2023 Discussion Using Evaluation Tools to Assess Quality Improvement Efforts Like most other things in life outcomes are the bottom

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Nursing 2023 Discussion: Using Evaluation Tools To Assess Quality Improvement Efforts

Discussion Using Evaluation Tools to Assess Quality Improvement Efforts Like most other things in life outcomes are the bottom 2023 Assignment

Discussion: Using Evaluation Tools to Assess Quality Improvement Efforts

Like most other things in life, outcomes are the bottom line with respect to measurement of success along the path of quality improvement. However, without a careful analysis of the link between access, process, and structure of care, improvements in outcomes seem unattainable.—Sadeghi, Barzi, Mikhail, & Shabot, 2013In this Discussion, you consider how to collect and analyze qualitative and quantitative data to evaluate the results of quality improvement initiatives. In addition, you discuss the significance of evaluation and how you, as a nurse leader-manager, can contribute in an organization to the large-scale goal of facilitating quality improvement.

To prepare:Review methods for measuring and evaluating quality improvement efforts presented in the Learning Resources. Pay particular attention to how and why it is important to measure outcomes.Select one evaluation tool and analyze its benefits and relevance for the quality improvement plan you are developing for your Course Project.Consider how you, as a nurse leader-manager, can use the results from the evaluation to support the organization’s overarching goals for quality improvement.

By Day 3 Post a brief description of the evaluation tool that you selected. Explain the benefits of applying this tool as part of your quality improvement plan in the Course Project. Also explain how you could use the results from the evaluation to support the organization’s overarching goals for quality improvement. 

Validate an idea with your own experience and additional resources.

Required ReadingsHickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.Review Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86) (assigned in Week 3)Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.Review Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) (assigned in Week 6)                  The authors focus on performance measures with particular focus on the relationship between financial and quality performance.                  Review Chapter 9, “Closing the Gaps” (pp. 179–194) (assigned in Week 7)                  This chapter explains how to utilize data collected during the evaluation stage in order to improve the quality of health care.                 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf This report outlines the Institute of Medicine’s (IOM’s) six aims to improve the quality of health care. Review this information through the lens of evaluation. (Assigned in a previous week.)

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2023 Read the case study titled Stopping Outshopping located in the online course shell Then use the Internet databases

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Nursing 2023 7 Casestuduy 2

Read the case study titled Stopping Outshopping located in the online course shell Then use the Internet databases 2023 Assignment

Read the case study titled “Stopping Outshopping”, located in the online course shell. Then, use the Internet  databases to research similar marketing strategies in the health care industry.

Write a four to six (4-6) page paper in which you:

  1. Based on the textbook’s summary of Timothy’s philosophy of continually striving for excellence, determine whether or not Scarlet Hospital was prepared to compete with the establishment in Salem even before the highway improvement mandated such an upgrade in delivery health care services.
  2. Examine the potential lessons that the “Stopping Outshopping” case could teach health care executives about complacency.
  3. Evaluate the potential value of Michael Porter’s Five Forces analysis and SWOT Analysis for effective decision making, in its ability to help Scarlet Hospital protect its market share and thus decrease the chance of losing patients to other institutions in Salem.
  4. Appraise the value of the Balanced Scorecard model in its ability to help Scarlet Hospital executives reinforce its defensive marketing strategy.
  5. Propose a one (1) page offensive marketing strategy (i.e. communication, branding, innovation, etc.) that Scarlet Hospital should deploy in order to turn the table on Salam-based health care providers and improve its competitive marketing position.
  6. Use at least five (5) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Examine the marketing research process and market segmentation strategies in the health care industry.
  • Integrate the SWOT Analysis into viable recommendations to meet the health care services organization’s operating requirements.
  • Analyze the components of the balanced scorecard and conduct trend and ratio analysis to assess health strategic marketing.
  • Apply Michael Porter’s Five Forces analysis for effective decision making to efficiently utilize health services resources and achieve organizational goals.
  • Explain the impact that the population and societal, competitive, and financial forces have on health care services.
  • Use technology and information resources to research issues in health services strategic marketing.
  • Write clearly and concisely about health services strategic marketing using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using 

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2023 One of the pivotal goals of consumer health literacy efforts is to design

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Nursing 2023 6051 Handout – Assignment

One of the pivotal goals of consumer health literacy efforts is to design 2023 Assignment

 

One of the pivotal goals of consumer health literacy efforts is to design educational materials that attract as well as educate users. In this Assignment, you design a health information document on a topic that is of interest to you.

To prepare:

  • Select a health issue of interest to you.
  • Identify the audience or population that you seek to educate about this issue.
  • Search the Internet to find credible sites containing information about your selected topic.
  • Review the two health literacy websites listed in this week’s Learning Resources. Focus on strategies for presenting information.

To complete:

  • Design an educational handout on the health issue you selected.
    • Include a cover page.
    • Include an introduction that provides:
      • An explanation of your issue and why you selected it
      • A description of the audience you are addressing
    • In the handout itself:
      • Develop your handout in such a way that it attracts the attention of the intended audience.
      • Include a description of the health issue and additional content that will enhance your message (i.e., key terms and definitions, graphics, illustrations, etc.).
      • Recommend four or five sites that provide clear, valuable, and reliable information on the topic.

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2023 Summary Apply what you have learned about Health Promotion and Disease Prevention and demonstrate the ability to develop

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Nursing 2023 Week 8

Summary Apply what you have learned about Health Promotion and Disease Prevention and demonstrate the ability to develop 2023 Assignment

Summary:
★Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth, defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation and maintenance of function across the health-illness continuum.

Directions:
Develop a case study and a plan of care, incorporating current mobile App technology:

  1. Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need .Apply concepts learned in course to identify healthcare needs needs specific to the population and access to care (Utilize your textbook Chapters 1-25, knowledge from Med-U, and identified Websites). 
  2. Describe how Telehealth could impact the delivery of care to this population.
  3. Identify PICO specific to the population you chose in #1. (apply PICOT statement developed in MSN 563)
  4. Define a plan of care. 
  5. Submit your assignment via the D2L Dropbox

This project is to be a total of 3 pages, typed. 12 pt font, 1” margins, Times New Roman.
Include an additional cover page.
Include an additional Reference page.

APA, 6th edition format is to be observed.

Hint: Concise, condensed information, with specifics and details about population and unique needs with plan for meeting these needs is considered. Incorporate the content you have learned in this course.

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2023 Visit the website of an insurance company such as Aetna Blue Cross Blue Shield or Humana and identify

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Nursing 2023 Lab Assignment: Insurance Plan Webquest

Visit the website of an insurance company such as Aetna Blue Cross Blue Shield or Humana and identify 2023 Assignment

 

Visit the website of an insurance company, such as Aetna, Blue Cross/Blue Shield, or Humana and identify one of the company’s insurance plans. In a four-paragraph paper, describe what the plan provides and what obligations it places on patients. Contrast this with another plan offered by the insurance company or by another insurance company.

Save the file as “InsuranceWebQuest” 

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2023 Summary of Healthcare Concern Presentation The purpose of this assignment is to provide a summary of the presentation to

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Nursing 2023 Power Point Presentation 20 Slides

Summary of Healthcare Concern Presentation The purpose of this assignment is to provide a summary of the presentation to 2023 Assignment

Summary of Healthcare Concern Presentation

 The purpose of this assignment is to provide a summary of the presentation to the elected official, report on the response/outcome and to propose future strategies for the continued advocacy of the selected healthcare concern. The presentation to the elected official is required and must be either a face to face or phone presentation. Communication of your presentation will be via a PowerPoint™ presentation 

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2023 Developing an Evidence Based Practice EBP Project Question Consider issues related to your nursing practice What stands out

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Nursing 2023 Developing An Evidence-Based Practice (EBP) Project Question

Developing an Evidence Based Practice EBP Project Question Consider issues related to your nursing practice What stands out 2023 Assignment

  

Developing an Evidence-Based Practice (EBP) Project Question

Consider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession?

The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. Think about aspects of your specialty area and begin to formulate a question that relates to your nursing practice.

The primary purpose of this Discussion is to provide a forum in which you and your colleagues can support each other in cultivating a practice-related question.

To prepare:

  • Develop      your EBP Project question using the PICO (patient group, issue      or intervention, comparison, outcome) method as described in Chapter 2      of Clinical Research for the Doctor of Nursing Practice (p.      29) and other resources. Depending on your specialty area, you may modify      the PICO method as necessary to be appropriate for your target population.
  • Begin      to complete the “Literature Review Matrix,” reviewing at least four to six      research articles relevant to your specialty area and      your EBP Project question. Note any areas of difficulty that you      encounter, as well as any strategies or insights that might be beneficial      to others.
  • Reflect      on the information presented in the McCurry, Revell, and Roy article      listed in the Learning Resources.
  • What      questions or concerns, if any, do you have about how to develop your      project question and/or expand your expertise in your specialty area?

By tomorrow 08/28/18 10pm write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Answer the questions as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Share your project question, as you have developed it thus far (Write the questions exactly as the PIICOT Template provided in the attached file area).

2) Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.

3) Pose any questions or concerns you may have related to developing your project question or literature review. You may also include any other issues related to expanding your expertise within your specialty area.

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 2, “Developing the Researchable Problem”

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdf

Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. 

McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.

Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186. 

Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/

Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available at

http://ojni.org/issues/?p=2860

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2023 As an advanced practice nurse you will examine patients presenting with a variety of disorders You must

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Nursing 2023 6501 Assignment 1

As an advanced practice nurse you will examine patients presenting with a variety of disorders You must 2023 Assignment

  

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

· Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

· Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.

· Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

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2023 Reasoning in a Specialty Area Bring to mind an important practice related decision you

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Nursing 2023 Reasoning In A Specialty Area

Reasoning in a Specialty Area Bring to mind an important practice related decision you 2023 Assignment

  

Reasoning in a Specialty Area

Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?

Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?

In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.

To prepare:

  • Consider the definition of clinical      reasoning and how it is distinguished from other terms in the      Simmons article. (see attached file)
  • Bring to mind key characteristics of your      specialty area. Is the concept of clinical reasoning relevant and      sufficient to describe the process you utilize as you      make decisions and solve problems in your area of specialization? Why or      why not? If not, what terminology would be more useful for defining or      characterizing this process?
  • Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s). (see PIICOT Question below      at the end of the page)
  • Reflect on your EBP Project      question(s) (see PIICOT Question below at the end of the page).      Reexamine your project question(s) through this lens of clinical, or      alternately termed, reasoning.

By Day tomorrow 09/04/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 references from the list of required resources below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.

2) How can you apply reasoning strategies to the refinement of your EBP Project question(s)? (see PIICOT Question below at the end of the page)

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter      1, “The Importance of Research in the Doctor of Nursing Practice Degree”
         Read pages 12-18 beginning with “The DNP Graduate with an Aggregate Focus”      (see attached File)

         In this section of Chapter 1, the author explains relationship between the      DNP clinician, the research process, and developing an effective      evidence-based practice. The author also discusses facilitating change in      practice based on critically appraised and validated evidence. In      addition, Carper’s four essential patterns of “knowing” in nursing and      Rosswurm and Larrabee’s six-phase model for reviewing research are      highlighted.

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43. 

Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

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2023 Application 1 Identification of a Practice Issue for the Evidence Based Practice EBP Project In many of the courses in

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Nursing 2023 Identification Of A Practice Issue For The EBP Project

Application 1 Identification of a Practice Issue for the Evidence Based Practice EBP Project In many of the courses in 2023 Assignment

  

Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.

For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.

Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment. (see attached file)

To prepare for Application 1:

  • Consider      the specifics of your practicum setting, as well as practice-related      challenges in your specialty area that interest you. Brainstorm practice      issues in which an outcome is different from what would be expected      according to the research literature (based      on the PIICOT Question previously formulated).
  • Select      one issue to focus on for this assignment (based on the PIICOT Question previously formulated).
  • .      This will be your issue for the entire EBP Project, so be sure it is one      that will enable you to fulfill the project requirements (e.g., you can      develop new approaches to practice). You may wish to speak with your      Practicum Mentor about your selection.
  • Explore      the research literature on this issue.

To complete: In a 2-page paper, in APA format and at least 3 references, address the following as numbered below:

1) Introduction ending with a purpose statement (e.g. the purpose of this paper is…)

2) Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note: The issue you select must be suitable for completing the entire EBP Project.)

3) Conclusion

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

To students: In addition to the Learning Resources and facilitated discussions provided each week, you are expected to integrate articles from peer-reviewed journals to inform and support your positions and conclusions in the Application Assignments. Graduate-level scholarship provides the foundation for your work and requires a higher level of evidence than lay references, such as the dictionary, Wikipedia, general Internet sites, nursing newspapers, expert opinion, and the like. 

Must include at least 1 reference from the list of provided Required Readings and at least 2 references from scholarly articles from peer-reviewed journals

This assignment is due on Wednesday 09/05/18

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