Search reputable local and national media for a man-made disaster to discuss.

Search for critical instances such as: hostage situations, mass shootings, multiple-vehicle or mass transit accidents with multiple critical injuries, and disease outbreaks.

In your initial post, describe the incident and address the following:

• Determine the incident type and explain your reasoning.
• What resources were deployed for this incident?
• What protocols were implemented successfully, and which were unsuccessful?
• Discuss way to improve the response to this type of incident in the future.

Support your answer with evidence. ​ Please provide a working link to your story source.

Purpose

Evidence-based practice is initiated by nurses and other healthcare professionals who identify questions about specific health-related interventions and the outcomes of those interventions on individuals and populations. The creation of a PICOT question helps guide evidence-based initiatives. The purpose of this worksheet is to provide an opportunity to explore the development of a PICOT question as a foundation for evidence-based practice.   CO1: Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1, 4) 

CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes.  (PO 1, 2) 

CO3: Demonstrate professional and personal growth through a spirit of inquiry, scholarship, and service in diverse healthcare settings. (PO 3, 4) 

CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies.  (PO 1, 2, 5) 

Requirements:

1. Review the elements included in PICOT questions to guide evidence-based nursing practice. 
2. Respond to the questions below using the PICOT Question Worksheet Template 
3. Using a minimum of 3 scholarly nursing sources, current within 5 years:  
   • Identify and describe one practice-related issue or concern.  You may choose to build on the practice issue you identified in NR500NP/NR501NP. 
   • Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. 
   • Describe each element of your PICOT question in one or two sentences, being sure to address all of the following: 
     • P-Population and problem– What is the nursing practice concern or problem and whom does it affect? 
     • I–Intervention– What evidence-based solution for the problem would you like to apply? 
     • C–Comparison– What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.  
     • O–Outcome– Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome. 
     • T–Time frame– What is the Timeframe involved for the EBP initiative or the target date of completion?
   • Construct your PICOT question in the standard PICOT question format (narrative) and define each letter separately, such as:  
     • P =  
     • I =  
     • C =  
     • O =  
     • T =  
     • PICOT question written in full =  
4. At the graduate level, we like to see you synthesizing your ideas into your own words. No direct quotes may be used in this worksheet. 
5. Use APA formatting guidelines for references and citations.

• For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

Below are the 4 selected peer reviewed research article

1. Graetz., I., Huang, J., Reed, M. E., Brand, R., & Hsu, J. (2019). Mobile-accessible personal health records increase the frequency and timeliness of PHR use for patients with diabetes. Journal of the American Medical Informatica Association, 26(1), 50-54. https://doi-org.ezp.waldenulibrary.org/10.1093/jamia/ocy129

2. Price-Haywood, E. G., Qingyang, Luo, Monlezun, D., & Luo, Q. (2018). Dose effect of patient-care team communication via secure portal messaging on glucose and blood pressure control. Journal of the American Medical Informatics Association: JAMAI Volume: 25 Issue 6 92018) issn: 1067-5027 Online ISSN: 1527-974X

3.   Seo, D., Park, Y. R, Lee , Y., Kim, J.-Y., & Lee, J.-H. (2020). The Use of Mobile Personal Health Records for Hemoglobin A1c Regulation in Patients With Diabetes: Retrospective Observational Study. Journal of Medical Internet Research, 22(6), N.PAG. https://doi-org.ezp.waldenulibrary.org/10.2196/15372

4. Tao, D., Yuan, J., & Qu. X. (2019). Effect of presentation formats on consumers’ performance and perceptions in the use of personal health records among older and young adults. Patient Education & Counseling, 102(3), 573-585. https://doi-org.eze.waldenulibrary.org/10.1016/j.pec.2018.10.007

Review the selected research article focused on the application of clinical systems. After reviewing, you will summarize your findings.

What do you consider to be the difference between independent t-test and dependent t-test?

What non-parametric statistical analysis can you use if the data do not meet the assumptions of parametric analysis.

When do you use ANOVA? 

If you cannot identify where the differences occur in groups,  What statistical procedure  can you apply? 

Initial Post Instructions
The principle of utility involves maximizing happiness as a desirable outcome of decisions. Although it does not get directly said, there is an inverse intention to minimize the undesirable outcome of disaster. Utilitarian decisions are directed toward outcomes—that is, the consequences of decisions.

We need to look at results. We first look at the actual results of an action. We judge if it was the best possible result. We can judge the actual results in comparison to other results that reasonably could be said to have been possible.

If we do not yet have the actual results of an action, we do not know if it is moral or not. We can talk hypothetically about what might happen, and then what that would show about the morality of an action. However, if we do not know what the action had as its consequences, we cannot yet say if it is moral or not.

Initial Post Instructions
For the initial post of this week’s discussion respond to one of the following options, and label the beginning of your post indicating either Option 1, Option 2, or Option 3:

Option 1: You are a nurse on a floor with only elderly patients. Every day, each patient tells you about how much pain they are in and asks you to help them. They want you to inject them with something to end their lives. If the patients die, the beds on that floor would be freed up for other patients. The hospital is at 100 percent capacity. There is no other hospital for 30 miles. Other patients may be not receiving care due to a lack of free beds. What is the moral thing to do here? Why is that the moral thing to do? What would an utilitarian say is the moral thing to do? Why would they say that? Compare and contrast the utilitarian approach with that of an ethical egoist or social contact theorist

Option 2: A new social media app is offering itself to you for free. If you upload a picture to it, the app will show how you will look at 10 years. John Doe, a friend of yours, says not to use the app as it will then possess your biometric facial data. Jane Doe, another friend of yours, says that she heard the app shares the facial data with a security firm that helps the government detect terrorists at airports. Should you use this app? Why or why not? If John Doe is right, would an utilitarian say it is right to use the app? Why or why not?  If Jane Doe is right, would a social contract theorists say it is right to use the app? Consider the role the Fourth Amendment at play here.

Option 3: You are a nursing student at the XYZ College. It has a 50 percent acceptance rate (half the applicants do not get in). XYZ is a public college. XYZ has decided to implement an affirmative action policy. The college has few students over the age of 50. To encourage more students of that age, every student 50 or older will receive a bonus point. A student’s admission is dependent on having 11 points. One earns points for a GPA above a certain score, ACT/SAT score above a certain number, having a letter of recommendation, etc. XYZ also lacks LGBT students, Muslim, and African-American students and is considering offering a bonus point for any student fitting those categories. What is the key moral conflict for XYZ? What social values should XYZ promote here? What diverse populations are involved here, and what are their interests? Do you think XYZ’s social action is the correct solution to lack of diversity? Why or why not? Factor the ethics of egoism and utilitarianism into your answer.

Writing Requirements

• Minimum of 2 posts (1 initial & 1 follow-up)
• Minimum of 2 sources cited (assigned readings/online lessons and an outside scholarly source)
• APA format for in-text citations and list of references