PICOT Statement Paper Discussion

PICOT Statement Paper Discussion

PICOT Statement Paper Discussion

PICOT Statement Paper Discussion.

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A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.

Picot statement

Formulate a PICOT statement.  (CHILDWOOD OBESITY). The PICOT statement will provide a framework for your capstone project.

In a paper of 750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Picot statement

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Guidelines found

Prepare this assignment according to the guidelines found in the APA Style.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.

Picot statement

Formulate a PICOT statement.  (CHILDWOOD OBESITY). The PICOT statement will provide a framework for your capstone project.

In a paper of 750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Picot statement

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Guidelines found

Prepare this assignment according to the guidelines found in the APA Style.

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EBP Research Table Assignment

EBP Research Table Assignment

EBP Research Table Assignment

EBP Research Table Assignment

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT;EBP Research Table Assignment

Week 5 assignment CLC: EBP Research Table Citation Include the APA reference note. Abstract/Purpose Craft a 100-150 word summary of the research. Research/Study Describe the design of the relevant research or study in the article. Methods Describe the methods used, including tools, systems, etc. Setting/Subject Identify the population and the setting in which the study was conducted. Findings/Results Identify the relevant findings, including any specific data points that may be of interest to your EBP project. Variables Describe the independent and dependent variables in the research/study. Implication for Practice Articulate the value of the research to the EBP project your group has chosen. Independent Variable Dependent Variable

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Evidence Table
Evidence-Based Practice in Nursing
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Source
Issue Related to EBP
Design Type*
Study Design & Study Outcome Measure(s)
Study Setting & Study Population
Study Intervention
Key Findings
Berner 2003121
Local opinion leaders.
Group randomized controlled trial (RCT). Evidence level 2.
RCT 3 study arms: no intervention, traditional health care QI; opinion leader (OL) plus QI (level 2). Outcomes = 6 evidence-based quality indicators for 1994 unstable angina guidelines (level 2).
Hospitals in Alabama. Patients admitted to an Alabama hospital during 1997–98 (baseline) and 1999–2000 (followup) with ICD-9 CM codes of unstable angina, angina pectoris, coronary artery disease, and chest pain unspecified. Mean age of patients was >70 years of age.
Peer nominated opinion leader added to a Centers for Medicare and Medicaid Services (CMS) QI intervention.
OL treatment effects (over QI group) found for antiplatelet medication within 24 hours and heparin use (2 of 5 indicators).
Bootsmiller 2004103
Assess the implementation methods for 4 clinical practice guidelines (CPGs) in the VA health care system.
Retrospective cohort study. Evidence level 5.
Survey methods with questionnaire sent to 416 quality managers, primary care administrators, or others involved with guideline implementation in primary care at 143 VA medical centers with primary care clinics (level 9). Modified Dillman method was used.
Outcomes: methods used to implement guidelines (level 4).
Primary care clinics of VA medical centers. Study population is individual responsible for guideline implementation. 242 surveys returned from 130 hospitals. CPGs were chronic obstructive pulmonary disease (COPD), diabetes, heart failure, and major depressive disorder.
Total number of interventions used were counted and type of interventions used to implement CPGs were categorized as consistently effective, variably effective, and minimally effective, based on Bero’s categories:
Consistently effective:
– Forms created/revised
– Computer interactive education
– Internet discussion groups
– Responsibilities of nonphysicians changed academic detailing

EBP Research Table Assignment

Variably effective:
– CPG workgroup
– Clinical meetings to discuss CPG

Minimally effective:
– Providers receive brief summary
– Providers receive CPG
– Providers receive pocket guide
– Storyboards
– Instructional tape of CPG
– Grand rounds

EBP Research Table Assignment
Commonly used approaches were clinical meetings to discuss guidelines (variably effective/Bero’s classification), provider receipt of brief summary (minimally effective classification), forms created or revised (consistently effective classification), responsibilities of nonphysicians revised (consistently effective classification). Most facilities used 4–7 approaches. Consistently and minimally effective approaches were used most frequently. Strategies used together almost always included one consistently effective approach.
Bradley 200460
Describe the implementation process for the Hospital Elder Life Program (HELP)—an evidence-based program for improving care of older patients.
Descriptive prospective study.
Qualitative analyses of implementation process at the beginning of implementation and every 6 months for up to 18 months.
8 hospitals implementing HELP. In-depth, open-ended interviews were conducted by telephone with physicians, nurses, volunteers, and administrative staff involved in the HELP implementation.

Major themes in implementing the HELP program were (1) gain internal support for the program, recognizing diverse requirements and goals; (2) ensure effective clinical leadership in multiple roles; (3) integrate with existing geriatric programs to foster coordination rather than competition; (4) balance program fidelity with hospital-specific circumstances; (5) document and publicize positive outcomes; (6) maintain momentum while changing practice and shifting organizational culture.
Bradley 2004177

EBP Research Table Assignment
Identify key themes about effective approaches for data feedback as well as pitfalls to avoid in using data feedback to support performance improvement efforts.
Retrospective cohort study. Evidence level 5.
Qualitative study with open-ended interviews of clinical and administrative staff at 8 hospitals representing a range of sizes, geographical regions, and beta-blocker use rate after AMI (level 9). Outcomes = key themes in use of data feedback.
8 hospitals. Interviewed physicians (n =14), nurses (n =15), quality management (n = 11), and administrative (n = 5) staff who were identified as key in improving care of patients with AMI.
Data feedback for improving performance of beta-blocker use after AMI.
7 major themes: Data must be perceived by physicians as valid to motivate change. It takes time to develop credibility of data within a hospital. The source and timeliness of the data are critical to perceived validity. Benchmarking improves the validity of the data feedback. Physician leaders can enhance the effectiveness of data feedback. Data feedback that profiles an individual physician’s practices can be effective but may be perceived as punitive. Data feedback must persist to sustain improved performance. Effectiveness of data feedback might be intertwined with the organizational context, including physician leadership and organizational culture.
Carter 200561

EBP Research Table Assignment
Evaluation of the relationship between physicians’ knowledge of hypertension guidelines and blood pressure (BP) control in their patients.
Cross-sectional study
Cross-sectional study of physicians’ knowledge about Joint National Committee (JNC) 7 hypertension guidelines (level 4).
Outcomes were BP values of patients each physician treated.
Study setting was two academic primary care clinics located in the same academic medical center. The sample was 32 primary care physicians and 613 patients they treated. Mean age of physicians was 41 years (Standard Deviation [SD]. = 10.9), majority were men (66%).
Association between physician knowledge and BP control. Covariates of presence of diabetes, patient age.
There was a strong inverse relationship between BP control rates and correct responses by physicians on the knowledge test (r = −0.524; p = .002). Strong correlation was also found between correct responses on the knowledge survey and a higher mean systolic BP (r = 0.453; p = .009). When the covariates of patient age and diabetes were added to the model, there was no longer a significant association between physician knowledge and BP control. However, the correlation (in the multivariate model) was still in the same direction; for every 5 points better on the knowledge test, there was a 16% decrease in the rate of BP control (p = .13), and for every 10 years increase in patient age, there was a 16% decrease in BP control (p = .04).
Chin 200462, 186
To determine the additive effect of additional support for organizational change techniques and chronic care management as they are added to the Health Disparities Collaborative initiatives to improve diabetes care in community health centers.
RCT
34 centers were randomized to a standardized intensity arm (Health Disparities Collaborative initiatives) or high intensity arm. (level 2).

EBP Research Table Assignment
Outcomes included process of care measures; laboratory values based on American Diabetes Association (ADA) recommendations; and patient surveys of satisfaction with provider’s communication style and overall care, attitudes about interacting with providers, knowledge of ADA recommendations, and provider performance of key processes of care (levels 1 and 2).
34 community health centers from the Midwest or West Central clusters that participated in the 1998–99 or 1999–2000 Diabetes Collaborative of the Bureau of Primary Health Care in Improving Diabetes Care Collaboratively in the Community. These centers care for the medically underserved. In the standard arm, there were 843 patients at baseline and 665 in the followup standard intensity group. 993 patients were in the high intensity arm at baseline and 818 postinterventions high intensity group. Mean age of subjects ranged from 56 to 58, a majority were female, and white.
All 34 centers were community health centers that are overseen by the Bureau of Primary Health Care and had participated in the Health Disparities Collaborative to improve diabetes care. Interventions included forming a QI team, adoption of the Plan-Do-Study-Act (PDSA) cycle for QI, learning sessions, data feedback, monthly teleconferences, and regional meetings over a year. The centers randomized to the standard intensity arm continued to receive quarterly data-feedback reports, conference calls with other centers, and a yearly in-person meeting with other health centers. The high intensity sites received the standard intensity interventions plus additional…

What is the proper tax treatment of the rental income and expenses if Matt and Marie rented the house for only 14 days?

Chapter 8 37) Matt and Marie own a vacation home at the beach. During the year, they rented the house for 42 days (6 weeks) at $890 per week and used it for personal use for 58 days. The total costs of maintaining the home are as follows: Mortgage interest $4,200 Property taxes 700 Insurance 1,200 Utilities 3,200 Repairs 1,900 Depreciation 5,500 a. What is the proper tax treatment of this information on their tax return using the Tax Court method? b. Are there options available to allocate the expenses between personal and rental use? Explain. c. What is the proper tax treatment of the rental income and expenses if Matt and Marie rented the house for only 14 days?

38) Janet owns a home at the lake. She incurs the following expenses: Mortgage interest $1,300 Property taxes 800 Insurance 1,500 Utilities 1,800 Repairs 300 Depreciation 4,000

Page 8-31What is the proper treatment of the rental income and expenses in each of the following cases? Use the Tax Court allocation method, if applicable. Case Rental Income Days Rented Personal Use Days A 9,000 45 10 B 12,000 55 25 C 6,000 10 30 D 22,000 365 0


 

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Psychology Assignment

Why choose one assessment method over another? What might be the challenges of the assessment method you chose? There are a variety of factors to consider when selecting an assessment method. What might be the benefits of an essay test over a multiple-choice test? Are you evaluating a student’s ability to retain facts or apply concepts and principles? These are only a few of the possible areas of assessment you might choose when selecting an assessment method. In this week’s Assignment, you will add an example of some methods of testing to your Teaching Portfolio. Consider the strategies discussed this week as you develop your exam and prepare the correct responses.

For this Teaching Portfolio Assignment, review and study this week’s Learning Resources, including Griggs’s Psychology: A Concise Introduction textbook to help in the selection of your assignment topic. Select a new topic or use the topic you selected in Week 4 as the focus of an exam that you will design for “your” introductory psychology class.

Assignment (5 pages, APA format where appropriate)

Your exam must include the following:

An explanation of the topic you selected, referencing the chapter in the Griggs Psychology: A Concise Introduction textbook you consulted
Five multiple-choice questions (identify the correct answer with boldface type)
Three fill-in the blank prompts (include the correct response in boldface type following the question)
One essay question (include, in boldface type, a list of elements that you will be looking for as you grade).
A determination of points for each of your questions and a calculation of the percentage for each question of the total 100% available. For example, if your multiple-choice questions are worth 10 points each and there are 100 points available in the test, one multiple-choice question is worth 10/100 = 0.10, or 10% of the total 100%.
Introduction to psychology

Holley Simmons

Walden University

Introduction to psychology

Psychology deals with the scientific study of the mind and the behavior of a person. The word psychology is derived from two Greek words, “psyche” and “logos” which mean life and explanation respectively. Therefore, psychology generally is the meaning of life where we endeavor to understand life. In everyday life we apply psychology either knowingly or unknowingly with popular television shows such as Dr. Phil utilizing psychologists to help people understand what they are going through. There are many types of psychologists, each dealing with a certain specific aspect of life (Mangal, 2019). Examples of this include school counselors, marriage and family therapists, religious therapists among many others.

Engagement statements/ questions:

· What is your opinion on what psychology is?

· What do you expect to learn in this course?

Point 1. Why is using intuition about everyday behavior insufficient for a complete understanding on the causes of behavior?

Psychologists rely on existing research which is based on scientific methods to understand the causes of a behavior. Therefore, utilizing intuition to carry out an activity which is achieved using scientific methods is not possible. However, human being is often compelled to utilizing their intuition to understand their behavior and in essence, they get to learn the principles of human behavior (Ross, 1977).

Examples of this instances include:

· Tendency to be depressed after failing at something important

· Giving bad news often leads to being blamed even in instances where one is not responsible for the bad news.

Scientific data is based mostly on these observations. However, it is not advisable to utilize intuition because it is not particularly thorough. Often one explanation of a behavior is taken as long as it seems right, however, there exists other explanations which are not taken into consideration. An example of this is where eyewitnesses are overconfident in the identification of a crime perpetrator. However, research has shown that they are often overconfident in incidences where they are wrong.

When using intuition, there are cognitive and motivational biases which may influence the way we interpret a behavior. This often led to drawing of erroneous conclusions. Therefore, it is important to accept the explanations of events after they have been scientifically tested to ensure that the conclusion made is not erroneous but the facts.

More often, after being presented by the results of a scientific research, one believes that they would have made a similar inference. Therefore, many people tend to disregard the importance of research since they believe that research arrives at similar conclusions as theirs. However, this feeling is caused by hindsight bias where after learning the results, we often connect it with examples in real life which support the findings. These examples may not come into mind without having read the examples and consequently, one may not have arrived at similar conclusions as the research (Krueger & Funder, 2004).

Questions for interaction:

· Can you provide examples where hindsight bias might come into play?

· An exercise of this is where students are presented with findings on a research on the attraction between people. 50% of the students are presented with research findings that opposites attract while the other 50% are presented with research findings that birds of a feather flock together. In both instances, the students are likely to agree with the findings of the research and would believe that they would have arrived at a similar conclusion. However, it has been proven that the findings of birds of a feather flock together is the correct inference.

Point 2. Difference between values and facts and how scientific method is used to differentiate between the two

Values are personal statements which are not based on facts while facts are objective statements which have been proven to be accurate trough an empirical study.

Ask the class to provide examples of statements that portray values and those that portray facts (Cohen, 2011).

Examples

· Values: Studying psychology is important, I am a good person

· Facts: the heart normal resting heart rate is 60 to 100 beats per minute

Values should not be the basis for the creation of facts. However, people often utilize facts to create their values. This would consequently inform their decision-making process. An example of how facts may impact values is an incidence where research has proven that capital punishment leads to a reduction in the crime rate. Making this research finding known may lead to people developing the value that capital punishment is good.

Research may prove a point and it is taken as a fact. However, advances in technology and upon further research, this may be proven to be incorrect and hence it be classified as a value rather than a fact. This proves that scientific methods are not always correct, however, they provide the best approach to drawing objective conclusions and understanding what is going on around us (Cohen, 2011).

Psychology utilizes levels of explanation which provides perspectives towards understanding a behavior. The lower levels explanation is influenced by biological factors such as genes and hormones, the middle levels explanation is influenced by individual characteristics while the higher-level explanation is influenced by social groups, organizations, and cultures. While intuition may take one approach only, psychology takes a multilevel integrative analysis which enables the conclusion to be more reliable (Cohen, 2011). Examples of this levels using depression:

· Lower level. Depression is partly influenced by genetics

· Middle level. Depressed people interpret events in a negative manner.

· Higher levels. Women are more susceptible to depression than men.

The application of the results of a research in psychology may prove to be problematic. The predictions which are made are mostly probabilistic. An example of this is where people who score highly in intelligence tests are predicted to do better as compared to those who score lower. This might be the case for a majority of the people, but there is a defiant population where even with a high score in the intelligence tests, they do not do better when compared to those who score lower.

Point 3: The many disciplines of psychology

Contrary to the belief of many, psychology is not one but rather a collection of many sub disciplines. They share a common some common approaches and exchange knowledge to arrive at one coherent discipline known as psychology (Gangestad, & Tybur, 2016). They include:

· Cognitive psychology. This is field of psychology which utilizes brain imaging and reaction time to study memory, language and thinking.

· Developmental psychology. These deals with the cognitive, notional and social changes which take place in the life of an individual.

· Health psychology. These deals with the impact that biology, behavior and social situations impact health and illness.

· Personality psychology. These aim at understanding people and the differences which occur between them.

· School and educational psychology. This field helps to study how people learn in school, the effectiveness of the school programs and the psychology of teaching.

Give the class an opportunity to provide other examples of sub disciplines of psychology.

As you can see, there are many areas in which one can choose to study psychology. This is an interesting field and it allows one to get an understanding of what happens in a specific area of life.

Activity

The activity to utilize in this case is the use of a quiz to test the understanding of the students. The score of the quiz will be used to determine whether or not the students have been able to understand the learning activities. The answer the the quiz will be graded depending on how comprehensive it is.

1. What is psychology?

2. Why is using intuition insufficient to predict everyday…