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-reviewed 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.

Group 3:

Course Project Case Study: Mrs. Ingrassia is an 80-year-old female Caucasian resident in a long-term care facility.  After several falls, she was admitted six months ago due to not being able to adequately care for herself.  Her husband and daughter visit daily and is very involved in her care.  Mrs. Ingrassia speaks Italian as a first language but is proficient in English.  She is Roman Catholic and attends mass in the facility weekly.  She is a retired factory worker.  She has a medical history of gestational diabetes (50 years ago), hypertension, CHF, hypothyroidism, shingles, and depression.  Her husband was recently diagnosed with lung cancer and will be undergoing chemotherapy over the next few months.

Orders include:

NAS diet

Ambulate with gait belt and 1 standby assist

Fall precautions

Furosemide 40 mg PO daily

Potassium Chloride 20 meq PO BID daily with meals

Levothyroxine 75 mcg PO daily

Metoprolol ER 100 mg PO daily

Celexa 20 mg PO daily

Do not resuscitate

Written Assignment Topics: The Written Group Assignment are to be completed with your assigned group for weeks/modules 5, 6 and 7. The topics for your written assignment are as follows: The written assignments are not a part your group course project.

Module 05- Lung Cancer

Module 06- Shingles

Module 07- Gestational Diabetes

 

Directions for Part 1

1. Review the Direct Care Project Overview above. Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.
2. View the Direct Care Project Part 1 Tutorial (Links to an external site.).
3. Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.
4. Collect the data outlined in the template. There are two parts:
   • Online data collection – gather data from the weblinks provided on the template
     • Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.
   • Modified windshield survey data collection – gather local community data by physically looking at your community
     • If possible, plan on asking someone to drive during your survey so that you can take notes.
     • Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.
     • Note: It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.
5. Identify a nursing problem (nursing diagnosis) based on data and observations
   • You must select a problem caused by your topic
   • Important: the problem you identify will be utilized in Parts 2, 3, and 4 of the project.
6. Identify the vulnerable population that the problem affects. This will also determine who you will present to in Part 3.
7. Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)
8. Submit template through the submit assignment button on this page.

Templates

Select and download from the links below the one that corresponds with selected topic:

Air Quality Assessment and Diagnosis Template (Links to an external site.)

Substance Use Assessment and Diagnosis Template

 

• Evaluate progress on certification plans

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

• What have you done to prepare for your certification? 
• Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule?

Rubric:

 

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–

Quality of Work Submitted:
The purpose of the paper is clear.–

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–

 

An effective nurse educator is aware of evidence-based teaching strategies and how to use them in an educational setting. The purpose of this assignment is to immerse yourself in the literature to determine relevant and current evidence-based teaching strategies.

Using the Topic Materials and your own research on teaching strategies, determine five evidence-based teaching strategies that you plan to utilize in your practicum setting. Use the “Evidence-Based Teaching Strategies” graphic organizer to complete this assignment.

1. Explain how the nurse educator fosters the development of learners in these three areas: cognitive, psychomotor, and affective domains. 
2. In-depth description of each teaching strategy and the cognitive, psychomotor, or affective learning domain they address.
3. Explanation of how each teaching strategy creates effective learning to foster the development of learners.
4. Explanation of how each teaching strategy aligns to learning styles.
5. An explanation of how each teaching strategy can be used to implement generational lessons. 
6. An explanation of how each teaching strategy can be used to implement culturally diverse lessons. 

This assignment requires two or three peer-reviewed/scholarly resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.