1. Referring to Chapter 2 Table 2-2 Research Question Format, create 4 research questions (one of each type) related to your nursing clinical practice area and/or role.
2. Choose 1 of the research questions and, referring to Chapter 2 Table 2-3 Components of Research Questions and Related Criteria, map out the independent and dependent variables, the population, and the testability.
3. Why is this research question of most interest to you?

1. Content
   Scenario
   You are a nursing case manager working in a 100 bed community hospital in a rural setting. Many clients are elderly with chronic health conditions and have several factors that impair their timeliness of follow-up appointments for chronic care management. Since they are remote, the hospital struggles to meet the needs of this community health population. Therefore, the hospital experiences a delay in client care and chronic care management due to a lack of provider access. Many clients also report having to align transportation needs for their nurse appointments which further limits their availability. Recently, client complaints have increased with regards to lack of reliable, prompt service for client chronic care consults and lingering concerns for their overall health.

   Instructions
   A Clinical Standards and Innovations Committee has been created to look at leveraging technology to expand care for remote, community health populations. The Chief Nursing Officer has assigned you to this committee to examine strategies for best practice related to use of telehealth to support rural settings and expand care to all community populations. As the lead RN on the committee you have been tasked with leading the telehealth initiative and have one month to research, analyze, and propose the best evidence based strategy to implement telehealth services through telecommunications-ready tools. You will present your findings to the Chief Nursing Office and CEO of the facility in a succinct one-page summary leveraging your committee’s recommendation. They have asked for the summary to include the following components:

   • Discuss the defining characteristics of telehealth
   • Include your own definition of telehealth
   • How does telehealth impact the nursing role
   • Examine how telehealth is currently integrated in healthcare
   • Describe the evidence based practice that supports the use of telehealth in rural and community healthcare settings.
   • Provide a detailed description of your recommended evidence based strategy to implement telehealth
   • Provide rationale supporting your strategy
   • Summary to include current evidence from the literature.

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.  

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. Examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: 

• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily

To Prepare

• Review the case study
• Reflect on the patient’s symptoms, medical history, and      drugs currently prescribed.
• Think about a possible diagnosis for the patient.      Consider whether the patient has a disorder related to the      gastrointestinal and hepatobiliary system or whether the symptoms are the      result of a disorder from another system or other factors, such as      pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the      patient’s history, diagnosis, and drugs currently prescribed.

In a 2-page  address the following

• Explain your diagnosis for the patient, including your      rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the      patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan      for this patient. Be specific and provide examples.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

· Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)

· Chapter 65, “Laxatives” (pp. 598–604)

· Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)

· Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)

Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs.onlinelibrary.wiley.com/doi/pdf/10.1002/hep.29367

This article details the diagnosis and management of nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, in a Microsoft Word document of 5-6 pages formatted in APA style, discuss each of the following criteria:

• Role description and education level required for the role.
• Describe their views on how their role affects patient safety and improves the quality of patient care.
• Describe the human factors faced in the role and other challenges.
• Express insights gained from the interview.
• Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies influence delivery of direct patient care.
• Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

 As a health care leader, you may find yourself at times in conflict with your colleagues, as well as all levels of interprofessional teams. According to the textbook, it is essential for health care leaders to be proactive and communicate expectations clearly. What can you put into place proactively to diminish conflict and increase communication? How does this help the interprofessional team focus on providing excellent performance?