a written proposal that describes an assessment of the needs of the client(s) and why you feel this project would be beneficial to improve health outcomes. Include the goal of the project, the target audience, and what you expect the response to be.

This proposal must be at least 2 pages long, not counting reference pages, and be appropriately cited in APA format.

Can you help me with my homework.

 

It is time to draft the employee communication plan for your company. Using the information that you gathered from Weeks 1–3, include the following information in your strategic plan:

• Company synopsis: This is a snapshot of the company, what it sells, and the number of employees.
• Management’s philosophy on employee communication: An example of a management philosophy could be that any important communication about the company’s activities are shared internally before being shared externally on the Internet or in a news release.
• Goals of the communication plan: One possible goal could be to help employees be more productive by establishing a clear and effective employee communication plan. The plan can be viewed as an organizational diagnostic that provides employees with consistent, accurate, and regular information about the company’s business goals and objectives.
• Target audience characteristics: The plan should take into account cultural, gender, and linguistic differences to help employees understand the goals of the organization.
• Communication tools: These can include various deliverables, including e-mails, newsletters, e-blasts, brochures, reports, conferences, employee meetings, and more.
• Communication channels: Communication channels include internal and external Web sites, public relations venues, visits or speeches from management, and more.

EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· 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.

LEARNING RESOURCES

Required Readings

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)

· Davies, K. S. (2011). 
Formulating the evidence based practice question: A review of the frameworksLinks to an external site. for LIS professionals. 
Evidence Based Library and Information Practice, 6(2), 75–80.

· Library of Congress. (n.d.). 

Search/browse help – Boolean operators and nestingLinks to an external site.

. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

· Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). 
Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.Links to an external site. 
American Journal of Nursing, 110(3), 58–61.

· Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).
Evidence-based practice: Step by step: Igniting a spirit of inquiryLinks to an external site.
.Links to an external site. 
American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

· Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). 
Evidence-based practice step-by-step: Searching for evidence.Links to an external site. 
American Journal of Nursing, 110(5), 41-47.

· Walden University Library. (n.d.-a).
 

Databases A-Z: NursingLinks to an external site.

. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.-c).
Evidence-based practice research: CINAHL search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

· Walden University Library. (n.d.-d). 

Evidence-based practice research: Joanna Briggs Institute search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

· Walden University Library. (n.d.-e). 

Evidence-based practice research: MEDLINE search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

· Walden University Library. (n.d.-f). Keyword searching: 
Finding articles on your topic: Boolean termsLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

· Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: 
Introduction to keyword searchingLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

· Walden University Library. (n.d.-h). 

Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?Links to an external site.
 Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

· Walden University Library. (n.d.-i). 

Systematic review.Links to an external site.
 Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

 

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

• What other assessment findings should you anticipate?
• Why does this patient probably have bradycardia?
• Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
• What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.