PICOT QUESTION AND LITERATURE SEARCH

PICOT Question and Literature Search
The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical
area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing
practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT
question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the “Literature Evaluation Table” to complete this assignment.
Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem
or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be
applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
The PICOT question will provide a framework for your capstone project.
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search
should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For
example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced,
review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative
methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are
not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be
presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Relapse Prevention Discussion

You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing.
Q1. Compare and contrast relapse prevention from relapse management. What are the various relapse prevention and relapse management strategies that clinicians can implement? Compare and contrast the models of relapse. What are the strengths and limitations of each?
Q2. What is a “behavioral chain analysis”? How can this be useful within a relapse prevention/management plan? Describe a behavior that you have witnessed or that is present in your own life; apply your understanding of behavioral chain analysis to this behavior. How can behavioral chain analysis be useful in healthcare settings?.

Mental Health Nurse practitioner Scholarship Application

Application Essay: Describe your experience that demonstrates leadership in addressing
emerging health trends and creating innovative ideas to promote improved health outcomes.
Please use this as a foundation into positions I held in the past and current, thanks.
As a Mental Health Nurse of 12 years seeking scholarship to help me complete my Nurse
practitioner program, I have accomplished XYZ during my time as a Director of a 24 bed acute
mental health unit, Clinical Bed side nurse in acute mental health unit and currently serving as a
Depression Care manager.

Treatment Plan Assignment

Module 6: Treatment Plan Assignment

TREATMENT PLAN ASSIGNMENT: (Complete the Following Instructions)

For every person we see we must create a service or treatment plan that specifically addresses that person’s needs. In addition, this plan must specifically address the direction the individual states he/she wants to go. No two plans should be exactly alike because people can have the same problems but react to them differently.

When creating plans, always involve the client as well as the client’s family when appropriate. Plans without client input are not acceptable. As people discuss their problems and the issues they feel should be addressed, you can generate general goals for them that will become part of the plan. Once you have some ideas about goals, share your ideas with them and always ask for their opinions and additions.

The client represents an individual from case management with children and their families. Remember the ecological model, the child’s point of view, respect for children, prevention efforts and recognize children are one of our most vulnerable populations – careful attention must be paid to their protection.

For the following client, complete the following:

1) Create a new referral/inquiry sheet (note: you may need to create information such as address, phone, etc for the client). I’m attaching an example of what a referral sheet looks like, but in the end you can submit any referral form you have.

2) Create a list of items that will be included on the clients formal service plan.

3. Create a service/treatment plan and submit a document similar to the one in your textbook for your client and include the items in the instructions (again, you can use any treatment plan form you have within your own agency or one you find online, or simply follow the sample given in your textbook).

4. Make sure your submission has at least 450 words.

Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts.

Nurses in all professional roles work to effect positive patient outcomes and improve organizational processes. Professional nurses are leaders in problem identification, planning, and strategy implementation—skills that directly affect patient care or organizational effectiveness.

Too often, change agents jump to a conclusion that an intervention will promote the envisioned improvement. Instead, the ideal approach is to determine which interventions are appropriate, based on an assessment and review of credible evidence. Interventions could be patient-facing or involve a change in policy and process. In this assessment, you’ll identify and make the case for your practicum focus area, then explore it in depth from a leadership, collaboration, communication, change management, and policy perspective.

This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:

• Develop a problem statement for a patient, family, or population that’s relevant to your practice.
• Begin building a body of evidence that will inform your approach to your practicum.
• Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem.

Demonstration of Proficiency

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

• Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

• • Define a patient, family, or population health problem that’s relevant to personal and professional practice.
• Competency 2: Make clinical and operational decisions based upon the best available evidence.

• • Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to a defined patient, family, or population problem.
• Competency 5: Analyze the impact of health policy on quality and cost of care.

• • Explain how state board nursing practice standards and/or organizational or governmental policies could affect a defined patient, family, or population problem.
• Competency 7: Implement patient-centered care to improve quality of care and the patient experience.

• • Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to a defined patient, family, or population problem.
• Competency 8: Integrate professional standards and values into practice.

• • Organize content so ideas flow logically with smooth transitions.
  • Apply APA style and formatting to scholarly writing.

Preparation

In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).

To prepare for the assessment, complete the following:

• Identify the patient, family, or group you want to work with during your practicum The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.
• Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.

In addition, you may wish to complete the following:

• Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed.
• Review the Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum.

Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Complete this assessment in two parts.

Part 1

Define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.

Part 2

Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] provided for this assessment to guide your work and interpersonal interactions.

CORE ELMS

Complete the NURS-FPX4900 Volunteer Experience Form in CORE ELMS. Include a description of your relationship to the patient, family, or group in the Volunteer Experience comments field.

Requirements

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

• Define a patient, family, or population health problem that’s relevant to your practice.

• • Summarize the problem you’ll explore.
  • Identify the patient, family, or group you intend to work with during your practicum.
  • Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
  • Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.
• Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.

• • Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.
  • Explain how you would know if the data are unreliable.
  • Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.
  • Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
  • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
  • Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum.
• Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.

• • Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
  • Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
  • Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.
• Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.

• • Discuss research on the effectiveness of leadership strategies.
  • Define the role that you anticipate leadership must play in addressing the problem.
  • Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
  • Describe the change management strategies that you anticipate will be required to address the problem.
• Organize content so ideas flow logically with smooth transitions.
• Apply APA style and formatting to scholarly writing.

Additional Requirements

• Format: Format your paper using APA style. Use the APA Style Paper Template. An APA Style Paper Tutorial is also provided to help you in writing and formatting your paper. Be sure to include:
• • A title page and reference page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
• Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
• Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
• Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

The following article provides an in-depth review of the effect of transformational leadership in nursing:

• Fischer, S. A. (2016). Transformational leadership in nursing: A concept analysis. Journal of Advanced Nursing, 72(11), 2644–2653.

The following article presents a mental model of effective health care leadership competencies, using a concept mapping approach:

• Hargett, C. W., Doty, J. P., Hauck, J. N., Webb, A. M. B., Cook, S. H., Tsipis, N. E., Neumann, J. A., Andolsek, K. M., & Taylor, D. C. (2017). Developing a model for effective leadership in healthcare: A concept mapping approach. Journal of Healthcare Leadership, 9, 69–78. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774455/

The following article presents a comprehensive review of the literature related to decision making in nursing:

• Nibbelink, C. W., & Brewer, B. B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5/6), 917–928.

Watch the following videos:

• Preparing Nurses to Lead in a Changing Healthcare Environment.

• • This video presents strategies that an RN-to-BSN–prepared nurse can employ to lead and address health care problems.
• Principles of Crucial Conversations.

• • This video explores how to successfully address conflict in the workplace and address health care problems with a patient and family.
• Psychology of Change Framework.

• • This video depicts the effect of change on nursing and health care.

This website provides a search function to assist you in finding individual state nurse practice acts.

• National Council of State Boards of Nursing. (n.d.). Find your nurse practice act. https://www.ncsbn.org/npa.htm

Use the following resources to begin exploring patient, family, or population health problems that you might choose as the focus of your capstone project. They provide information on a number of problems common to today’s health care systems.

• Bindman, A. (2016). AHRQ’s role in improving care for patients with multiple chronic conditions. https://www.ahrq.gov/news/blog/ahrqviews/ahrqs-role-in-improving-care.html

• • This blog post focuses on patient-centered care for individuals with complex care needs.
• Centers for Medicare & Medicaid Services. (2016). CMS releases guide to preventing readmissions among racially and ethnically diverse Medicare beneficiaries. https://www.cms.gov/newsroom/press-releases/cms-releases-guide-preventing-readmissions-among-racially-and-ethnically-diverse-medicare

• • This press release discusses the CMS Guide to Reducing Disparities in Readmissions and includes links to the guide and additional information about readmissions that you may choose to review.
  • Joint Commission. (n.d.). http://www.jointcommission.org

• • • The Joint Commission website provides resources addressing a variety of health care problems, any one of which you may want to choose as the focus of your capstone project.
• Leapfrog Group. (n.d.). https://www.leapfroggroup.org/

• • The Leapfrog Group website provides data on hospital performance for a variety of services and patient outcomes. The data presented focus on common health care problems. Hospitals are graded on how well these problems are addressed. You may want to choose one of these problems as the focus of your capstone project.
• Wang, Y., Kung, L., Gupta, S., & Ozdemir, S. (2019). Leveraging big data analytics to improve quality of care in healthcare organizations: A configurational perspective. British Journal of Management, 30(2), 362–388.

• • This article explores the use big data analytics (BDA) in addressing health care financial performance. Data are used to identify problems in health care, drive decisions about how to address these problems, and monitor the success of associated solutions. Think about how you can use data to identify the focus of your capstone project, determine an intervention, and measure the success of the solution.

Use the following resources to facilitate your research and review of the literature:

• BSN Program Library Research Guide.
• Databases A-Z: Nursing & Health Sciences.
• Evidence-Based Practice in Nursing & Health Sciences.
• Get Critical Search Skills.

ASSESSING A HEALTH PROBLEM 1

Click the linked Assessing a Health Problem 1 title above to complete a brief multimedia exercise that will help you in completing the first assessment. In this exercise, you’ll explore a patient, family, or population health problem from a leadership, collaboration, communication, change management, and health policy perspective.