PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

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 Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning. 

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I need to do a teaching plan and a brochure for a class called introduction to professional nursing. The subject of the paper is teaching a patient who is paralyzed from the waist down how to use a straight catheter on themselves.

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Week 4 Assignment Instructions

Tutor MUST have a good command of the English language

Please read all the instructions and requirements

Sources need to be less than five years old and journal/scholarly articles. 

No textbook or direct quotes 

All the Rubric requirements listed MUST be met.

***I have attached the  DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Assignment with the instructor’s corrections/comments. This needs to be revised as well meeting the instructor’s expectations. 

Details:

Empirical research is the foundation of scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study.

As you search the library for scholarly research, you should limit your search to identify empirical articles. (You can use the “Empirical Research Checklist” from DNP-801 to assist in this determination.) After finding an empirical study, begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

As you move forward in your doctoral journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

In this assignment, you will continue to develop the skill of writing, by reviewing 15 research articles associated with your chosen topic and using the content to identify at least five major concepts and subthemes related to your topic.

General Requirements:

Use the following information to ensure successful completion of this assignment:

• Use      the “Empirical Research Checklist” to assist in the      determination of empirical articles.
• Use      the “Research Article Chart” to provide a summary review of each      component of your assignment.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the Student Success Center.
• This      assignment uses a rubric. Please review the rubric prior to beginning the      assignment to become familiar with the expectations for successful      completion.
• You      are required to submit this assignment to Turnitin. Please refer to the      directions in the Student Success Center.

Directions:

Part 1: Selection of 15 Articles 

Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology.

Clinical/PICOT Question: 

In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) at a level two trauma facility compared to standard care over a one-month period? 

P: Patients > 65 years of age with a central line

I: Staff training and reinforcement of central catheter, hub hygiene 

C: Compared to standard care 

O: Reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)

T: A period of one-month

Part 2: Research Article Chart

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Synthesis of Research Studies

Based upon your review of the 15 research articles, identify at least five major concepts that relate to your project topic, and three subthemes related to each concept.  

Using the information from the completed “Research Article Chart,” and the major concepts and subthemes you have identified, write a 2,000-3,000 word paper that synthesizes the content of the 15 research studies.

Summarize each major concept and focus on providing a detailed synthesis of the three identified subthemes that support that concept by addressing the following.

1. Introduction      of the identified subtheme
2. Summary      of the research questions posed by the studies
3. Summary      of the sample populations used
4. Summary      of the limitations of the studies
5. Summary      of the conclusion and recommendations for further research

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 In 1 paragraph, answer questions below:

An independent orthopedic clinic is considering expanding by opening a small surgery center instead of renting space in a local hospital. They ask their financial department (you) for methods of calculating whether or not they should consider the project. They are unfamiliar with the methods and just want an understanding of how they work.

Choose the capital investment decision method (Payback, Net Present Value, or Internal Rate of Return) that you think would work the best for this situation. How would you describe the method so that the doctors can understand the way it works? What outcome would they need to achieve in order to go ahead with the project?

It was then decided that a new imaging machine needed to be purchased as part of the project. What financial and other factors do you think they need to consider when making a decision?

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