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Introduction

PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.

It stands for:

· P – Patient/population/problem.

· I – Intervention.

· C – Comparison (of potential interventions, typically).

· O – Outcome(s).

· T – Time frame (if time frame is relevant).

The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.

You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.

Reference

Boswell, C., & Cannon, S. (2015). 
Introduction to nursing research. Jones & Bartlett Learning.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.

Scenario

For this assessment, please use a health care issue of interest from your current or past nursing practice.

If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.

Instructions

For this assessment, select a health care issue of interest and apply the PICO(T) process to develop the research question and research it.

Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source's specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.

If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the ”
Create PICO(T) Questions” page in the Capella library's Evidence Based Practice guide) might be helpful.

In your submission, make sure you address the following grading criteria:

· Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question

· Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).

· Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.

· Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.

· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

·
Assessment 3 Example [PDF]
 Download Assessment 3 Example [PDF].

Additional Requirements

Your assessment should meet the following requirements:

·
Length of submission:
 Create a 3-5-page submission focused on defining a research question and interpreting evidence relevant to answering it.

·
Number of references:
 Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

·
APA formatting: Format references and citations according to the current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Nursing’s Role in Decision Making

 

After studying Module 4: Lecture Materials & Resources, discuss what the nursing’s role is and/or should be in decision making regarding selecting information systems.

Capstone

· After completion of the quiz, complete a 1-2 pg APA formatted paper with a reflection on the quiz and plan, moving forward, to maintain areas of strength and improve areas of weakness.

theory of Self-Efficacy

Using the criteria presented in week 2, critique the theory of Self-Efficacy using the internal and external criticism evaluation process.

This is the criteria presented in week 2 “Making judgement as to whether a theory could be adapted for use in research is very important.  Describe the internal and external criticism that is used to evaluate middle range theories.” I have attached work from week 2 as reference 

Require 400 words and at least 3 scholarly references no later than 5 years old. 

No Plagiarism

RESPONSE TO DISCUSSION BOARD 3

INSTRUCTIONS TO HOMEWORK

Please see attached document. Response to the question should have depth and include enriching posts with applicable nursing implication(practice, education, research, or advocacy), current events, personal thoughts. Please provide in text scientific citations.

Assigment .Apa seven . All instructions attached.

1.

CAPSTONE: PART III 
1. Implementation/Conclusion – Implement the change you are proposing- This should be a continuation of Part I and Part II 2. Describe the practice change; is it in the community, organizational, clinic setting and so forth 3. Discuss how you would implement and assess the change; this should include time frame, setting, participants, barriers, external and internal factors. 4. How would you evaluate the change process?  -The change must be measurable -How would you measure or evaluate? Is there a tool to measure? 5. The literature review must support your change and implementation. Use leadership qualities and skills that will be utilized for successful completion of the project. 6. Discuss who will be invited to the proposal: who are the stakeholders? -How will you present the information to your stakeholders? 
OVERALL: The conclusion should have your Part I, II, II all put together in a thorough APA format.  -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 3-4 pages long (not including the title and reference page).  -The final Capstone project should be a minimum of 8 pages and maximum of 12 pages.  -Use proper in-text citations with a properly formatted reference list.   -All papers must be written in the 3rd person. Capstone Poster Presentation

551

A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.

  1. How could you explain to him why he does not need an antibiotic?
  2. What are some alternatives you could consider for a patient who demands an antibiotic?

Instructions: It is a discussion post so 1 page to 1 1/2 pg is good enough. Apa format. Must have 3 references.

week 6 587

With the consolidation of hospitals, clinics, and healthcare providers across the United States, leadership is delivered in many forms.  The importance of understanding and mastering online leadership (often referred to as virtual or E-leadership) is imperative.

How would you establish relationships with your team on-ground and from a distance? How would you create presence in a virtual team? Provide examples.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: 150 – 250 Words

Peer Responses: