Healthcare resources are scarce, and policy makers and health planners make choices between alternative uses of resources. Economic evaluation is important when allocating scarce resources. Cost–benefit analysis, cost effectiveness analysis, and cost utility analysis are decision-making tools that help policy makers and planners examine healthcare costs and the consequences of alternative health programs, services, and interventions.Prepare at least a 5-page overview of cost effectiveness analysis and cost–benefit analysis as decision making tools in the allocation of health resources.  

Total Points Earned____________ (out of 75)

This is the first assignment to introduce your PICO(T), scope and nature of the problem, background information of the problem, details regarding your research review, and the Johns Hopkins EBP approach you have taken for your research. This is a “building assignment” as part 1, then next week, part 2 will add to the Final Research Paper Assignment. You do not need to worry about self-plagiarism when continuing to part 2 and so on. If you have taken this course prior to this semester, you may not use any of your previous work from that time.

Assignment Part 1 – 75 possible points. See Assignment Part 1 Rubric and Example paper.

Instructions: Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1, which also includes some part 2 components, so please pay attention to the rubric)

1. Use APA 7th ed. Manual or recommend APA template sites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)

2. Write in 12pt font Times New Roman

3. This is formal writing assignment: DO NOT write in first person this means do not use: I statements. Instead, say “the writer or the author” or avoid those altogether by just referring to the components of the paper without the use of these.

4. Include a Title page (Do not use Assignment 1… as your title) The title should not be your entire PICOT but should allow the reader to understand what your Research is about *see example papers in the course You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3, 2.4. Figure 2.2).

Example title: Comparison of Pressure Reduction Boots Versus Repositioning to Reduce Pressure Ulcers in the Elderly

5. Write about your topic in paragraph format using headings and subheadings. Use the rubric headings for the headings in each section of your assignment except “Introduction” the heading for the introduction. In 7th ed. APA this is the restatement of your paper title (see APA 7th ed. Section 2.7). I should see bold headings for the following: Background, Research Problem Statement, Research Purpose, Research Question, Research Utilization Model, Search Criteria and Results, and References

6. Here are the categories for your paper as listed on the rubric:

a. Introduction: Identifies nature & scope of the problem & significance of conducting the integrated research review to generate knowledge for nursing practice. I like to write this after I’ve completed the rest of the paper. It’s a synthesis of what you’ve written and what the reader will learn from the paper.

b. Background: Provides background information, explains & defines problem, explains significance & importance of problem, defines terms if necessary. This is the history of the PICOT. What happened prior to 2018 in relation to your PICOT? This is where you can cite “old and non-current” evidence. Go back as far as you need to. You should have literature support in this section.

c. Research Problem Statement: Indicates the gap in knowledge needed for nursing practice & provides a basis for the study purpose. This is the current state of the problem. Why did you choose this PICOT? Don’t use personal or work experiences unless you can support them in the literature. An example would be that there is a need for your PICOT based on the literature that states further research is needed in this area. Back up with literature support in this section.

d. Research Purpose: Clear concise statement of the specific aim or goal of the study, one sentence. This is only one sentence. What do you hope to accomplish in your research of your PICOT question? Typically, we don’t have one sentence paragraphs/section, but it is approved in this instance.

e. Research Question: Clear, concise interrogative statement, written in present tense, using PICOT format with a nursing focus. All you need to do is include your finalized PICOT question. Again, this is a one sentence section, but it is all I’m requiring.

f. Research Utilization Model: Explains the JHNEBP model and application to your PICOT for your proposed EBP change. Include your week 3 assignment in paragraph format. Make sure it flows with your paper. (This section is from your week 3 assignment. Please utilize feedback from me or if you achieved 100%, only revise to flow with the rest of your paper. Make sure to add the references to your Research Review Part 1 reference page.

g. Search Criteria and Results: You should have a paragraph that describes your data search including a general description of types of articles and levels of evidence based on Melnyk’s pyramid, insert the week 4 completed data search table in APA format (how you insert a table into a paper, APA 7th edition manual has instructions in Chapter 7, table 7.1), and you will also reference your week 4 literature review table in this section. The literature review table should be correctly inserted at the end of the paper, per APA formatting, labeled as an Appendix and referenced in this “search criteria and results” section in the paper as a way to guide the reader to look at the appendix. So, the data search table is inserted directly into the Search Criteria and Results section, but the Literature Review Table is inserted as an Appendix at the end of the paper. I will be grading and returning feedback by Tuesday end of day so you have ample time to revise if necessary.

h. References: formatted and cited correctly, all with the exception of 1-2 should be obtained from Mav Library or other reliable source (no .coms, blogs, etc. should be used), includes DOI# or website if no DOI available. To format an APA reference page, please see APA 7th edition manual, chapters 9-10.

KWL (what do you Know, what do you Want to know, what do you want to Learn) :

As we get started in this class take a minute to tell me: What do you already know about statistics, what did you learn about statistics, and what do you want to learn more about in statistics?

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT (attached below)
• Reflect on your current healthcare organization (Behavioral health hospital-children services/adults) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection (attached below)
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization (Behavioral health hospital), including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change (psychiatric related). Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted (attached below)
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) (attached below)

  Rubric (please follow and read):

  Part 4: Disseminating Results/ Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project: Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation. Explain how you would plan knowledge transfer and dissemination. Describe measurable outcomes with the implementation of EBP best practice. Summarize lessons learned.
  -The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
  -The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

 Please go through and fill out the table on Medications affecting Coagulation.