2025 Review your problem or issue and the study materials to formulate a PICOT

PICOT Question Paper 2025

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Describe the problem in the PICOT question as it relates to the following: Evidence-based solution Nursing intervention Patient care Health care agency Nursing practice 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. Remember my Topic is “Role of barcode-guided drug delivery in reducing medication error by nurse is my selection”.

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2025 Discussion Prompt Case Study Anna Sanchez a 21 year old nursing student comes to her nurse practitioner in December with a

Week two discussion 2025

Discussion Prompt Case Study Anna Sanchez, a 21-year-old nursing student, comes to her nurse practitioner in December with a 5-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall. Physical Examination Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal Skin: Flaking erythematous rash on the flexor surfaces of both arms Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous with clear postnasal drainage (NOTE: Nasal polyps are common in allergic rhinitis. They are edematous protrusions of the mucosa that are infiltrated with neutrophils, eosinophils, and plasma cells.) Lungs : Clear to auscultation and percussion Initial Post: Answer the following questions about Anna Sanchez and her condition. What evidence suggests that Anna does not have an acute severe infection? If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved? A skin test indicates that Anna is allergic to cat dander. Two months ago, Anna’s roommate brought home a cat. Why didn’t Anna’s symptoms start when the cat entered the household, rather than 3 weeks later? What class of antibodies bind to the mast cells? What physiological mechanisms caused the redness of Anna’s nasal mucosa? What mechanisms caused Anna’s clear postnasal drainage? Response # 1: Carefully read the initial posts made by the other students in your small group. Respond to the initial post of one of your peers in your discussion group. Identify 1 differential diagnosis for the case study presented. Identify the underlying pathophysiology and clinical presentation of the Differential Diagnosis you identified in your response to your peers. Please Note: you may not duplicate a differential diagnosis posted by another peer in the discussion thread. Response #2: Go back into your own initial post. Identify what diagnostic testing or additional information you might need to establish a diagnosis. Identify what you believe is the correct diagnosis for the patient in the case study with the rationale for your response. Identify why the differential diagnoses left by your peers are or are not the correct diagnosis and support this with evidence from research and from the case posted by your peers.

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2025 It may seem to you that healthcare has been a national topic of debate among political

Agenda Comparison Grid and Fact Sheet or Talking Points Brief 2025

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember. Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy. To Prepare: Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations. Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations. Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected. Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda. The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page, an introduction, purpose statement, and a conclusion. This is an APA paper. Part 1: Agenda Comparison Grid Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following: Identify and provide a brief description of the population health concern you selected and the factors that contribute to it. Describe the administrative agenda focus related to the issue you selected. Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. Explain how each of the presidential administrations approached the issue. At least 3 resources must be used Part 2: Agenda Comparison Grid Analysis Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Who would you choose to be the entrepreneur/champion/sponsor of the healthcare issue you selected for the current and two previous presidents? Part 3: Narrative Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following: Summarize why this healthcare issue is important and should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the summary provided.

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2025 For this Assignment just as you did in PRAC 6645 you assess where you are

Clinical Skills Self-Assessment 2025

For this Assignment (just as you did in PRAC 6645), you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth. To Prepare Review the clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum. Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework. Review the resources on nursing competencies and nursing theory, and consider how these inform your practice. Download the PMHNP Clinical Skills Self-Assessment Form to complete this Assignment. The Assignment Use the PMHNP Clinical Skills Self-Assessment Form to complete the following: Rate yourself according to your confidence level performing the skills identified in the Clinical Skills Self-Assessment Form. Based on your ratings, summarize your strengths and opportunities for improvement. Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

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2025 To Prepare Reflect on the four peer reviewed articles you critically appraised

Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change 2025

To Prepare: · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. · Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. · Consider the best method of disseminating the results of your presentation to an audience. The Assignment: (Evidence-Based Project) Part 4: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following: · Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. · Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. · Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. · Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy. · Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. · Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. · Add a lesson learned section that includes the following: o A summary of the critical appraisal of the peer-reviewed articles you previously submitted o An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

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2025 Review the following two quantitative and qualitative studies You will describe the key elements of each study

CRITICALLY APPRAISING QUANTITATIVE AND QUALITATIVE RESEARCH 2025

Review the following two quantitative and qualitative studies. You will describe the key elements of each study and complete a critical appraisal of each. · All SOURCES ARE ATTACHED!!!! focusing on the EBP process, the PICO(T) process, and the important step of critically appraising research evidence. · Describe the key elements of a research study. · Complete a rapid critical appraisal of each study. · Write an executive summary that compares the two studies. Document Format and Length Your document should be 2-3 pages in length, including the overviews, rapid critical appraisals, and executive summary. Create a table or other organized format for your answers to the questions on the RCA tool for each study

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2025 Group 2 CASE STUDY 2 Numbness and Pain A 47 year old obese female complains

Health assesment 2025

Group 2: CASE STUDY 2: Numbness and Pain A 47-year-old obese female complains of pain in her right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. She has been frustrated because the pain causes her to drop her hair-styling tools . To Prepare By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. With regard to the case study you were assigned: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study you were assigned. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least three possible conditions that may be considered in a differential diagnosis for the patient. The Case Study Assignment Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

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2025 Big Data Risks and Rewards good length and at least 3 4 references

Big Data Risks and Rewards 2025

Big Data Risks and Rewards (good length and at least 3-4 references everything in APA 7 format) When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee. From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth. As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards. To Prepare: Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs . Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed. By Day 3 of Week 5 Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples. By Day 6 of Week 5 Respond to at least two of your colleagues * on two different days , by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks. Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. *Note: Throughout this program, your fellow students are referred to as colleagues. Michea Discussion ( in APA 7 format and at least 2-3 references) With the fast growing pace of technological advancement in the health care sector, daily operations of the institution helps generate millions of data that over time needs proper channels of transmission, storage, processing, assimilation and utilization. Following from the vast amount of data generated, some of its benefits includes but is not limited to functioning as a pattern discovery aid with relation to the amount of variance or similarity in the cases seen by a particular health care organization, the data bank develops a pattern memory which helps the facility better prepare based on the statistical evidence derived from their previous encounter with a surge of disease only relative to the hospitals geographical location. “Pattern discovery entails much more than simply retrieving data to answer an end user’s query. Data mining tools scan databases and identify previously hidden patterns. The predicative, proactive information resulting from data mining analytics then assists with development of business intelligence, especially in relation to how we can improve.” (McGonigle, 2017, p477) Another benefit of using big data is its ability to enhance continuity, stemming from when a patient checks into the hospital till the moment they are discharged, the vast amount of data generated from laboratory testing, imaging or other specialized test makes for continuity in care since every department and or axillary health care support system can access such data and proceed with their plan of care without having to reduplicate efforts of redoing labs and imaging studies before attempting to care for the patient, hence this serves a dual purpose of efficiency in the delivery of care while also providing the patient with a cost saving approach. “Eliminating duplication of effort will go a long way to simplifying and streamlining nursing workflow within EHRs. Patient care devices (such as cardiac monitors, vital sign monitors, and I.V. infusion pumps) can be linked with the EHR. Many of them are essentially mini-computers that store and send their discrete data to the EHR.” (Glassman, 2017, p46) Given the leaps and bounds in the advent of health care technological advancements, other issues that need immediate attention is the risk and challenges associated with its use. Unplanned power outages during inclement weather conditions presents as a great risk factor to the use of the big data warehouse since the resourcefulness and operability of the system hinges on uninterrupted power supply. Another challenge with the use of the big data system is how to keep the system running during moments of downtime or system upgrades, cooperation on the part of the patient to embrace new development and the changes made to enhance their care also presents with a risk factor to the overall functioning of the parameters implemented in place. “The frustration that we often have as nurse leaders in looking at this data, is [that] some of the variables we care about the most, aren’t even in the data,” Englebright says. “We don’t have something that measures nursing competence, for example. We don’t have something that measures how committed the nurses are. We don’t have something that measures if the patient really [is] going to do the stuff we just invested all this time in teaching them to do.” (Thew, 2016) Some of the strategy I have experienced and or observed that will effectively mitigate the challenges associated with big data includes but is not limited to utilizing the following solutions; The use of back up generators have proven to be a more efficient way of managing unplanned power outages while delivering uninterrupted care to our clients. Planning of down time and or system upgrades should be slated for when the hospital anticipates low census like during the holidays when a skeleton crew could manage operations within the hospital. The concept of having a back up data storage in the cloud, will also serve for the purpose of accessibility and easy retrieval of data should the institutions primary system and data bank experience a crash. References Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs Jams Discussion ( in APA 7 format and at least 2-3 references) Main Post Big data refers to a large amount of information gathered through technology which we use to generate meaning in the world (McGonigle & Mastrian, 2018). There are many benefits of using big data as part of a clinical system such as quick easy access to a plethora of patient information to use by the healthcare professionals and the patients. Glassman (2017) states that patients being able to view their own health information and results through patient portals keep them up to date on labs, medications, and upcoming appointments. The challenge of using big data as part of a clinical system is seen when there are large amounts of data coming through, but each set has its own language that needs to be manually translated as seen with HCA (Thew, 2016). McGonigle and Mastrian (2018) states that a strategy for sorting through the large amounts of information coming through is to invest in data mining techniques. There are many “data mining techniques,” one of them uses algorithms, these techniques place similar information into categories which makes it easier to analyze (McGonigle & Mastrian, 2018). References Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12 (11), 45–47. Retrieved from https://www.americannursetoday.com/wpcontent/uploads/2017/11/ant11-Data-1030.pdf McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs . Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-bigpotential-challenges-nurse-execs

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2025 There are 2 discussions Topic 1 Topic 2 They both require references please I have attached the

MN506 Discussion Board: Applications of Stadards of Care & Clinical Criteria for Determining Danger to Self 2025

There are 2 discussions: Topic 1 & Topic 2 (They both require references please) I have attached the Case Study 2: Wrongful death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased. Topic 1: Application of Standards of Care Your instructor has placed you in groups and assigned a case study. Case Study 2: Wrongful death by Howard Carpenter on Behalf of Wilma Carpenter, Deseased. Look at the legal malpractice case study that has been assigned to your group. Describe the case and discuss the standard of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act be applied in a court of law if the case is sued? Discussion Board: Minimum 200 words, APA Style, Time New Roman, Font 12,  (3 references- in text citations) not older than (2012-2017). No Plagiarism please. Topic 2: Clinical Criteria for Determining Danger to Self A 45-year-old wife of one of the staff physicians was admitted to the emergency room. She is intoxicated and loud. Her husband wants her admitted to the psychiatric unit. He has asked to have two other physicians that are his friends to sign the paper work to admit her. In New York State where the hospital is located two physicians can admit a patient against their will if they are a danger to themselves or others. You happen to be a neighbor and know that the couple is going through a divorce and the husband wants custody of the two children. You also know he is dating a nurse on another unit. Differentiate between the ethical and legal implications of her admission. What actions will you take? Support your decisions with legal reasoning and case law. Discussion Board: Minimum 200 words, APA Style, Time New Roman, Font 12,  (3 references- in text citations) not older than (2012-2017). No Plagiarism please

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2025 PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence P

2-3 page paper 2025

PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence: P = Patient population I = Intervention or issue of interest C = Comparison of interventions or comparison of interests O = Outcome T = Time frame For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older. Using this PICOT model, In _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)? In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days? Assignment Directions Begin by selecting a topic in nursing or medicine that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions. Include the following: Title page Provide a brief description of the topic and background information. Explain the significance of the topic to nursing practice. Provide 3 clearly stated PICOT questions. Your paper should: Be 2–3 pages (not including the title page and reference page) Use current APA format to style your paper and to cite your sources.

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