The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment (Attached)

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

2. Following the PICOT format (below), write a PICOT question in your selected nursing practice problem area of interest. 

PICOT Format: 

  

P-Patients/problem

What is the problem and/or the patient population being studied?

 

I-Intervention

Will a new medication be prescribed? Will there be a change in a   treatment or a procedure?

 

C-Comparison

Will it be compared to a routine drug, treatment, or procedure?

 

O-Outcome

What is to be accomplished? What are the desired outcomes?

 

T-Time

For how long the data will be collected?

PICOT Example:

Gina, a BSN-prepared RN, is the manager of the geriatric unit 3-South. In the past 3 months, the 3-South unit has had 5 patients develop sacral pressure ulcers. The patients are turned every 2 hours and this practice and frequency is documented. The number of hospital-acquired pressure ulcers must be decreased. Gina believes if patients are turned more frequently, such as every 90 minutes instead of every 2 hours, there will be fewer pressure ulcers. Gina determines the following factors to develop a PICOT question:

1. Patients/problem = Patients in the 3-South unit who require turning and positioning
2. Intervention = Turned and positioned every 90 minutes
3. Comparison = Patients who are turned every 2 hours
4. Outcome = No pressure ulcers
5. Time = 3 months

Based on this information, Gina develops a PICOT question: Will patients who are turned every 90 minutes instead of every 2 hours be free of pressure ulcers?

3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should NOT be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric (attached). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

 

• Class, 
  In lieu of the Simulation that was originally planned for this Friday, February 28, 2020, I am asking you to complete a total of 1 case study. 
  Here is what you need to do after reading *each* scenario:

  1) Complete an SBAR for each patient/scenario as if you were going to be calling the provider for the patient 
  2) ADPIE the patient/scenario. Write this out in detail and include constructs such as subjective and objective data 
  3) Demonstrate the priority of care including what you would do first, second, etc. and why you would do that 
  4) Create a detailed concept map of your choice on the patient/scenario 
  5) Answer, in detail, the questions asked on each case study 
  6) Name 1-3 things you learned completing this case study and 1-3 areas of knowledge you have that helped you complete this case study. 
  Approx. the estimated time frame for this case study is about 3.45 hours which is the remaining clinical hours for this class. 

  Note: submit them in APA format  include in Text citation
  case study 6.pdf 

Send
 

· Select one nursing theory and one counseling theory to best guide your practice inpsychotherapy.

Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.

· Explain why you selected these theories. Support your approach with evidence-based literature.

· Develop at least three goals and at least three objectives for the practicum experience in this course.

· Create a timeline of practicum activities based on your practicum requirements.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Practicum Journal Template

Time Log

List the objective(s) met and briefly describe the activities you completed during each time period, include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.

   

Activities/Comments   

Learning   Objective(s) Addressed

 

 

Journal Entries 

· Include at least three references no more than five years old immediately following the content.

· Use APA style for your journal entry and references.

 

An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

1. On the initial home visit by the nurse, what assessments should be made?
2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?  
4. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?    
5. 2-3 pages. Include in-text citation with 3-4 references