PAY ATTENTION:  You should  have a specific setting for the population (USE EDERLY PATIENTS) and your intervention should last 8 weeks. Why is there ‘inadequate heart failure management” for patients.

What does the “heart failure management entail? 

Limit the outcomes for your PICOT.

PICOT QUESTION IS ATTACHED

1. Title Page

2. Introduction to your proposed problem: 

– Significance of the Practice Problem: Discuss the identified Practice Problem.

-Introduce the topic of the paper. 

-Describe the health problem. Don’t type “Introduction.”

-Using data and statistics, support your claim that your selected issue is a problem.

– Include your purpose statement and what specifically you will address in your proposed program. 

-Be sure your proposed outcome is realistic and measurable.

3. PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).

The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe

4. Describe the vulnerable population 

-Discuss the impact of social determinants on health for your selected population.

-What are the risk factors that make this a vulnerable population? 

-Use evidence to support the risk factors you have identified. 

5. Research should be from scholarly journals of evidence-based interventions that address the problem.

-Peer-reviewed research articles not older than five years (all articles must be used in your paper)

6. Proposal 

-Propose addressing the selected health problem using an evidence-based intervention in your literature search to address the problem in the selected population/setting. 

-Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role.

-Be sure to include a timeline for the intervention proposed. 

7. Theoretical Framework/Nursing Theory- This section should include the theoretical framework which supports your project. Describe a theory or model to serve as the foundation for your project.

– Overall, you should be able to introduce the problem and why this is significant to the healthcare system. For example: What impact does it have on the patient, community, cost of care, quality of life, readmissions and so forth

-Use appropriate APA 7th Ed. format along with Syllabus outline

-Scholarly, peer-reviewed, and research articles cited should be within the last five years. 

-This section should be 3 pages long (not including the title and reference page).

 -Use proper in-text citations with a properly formatted reference list. 

 -All papers must be written in the 3rd person.

NO MORE THAN 10% PLAGIARISM

USE 3-4 REFERENCES NO OLDER THAN 5 YEARS

THIS COUNT 25 % OF CLASS GO STEP BY STEP CAREFULLY

DUE DATE SEPTEMBER 7, 2023

Discussion response 

Ethics and the DNP-Prepared Nurse

Assistance with an upcoming assessment

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.  
•  Article #1Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

Article #2 Porter, B., Oyanadel, C., Sáez-Delgado, F., Andaur, A., & Peñate, W. (2022). Systematic Review of Mindfulness-Based Interventions in Child-Adolescent Population: A Developmental Perspective. European Journal of Investigation in Health, Psychology and Education, 12(8), 1220–1243. https://doi.org/10.3390/ejihpe12080085

Article #3 Cohen, Z. P., Cosgrove, K. T., Akeman, E., Coffey, S., Teague, K., Hays-Grudo, J., Paulus, M. P., Aupperle, R. L., & Kirlic, N. (2021). The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study. BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/s12906-021-03295-1

Article #4 Peter, A., Srivastava, R., Agarwal, A., & Singh, A. P. (2022). The Effect of Mindfulness-based Cognitive Therapy on Anxiety and Resilience of the School Going Early Adolescents with Anxiety. Journal of Indian Association for Child and Adolescent Mental Health, 18(2), 176–185. https://doi.org/10.1177/09731342221127959 

PICOT  question- The clinical issue of interest is the management of anxiety symptoms in adolescents aged 13-18 years. Adolescents often prevalent anxiety concern due to unique stressors and challenges. Addressing anxiety symptoms during this developmental stage can essential to promote healthy psychological development and improve short- and long-term quality of life.

• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

Part 4: Recommending an Evidence-Based Practice Change

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
   1. Hospital capacity
   2. ALOS
   3. Occupancy rate
2. Operationally, which hospital is performing better? Why?
3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.