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 Resources and identify a clinical issue of interest that can form the basis of a      clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest,      search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Assignment:

· Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. 

· Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. 

· Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Required Resources
Read/review the following resources for this activity:

• Textbook: pp. 69-81
• Lesson
• Week 3 Assignment
• Link (Word doc): Con-Paper Template
• Minimum of 3 academic articles (from the Week 3 Assignment)

Apply the following writing resources to your posts:

• Link (multimedia presentation): Citing References in Text (Links to an external site.)
• Link (website): APA Citation and Writing (Links to an external site.)

Instructions
For this assignment, complete the following:

• Review the Toulmin-model outline (Week 2 Lesson) and your completed Week 3 Assignment (Con-Position Proposal). Assess any feedback provided by the professor and/or your peers.
• Compose a position paper representing the con side of your new topic. (See the Con-Paper Template). The paper should include approximately 6 developed paragraphs:
  • Introduction (with thesis statement)
  • Context paragraph
  • 3 body paragraphs (focusing on 3 cons)
  • Conclusion
• Apply a formal tone appropriate for academic audiences, maintaining an objective 3rd person point of view – no 1st person (I, me, my, we, our, us, mine) or 2nd person (you, your). Avoid contractions, clichés, and slang terminology.
• Use the provided template to assist in formatting the title page and document.
• Incorporate at least 3 scholarly sources into the paper. Cite all sources in APA format, both parenthetically and on a reference page.
• Before submission, proofread and edit carefully for spelling, punctuation, and grammar. Not every error will be flagged automatically in word-processing programs, and some that are flagged as errors are actually correct.

Writing Requirements (APA format)

• Length: 2-3 pages (not including the title or reference pages)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 3 academic articles)

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. ( I work in a Nursing home and Rehabilitation center). Include the following:

a. Type of organization

b. Overall climate of the facility

c. How the organization is structured

d. Formal and informal goals and processes of the organization

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work?

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression

TOPIC- California Assembly Bill AB-32 Strengthening Telehealth During the Pandemic

THIS IS A GROUP ASSIGNMENT SO ONLY 3 SLIDES ARE NEEDED:

Slide 8 Outline of Lobbying Remarks

Slide 9 Target Audience

Slide 10 Bill’s Intent

(An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage)

This is a Collaborative Learning Community (CLC) assignment.

As an advanced registered nurse leader, you have an opportunity to be a catalyst for change and lend your voice to important health care issues. One of the ways you can do this is through lobbying and engaging with the legislative process as both participant and patient advocate.

In this assignment, you will work in a group to identify a current health care legislative issue and prepare a PowerPoint presentation with slide notes. This health care issue can impact your role, the setting, the scope of practice, or the population in the community you serve. Refer to the website of your state legislature to research current legislative issues and identify appropriate steps.

Include the following in a 12-15 slide PowerPoint submission:

1. A description of the health care issue, and how it relates to your role, setting, scope of practice, or community population.
2. A description of the proposed legislation and your group’s stance on whether it should be passed.
3. Methods to track a bill and participate in lobbying efforts.
4. An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage.
5. Implications if lobbying efforts do not succeed.

Make sure to include slide notes of 100-250 words for each slide.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

• Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
• Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

using  at least 2 evidenced-based, peer-reviewed references no older than 5 years.