Purpose

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008).  Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).  This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Directions

1. Read over each of the following directions.
2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
3. Download and use the required PPE Worksheet (Links to an external site.).
4. Review the information provided in our library of how to search for journal articles here (Links to an external site.).
5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).
6. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
7. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
8. Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
9. Submit the completed PPE Worksheet on the Week 3 Assignment page.
10. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. 

 After reading chapters 21 and 22,  write a reflection, no more than one paragraph on Either Katharine kolcaba’s Comfort Theory or Joanne Duffy’s Quality -Caring Model.

Chapter 21 – Katharine Kolcaba’s Comfort Theory

Chapter 22 – Joanne Duffy’s Quality-Caring Model

apa format 250 words

This week’s assignments include:

Reading Assignment – Section VI Middle Range Theories

Chapter 21 – Katharine Kolcaba’s Comfort Theory

Kolcaba’s Theory of Comfort was first developed in the 1990s. It is a middle-range theory for health practice, education, and research. This theory has the potential to place comfort in the forefront of healthcare. According to the model, comfort is an immediate desirable outcome of nursing care.

Web Link for additional information:

https://www.thecomfortline.com/

Video: Katharine Kolcaba’s Comfort Theory

Part 1 – Introduction

https://www.youtube.com/watch?v=pJSivIwRR6w

Part 2 – Concept Analysis

https://www.youtube.com/watch?v=W-GxxqWDSkc&list=TLPQMDgwMzIwMjB9YJYJ68lvew&index=2

Chapter 22 – Joanne Duffy’s Quality-Caring Model

The Quality-Caring Model exposes and demonstrates the value of nursing within the evidence-based practice milieu of modern health care. Relationships characterized by caring are theorized to influence positive outcomes for patients/families, health care providers, and health care systems.

Web Link for additional information:

https://www.nursingcenter.com/journalarticle?Article_ID=539833&Journal_ID=54024&Issue_ID=539826

Joanne Duffy’s Videos (3):

Part 1 of 3: Joanne Duffy, “Quality Caring in Nursing & Health Systems,” 2nd Edition

https://www.youtube.com/watch?v=n06ou-UELfs&list=TLPQMDgwMzIwMjB9YJYJ68lvew&index=3

Part 2 of 3: Joanne Duffy, How Nurses Themselves Benefit From Quality Caring

https://www.youtube.com/watch?v=IprmGpl_mG4&list=TLPQMDgwMzIwMjB9YJYJ68lvew&index=4

Part 3 of 3: Joanne Duffy, Role of Quality Caring and Some Calls to Action

https://www.youtube.com/watch?v=tz019q6akt4&list=TLPQMDgwMzIwMjB9YJYJ68lvew&index=5

 Assignment: Application of Role Theory to a Case Study-  Tiffani Bradley 

This week, you will use role theory to apply to your chosen case study. In other words, your theoretical orientation—or lens—is role theory as you analyze the case study.

Use the same case study that you chose in Week 2. (Remember, you will be using this same case study throughout the entire course). Use the “Dissecting a Theory and Its Application to a Case Study” worksheet to help you dissect the theory. You do not need to submit this handout. It is a tool for you to use to dissect the theory, and then you can employ the information in the table to complete your assignment.

To prepare:

• Review and focus on the same case study that you used in Week 2.
• Review the websites and guides for developing PowerPoint skills found in the Learning Resources.
• Use Personal Capture to record the PPT slides on your screen and your audio as you present the information. You will then use Kaltura Media to upload this recording to the assignment link.

Submit a narrated PowerPoint presentation using Kaltura Media that includes 11 to 12 slides.

• Each slide should be written using bullet points, meaning no long paragraphs of written text should be in the slides.
• The recorded audio takes the place of any written paragraphs, while the bullet points provide context and cues for the audience to follow along).

Your presentation should address the following:

• Identify the presenting problem for the case study you selected. (Remember the presenting problem has to be framed from the perspective of role theory. For example, the presenting problem can be framed within the context of role functioning).
• Identify all the relevant roles assumed by the client.
• Analyze the social expectations and social and cultural norms revolving around the role, social position, and role scripts of one of the roles assumed by the client.
• Explain the role and social position of the social worker in working with the client in the case study.
• Describe how the role(s) and social position(s) assumed by the social worker will influence the relationship between the social worker and the client.
• Identify three assessment questions that are guided by role theory that you will ask the client to better understand the problem.
• Identify and describe two interventions that are aligned with the presenting problem and role theory.
• Identify one outcome that you would measure if you were to evaluate one of the interventions you would implement to determine if the intervention is effective.
• Evaluate one advantage and one limitation in using role theory in understanding the case.

Be sure to:

• Identify and correctly reference the case study you have chosen.
• Use literature to support your claims.
• Use APA formatting and style.
• Include the reference list on the last slide.

To Prepare:

• Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.
• Identify at least two academic and at least two professional individuals, colleagues, or teams to collaborate with to help you be successful in your MSN program and as a practicing nurse.
• Download the Academic Success and Professional Development Plan Template.

Part 1

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. (1-2 pages)

Part 2

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)

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.