Nursing

pn 11 m2 clinical question

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population

I: Intervention or area on Interest

C: Comparison intervention or group

O: Outcome

T: Time

Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Treating a chronic back pain

Please see the attachment for the instructions

Dietitian vs Nutritionist

Careers in Pharmacy and Dietetics

The lecture from our registered dietician touched on the point that a dietician and a nutritionist are very different in terms of their training and educational background. More specifically anyone can call themselves a nutritionist, there is no formal license or standard certification process for this designation.  However, as you now know, the path to become a registered dietician is much more complicated and comes with extensive educational, training and licensure/certification requirements.  Most people are surprised to find this out!

I’d like you to reflect on the difference and address each of the following questions:  (a) Did this information surprise you or did you already know the difference between the two designations?  (b) Have you or someone close to you had any personal experience with a nutritionist that you now question? (c) Will you look more closely at what kind of professional endorses the supplements, vitamins, etc. that you consider taking? Feel free to post any other thoughts related to this topic. Responses may be only one paragraph, but no more than two.

After posting your response, read your peers’ thoughts and reply to at least one classmate.

Be sure to review requirements for discussion board posts from the syllabus. Don’t forget to review the rubric prior to writing your post. 

PLEASE READ LECTURE TRANSCRIPTS ATTACHED

NR324/NR329 Keola Akana simulation questions

Describe the assessment cues and anticipated nursing actions a nurse would anticipate for a client
experiencing digoxin toxicity.

Compare and contrast key information and nursing considerations for the following medications utilized
for heart failure

fill a chart

Pico

  • 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.

PICO QUESTION 

The PICO(T) question would be: “In adolescents aged 13-18 years, do mindfulness-based interventions, compared to standard or no interventions, lead to a significant reduction in symptoms of anxiety within 6 months?”

Outline

 You will submit a detailed outline using the template that has been uploaded below. Your submission must include sections corresponding to the following subheadings:

* Technical Aspects
Provides necessary medical and scientific information to understand the issue.

* Public Policy
Describes current and proposed changes in public policy/law.

* Arguments For and Against
Include a summary of the arguments in favor of and opposed to specific interventions, techniques, or products and a discussion of underlying ethical principles. Discuss the public policy with two additional argumentative paragraphs- one discussing the in favor of and one paragraph discussing the opposing argument

* Conclusion
Expresses your personal opinion regarding the importance of the topic and the strength of the pro and con arguments.

 Additionally, you must include: 

* Topic sentences and Paragraph Transitions
Each section of your outline should include topic sentences and paragraph transitions that tie your significant points together.

# Use the template below to create the outline. 

KWL (what do you Know, what do you Want to know, what do you want to Learn)

KWL (what do you Know, what do you Want to know, what do you want to Learn) :

As we get started in this class take a minute to tell me: What do you already know about statistics, what did you learn about statistics, and what do you want to learn more about in statistics?

reply

I was really surprised by my results from the essential self-assessment the 2nd time around. I made sure not to look at the 1st one before I completed it. My score was initially 36 and now is 46. I had significantly more excellent than the very good column than before. Two areas that I have learned a great deal in. I have a better understanding of the use of CIS systems to document interventions related to achieving nurse sensitive outcomes. I also recognize the role that information technology plays in improving patient care outcomes and creating a safe care environment.

Understanding the difference between a CIS system and an EHR is important to understand how each work. Knowing now that a CIS system focuses on management of clinical data and information that allows practitioners and patients to use the date. CIS systems provide the infrastructure to bring all applications together.  The goal of an EHR system is to improve quality and safety of patient care by benefits of improved accuracy and completeness of patient health information.   

“Information technology is the process of searching, organizing and managing data supported by the use of computers” (Hebda et al., 2018). With the use of science to support the use of technology in healthcare, our patients can have safer and better outcomes in care.

As I continue my nursing career, I will use the knowledge I have learned to help provide the best care to my patients. I currently use the CIS system at my current position. But now understanding its use better, I plan to help educate my patients on the ability for them to create an account to manage their health. By receiving recent lab results, vital signs, and physician notes on after care summaries, patients can take better control of their health. They can also use the system to make future Dr. appointments and chat with the practitioners. Using information technology has been something my hospital continues to grow on. I will use information technology more to identify areas in our practice that can benefit from updating our nursing practice. Using our charting system, I can identify areas that nursing practice may be lacking such as IV start success rates. “Technology aids the nurse in the collections, analysis and application of data for decision making” (Chamberlain Lesson 8, 2023) By researching, analyzing, and applying what I’ve learned, I can help our nursing staff enhance performance in delivering of safe patient care.

 

Resources:

Chamberlian University. (2023, September).
Week 8 Lesson: Informatics as a specialty [Lecture Notes].

Week 8: Lesson: Informatics as a Specialty: RN Information Systems in Healthcare-Wells-Kersbergen (instructure.com)

 

Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.

https://ambassadored.vitalsource.com/books/9781323903148

Your Experience & Research Articles

 

Based on this week’s reading, share a qualitative research article that is useful and applicable to your practice based on your readings.  Critique and evaluate this article based on the credibility, audibility, and fittingness proposed by Guba & Lincoln in Chapter 6 of your textbook. 

Discussion tip #1: Review Table 6.2 in your textbook and discuss each point in relation to your qualitative research. 

Discussion tip #2: Do you have an article that uses qualitative research? 

Chapter 6 Quantitative.jpg