question on a Word document and an annotated bibliography on the provided template. Submit both documents in a single upload.
• The Writing Center. or Purdue OWL have resources to help with APA formatting and the annotated bibliography.

Need help with this worksheet

 CC: “I keep getting reoccurrence UTIs.” 

Work is attached

Community Assessment 

The purpose of this  is for to work as a group

to provide a comprehensive 

report reflecting theoretical study and practical analysis of the health of a designated 

community population. 

Conduct a windshield survey and observe a variety of community members in various locations.

. Gather data 

by conducting informant interviews of at least ten (10) key individuals in the community (health

care providers, religious leaders, educators/teachers, and principals, elected officials such as 

the mayor and city council members, fire fighters, EMT/Paramedics, police, and business 

owners) and at least ten (10) local residents who are not considered key individuals. 

Identify 

the top three (3) health concerns using epidemiological data (TDSHS, CDC, etc.) and create a 

plan to address these health concerns. Create an infographic for one of the identified health 

topics. 

(Note – We already have a videos and pictures , which we will upload by ourselves . Our community is West Tahokani , Texas . ) 

1. Select and describe an Advanced Nurse Practitioner role. 
2. Why are you becoming a Nurse Practitioner?
3. Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. 
4. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?
5. Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.

PICO Question Submission

Purpose: The purpose of this assignment is to submit your PICO question, which is the topic you have been researching over the past few weeks. This exercise will help you clarify your clinical question and ensure it is well-structured and focused.

Instructions:

1. Submit Your PICO Question:

• Topic Submission: Submit the PICO question that you have been researching. Ensure your question is clear, specific, and well-defined.
• PICO Framework: Utilize the PICO framework to structure your question. Be sure to address each component of the framework:
• P: Patient, Problem, or Population
• I: Intervention
• C: Comparison
• O: Outcome
• T: Timeframe, Type of Study, or Type of Question (if applicable)

1. PICO Framework Guidance:

• Clarify Your Clinical Question: Use the PICO mnemonic to help clarify your clinical question. Think specifically about different aspects of what you want to investigate. Ensure you are clear and specific about what you are looking for to target the right evidence to use in practice.

1. Good PICO vs. Bad PICO:

• Good PICO: A good clinical question will address most, if not all, parts of the PICO framework. It will be specific, define terms and outcomes if necessary, and investigate something new in terms of diagnosis, etiology, therapy, harm, etc.
• Bad PICO: A bad PICO is usually a background question disguised as a research question. It may be too vague, lack specificity, and may not require in-depth research.

1. Search Strategies:

• Literature Search: When searching for existing literature, try searching for one or two components of your PICO question first if you cannot locate articles that address the entire question. Build your case by explaining the research that is out there, even if your articles do not 100% match your entire PICO question.

1. PICO Question Templates:

• Intervention/Therapy: In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
• Etiology: Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
• Diagnosis/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: In__________ (P) how does ________ (I) compared to _______(C) influence _______ (O) over ______ (T)?
• Meaning: How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

1. Example PICO Questions:

• Intervention/Therapy: In school-age children (P), what is the effect of a school-based physical activity program (I) on a reduction in the incidence of childhood obesity (O) compared with no intervention (C) within a 1-year period (T)?
• Etiology: Are males 50 years of age and older (P) who have a history of 1 year of smoking or less (I) at an increased risk of developing esophageal cancer (O) compared with males age 50 and older (P) who have no smoking history (C)?
• Diagnosis/Diagnostic Test: Is a yearly mammogram (I) more effective in detecting breast cancer (O) compared with a mammogram every 3 years (C) in women under age 50 (P)?
• Prevention: For women under age 60 (P), does the daily use of 81mg low-dose Aspirin (I) reduce the future risk of stroke (O) compared with no usage of low-dose Aspirin (C)?
• Prognosis/Predictions: Does daily home blood pressure monitoring (I) influence compliance with medication regimens for hypertension (O) in adults over age 60 who have hypertension (P) during the first year after being diagnosed with the condition (T)?
• Meaning: How do teenagers (P) diagnosed with cancer (I) perceive chemotherapy and radiation treatments (O) during the first 6 months after diagnosis (T)?

1. Resources:

• PICO Help: Utilize the following resources to help structure your PICO question and build a well-defined clinical question:
• PICO Question Templates: Use this guide to help structure your PICO question.
• The Well-Built Clinical Question: Check out this guide to building a PICO question, developed by UNC.
• Asking Focused Questions: PICO guide from the Centre for Evidence Based Medicine.
• Formulating Answerable Questions: Practice building your PICO questions here.
• Forming Focused Questions with a Specialty: A UNC Health Sciences Library guide about PICO questions within a specialty.

1. Submission Guidelines:

• Format: Ensure your PICO question is well-structured and formatted according to APA 7 guidelines.
• Clarity and Specificity: Make sure your question is specific and clear, addressing all components of the PICO framework.
• Deadline: Submit your PICO question by the specified deadline.

ONLY THE QUESTION IS DUE

Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.