Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

#1  A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.  Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg.  She is also complaining of light-headedness and palpitations.

     A.  What actions would you take as her nurse?

     B.  What change should this patient be encouraged to do?

     C.  What are the expected outcomes?

#2.  The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.  She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.  Blood work indicates she is Rh negative.

     A.  What are some concerns you as her nurse should be prepared for?

     B.  What teaching does this patient need?

     C.  What are the expected outcomes for this patient?

#3  A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time.  Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.

     A.  What nursing care will you provide to this young lady if she is pregnant.

     B.   What nursing diagnoses will apply to this situation?

     C.  What are some expected outcomes?

#4 A woman in labor has been progressing well with minimal difficulties.  The nullipara woman has been working with her coach, progressing through the process.  The fetal monitor has indicated that the fetus is in stable condition.  Suddenly, the monitor alarm goes off and exam reveals a possible prolapsed cord.

     A.  What steps should you take as her nurse?

     B.  What care does the mother and infant need?

     C. How would you evaluate that your interventions were helpful?

#5  Your patient is a petite 23-year-old G1P0 woman.  Prenatal assessment has determined that this woman will need a cesarean birth due to cephalopelvic disproportion.

     A.  What can this patient and you as the nurse do prenatally to ensure a safe delivery?

     B.  What potential risks and/or complications should the nurse be aware of and prepare for?

     C.  What postoperative care will this mother and/or infant need?

This week we have a paper due concerning the Cardiovascular system.  Please use the scenario below to base your paper on.  It is not the goal to necessarily change ALL medications, however, that might be the case.  In short, I am looking for concrete examples of how you back up your decisions with proper resources and guidelines.

Talk to you soon!

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

• Glipizide 10 mg po daily
• HCTZ 25 mg daily
• Atenolol 25 mg po daily
• Hydralazine 25 mg qid
• Simvastatin 80 mg daily
• Verapamil 180 mg CD daily

 This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.The student will complete the following items and submit a Word doc to the assignment link. 

1. Provide a title that conveys or describes the assignment.
2. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
3. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
4. References – Cite a minimum of five scholarly references in APA 6th ed format.
5. 4-5 PAGES

Expectations

• Format: Completed paper with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 3  

PICOT Question: on a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I),compare to no scheduled roundng (c), affect patient safety(o), within 6 month of implementation (T).
IMPORTANT NOTICESee attached paper as it has everything you are to do in this paper and you MUST use the Critical Analysis article to guide you in your analysis that is also attached; the EBP pyramid paper also attached.

• Use the paper you submitted in week 5 (part 2) as this may reflect what you will do for your capstone project. In this version of that paper, you are to do the following: (PUT THE PAPER IN A WORD DOCUMENT NOT PDF and NO APA templates as edits cannot be made to help you learn in either format)
  • Make sure your title page is accurate with a proper title of the project, your name, US University, MSN 563, your faculty name
• Title the first section on page one: Introduction –
  • Restate the CON approved list of subjects
  • Restate your PICOT question
  • Then you MUST give a one to two paragraph discussion of the key terms you used to guide the search for the evidence and the search engines you used to obtain the articles you will discuss.
• Title the next section Critical Analysis of Five Research Articles: all articles have to be within the last 5 years of publication
  • then present summaries of five (5) of the research studies you used to support your project and use the appraisal criteria below to do this part of the paper.
    • Title of the article and the journal
    • Author and Date of publication – has to be within the past 5 years to be used as evidence
    • Type of article published: systematic review, meta-analysis, random clinical trials, cohort studies, etc
    • EBP pyramid level of evidence (Ranks are levels I – VII)
    • Include what was the purpose, process, and outcomes of that research
    • Was the study appropriate and valuable to improve health
    • Who were the participants, how many, was a power analysis done to determine if statistical analysis should be performed
    • Was randomization or volunteer, or specific sample selection used
    • If a systematic review or meta-analysis, how did the authors determine what articles to choose to review?
    • What was the intervention?
    • Were the instruments used to analyze the data valid and reliable
    • What were the results? This includes the stats findings
    • What were the strengths and weaknesses of the published article?
    • This includes the EBP pyramid, the instruments reliability/validity, sample size, type of analysis done, results, limitations, etc
    • Did the strengths or weaknesses predominate and should the article be used to support your project and practice change?
    • Just because it is a level 1 on the EBP pyramid does not mean that it is a quality paper

     Title the next section: Summary of What is Known

• In this section discuss what is known from the evidence you presented and identify any gaps in knowledge from the research evidence you discussed.
• Give a closing statement

References – Cite a minimum of five scholarly references in APA 6th ed format. (7th edition is OK if that is what you have been using). This MUST be in proper APA format. 

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the 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 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 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.