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.

Lorem

Select a nursing theorist of choice and research him or her. Identify their key contribution to nursing and explain its importance in healthcare. APA format. 500 – 550 words and more than 3 scholarly sources.

Response to discussion 8

PLEASE READ THE FOLLOWING BELOW IN RESPOND IN 50 WORDS OR MORE:

 In my Week 1 discussion post, I talked about my concerns with nursing wages and burnout becoming more prominent. Throughout the semester, I have been able to deepen my understanding of these topics. I completed my article review on nursing burnout and through my research, I found that burnout has been gradually getting worse throughout the years. The number seems to be rising more than before and the lack of bedside nurses is climbing as well. This also causes a high nurse turnover and more dissatisfaction over time. Many hospitals are now turning to residency programs to have less nurse turnover as new graduates are required to sign a residency contract if they would like to work in that setting. This allows for less turnover and longer training times at the cost of flexibility and appropriate wages. At least in my case, I was getting paid more at my previous job (SNF) than I was starting at the hospital through the residency even though my previous job offered me less than the median salary for SNF nurses. I also believe that the cost of living in South Florida has gone up exponentially over the past few years and regardless of what “middle-class” job you have, money will be very tight for young adults trying to start to live independently without government support. Overall, I hope to see a change over the next few years for those who love the nursing practice as we are responsible for a significant amount of care provided in the healthcare setting and should be respected as so. 

assessment-2 4060

Assessment 2

Community Resources

INSRUCTIONS-Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.

INSTRODUCTION – Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

PREPARATION– You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.

Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and

improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Choose the organization or agency you are most interested in researching:

·

American Red Cross
.

·

Habitat for Humanity
.

·

United Way
.

·

Doctors Without Borders
.

·

The Salvation Army
.

·

United Nations Children's Fund (UNICEF)
.

·

Federal Emergency Management Agency (FEMA)
.

·

Centers for Disease Control and Prevention (CDC)
.

·

National Center for Transgender Equality
.

·

National Resource Center on LGBT Aging
.

·

Advocacy & Services for LGBT Elders
.

·

Equal Justice Initiative
.

·

National Alliance to End Homelessness
.

·

Urban Triage
.

·

World Health Organization
.

·

The Arc: For People With Intellectual and Developmental Disabilities
.

·

Alliance for Retired Americans
.

·

Futures Without Violence
.

·

Blue Campaign: What Is Human Trafficking?

·

Covenant House
.

·

Cultural Survival
.

Note: As you revise your writing, check out the resources listed on the Writing Center's 

Writing Support
 page.

Instructions

Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment. After completing this activity, choose an organization or agency from the list that you are most interested in researching.

Document Format and Length

Format your paper using APA style.

· Refer to the 

APA Style Paper Tutorial [DOCX]
 to help you in writing and formatting your paper. Be sure to include:

· A title page and references page. An abstract is not required.

· Appropriate section headings.

· Your paper should comprise 3-5 pages of content plus title and references pages.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Graded Requirements

The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.

· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.

· Consider the effects of social, cultural, economic, and physical barriers.

· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.

· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.

· Explain how an organization's work impacts the health and/or safety needs of a local community.

· Consider how nurses might become involved with the organization.

· 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.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.

Competencies Measured

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

Competency 1: Analyze health risks and health care needs among distinct populations.

·

·

· Explain how an organization's work impacts the health and/or safety needs of a local community.

Competency 2: Propose health promotion strategies to improve the health of populations.

·

·

· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.

Competency 3: valuate health policies, based on their ability to achieve desired outcomes.

·

·

· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.

Competency 4: Integrate principles of social justice in community health interventions.

·

·

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

·

·

· 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.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Community Resources Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Explain how an organization’s mission and vision enable it to contribute to public health and safety improvements.

Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in a community.

Assess the impact of funding sources, policy, and legislation on an organization’s service delivery.

Explain how an organization’s work impacts the health and/or safety needs of a local community.

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.

Reflection Journal

Describe how racial/health disparities, health equality/inequality and social justice/injustice could apply to the community you reside in, provide one specific example of how you will make a change in nursing practice regrading wound care. 

Wk3soap668B

Week 3: Problem-Focused SOAP Note

Criteria Ratings Pts

This criterion is linked to a
Learning Outcomes
(Subjective)

2.5 pts

Accomplished

Symptom analysis is well organized, with C/C,

OLD CART, pertinent negatives, and pertinent

positives. All data needed to support the

diagnosis & differential are present. Is

complete, concise, and relevant with no

extraneous data.

2.5 pts

This criterion is linked to a
Learning Outcome
(Objective)

2.5 pts

Accomplished

Complete, concise, well organized, well

written, and includes pertinent positive and

pertinent negative physical findings. Organized

by body system in list format. No extraneous

data.

2.5 pts

This criterion is linked to a
Learning Outcome A
(Assessment)

2.5 pts

Accomplished

Diagnosis and differential dx are correct,

include ICD code, and are supported by

subjective and objective data.

2.5 pts

This criterion is linked to a
Learning Outcome (Plan)

2.5 pts

Accomplished

The plan is organized, complete and supported

with 2 evidence-based references. Addresses

each diagnosis and is individualized to the

specific patient and includes medication

teaching and all 5 components: (Dx plan, Tx

plan, patient education, referral/follow-up,

health maintenance).

2.5 pts

Total Points: 10

Use the template that I gave you before. The first page needs blank for cover sheet.

Diagnoses is R300; Dysuria. Needs ICD 10 codes for differential dx,

CPT codes for labs and procedures such as UA, Urine culture and sensitivity, physical

examination etc Do not paste and copy all (it needs paraphrasing). Research a lot for

patient education, pertinent positive and pertinent negative, non-pharmacologic

treatment etc. APA 7 format. I can give you five days to complete it.

Patient initial: J. V.

Patient DOB: 1963 Sex: F

SUBJECTIVE:

Chief Complaint:

History Of Present Illness:

-Patient is seen today for flank pain and dysuria

Medical History:

COVID pos 5/7/22

anemia

UTI, pyelonephritis s/p hospitalization w/sepsis

Mx kidney stones

Varicose Veis

Scoliosis

Surgical History:

Lithotripsy 2020

Gynecological History:

G5P5A0

denies h/o abnormal pap or mammo

Family History:

M: dementia, lupus, hypothyroid

F: varicose veins

Social History:

-single

-lives with children

-works as food service worker HMH

-denies tobacco

-denies ETOH

-denies recreational drugs

Smoking Status: Never Smoked

Allergies:

Macrobid; ; Dizziness

Morphine; ;

Current Medications:

Currently not taking medications

Review of System:

Constitutional: #fatigue#

Patients deny weight change, fever, chills, weakness, sleep changes, appetite changes.

Head: Patient denies headache.

Neck: Patient denies abnormal masses, neck stiffness.

Eyes: Patient denies vision loss, blurring, discharge, excessive tearing, dryness.

Ears: Patient denies hearing loss, tinnitus, vertigo, discharge, pain

Nose: Patient denies rhinorrhea, stuffiness, sneezing, itching.

Mouth: Patient denies ulcers, bleeding gums, taste problems.

Throat: Patient denies throat pain, difficulty swallowing,

Cardiovascular: Patient denies chest pain, chest pressure, palpitations, DOE,

orthopnea.

Respiratory: Patient denies shortness of breath, cough, increased sputum, hemoptysis.

Gastrointestinal: Patient denies nausea, vomiting, heartburn, dysphagia, diarrhea,

constipation, melena, abdominal pain, jaundice, hemorrhoids.

Genitourinary: #R flank pain, dysuria, increased frequency#

Patient denies abnormal urgency, hesitancy, incontinence, hematuria, nocturia, stones.

Musculoskeletal: Patient denies arthralgias, joint stiffness, myalgias, muscle weakness,

instability and abnormal range of motion

Integumentary (Skin and/or Breast): Patient denies rash, changes in hair, changes in

nail, pruritus

Neurological: Patient denies headache, syncope, seizures, vertigo, ataxia, diplopia,

tremor, numbness, tingling.

Psychiatric: #insomnia#

Patient denies depression, mood abnormalities, anxiety, memory loss, appetite

changes

Endocrine: Patient denies sensitivity to cold or heat, polyuria, polydipsia.

Hematologic/Lymphatic: Patient denies bleeding, bruising, lymphadenopathy.

GYN: Patient denies abnormal bleeding, changes in menstrual cycle, hot flashes.

OBJECTIVE:

Vital Signs:

Height: 64.50 in

Weight: 139.40 lbs

BMI: 23.56

Blood Pressure: 135/78 mmHg

Temperature: 98.60 F

Pulse: 86 beats/min

Physical Exam:

Constitutional:

WD, WN, Alert, Oriented X3 in NAD. Affect appropriate. Gait normal.

Eye: PERRLA, EOMI, nl conjunctiva

Ear: No pinnea/tragal tenderness. Drums are visualized, no wax in canals

Nose: N1 mucosa. N1 Nasal septal walls and turbinates.

Mouth: N1 bucal mucosa, no lesions noted.

Throat: Clear, no erythema or exudates.

Neck: supple, no masses. No thyromegaly. Trachea is midline. N1 carotid auscultation.

No JVD

Cardiovascular: RRR, N1 S1 and S2, No cardiac murmurs, rubs or gallops.

Lungs: ctab, no wheezes, rhonchi or crackles

Chest/Breasts: 4/12/22: #L breast 3 o clock lumpiness, ttp#

Gastrointestinal (Abdomen): soft, nt, nd, bs(+). No palpable masses.

Genitourinary: #R flank CVAT#

Lymphatic: -No LAN noted

Musculoskeletal: #ttp over medial aspect of L knee with preserved ROM with small

healed 1 x1 cm scar from abrasion#

strength symmetrical and wnl. No muscle weakness or stiffness. No joint effusion

Skin: #callus noted between 4th and 5th metatarsal on L foot#

Normal color and texture.

Extremities: #varicose veins R greater than L#

Warm, no clubbing, cyanosis or edema. N1 DP/PT pulses bilaterally

Neurological/Psychiatric: CN I-XII intact, neurosensory wnl, strength (5/5), (2+) DTR

UE/LE bilaterally

-Judgment and insight intact

Imaging: 9/21/22 arterial u/s neg

ASSESSMENT:

Diagnosis:

ICD-10 Codes:

1)M545; Low back pain

2)R300; Dysuria

3)R946; THYROID ABNORMAL RESULT

4)D649; Anemia, unspecified

5)R5383; Fatigue

PLAN:

Procedures:

1) 99215; Comprehensive

2) 99401; 15 min

3) 99000; Handling of specimen from doctor to lab

4) 81002; Urinalysis/Dip

Orders:

1) 5463; UA complete (lab order)

2) 395; UCX (lab order)

Medications:

Augmentin 500-125 MG Oral Tablet; Take 1 tablet orally every 12 hours; Qty: 14;

Refills: 0

Care Plan:

.

***recurrent UTI, h/o pyelo and sepsis- last UCx 4/12/22 showed 100K E coli resistant to

cipro and levaquin. Pt reports 2 day h/o R flank pain, dysuria, frequency and fatigue.

Tried Macrobid in the past which caused severe dizziness.

-UA 12/23/22 pos for leukocytes

-send out Ucx 12/23/22

-Rx Augmentin 500/125mg bid x7 days, r/b d/w pt

-ER precautions over holiday weekend

-referred to uro given recurrent UTI and high-risk history

***abnormal TSH- noted on labs 4/19/22. TSH 0.266 unsure if ever discuss

-reordered TSH 12/23/22

**fatigue- h/o anemia. pt reports hgb dropped to 9 once, donates blood occasionally. per

pt took iron in the past. no overt bleeding 4/19/22 cbc and irons normal. Pt requesting

again to check

-ordered iron panel, ferritin 12/23/22 per pt request

***elevated B12- 4/19/22 B12 level over 1500

-discuss nv, but will need to stop any supplementation

***L knee pain- fell and landed on L knee. worsen with prolonged standing. Reports she

had same pain on R knee and had steriod injection, which resolved it. On PEX, ttp over

medial aspect of L knee with preserved ROM with small healed 1 x1 cm scar.

-on 8/8/22 spoke to pt regrading her L knee x ray. MRI is recommended given that she

sustained a trauma to her knee and has radiologic findings of possible soft tissue injury.

She is in significant pain, takes Ibuprofen, reports difficulty with ambulation. Pt states

that she tried to make appt with ortho and radiology, but no slots were available anytime

soon.

-Needs MRI. Can either order or she can see ortho and do it with them. I was able to

arrange an appt for her to see Dr Panosyan tomorrow at 1:30.

***varicose veins, bil leg pain- to b/l LEX, R greater than L, chronic. c/o occasional

aching. prolonged standing and walking at work. 9/21/22 arterial duplex neg

-Ordered venous u/s 8/3/22

-referred to vein specialist 4/12/22 and 8/3/23

Plan Notes Continued: .

***Tinea cruris bilaterally – noted on PEX on 10/26/22

-Rx ketoconazole 2% cream top bid x 2wks, r/b, d/w pt

***Callus- Pt reports painful, itchy lesion in between 4th and 5th metatarsal. Works long

hours on her feet. Pt reports she has new shoes and tried OTC counter products with

no relief. Admits to trying her son's salicylic acid acne med on lesion. On PEX, small,

hardened callus is noted.

-Referred to podiatry on 10/26/22

***insomnia- chronic. has failed melatonin and hydroxyzine 50 mg. also took Ambien

5mg prn in past

-cont w/caution

Patient Instructions: .

-Pt has been instructed to take medications as prescribed

-Pt received education on compliance with medications and recommendations

-Pt received counseling regarding Medication Side Effects

-Pt received counseling on following a well-balanced healthy diet with veg, fruit and

fiber.

-Pt was instructed to do CV exercise at least 3-4 times every week for 30 minutes.

-Pt received counseling regarding stress management

PHCM: .

58 yo F:

-annual PEX: done 4/12/22–next due 4/12/23

-annual labs: done 4/19/22 unsure if ever discussed

-cervical CA screening: referred to gyn 4/12/22

-breast CA screening: dx mammo L breast u/s ordered 4/12/22

-colon CA screening: referred to GI 4/12/22

-skin CA screening: referred to derm 4/12/22

Immunizations:

-influenza: fall 2021

-tetanus: unsure, rec 4/12/22

-shingrix: rec 4/12/22

-COVID: Pfizer 5/2021, 6/2021, booster 3/2022

  • Week 3: Problem-Focused SOAP Note

nursing

cid:D7D4B297-EEAE-4174-AD01-F87097282051@canyon.com

Research Critique Guidelines – Part II

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies


Introduction

1. Introduce your nursing practice problem and discuss the purpose of your paper.

2. State your PICOT question.


Background of Studies

1. Summary of studies including problem, significance to nursing, purpose, objective, and research question.


How Do These Two Articles Support the Nursing Practice Problem You Chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.


Method of Studies

1. State the methods of the two articles you are comparing and describe how they are different.

2. State one benefit and one limitation of each method you have identified.


Results of Studies

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies in nursing practice?


Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.


Conclusion

1. Your conclusion should summarize the main points in the essay, including a varied restatement of the thesis.

© 2022. Grand Canyon University. All Rights Reserved.

2

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EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four 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 results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Project 3

You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA – Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project:

DEFINE:

•Define the issue: What process are you trying to improve? 

•Describe the team and stakeholders

•Plan out the project

•Make a plan for the change 

MEASURE:

•What metrics will you measure 

•How will you measure success

•How will you collect baseline data

ANALYZE:  

•How will you analyze the data you collect

•What will you use to display data

•What is the reason for your wastes, delays, etc

c

Criteria

Possible Points

Points Earned

Comments

Title Page:
no running header used,

Title accurately reflects purpose of research, follows APA format, includes your name, course name and number and Dr. Shantelle Smith in the instructor spot

2


Introduction: Identifies
nature & scope of the problem &
significance of conducting the integrated research review
to generate knowledge for nursing practice.

10


Background: Provides
background information,
explains & defines problem, explains
significance &
importance of problem,
defines terms if necessary.

10


Research Problem Statement: Indicates the
gap in knowledge needed for nursing practice &
provides a basis for the study purpose.

10


Research Purpose: Clear concise statement of the specific aim or goal of the study, one sentence.

5


Research Question: Clear, concise interrogative statement, written in present tense, using PICOT format with a nursing focus

5


Research Utilization Model:
Explains the JHNEBP model and how it fits with and can be used for your proposed EBP change.

8


Search Criteria and Results: Includes Data Research Table correctly cited in APA and search terms and results. Includes Literature Review Tables correctly attached and labeled as an Appendix and referenced in this section. General description of types of articles and level of evidence based on the Melnyk rating pyramid.

5


References: Formatted and cited correctly, obtained from Mav Library, includes DOI# or website if no DOI available

10

APA Format

free of spelling and grammatical errors

10

Total Points Earned____________ (out of 75)

This is the first assignment to introduce your PICO(T), scope and nature of the problem, background information of the problem, details regarding your research review, and the Johns Hopkins EBP approach you have taken for your research. This is a “building assignment” as part 1, then next week, part 2 will add to the Final Research Paper Assignment. You do not need to worry about self-plagiarism when continuing to part 2 and so on. If you have taken this course prior to this semester, you may not use any of your previous work from that time.

Assignment Part 1 – 75 possible points. See Assignment Part 1 Rubric and Example paper.

Instructions: Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1, which also includes some part 2 components, so please pay attention to the rubric)

1. Use APA 7th ed. Manual or recommend APA template sites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)

2. Write in 12pt font Times New Roman

3. This is formal writing assignment: DO NOT write in first person this means do not use: I statements. Instead, say “the writer or the author” or avoid those altogether by just referring to the components of the paper without the use of these.

4. Include a Title page (Do not use Assignment 1… as your title) The title should not be your entire PICOT but should allow the reader to understand what your Research is about *see example papers in the course You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3, 2.4. Figure 2.2).

Example title: Comparison of Pressure Reduction Boots Versus Repositioning to Reduce Pressure Ulcers in the Elderly

5. Write about your topic in paragraph format using headings and subheadings. Use the rubric headings for the headings in each section of your assignment except “Introduction” the heading for the introduction. In 7th ed. APA this is the restatement of your paper title (see APA 7th ed. Section 2.7). I should see bold headings for the following: Background, Research Problem Statement, Research Purpose, Research Question, Research Utilization Model, Search Criteria and Results, and References

6. Here are the categories for your paper as listed on the rubric:

a. Introduction: Identifies nature & scope of the problem & significance of conducting the integrated research review to generate knowledge for nursing practice. I like to write this after I’ve completed the rest of the paper. It’s a synthesis of what you’ve written and what the reader will learn from the paper.

b. Background: Provides background information, explains & defines problem, explains significance & importance of problem, defines terms if necessary. This is the history of the PICOT. What happened prior to 2018 in relation to your PICOT? This is where you can cite “old and non-current” evidence. Go back as far as you need to. You should have literature support in this section.

c. Research Problem Statement: Indicates the gap in knowledge needed for nursing practice & provides a basis for the study purpose. This is the current state of the problem. Why did you choose this PICOT? Don’t use personal or work experiences unless you can support them in the literature. An example would be that there is a need for your PICOT based on the literature that states further research is needed in this area. Back up with literature support in this section.

d. Research Purpose: Clear concise statement of the specific aim or goal of the study, one sentence. This is only one sentence. What do you hope to accomplish in your research of your PICOT question? Typically, we don’t have one sentence paragraphs/section, but it is approved in this instance.

e. Research Question: Clear, concise interrogative statement, written in present tense, using PICOT format with a nursing focus. All you need to do is include your finalized PICOT question. Again, this is a one sentence section, but it is all I’m requiring.

f. Research Utilization Model: Explains the JHNEBP model and application to your PICOT for your proposed EBP change. Include your week 3 assignment in paragraph format. Make sure it flows with your paper. (This section is from your week 3 assignment. Please utilize feedback from me or if you achieved 100%, only revise to flow with the rest of your paper. Make sure to add the references to your Research Review Part 1 reference page.

g. Search Criteria and Results: You should have a paragraph that describes your data search including a general description of types of articles and levels of evidence based on Melnyk’s pyramid, insert the week 4 completed data search table in APA format (how you insert a table into a paper, APA 7th edition manual has instructions in Chapter 7, table 7.1), and you will also reference your week 4 literature review table in this section. The literature review table should be correctly inserted at the end of the paper, per APA formatting, labeled as an Appendix and referenced in this “search criteria and results” section in the paper as a way to guide the reader to look at the appendix. So, the data search table is inserted directly into the Search Criteria and Results section, but the Literature Review Table is inserted as an Appendix at the end of the paper. I will be grading and returning feedback by Tuesday end of day so you have ample time to revise if necessary.

h. References: formatted and cited correctly, all with the exception of 1-2 should be obtained from Mav Library or other reliable source (no .coms, blogs, etc. should be used), includes DOI# or website if no DOI available. To format an APA reference page, please see APA 7th edition manual, chapters 9-10.