PICOT Question: Literature Search, Rapid Critical Appraisal, and Summary

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PICOT Question: Literature Search, Rapid Critical Appraisal, and Summary
For this assignment, you will locate a minimum of four research articles related to the topic and
PICOT questions that you developed in Week 2. The articles must be published in the last five
years (2014 to the present). Two articles must be quantitative, and two articles must be
qualitative.
Articles used for one assignment cannot be used for the other assignments. (Students should
find new research articles for each assignment.)
The selected articles should be original research articles. Review articles, meta-analysis, metasynthesis, and systemic review should not be used.
Mixed-methods studies should not be used.
There are two parts to this assignment.
Part 1: Complete a Rapid Critical Appraisal Checklist chart for each research article (4 total).
Download the Rapid Critical Appraisal Checklist here (PDF—use with Adobe Acrobat)
Download the Rapid Critical Appraisal Checklist here (Word document)
Part II: Write a summary (2–3 pages)
Compare and contrast the similarities and differences among the four research articles.
Submit the 4 completed CHECKLISTS along with your summary.
You should:
Use current APA Style to format your paper and to cite your sources

ANA Code of Ethics and Nurses’ Work Environment

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THE PUBLIC HEALTH NURSES WORK ENVIRONMENT, A CHALLENGE IN LEADERSHIP
The public health nurse is working in an agency that currently has 4 of its 8 nursing positions open.  There have been 3 nursing directors in the position over the last year. The work environment has not supported shared governance and independent decision-making. It is not unusual to hear insensitive comments or stereotypical statements.  There is no nursing staff diversity.  The population served by this clinic is a 5-mile radius in one of the poorest areas of Any City, Some State with a population of mixed minorities, low-income, single-parent homes, high unemployment, and poor health status and outcomes. Children attend a neighborhood school that is one of the poorer schools in the district and have even experienced lack of heat during the early part of the winter. When discussing the issues with her peers, her friends laughed at her decision to stay and recommended she leave the job immediately. The nurse has been offered the position as Director of Nursing under a new Health Care Administrator who is under a directive to correct the issues and improve the quality of care for the clients served in this community. Respond to the following questions from the perspective of a new Director hiring and employing a full nursing staff to support this agency.

  1. Explain the workforce ecosystem model.
  2. Using components of the model as the guiding activities in your plan, identify changes or actions that will be addressed in each component to alter this work environment as you move to full nurse staffing.
  3. What key ethical issues identified in the ANA Code of Ethics must be addressed as a part of your plan?
  4. Identify two types of training you would include in your orientation program for all staff. You may simply list and identify why you would include this component.

Nursing Theory

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Nursing Theory 
Answer the following questions is essay form.
The answers must be clearly, succinctly, documenting all sources of information
Remember that CINAHL Nursing Guides, and websites such as nursingtheory.org, nurselabs, and other similar websites are not scholarly sources.
Make clear when information comes from a secondary source.
Make clear when each question is being answered.
Either copy the question or create a clear heading for each answer that reflects the question.
This assignment should adhere to APA guidelines.
This means double spacing, headings, and other basic elements of APA
Questions to answer:
The questions should be answered clearly and succinctly, but with enough breadth for understanding.
A few sentences aren’t enough to answer the questions.
The nursing theorist I chose is Lydia Hall: Care Cure Core Theory. Identify a nursing theorist and their nursing theory.
Lydia Hall: Care Cure Core Theory Please cite the source.
Make clear if from a secondary source. Scholarly support is needed in APA current edition format.
Why did I choose my selected nursing theory?
This question will require more than just a few sentences.
To answer this question will require specific information from the theory with an explanation of why this theory was chosen.
What do you like about this theory? Why?
Why do you think this theory is a helpful guide for your nursing practice?
Sources of information from the theory must be cited correctly.
Scholarly support is needed in APA current edition format. Brief summary of the nursing theorist and the nursing theory I chose including key concepts (include scholarly support in APA format).
Cite proper name of theory, theorist, and source for the information.
Identify and define all of the major concepts and explain how they are related.
The key concepts must be explicitly defined with information from the theory and an explanation of how they interact within the theory. Scholarly support is needed in APA current edition format.
How does the selected nursing theory address or identify the concepts of the nursing metaparadigm?
Analyze the theory and determine how the Care Cure and Core Theory addresses each concept of the nursing metaparadigm: nursing, person, environment and health.
Remember that sometimes these are not explicitly addressed and will require interpretation.
Document all sources of information.
This will require specific statements from the theory that demonstrate how it addresses each of the concepts in the metaparadigm.
It’s good to find a source that has already analyzed this information.
Scholarly support is needed in APA current edition format How is this nursing theory useful to the nursing profession? This is NOT personal opinion.
Find an article that utilizes the theory in either practice or research and describe how it is used. OR….find an article that discusses in general how the theory has been used in practice.
When you write about the theory, document sources. How would I apply this nursing theory to my chosen MSN specialty, leadership/executive?
This section is a reflection in your words (can be written in first person) and describes how you think you could use the theory in leadership.
Present an example illustrating the use of the theory in advanced nursing practice related to executive leadership.
Scholarly support is needed in APA current edition format Self-Reflection: What did I learn from completing this assignment?
This section is important and counts 20 points.
Unfortunately, it is a section that is frequently missed.
Again, here is your personal reflection (also written in first person) on what you learned.
Examples here could be nursing theory in general, the theory you wrote about, and the importance of theory in guiding nursing practice and research. NOTE: CINAHL Nursing Guide articles are not considered scholarly.

Nurse Ethics and Legal Issues in Leadership

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Nurse Ethics and Legal Issues in Leadership ,
The hospital where you work is at maximum capacity; every bed is occupied on every unit.
The emergency department (ED) is full, and patients awaiting admission are being held in the hallways.
You have just left a Director’s meeting where everyone has been informed that the ED is not able to go on diversion.
Therefore, patients awaiting admission from the ED will be sent to the nursing units within the next three hours.
You have been asked to admit patients to your unit and place them in the alcoves at the end of each hallway.
Rental beds and privacy screens will be delivered within the hour.
You are the nurse manager of a progressive care unit where all patients are monitored for their cardiac rhythms.

Academic Resources / Strategies Applied in MSN Program

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Masters Nursing Program (MSN) Academic Resources / Strategies  
Professional Resources Applied to Succeed in the Nursing Practice 
Instructions 

  • Clearly identify and accurately describe in detail at least three academic resources or strategies that can be applied to the MSN program.
  • Clearly identify and accurately describe in detail at least three professional resources that can be applied to success in the nursing practice in general or in a specialty.
  • Clearly and thoroughly explain in detail how you intend to use these resources, and how they might benefit you academically and professionally.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph. 
Academic Resource/Strategy 1
 
 
Academic Resource/Strategy 2
 
 
Academic Resource/Strategy 3
 
 
Professional Resource/Strategy 1
 
 
Professional Resource/Strategy 2
 
 
Professional Resource/Strategy 3
 
 
ADDITIONAL RESOURCES/STRATEGIES

Health Care Delivery and Evidence-Based Nursing Practice

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Health Care Delivery and Evidence-Based Nursing Practice

  1. Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extubated and then transferred to a medical-surgical unit. The medication regimen is adjusted during the hospitalization. Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital.
  2. Describe the quality performance tools that may be used to demonstrate that the care and treatment rendered are both cost-efficient and of high quality.
  3. Describe the quality performance tools that may be used to demonstrate that the nursing care utilized is evidence-based care and high quality, resulting in patient satisfaction and good patient outcomes.
  4. The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans.
  5. Describe how clinical pathways are used to coordinate care of caseloads of patients.
  6. What is the role of the case manager in evaluating a patient’s progress?
  7. What are examples of evidence-based practice tools used for planning patient care?

Leadership Podcast Paper

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Leadership Podcast Paper
Listen to “Nursing Homes Find Aides Key to Good Care”
https://www.npr.org/templates/story/story.php?storyId=1150194?storyId=1150194
Referencing the podcast respond to the following questions
– Why is it important for a leader to empower her/his followers (employees) to own and
demonstrate any and/or all of the leadership behaviors we have learned about?
– Please note specific behaviors and types of leadership approaches your followers should
practice and why.
– Support your ideas with detailed examples or evidence.

Nursing Theory. Nursing Philosophy

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Nursing Theory. Nursing Philosophy
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or
interdisciplinary theory provided in the lesson plan or one of your own findings. Address the
following:
Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example how the theory could be used to improve or evaluate the quality of
practice in your specific setting. What rationale cn you provide that validates the theory as
applicable to the role of the nurse practitioner.

Nursing Leadership and Management

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The goal of this paper is to apply the concepts emphasized in this week’s class activities to a
nursing organization that students work at, or are familiar with from past clinical or work
experiences. There are resources for most of the agencies on the web for further research but be
aware that students must have some familiarity with the organization to complete this paper. This
does not need to be a hospital and may include home care, public health agencies, or nursing
homes. If you are concerned about whether your choice of agency is appropriate please check
with course faculty. Be sure to integrate multiple resources.
Paper Guidelines:
APA format with a title page etc. Maximum of 4 double spaced pages in length excluding title and
reference page. Use subheadings to organize the paper.
Minimum of 5 references for full points.One of these references may be the class text. Be sure
references are scholarly.
There should be evidence in this paper that you have read and integrated the learning resources
posted for this week.
The paper must answer and focus on the following questions:
Introduce the facility. What is the mission of this agency? After reading the mission what can you
say about this organization’s values?
See if you can locate a copy of the organizational structure. Remember some facilities will have
a separate structure for the nursing department that you may be more familiar with. If you cannot
locate a copy of the structure, frame your response around what you know. What type of
organizational structure is it? (refer to pp. 302-304 in your text) Where are the decisions made?
Where is nursing on the chart and who does the Chief Nursing Officer report to? How is
communication and decision making affected by the organizational structure of the facility?
Is there a Shared Governance Model within this organization? What are the advantages of the
Shared Governance Model for nursing? Remember shared governance is not just – ‘yes we have
input into decisions’ but a formal process for shared decision making. Give specific examples.
Who do you feel the stakeholders are for this organization? Give specific examples. (See text).
Briefly touch on the culture of the organization. Give specific examples. See Display 12.3, p.307
in your text.

Preparing a Strategic Career Plan (Nursing Practitioner, NP)

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Nursing Practitioner (NP) Preparing a Strategic Career Plan
Graduation and certification are the beginning of your career as an NP. Whether you are looking
for that dream job or you have decided to open your own practice as an independent NP, you need a plan to get there. Before the Web and social media, job hunting was relatively simple. Job
hunters perused the classifieds, made cold calls, and many times just showed up with a resume
in hand. There has been a dramatic change in the last decade in how people find and get jobs,
and NPs are no exception. For those seeking employment now, there is a wealth of resources
available from mega employment websites to specialty blogs. Finding a job as an NP may not be
a big challenge, but landing the position that you have passionately prepared for and pursued is
going to take some work. A well-crafted cover letter and resume may be necessary items, but it
may not be enough to get you exactly where you want to be. With so many opportunities and
career trajectories available to NPs today, you need to focus and get serious about what you
want to do and where you want to do it.
Directions
In this Assignment, you will develop your own strategic career plan for starting your new career
as an NP. There are many steps that need to be accomplished. Use the following guidelines to
design your career plan. You do not need to include references. This is a plan that you may
layout how you wish. Be creative, and really think about what you desire as a nurse practitioner.
As everyone will have different goals, there are no right or wrong answers in this plan.
It is time to take inventory and ask yourself some questions. What is your career vision? Be
specific and honest. Where do you want to work? What are your short term and long term goals
(give timeline). What are the most important things you are looking for? Discuss your desires for
salary, vacation, sick leave, CME allowance, medical benefits, retirement, etc. Perhaps you have
a niche such as managing chronic diseases in patients over 65 years old.
Next, describe your ideal work situation. Is it a rural clinic or major trauma center? Who is your target patient population? Do you have a passion for a particular population or specialty? What
schedule do you want? What are the priorities in your career right now? Where do you see your
career in five years?
How do you plan on researching opportunities (whether looking for employment or independent
practice site)? List several methods such as job fairs, the Web, and medical employment
agencies.
Networking is essential for today’s healthcare provider. Discuss your networking ideas. What
Internet resources might you use to network and connect with other healthcare providers?
How will you prepare for the interview? What specific steps will you take?
Imagine you are starting your own practice. What population will it serve? How will you market
your practice? What personnel will you need to hire? How will you obtain funding? Will you be
open extended hours to meet the needs of working patients? Will you be the sole provider, or will
you hire other providers?
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under
Course Resources.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above)
consult the Grading Rubric (under Course Resources) to make sure you have included
everything necessary
utilize spelling and grammar check to minimize errors
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.)
be well ordered, logical, and unified, as well as original and insightful
display superior content, organization, style, and mechanics
use APA 6th Edition format for organization, style, and crediting sources. Refer to the APA
Progression Ladder.
How to Submit
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your Assignment, click the Dropbox tab and select this unit’s
basket from the dropdown menu, then attach your file. Make sure to save a copy of your work
and be sure to confirm that your file uploaded correctly.