Compare and contrast the actions associated with leading, managing, and following, giving examples of how each applies to the enhancement of the work team. Do you feel these are fixed positions or are there times when the nurse could move from one position to another (give example)? 

Be sure to apply concepts from the readings and research. You must cite (with reference) at least one source: your textbook, scholarly resources, or ATI textbook (no blogs, Wiki, or other school of nursing website) in current APA Style.  

Use the RESOLVEDD method  to analyze and reach a decision about the best course of action in one of the following Huntington’s Disease cases

Make sure you consider the case in light of some of the moral theories and principles we have discussed in the class. In the  case in particular, there is more than one issue involved, so you will need to decide which one you want to make your main focus.

How much you write about each step in the method is up to you, but you should write a minimum of 500 words in total. Type up your analysis, with each step clearly numbered, and submit it via Canvas by 11:59 PM on Tuesday, October 5.

Instructions: Response must be at least 510 words, written in current APA format with at least two academic references cited. References must be within the last five years.

Ms. Jones brings 6-week-old Sam to the clinic because of a bright red rash in the diaper area that has gotten worse since she started putting over-the-counter antibiotic cream on it 3 days ago. Sam is diagnosed with diaper Candida or a yeast infection. Clotrimazole (Lotrimin) topical TID for 14 days to the diaper area has been prescribed.

1. Briefly describe the therapeutic actions of Clotrimazole (Lotrimin).
2. Develop a teaching plan for Ms. Jones including age-appropriate considerations for Sam.

Purpose

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

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

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

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

Requirements:

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

Scenario – Jessica, a registered nurse (RN), and her husband are finally leaving on their vacation trip. They pull up at a red light as it is about to change to green. They watch in horror as a large truck, moving fast down a hill, in unable to stop before crashing into a van carrying a mother and her child. The van is thrown into the air and lands in a small park. Jessica runs over to offer aid. She finds a semi-conscious woman in the driver’s seat and an unconscious 4-year-old little boy in the back seat strapped into his car seat. The mother asks Jessica if Christopher is all right before she slips into unconsciousness. Christopher is unconscious and not breathing with his head down and touching his chest. He has a gash bleeding on the side of his head caused by his tricycle flying over the back seat during the crash. A truck driver, who also stopped to give help, yells in the window at Jessica, “Don’t move him!” Jessica knows that she has to get Christopher’s breathing started. Even though the truck driver is still yelling at her not to move the boy, she gently lifts his head off his chest. Christopher, still unconscious, starts breathing immediately. Jessica stops the bleeding on his head by applying pressure using a clean handkerchief from her husband. Emergency help arrives ten minutes later.

Instructions:

1. Read the scenario above and then, answer the following questions:
   
   1. In your opinion, even though Jessica knew that, in most cases, an injured victim should not be moved, did she do the right thing by moving Christopher’s chin up so he could breathe?
   2. Was Jessica covered by the Good Samaritan law or was she held to a higher standard since she had a nursing license?
   3. Would Jessica have been covered by the Good Samaritan law if Christopher had not started breathing when she moved his head and he had suffered further injury from the movement?
   4. Was Jessica, an RN, legally required to stop and provide aid? Was she ethically obligated to stop and provide aid?
   5. In your opinion, is it always a good idea to stop and give assistance at an accident site before medical help arrives?
2. Your paper should be:
   • One (1) page
   • Typed according to APA style for margins, formatting and spacing standards
   • Typed into a Microsoft Word document, save the file, and then upload the file