Power Point

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Please see the instructions, I attached the post to create the PowerPoint 

Module 4, finding the evidence

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Student Name________________

Write your topic and final PICO(T) question below:

My topic:__Health and wellbeing of nurses___________

My PICO(T) question: ____”In nurses working in specialized care units, how does the implementation of stress reduction and focused mental care techniques compared to everyday self-care practices affect their overall health and wellbeing outcomes over a period of one year?”____

My article:

1. Published within the last five years? Yes___ No___

2. Has a nurse author OR published in a nursing journal? Yes___ No___

3. Is it a single report of a quantitative research study? Yes___ No___

4. Is it a prospective study? Yes___ No___

5. Give an APA style reference of the article here:

______Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., & Dietz, P. (2021). Burdens, resources, health and wellbeing of nurses working in general and specialized palliative care in Germany – results of a nationwide cross-sectional survey study.
BMC Nursing,
20(162), 1-15.

https://doi.org/10.1186/s12912-021-00687-z
 _________________________________

In order to be acceptable, you must be able to say yes to the four questions above. Remember, your article cannot be a retrospective study, a mixed methods study, a qualitative study, a systematic review, a quality improvement article, or an evidence based practice article.

EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

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To Prepare:

  • Develop a PICO(T) question to address the clinical issue of interest you identified for the “search database Assignment” This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden University Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a decorative 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

home wok Amy 3yres old patient

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Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

 Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.  

Attention………Remember that your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

CONSORT

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Step 1. Critical:  all else depends on your finding a Randomized Controlled (Clinical) Trial Peer-Reviewed Journal Article (Level II Evidence)  Review Figure 1.1,~ p. 13 of your textbook for the Level of Evidence Pyramid, which shows an RCT is at Level II. When you communicate with physicians about an article, they respect the article more when it is at least on the Level II evidence pyramid, which suggests more credibility and possibly better input regarding outcomes of care.  Find your peer-reviewed Randomized Controlled Trial (RCT) article related to your area of interest.  If you are not sure of how to find articles using our DCN Databases,do the following:

  1. Go to the DCN Home Page
  2. Notice that there are 3 columns and 3 rows, each with a green heading category.  Go to the second row, first column, and click on Databases. Once your see the top heading, Database Access, look below and see “For DCN Students: Database Use Tutorial (MP4 Recording). Study the tutorial, and it will assist you in finding a Randomized Controlled (Clinical) Trial article
  3. If you need further assistance with finding an article after you review the tutorial, email Mr. Madsen, Director of the LRC. He has a Masters of Library Services degree, and can assist you in finding articles that you may not be able to access. If you find an article that charges a fee, e-mail Mr. Madsen the article you need, and he can usually get the full text article for you at no charge. His email address is [email protected].

Step 2.  Once you have your article, read it, and then look at the CONSORT Checklist, and write the page number in the article that has the information the checklist requires. (FYI, researchers who publish their research use this checklist to be sure they have everything in their article, or it is often not accepted by premier scholarly publishers). The checklist is worth 25 points, as it takes time and discernment to do it correctly.

Step 3:  Once your fill out the CONSORT CHECKLIST (25 points), you must then write a formal summary of the Analysis of Strengths and Weaknesses (worth 8 points) that you will notice is on the CONSORT checklist. The following steps are to assist you in distilling the specifics for what is required in the Analysis of Strengths and Weaknesses for the CONSORT checklist. .

Step 4  Specifics of the ANALYSIS OF STRENGTHS AND WEAKNESSES.  Review ~p. 9 of your research textbook, and then note how to write
 

  1. Introduction  (1 point)

                   + Purpose of the RCT (discuss)

  1. Overall Strengths and Weaknesses  (1 point) 

                  +  Research Design (Discuss)

                  +  Important Findings

  1. Reliability and Validity  (2 points) (Check the

     methods, instruments, measurements or

     procedures sections of article); statistics; Level of Evidence and

     implications; cause-effect measurement; any threats to internal

     or external validity

  1. Ethics (1 point)

                  +  IRB? +Conflict of Interest +Informed Consent Signed

  1. Topic/Summary  (2 points)

                 + Implications

                 + Limitations

                 + Recommendation(s)

Community health

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Use the internet and other resources (including health department and agency annual reports) to complete the table below. Compare the demographic and health data from the target community to city, state and national data.

Data Table 1:

Community Indicators

Target Community

[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Demographics

Age

Race

Gender

Education level
(may need to divide this into two or more categories)

Income level (
again, may need categories)

Percent living at or below FPL
(federal poverty line)

Unemployment rate

Data Table 2:

Health Status Indicators

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Life expectancy

Infant mortality;

Maternal/ child health outcomes

Morbidity and mortality data

(i.e., prevalence of diseases, causes of death; include several categories)

Data Table 3:

Physical/Social Environment

(Tailor to your target problem, include at least 5 indicators)

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Liquor store density

School readiness/reading proficiency

School absenteeism

Homicide rate

Youth homicide rate

Vacant lot density

Food desert
(percentage assigned)

The Target Community is “Annapolis Family support center”. Please google it to see what they do and fill out the above table as you search for the information on the internet.

Conc of Pathophys w4 discussion

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Week 4 Discussion: Respiratory Alterations (USLOs 1, 2, 3, 4)

You are caring for 8-year-old Elliot Collins. He was admitted to the Pediatric Intensive Care Unit (PICU) with status asthmaticus after suffering an asthma attack while playing football in the neighborhood with some friends.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of  asthma, respond to the following prompts:

1. Thoroughly explain the pathophysiology of asthma. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the PICU.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Reflection Week 2

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Write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

  • What do you most look forward to in your new role as an NP?
  • What concerns do you have about transitioning to the role?
  • Did anything about the APN roles surprise you?

BUILDING A HEALTH HISTORY

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Post a summary of the interview and a description of the communication techniques you would use with your assigned patient.

 Explain why you would use these techniques. 

Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient.

 Provide at least five targeted questions you would ask the patient.

Case study 50 year old LBTQIA male graduate student working in the college bookstore