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2025 Create a 3 5 page submission in which you develop a PICO T question for a
by adminEvidence based Assessment 3 Instructions: PICO(T) Questions and an Evidence-Based Approach 2025
Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question. PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation. It stands for: P – Patient/population/problem. I – Intervention. C – Comparison (of potential interventions, typically). O – Outcome(s). T – Time frame (if time frame is relevant). The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. You are encouraged to complete the Vila Health PCI(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies. Explain the findings from articles or other sources of evidence. Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. Identify sources of evidence that could be potentially effective in answering a PICO(T) question. Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question. Competency 3: Apply an evidence-based practice model to address a practice issue. Define a practice issue to be explored via a PICO(T) approach. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Reference Boswell, C., & Cannon, S. (2015). Introduction to nursing research . Burlington, MA: Jones & Bartlett Learning. Professional Context As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted. PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. Scenario For this assessment, please use an issue of interest from your current or past nursing practice. If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment. Instructions For this assessment, select an issue of interest an apply the PICO(T) process to define the question and research it. Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question. If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the ” Create PICO(T) Questions ” page in the Capella library’s Evidence Based Practice guide) might be helpful. In your submission, make sure you address the following grading criteria: Define a practice issue to be explored via a PICO(T) approach. Identify sources of evidence that could be potentially effective in answering a PICO(T) question. Explain the findings from articles or other sources of evidence. Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Example Assessment : You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: Assessment 3 Example 1 [PDF] . Additional Requirements Your assessment should meet the following requirements: Length of submission : Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it. A title page is not required but you must include a reference list. Number of references : Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old. APA formatting: Format references and citations according to current APA style. Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.
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2025 HMGT 300 7982 Introduction to the U S Health Care Sector 2202 Your quiz has
by adminHMGT 300 7982 Introduction to the U.S. Health Care Sector (2202) Quiz Submissions – Standard quiz 1 2025
HMGT 300 7982 Introduction to the U.S. Health Care Sector (2202) Your quiz has been submitted successfully. Question 1 1 / 1 point In the following sentence, choose the verb that agrees with its subject The herd of horses ____ wildly across the field. Question 2 . “Night Shyamalan’s second movie ‘Unbreakable’, which again features Bruce Willis, is slated to hit the theaters on Friday. Judging by the immense success of his first movie, ‘The Sixth Sense’, which has a sterling performance by Bruce Willis, this movie is expected to do well at the box office.” Which of the following weakens the argument in the passage: Question 3 . Every year, Americans use over one billion sharp objects to administer healthcare in their homes. These sharp objects include lancets, needles, and syringes. If not disposed of in puncture-resistant containers, they can injure sanitation workers. Sharp objects should be disposed of in hard plastic or metal containers with secure lids. The containers should be clearly marked and be puncture resistant. The paragraph best supports the idea that sanitation workers can be injured if they View Feedback Question 4 1 / 1 point The entire low-carbohydrate versus low-fat diet argument is so prevalent that one would think that these are the only two options available for losing weight and staying healthy. Some experts even feel that the low-carb/low-fat debate distracts us from an even more important issue—our culture’s reliance on processed and manufactured foods. The paragraph best supports the statement that View Feedback Question 5 1 / 1 point Please choose the correct underlined phrase The population of tigers in the National Park is increasing steadily, and this is a source of encouragement to those who have worked so hard to fund the conservation effort. View Feedback Question 6 1 / 1 point In the following sentence, choose the verb that agrees with its subject The frogs at the cottage ________ very loudly. View Feedback Question 7 . When Barbara came home from the mall, she gave a bag to her little sister that was filled with books. Which of these is the clearest and most effective way to revise the sentence above? View Feedback Question 8 . This question is based on a situation. Read the situation and answer the question that follows Between 1960 and 1970, ivory poachers in the African nation of Zinbaku killed over 6,500 elephants. During that period, the total elephant population in Zinbaku fell from about 35,000 to just under 30,000. In 1970, new anti-poaching measures were implemented in Zinbaku, and between 1970 and 1980 over 800 poachers were arrested and expelled from the country. Nevertheless, by 1980, the elephant population in Zinbaku had fallen to about 21,000. Which of the following, if true, would best help to explain the apparent paradox presented above? View Feedback Question 9 . Nathan and Sean were in the same math class. Their teacher returned the tests she had graded. When they saw their grades, Nathan smiled, but Sean looked unhappy. The teacher said that many students had received low grades, and she hoped they would study more for the next test. Sean looked unhappy when he saw his test grade, so we can conclude that he most likely did not do as well as he would have liked. What does the teacher believe? View Feedback Question 10 1 / 1 point Many business offices are located in buildings having 2-8 floors. If a building has more than 3 floors, it has a elevator. If the above statements are true, which of the following must be true? View Feedback Question 11 1 / 1 point This question is based on a situation. Read the situation and answer the question that follows If highways were restricted to cars and only those trucks with capacity of less than 8 tons, most of the truck traffic would be forced to run outside highways. Such a reduction in the amount of truck traffic would reduce the risk of collisions on highways. The conclusion drawn in the 1st sentence depends on which of the following assumptions? View Feedback Question 12 1 / 1 point One of the most hazardous conditions a firefighter will ever encounter is a backdraft (also known as a smoke explosion). A backdraft can occur in the hot-smoldering phase of a fire when burning is incomplete and there is not enough oxygen to sustain the fire. Unburned carbon particles and other flammable products, combined with the intense heat, may cause instantaneous combustion if more oxygen reaches the fire. Firefighters should be aware of the conditions that indicate the possibility for a backdraft to occur. When there is a lack of oxygen during a fire, the smoke becomes filled with carbon dioxide or carbon monoxide and turns dense gray or black. Other warning signs of a potential backdraft are little or no visible flame, excessive heat, smoke leaving the building in puffs, muffled sounds, and smoke-stained windows. Proper ventilation will make a backdraft less likely. Opening a room or building at the highest point allows heated gases and smoke to be released gradually. However, suddenly breaking a window or opening a door is a mistake, because it allows oxygen to rush in, causing an explosion. To prevent the possibility of a backdraft, a firefighter should View Feedback Question 13 . Please choose the correct letter to complete the phrase ______of the ballroom dance club brought ______ dues. View Feedback Question 14 . Nathan and Sean were in the same math class. Their teacher returned the tests she had graded. When they saw their grades, Nathan smiled, but Sean looked unhappy. The teacher said that many students had received low grades, and she hoped they would study more for the next test. Based on this story, what is MOST LIKELY to be true? View Feedback Question 15 1 / 1 point One of the most hazardous conditions a firefighter will ever encounter is a backdraft (also known as a smoke explosion). A backdraft can occur in the hot-smoldering phase of a fire when burning is incomplete and there is not enough oxygen to sustain the fire. Unburned carbon particles and other flammable products, combined with the intense heat, may cause instantaneous combustion if more oxygen reaches the fire. Firefighters should be aware of the conditions that indicate the possibility for a backdraft to occur. When there is a lack of oxygen during a fire, the smoke becomes filled with carbon dioxide or carbon monoxide and turns dense gray or black. Other warning signs of a potential backdraft are little or no visible flame, excessive heat, smoke leaving the building in puffs, muffled sounds, and smoke-stained windows. Proper ventilation will make a backdraft less likely. Opening a room or building at the highest point allows heated gases and smoke to be released gradually. However, suddenly breaking a window or opening a door is a mistake, because it allows oxygen to rush in, causing an explosion. Which of the following is not mentioned as a potential backdraft warning sign? View Feedback Question 16 1 / 1 point One of the most hazardous conditions a firefighter will ever encounter is a backdraft (also known as a smoke explosion). A backdraft can occur in the hot-smoldering phase of a fire when burning is incomplete and there is not enough oxygen to sustain the fire. Unburned carbon particles and other flammable products, combined with the intense heat, may cause instantaneous combustion if more oxygen reaches the fire. Firefighters should be aware of the conditions that indicate the possibility for a backdraft to occur. When there is a lack of oxygen during a fire, the smoke becomes filled with carbon dioxide or carbon monoxide and turns dense gray or black. Other warning signs of a potential backdraft are little or no visible flame, excessive heat, smoke leaving the building in puffs, muffled sounds, and smoke-stained windows. Proper ventilation will make a backdraft less likely. Opening a room or building at the highest point allows heated gases and smoke to be released gradually. However, suddenly breaking a window or opening a door is a mistake, because it allows oxygen to rush in, causing an explosion. A backdraft is a dangerous condition for firefighters mainly because View Feedback Question 17 1 / 1 point One of the most hazardous conditions a firefighter will ever encounter is a backdraft (also known as a smoke explosion). A backdraft can occur in the hot-smoldering phase of a fire when burning is incomplete and there is not enough oxygen to sustain the fire. Unburned carbon particles and other flammable products, combined with the intense heat, may cause instantaneous combustion if more oxygen reaches the fire. Firefighters should be aware of the conditions that indicate the possibility for a backdraft to occur. When there is a lack of oxygen during a fire, the smoke becomes filled with carbon dioxide or carbon monoxide and turns dense gray or black. Other warning signs of a potential backdraft are little or no visible flame, excessive heat, smoke leaving the building in puffs, muffled sounds, and smoke-stained windows. Proper ventilation will make a backdraft less likely. Opening a room or building at the highest point allows heated gases and smoke to be released gradually. However, suddenly breaking a window or opening a door is a mistake, because it allows oxygen to rush in, causing an explosion. When compared with a hot, smoldering fire, a fire with visible, high-reaching flames View Feedback Question 18 1 / 1 point This week is going to be insane , Danesha thought to herself as she got ready for school. (2) With the end of the school year came all sorts of final projects, and every single project was due that Friday. (3) Danesha didn’t understand why her teachers liked to assign everything at the same time. (4) After grabbing her lunch and a breakfast bar, the school bus was heard. (5) Danesha flew out the door to catch it. (6) Occupied with all that needed to be done, the front door was accidentally left unlocked. Which is the correct way to write sentence 6? View Feedback Question 19 . Please choose the correct underlined phrase More and more holidaymakers are choosing to fly to remote islands in search of the perfect beach ; seeking sand, sun and palm trees, rather than centers of entertainment. View Feedback Question 20 . Which of the following best completes the passage below? In a survey of job applicants, two-fifths admitted to being at least a little dishonest. However, the survey may underestimate the proportion of job applicants who are dishonest, because ..
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2025 Chapter 25 Growth and Development of the Newborn and Infant 1 Jesus is the first born son
by adminGrowth and Development of the Newborn and Infant 2025
Chapter 25: Growth and Development of the Newborn and Infant 1. Jesus is the first-born son of Roberto and Marie Valez. The parents are very excited about the birth of their new son. They have brought Jesus into their nurse practitioner today for his first examination 3 days after his birth. Jesus was 7 lbs 2 oz at birth and 19 in. His Apgar scores were 8 and 9. There were no complications with his mother’s pregnancy or his delivery. Jesus’ parents have noticed that he has lost some weight since coming home. Marie is breastfeeding Jesus and is concerned that she is doing something wrong. They also have several questions about Jesus. (Learning Objectives 1 and 4) a. What can the nurse practitioner tell Marie regarding her concerns about Jesus’ weight loss? b. What questions should the nurse practitioner ask regarding Jesus’ nutrition, and what information can he or she offer to Marie regarding breastfeeding? c. What anticipatory guidance can the nurse practitioner offer to Roberto and Marie regarding Jesus’ growth and development over the next several weeks? 2. Steve Shell has brought in his 9-month-daughter Emily for her wellness examination and immunizations. Steve is a single father raising his daughter after Emily’s mother was killed in a motor vehicle accident (MVA). Steve is doing a great job of raising Emily by himself, but he still has some concerns about his abilities as a father. He has several questions for the nurse practitioner. The nurse practitioner’s examination of Emily is unremarkable and she is growing and developing as expected. (Learning Objectives 6 and 7) a. What should the nurse practitioner include when teaching Steve about promoting healthy eating habits and appropriate sleep and rest? b. What can the nurse practitioner offer Steve regarding promoting appropriate discipline with Emily? c. Since Steve is a single parent and sole income earner, he is required to place Emily in day care while he is at work. Steve is concerned about the effects of day care on Emily’s development. What can the nurse practitioner teach Steve about child care? Chapter 26: Growth and Development of the Toddler 1. Bill and Ted are a domestic couple that have brought in their 30-month-old daughter, Victoria, complaining of a runny nose, cough, and low-grade fever. Bill and Ted adopted Victoria at birth. The biological mother was a teenager who chose to give her child up for adoption and Bill and Ted provided financial support to ensure that she received the appropriate prenatal care. Her pregnancy and delivery were unremarkable. She has had no contact with Victoria or her fathers since the birth. The nurse practitioner determined that the symptoms are attributed to an upper respiratory tract infection (URI) or common cold and recommended that it be treated symptomatically. While in the office, Bill and Ted have some questions regarding Victoria’s behavior. They explain that she has become more defiant, repeatedly responding to their questions or commands with “no” or temper tantrums. Neither Bill nor Ted has been a parent before adopting Victoria and they are concerned that they are to blame for her behavior. (Learning Objectives 1, 5, and 12) a. What can the nurse teach Bill and Ted about the psychosocial or cognitive development of a toddler that would help them understand Victoria’s behavior? b. What can the nurse teach Bill and Ted regarding promoting appropriate discipline for Victoria? c. What is “temperament” and how would it influence Victoria’s behavior? 2. Tenzin and Dechen have brought in their 24-month-old son, Kim, for his wellness examination and immunizations. Kim is the first child for Tenzin and Dechen, but Dechen is 6 months pregnant with their second child. Tenzin and Dechen are Tibetan refugees who have moved to the United States from India. Kim was born in the United States. Tenzin and Dechen are very focused on Kim’s physical abilities (i.e., motor skills, communication, and sensory skills). They express their desire for Kim to do well in school and be successful in business. (Learning Objectives 3, 4, 7, 11, and 13) a. What could the nurse share with Kim’s parents regarding the normal motor, communication, and sensory development of a 24-month-old? b. What can the nurse teach Tenzin and Dechen regarding promoting healthy growth and development in Kim? c. Kim’s parents are curious about toilet training. How can the nurse teach Kim’s parents about toilet training with a toddler? Chapter 27: Growth and Development of the Preschooler 1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a farrier but his work does not provide insurance and he has come to a nurse-operated free clinic. Donnie shares that Isaac enjoys spending time with his father when he is working with the horses, but he is concerned that Isaac has an imaginary friend named “Tackle.” On physical examination, Isaac is 39 inches tall and weighs 35 lbs. Donnie is a man of average height (5’9” with a slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1) a. What can the nurse communicate to Isaac’s father about his physical growth? b. What can the nurse teach Isaac’s father about his cognitive and psychosocial development? c. What can the nurse teach Isaac’s father about his moral development? 2. Nina is the 5-year-old adopted daughter of Sarah and Tim Johnson. Nina is the Johnsons’ only child. They adopted Nina before her first birthday. The Johnsons have brought Nina to the clinic today to discuss some concerns they have about her development. Nina is attending a public kindergarten. Since beginning school, the Johnsons have noticed that they are catching Nina lying more. They are concerned that this may be a result of attending school. In addition, they are concerned about her verbal development and note that her teacher reported that Nina seems to be stuttering or repeating the term “um” when speaking. She also has some difficulty with “sh” and “th” sounds. When the Johnsons try to discuss these issues with Nina she becomes “very emotional” and retreats to her room. (Learning Objectives 2 and 6) a. What can the nurse teach the Johnsons about lying in preschool children? b. What can the nurse teach the Johnsons regarding stuttering and speech development with Nina? c. What can the nurse teach the Johnsons regarding emotional development in preschool children?
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2025 Select a community organization or group that you feel would be interested in learning
by adminEthical and Policy Factors in Care Coordination 2025
Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script for your presentation, 4-5 pages in length. As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care. This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional. It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 4: Defend decisions based on the code of ethics for nursing. Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Competency 5: Explain how health care policies affect patient-centered care. Explain how governmental policies related to the health and/or safety of a community affect the coordination of care. Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included. Preparation Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours. Homeless shelters. Local religious groups. Nursing homes. Local community organizations (Rotary Club or Kiwanis Club). To prepare for this assessment, you may wish to: Research your selected community organization or support group. Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA. Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete. Allocate sufficient time to rehearse your presentation before recording the final version for submission. Note : Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Recording Equipment Setup and Testing Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software. Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page. If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom. Note : If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.
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