For your portfolio contribution, please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the bachelor’s/master’s level nursing competency/ies listed in the syllabus. Then write a minimum of 1000 words describing how this course has helped you achieve these outcomes. Finally, chose one assignment that you feel represents your best learning in the course. Take a few minutes to revise it, according to comments from your professor. Combine these into one document. 

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Identifying A Clinical Question

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.

Purpose

To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.

Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.

Guidelines

1. Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.
2. Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and Finout-Overholt, 2015).
3. Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search.

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idence-Based Practice Guideline

Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Sources are not required; however, if sources are used make sure to cite using the APA writing style for the essay and complete a reference page. The cover page is required. Review the rubric criteria for this assignment.

Utilize the databases identified in the text to locate an Evidence-Based Practice Guideline, related to your topic identified in Module 1. Perform a rapid critical appraisal of the Evidence-Based Guideline by answering the following questions in APA format. All questions should be answered in detail and explanations offered according to guideline content when applicable.

• Who were the guideline developers?
• Were the developers of the guideline representative of key stakeholders in this specialty (inter-disciplinary)?
• Who funded the guideline development?  
• Were any of the guideline developers funded researchers of the reviewed studies?
• Did the team have a valid development strategy?
• Was an explicit (how decisions were made), sensible, and impartial process used to identify, select, and combine evidence?
• Did its developers carry out comprehensive, reproducible literature review within the past 12 months of its publication/revision?
• Were all important options and outcomes considered?
• Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked to the scientific evidence?
• Do the guidelines make explicit recommendations (reflecting value judgments about the outcomes)?
• Has the guideline been subjected to peer review and testing?
• Is the intent of use provided (i.e. national, regional, local)?
• Are the recommendations clinically relevant?
• Will the recommendations help me in caring for my patients?
• Are the recommendations practical/feasible? Are resources (people and equipment) available?
• Are the recommendations a major variation from current practice? Can the outcomes be measured through standard care?

Be sure to include the database from which the guideline was obtained and please submit a copy of the guideline with your paper.

Your APA formatted paper fully answer each question in complete sentences.

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Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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