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November 25, 2023
November 25, 2023

PICO(T) Question Development

Create a 3–5-page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and evaluate the evidence you locate, which could help to answer the question.

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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).

PICO(T) Question Development

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.

PICO(T) Question Development

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 the diagnosis you worked with in the first two assessments.

Instructions
After reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a 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 chosen diagnosis, and 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.

PICO(T) Question Development

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 portfolio so that you may refer to it as you complete the final capstone course.

PICO(T) Question Development

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
Explain the findings from articles or other sources of evidence that are relevant to the health care issue.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
Competency 3: Apply an evidence-based practice model to address a practice issue.
Define a practice issue to be explored via a PICO(T) approach and develop a PICO(T)-formatted research question.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Use APA referencing style.

November 25, 2023
November 25, 2023

Nursing Homework Discussion

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections. Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

 Nursing Homework Discussion

Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA, 7th ed. format. from at least 5 years old.

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections. Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA, 7th ed. format. from at least 5 years old.

Nursing Homework Discussion

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections. Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA, 7th ed. format. from at least 5 years old. Use APA referencing style.

November 25, 2023

Interprofessional Communication and Collaboration

You represent the nursing department on a newly formed interdisciplinary team to look at medication errors and medication safety. You are one of seven team members. The Pharmacy Director, also a team member, has a very assertive communication style. The Pharmacy Director dominates meeting conversations and does not appear open to adopting new processes requiring the pharmacy department to take on additional work and responsibility. Instead, the Pharmacy Director redirects the ideas back to you and states, “This is a nursing responsibility.”

Interprofessional Communication and Collaboration 

Question #1

As a Nurse Leader, examine and discuss communication strategies you would employ to:

a) Redirect the dominance of communication by one team member.

b) Avoid accepting full ownership and responsibility for all ideas directed to the nursing department.

Question #2

a) Determine how the Situation, Background, Assessment and Recommendation (SBAR) technique could be used to facilitate interprofessional team

communication in this situation.

Interprofessional Communication and Collaboration

You represent the nursing department on a newly formed interdisciplinary team to look at medication errors and medication safety. You are one of seven team members. The Pharmacy Director, also a team member, has a very assertive communication style. The Pharmacy Director dominates meeting conversations and does not appear open to adopting new processes requiring the pharmacy department to take on additional work and responsibility. Instead, the Pharmacy Director redirects the ideas back to you and states, “This is a nursing responsibility.”

Question #1

As a Nurse Leader, examine and discuss communication strategies you would employ to:

a) Redirect the dominance of communication by one team member.

b) Avoid accepting full ownership and responsibility for all ideas directed to the nursing department.

Question #2

a) Determine how the Situation, Background, Assessment and Recommendation (SBAR) technique could be used to facilitate interprofessional team

communication in this situation. Use APA referencing style.

November 25, 2023
November 25, 2023

Quality Improvement Discussion

In a recent meeting with the Director of Risk Management, you have been informed that the patient falls on your unit have increased by 15% over the last 12 months. You are asked to develop an immediate plan to reduce the incidence of patient falls.

Question #1

a) Describe the CQI method/model you will use to develop a plan for reducing patient falls.

b) Provide an example for each step of the method/model.

Quality Improvement Discussion

Question #2

a) As the Nurse Leader, examine how to address the occurrence of patient falls on your unit by using an evidenced-based approach.

Quality Improvement

In a recent meeting with the Director of Risk Management, you have been informed that the patient falls on your unit have increased by 15% over the last 12 months. You are asked to develop an immediate plan to reduce the incidence of patient falls.

Question #1

a) Describe the CQI method/model you will use to develop a plan for reducing patient falls.

b) Provide an example for each step of the method/model.

Question #2

a) As the Nurse Leader, examine how to address the occurrence of patient falls on your unit by using an evidenced-based approach.

Quality Improvement

In a recent meeting with the Director of Risk Management, you have been informed that the patient falls on your unit have increased by 15% over the last 12 months. You are asked to develop an immediate plan to reduce the incidence of patient falls.

Question #1

a) Describe the CQI method/model you will use to develop a plan for reducing patient falls.

b) Provide an example for each step of the method/model.

Question #2

a) As the Nurse Leader, examine how to address the occurrence of patient falls on your unit by using an evidenced-based approach.

Quality Improvement Discussion

In a recent meeting with the Director of Risk Management, you have been informed that the patient falls on your unit have increased by 15% over the last 12 months. You are asked to develop an immediate plan to reduce the incidence of patient falls.

Question #1

a) Describe the CQI method/model you will use to develop a plan for reducing patient falls.

b) Provide an example for each step of the method/model.

Question #2

a) As the Nurse Leader, examine how to address the occurrence of patient falls on your unit by using an evidenced-based approach. Use APA referencing style.

November 25, 2023
November 25, 2023

Specialty Area Identification Nursing

Identify your specialty area of NP practice. Mine is Mental Health. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:

Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability

Specialty Area Identification Nursing
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner?

Specialty Area Identification Nursing

Identify your specialty area of NP practice. Mine is Mental Health. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:

Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner?

Specialty Area Identification Nursing

Identify your specialty area of NP practice. Mine is Mental Health. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:

Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner?

Identify your specialty area of NP practice. Mine is Mental Health. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:

Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner? Use APA referencing style.

November 25, 2023
November 25, 2023

Cultural Diversity Homework

Select one of the discussions prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week.

Cultural Diversity Homework

Discussion Prompts

Prompt #1

Discuss the spectrum model of sex, gender identity, and gender expression. What advantages does the spectrum model offer over binary models of sex, gender identity, and gender expression?

(USLO 4.1)

Prompt #2

Discuss sexism, intersexes’, cisgenders, and transphobia and explain at least one way that each of these concepts leads to the oppression of women, intersex individuals, and transgender persons.

(USLO 4.2)

Prompt #3

Develop and present a strategic plan for how one should comport themselves and their behavior to strengthen their allyship in relation to gender and intersex identities.

(USLO 4.3)

Prompt #4

Discuss the spectrum model of sexual identity. What advantages does the spectrum model offer over binary models of sexual identity?

(USLO 4.4)

Prompt #5

Discuss homophobia, heterosexism, and heteronormativity and explain at least one way that each of these concepts leads to the oppression of members of the LGBTQIA community.

(USLO 4.5)

Prompt #6

Develop and present a strategic plan for how one should comport themselves and their behavior to strengthen their allyship in relation to members of the LGBTQIA community.

Cultural Diversity Homework

Select one of the discussions prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week. Use APA referencing style.

November 25, 2023
November 25, 2023

Legal and Ethical Issues Assignment

While you do have to share an article, I want this discussion to be relevant to the creation of your courses and that of your peers. Research articles are of no value if they don’t have a practical application.

There are many ethical and legal issues surrounding the use of technology in an educational setting. This week, you will discuss some of these issues and consider how they might impact the development of your online course. Find a recent article in a peer-reviewed nursing or educational journal that discusses potential legal and ethical issues relevant to the use of technology in nursing education (focus on education, not practice).

Legal and Ethical Issues Assignment

In one paragraph, describe a few highlights of the article, focusing on the most relevant information for you and your classmates to consider as you create your online courses.
Provide at least two ways that you will incorporate this information into your course design/content in a practical way. Be specific.

Legal and Ethical Issues Assignment

While you do have to share an article, I want this discussion to be relevant to the creation of your courses and that of your peers. Research articles are of no value if they don’t have a practical application.

There are many ethical and legal issues surrounding the use of technology in an educational setting. This week, you will discuss some of these issues and consider how they might impact the development of your online course. Find a recent article in a peer-reviewed nursing or educational journal that discusses potential legal and ethical issues relevant to the use of technology in nursing education (focus on education, not practice).

In one paragraph, describe a few highlights of the article, focusing on the most relevant information for you and your classmates to consider as you create your online courses.
Provide at least two ways that you will incorporate this information into your course design/content in a practical way. Be specific. Use APA referencing style.

November 19, 2023

Interpersonal Violence – Assessment & Treatment

Steps to prepare this assignment:

(1) Imagine you are a therapist conducting a first session with a family and then develop a case conceptualization that includes treatment options.  The family consists of a same-sex couple (two males) with two adolescent children (one male and one female). The adolescent girl is the identified client who has been acting out.  Based on the intake materials you have read, it was noted that in the past there has been police involvement due to domestic violence in the family.

Interpersonal Violence - Assessment & Treatment

Interpersonal Violence – Assessment & Treatment

(2) Expand on the basic details in the above scenario to create an in-depth case narrative.  In other words, use your creativity to fill in the details and elaborate on what is going on in this family.  Be specific about and provide some examples of, the nature of the domestic violence (it is up to you to determine in which family relationships the violence occurs).  Based on your readings for this class and other outside academic resources, describe one approach to assessment, one intervention, and two therapeutic goals for this family.

Interpersonal Violence – Assessment & Treatment

To successfully complete this learning unit, you will be expected to:

  1. Identify ways in which counselors/therapists assess interpersonal violence and abuse in their work with couples and families.
  2. Apply evidence-based treatment to families, including same-gender abuse dynamics.

Required Reading:

Cui, M., Durtschi, J. A., Donnellan, M. B., Lorenz, F. O., & Conger, R. D. (2010). Intergenerational transmission of relationship aggression: A prospective longitudinal study. Journal of Family Psychology, 24(6), 688-697.

Foster, K., & Sandel, M. (2010). Abuse of women with disabilities: Toward an empowerment perspective. Sex Disability, 28, 177-186.

Ray, S. L. (2001). Male survivors’ perspectives of incest/sexual abuse. Perspectives in Psychiatric Care, 37(2), 49-59.

Samuelson, S. L., & Campbell, C. D. (2005). Screening for domestic violence: Recommendations based on a practice survey. Professional Psychology: Research and Practice, 36(3), 276–282.

November 19, 2023

Cultural Factors – Abuse & Interpersonal Violence

Imagine you are a counselor at a community mental health agency serving a culturally diverse clientele.  Recently there has been an increase in reports of suspected child abuse/neglect with the clients at the clinic.  As part of a series of workshops, each therapist was asked by the clinic supervisor to create a workshop for staff development training that addresses discipline and parenting practices from a multicultural perspective.  You are to choose a cultural/ethnic group other than your own, conduct research on that culture, and create a presentation that addresses the following:

Cultural Factors - Abuse & Interpersonal Violence

Cultural Factors – Abuse & Interpersonal Violence

An overview of some common characteristics, beliefs, and values of families from that cultural/ethnic group in general,

An overview of parenting/child rearing beliefs and practices common to this cultural group, specifically addressing what you found in the research related to common beliefs and practices related to discipline,

A section that addresses strategies therapists can use when working with families in this culture if they are faced with a situation of abuse/neglect.

This assignment should be a PowerPoint presentation consisting of 12-15 slides (excluding title and reference slides) and use at least 5 current peer reviewed resources, properly cited according to APA format.

Cultural Factors – Abuse & Interpersonal Violence

To successfully complete this learning unit, you will be expected to:

Discuss the issues related to interpersonal violence and child abuse pertaining to clients from diverse backgrounds.

Apply the areas of knowledge and multicultural competencies that are required for effective work with diverse client populations.

Evaluate counseling interventions for their appropriateness and effectiveness when used with clients from diverse backgrounds who are dealing with issues related to interpersonal violence and child abuse. Use APA referencing style.

Cultural Factors – Abuse & Interpersonal Violence

Required Reading:

Alaggia, R. (2001). Cultural and religious influences in maternal response to intrafamilial child sexual abuse: Charting new territory for research and treatment. Journal of Child Sexual Abuse, 10(2), 41-60.

Gilligan, P. & Akhtar, S. (2006). Cultural barriers to the disclosure of child sexual abuse in Asian communities: Listening to what women say. British Journal of Social Work, 36(8), 1361-1377.

Robinson, T. L. (2000). Making the hurt go away: Psychological and spiritual healing for African American women survivors. Journal of Multicultural Counseling and Development, 28(3), 160-176.

Rodriguez, C. M. (2008). Ecological predictors of disciplinary style and child abuse potential in a Hispanic and Anglo-American sample. Journal of Family Studies, 17, 336-352. doi: 10.1007/s10826-007-9145-2

November 19, 2023
November 19, 2023

Families in Crisis Assignment

Research the current professional literature for two different evidence-based treatment interventions for families dealing with the crisis of intimate partner violence or abuse (i.e. child, elder). compare and contrast each intervention.  Make sure to highlight with what particular population/s the intervention has been shown to be effective, and also strengths and coping skills each intervention fosters in the family.

To successfully complete this learning unit, you will be expected to:

Analyze helpful coping skills for families dealing with the crisis of IPV and abuse.  Integrate evidence-based counseling interventions appropriate for working with families dealing with the crisis of IPV and abuse.

Families in Crisis Assignment

Families in Crisis Assignment

Research the current professional literature for two different evidence-based treatment interventions for families dealing with the crisis of intimate partner violence or abuse (i.e. child, elder). compare and contrast each intervention.  Make sure to highlight with what particular population/s the intervention has been shown to be effective, and also strengths and coping skills each intervention fosters in the family.

To successfully complete this learning unit, you will be expected to:

Analyze helpful coping skills for families dealing with the crisis of IPV and abuse.  Integrate evidence-based counseling interventions appropriate for working with families dealing with the crisis of IPV and abuse. Use APA referencing style.

Families in Crisis Assignment

Required Reading:

Boal, A., Banks, J. B., Hathaway, L. M., & Schuettler, D. (2011). Coping with stressful events: Use of cognitive words in stressful narratives and the meaning-making process. Journal of Social and Clinical Psychology, 30(4), 378-403.

Haskins, C. (2003). Treating sibling incest using a family systems approach. Journal of Mental Health Counseling, 25(4), 337-350.

Sheinberg, M., & True, F. (2008). Treating family relational trauma: A recursive process using a decision dialogue. Family Process, 47(2), 173-195.

Haskins, C. (2003). Treating sibling incest using a family systems approach. Journal of Mental Health Counseling, 25(4), 337-350.