30C again

Introduction

PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.

It stands for:

· P – Patient/population/problem.

· I – Intervention.

· C – Comparison (of potential interventions, typically).

· O – Outcome(s).

· T – Time frame (if time frame is relevant).

The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.

You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.

Reference

Boswell, C., & Cannon, S. (2015). 
Introduction to nursing research. Jones & Bartlett Learning.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.

Scenario

For this assessment, please use a health care issue of interest from your current or past nursing practice.

If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.

Instructions

For this assessment, select a health care issue of interest and apply the PICO(T) process to develop the research question and research it.

Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source's specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.

If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the ”
Create PICO(T) Questions” page in the Capella library's Evidence Based Practice guide) might be helpful.

In your submission, make sure you address the following grading criteria:

· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question

· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).

· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.

· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.

· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

·
Assessment 3 Example [PDF]
 Download Assessment 3 Example [PDF].

Additional Requirements

Your assessment should meet the following requirements:

·
Length of submission:
 Create a 3-5-page submission focused on defining a research question and interpreting evidence relevant to answering it.

·
Number of references:
 Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

·
APA formatting: Format references and citations according to the current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Golden Age and Macromolecules

Requirements

Answer the questions in the provided Microsoft PowerPoint document and save your responses. Provide resources in APA format to support your answers.

Outcomes

CO 1: Analyze how golden age microbiologists performed experiments to observe, identify, culture and classify different microorganisms and their macromolecules.

CO 2: Apply the concepts of genetics and genome in the study of microorganisms

Practicum Project Part two

Practicum Part 2 – Health Care Disparities

(This is a continuation of part 1 with the homeless population in FL)

In this assignment, you will

1. Use your assessment data from week 3 to identify significant health disparities in your at-risk group.

2. Research and propose recommendations to decrease one of these disparities.

3. Write a 2-page (500 word) paper in the form of a proposal to area leaders to address the disparity in your community. Your proposal should include:

· A description of the disparity.

· The influences the disparity has on healthcare delivery.

· The influences the disparity has on similar populations in other countries and the provision of global healthcare.

· Recommendations to address the problem.

· Any graphs or charts in your document that are needed to support your proposal.

Cite any sources in APA format with the url link


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Soap Note Psychiatric Evaluation

This is the temple for a Psych Soap note, please follow the template and complete, need less than 20% plagiarism, I have completed Bipolar Disorder, and Generalized Anxiety Disorder, pick a different diagnosis on an adult patient. Thank you!

Assigment .Apa seven . All instructions attached.

Learning Activity Content

1.

Top of Form

This week's learning activity will consist of the following:

· Visit the PRIME nursing website and review the case study titled “Stress Management for Patients with Rheumatoid Arthritis”:


http://primeinc.org/casestudies/pa_np/study/897/Stress_Management_for_Patients_with_Rheumatoid_Arthritis

Summarize the article and respond to the following questions- this assignment should be minimally 2 pages- not counting the cover page and references:

1-What sampling technique was used in this study?

2-What concerns might you have about reliability and validity in this study, and why? Explain.

3-Were there any flaws or discrepancies in the study? Why or why not?

Please Reply to the following 2 PowerPoints :

Please see the attachment for the instructions

Health Issue and Advocacy

The purpose of this assignment is to identify a health issue requiring advocacy from the nursing
profession on a local, regional, state, national, or international level. This topic can be related to
health promotion, population health, disease management, or patient safety in the community or
other healthcare setting. You are assuming the role of advocate in various capacities. The topic
you select for this paper will be the subject of your Policy Brief and Advocacy Letter
Assignment. Therefore, research thoroughly your topic of interest to ensure that it can be applied
across both assignments.
In this paper you will identify a health issue which may or may not already be represented in the
form of legislation or health policy. Individuals may just take a position on an issue affecting
local policy with decision makers.
An example of this with legislation includes:
• Health issue: primary care access for patients
• Health policy: increasing primary care providers using nurse practitioners; support of PA
HB 765 for CRNP independent practice
An example of this without legislation includes:
• Health issue: increased chronic back pain from integration of technology in healthcare
• Health policy: ergonomic evaluation of work environments for all employees; letter of
support to employers for new healthcare organization policy
Using APA format and criteria from the Grading
Rubric for Written Assignments, in 5 double spaced pages (excluding the title page and reference
page) present the following details:
Criteria for Your Advocacy as a Nursing Professional
Introduction
Outline of health issue and existing or necessary health policy
and/or politics. Why is this significant to nursing?
List and discuss any other stake holders who would be concerned
with the health issue, in favor or opposition.
Propose a plan on this health issue advocacy:
• Effect of the health issue on health policy and politics

• Interventions to be implemented in this advocacy to enact
change; incorporate health politics as pertinent
• Identify opposition which can be encountered.
Conclusion

Case Study

Case Study week 8ASSESSING AND TREATING PATIENTS WITH SLEEP/WAKE DISORDERS

Psychopharmacologic Approaches to Treatment of Psychopathology (waldenu.edu)

Examine
 Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamics processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References to Include:

· American Psychiatric Association. (2022). 


Diagnostic and statistical manual of mental disorders

Links to an external site.
 (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. 



Current Psychiatry ReportsLinks to an external site.


, 15(12), 418. https://doi.org/10.1007/s11920-012-0418-8

nursing

1-Write a case conceptualization (2-5 paragraphs) from a CBT perspective that includes a hypothesis. Do NOT include any multicultural factors.

2- Write another case conceptualization (2-5 paragraphs) from a multicultural perspective that includes a hypothesis. Focus on all multicultural and contextual factors associated with this case.

Both case conceptualizations (Word document, single-spaced, 12pt font,

Case Soap Note

Please see attachment