the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix
Text readings
Formulate your PICOT question and post it to the main forum. Review your statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text.

.These are the key elements that are required for a solid PICOT question.
The table below outlines the how to break down the elements of your clinical question.
You should consider five elements when developing a good clinical research question:

P–Patient/Problem–Describe as accurately as possible the patient or group of patients of interest.

I–Intervention—what’s the main intervention or therapy you wish to compare.

C–Comparison intervention–Is there an alternative treatment to compare?

O–Outcome–What is the clinical outcome?

T—Time–Time it takes to demonstrate a clinical outcome.

 

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Rosemary Velez

4:34pm Oct 23 at 4:34pm

Manage Discussion Entry

Professor Eby and Class,

       “Nursing research is a systemic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice” ( Houser, 2018, pg. 5). Nurses can improve quality of life for patients by finding solutions to problems by implementing Evidence based practice and nursing research. Nursing practices that are based on research uses a common format called the PICOT method. According to Riva, Malik, Burnie, Endicott, and Busse, ( 2012), ” Clinicians interested in research pursuits, related to patient care, should consider the use of a literature research and the PICOT format when engaging clinical researchers.” This method allows those researching the direction needed to answer questions of most importance. Upon reading case studies from our reading by Kumar, ( 2015), I chose the middle aged active woman with type 2 diabetes.

PICOT Question:

Can the use of Degludec insulin and dietary modification control blood sugar and reduce hypoglycemic episodes better than the use of another type of insulin with dietary modification in middle aged active females with type 2 Diabetes?

P:  Active middle aged women with type 2 Diabetes

I:   Use of Degludec insulin and dietary modification

C:  Use of insulin pump and dietary modification

O:  Better glycemic control and decreased hypoglycemic episodes

T:   2 months

The focus point of this question would be treatment related. This case study proved that through the use of Degludec insulin therapy, and lifestyle changes, the desired outcome were proved in this 2 month trial, thus allowing this patient to maintain as normal a lifestyle as possible with this treatment. Though the insulin pump worked well for her, it did not mesh well with her current activities.

 

Rose Velez

Burnie, S.J., Busse, J.W., Riva, J.J., Endicott, A.R., & Malik, K.M.( 2012). What is your Research Question?: An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 167-171.

Houser, J.P. ( 2018). Nursing Research Reading, Using, and Creating Evidence. Burlington: Jones and Barlett Learning, LLC.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 76-77.

 

 

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, 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.

 

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-900 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, 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 LopesWrite.

 

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 1-Assess your own barriers to cultural competence.  

2-Have you overcome these?  

3-If not, how do you plan to overcome them?

3-If you do not have barriers, why do you think you do not have them

bold the questions  answer them apa format

 

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