...Identifying a Researchable Problem Marilynn Kirk Walden University NURS 6052N, Section 22, Essentials of Evidence-Based Practice December, 2015 Identifying a Researchable Problem: PICOT Question Researchers identify a research problem based on a topic of interest. The problem is then researched to solve it. In nursing practice research problems is the basis for evidence-based practice (EBP). “Evidence obtained from the study should have potential to contribute meaningfully to nursing practice” (Polit& Beck, 2012, p77). The purpose of this paper is to summarize an area of interest, identify a problem, and explain the significance of this problem for nursing practice. Area of Interest and Identification of Problem “Key criteria in assessing a research problem are that the problem should be clinically significant; researchable; feasible; and of personal interest” (Polit& Beck, 2012, p 92). The area of interest I chose was the post-anesthesia care unit (PACU). The PACU is a specialty area that recovers post-anesthesia patients. The patients in the PACU have received some form of anesthetic agent and require close monitoring. Close monitoring is required...
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...Clinical question My clinical question is “how is nursing residency program beneficial to new graduate registered nurses? Nursing residency program is a program designed to increase retention and provide essential tools to promote graduate nurse success and productivity. (Welding, 2011). Nurse Residency program gives the nurse who is a novice the learning base and expertise set required to move to clinical nursing practice competence while giving the skills required to meet the mission and objectives of the organization, the program gives nurses the administration abilities to work cooperatively within a multidisciplinary team. The nurse residency program bridges the gap between...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...Effects of Physical Restraints in Reducing Falls PICOT paper Larisa Myers Nova Southeastern University Effects of Physical Restraints in Reducing Falls Physical restraints are described as equipment attached to a patient’s body that limits movement. Physical restraints are commonly used in an adult medical facility to prevent patient’s falls or injuries, interference with clinical therapies, and protect patient from harming themselves or others (Kope et al., 2012). However, there is great debate whether or not physical restraints prevent falls. Evidence-based research can be used to expedite the recognition of adults at risks for physical restraints use and assists nurses to find alternative methods (Kope et al., 2012). Background Physical restraints are a common practice in industrialized countries (Kope et al., 2010). Older adults, who are confused, psychotic, and demented, have the greatest risk for being restrained in medical facilities (Kope et al., 2012). Physical restraints include hand mitts, waist belts, and wrist restraints to prevent body movements. The most common misconception among nurses is that restraints prevent falls or injuries (Kope et al., 2012). Data Bases and Key Terms The data base used to research effects of physical restraints in reducing injuries was CINAHL. The...
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...The Effect of Telemonitoring in CHF patients Evidence Based Practice Project Sacred Heart University The Effect of Telemonitoring in CHF Patients Evidence Based Practice Project Question (PICOT) Question: In elderly individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No...
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...Running Head: THE HEALTH BENEFITS OF MEDITAION The Health Benefits of Meditation Article Critique Part two Paper Rasheedah Long Grand Canyon University NSG 325: Evidence Based Practice 03/30/2015 The purpose of composing this paper is to review one article that supports the PICOT statement. This paper will be written as an essay and will scrutinize major components of the study such as the introduction, the review of literature, the methods used, the findings, and lastly the discussion. This paper will provide an analytical view of the chosen article, determining the applicability of the findings, the clinical importance, the validity and the reliability of the issue addressed in the article. There are many different types of mediation practices. Transcendental meditation and mindfulness based stress reduction meditation are two of the most commonly researched. Meditation is now widely accepted into mainstream and is being used as a way for maintaining health and wellness. Several medical and rehabilitation facilities have proved meditation to be a safe and effective tool for treating: “stress, fatigue, depression, anxiety, fibromyalgia, hypertension, rheumatoid arthritis, diabetes, tinnitus, congestive heart failure, general pain, as well as many other health ailments. (Natural Medicine Database, 2014) Article Introduction The introduction to the study was clear and concise. It clearly identified what the researchers were looking to establish. The introduction...
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...war resulted in the destruction of the empires, particularly the Ottoman Empire and Austria-Hungary Empire. The dissolution of the Ottoman Empire allowed many Middle East countries to be self-governed, while the West such as Great Britain and France had more interest in Europe than in the Middle East enabled the former to play a dominant role of colonization in the region. This seeded confrontation between two different civilizations, resulting in chaos later and to a large extent helping shape the Middle East in today's world. This paper attempts to examine this history arguing how the Ottoman Empire declined and eventually dissolved at the end of WWI. It shows that the internal problems of the Empire, such as its backward political and economic system, failed to compete with the increasing influence of the Western European countries, whose government was more efficient and more industrialized than the former, in the Middle East. The paper starts with a discussion of the contemporary situation in the Empire, and then deals with the problems that led to the conflicts between the Ottoman Empire and the European powers over the Middle East during WWI. It finally analyzes how the defeat of the Ottomans and the increasing British and French dominance in the Middle East laid the ground for today's conflicts in the region between the Arabic states and the Jewish nation, which is supported by the West. Since 1600s the Ottoman Empire had controlled a large territory extended from...
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...Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Sciences 110 (2014) 1251 – 1261 Contemporary Issues in Business, Management and Education 2013 Virtual teams: opportunities and challenges for e-leaders Snellman Carita Liliana* a Metropolia University of Applied Sciences, Business, Leiritie 1, Vantaa 01600, Finland Abstract In the globalized world with crucial technological changes, leaders are facing unforeseen opportunities as well as challenges while striving to reach their objectives. Such changes have led to organizational restructurings and implied rethinking of leadership functions and practices. Changing organizational structures, from traditional hierarchical towards lower and more flexible ones, have made leaders organize work in new ways. Teams account for one new way of organizing work and reaching organizational goals. Likewise, globalized markets have made leaders search for new solutions to meet the needs of customers. In consequence, organizations strive for competitive advantages through downsizing, subcontracting, joint ventures, strategic alliances, and other collaborative and network-based alternatives which are typically facilitated by virtual teams. Virtual teams are geographically and organizationally dispersed teams that function over time zones. Due to such dispersion, physical contact in virtual teams is reduced or lacking altogether which means that collaboration is enabled by IT-solutions...
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...EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand...
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...Research Paper Racism and Immigration Rémi Drapeau Student ID: C3623 Mailbox # SH649 Work presented to Kimberly Cook, course professor Social Problems & Their Impact on the Workplace BA Organizational Management, OM3413 Degree Completion Program Crandall University April 12th, 2016 Introduction 5 What Is Racism and who does it affect? 6 Challenges in the labour market 8 Who are the Muslims in Canada? 10 Aboriginals in Canada 11 References 13 Introduction Racism, immigration and exclusion are topics that seem to go hand in hand. From what I have learnt in the past few weeks, they are all far more present than I had realized. We see it in schools, justice system, job market etc. In the next few pages I will explain how they correlate in Canada today. More specifically relating to aboriginals and Muslims. Canada is home to more than 200 ethnic groups, with 16% of its population (over five million individuals) identifying as a visible minority. Information from the Census showed that Canada’s visible minority population grew 27% from 2001 to 2006, five times faster than the population as a whole. The diversity of Canada’s population is expected to continue to increase over the next two decades. According to projections by Statistics Canada up to 14.4 million Canadians (or about one-third of the population) will be members of a visible minority by 2031. The religious composition of the country is also changing, with some of the largest...
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...Interventions can focus on gathering data from past patients, improving assessments, and assessing barriers that everyone faced throughout the system. This essay will divide the chosen sources between family caregiver data, patient voiced data, and hospital data either nurse or electronic record. All sources used had overall positive result and mainly focused on assessments before and after interventions to determine effectiveness. Does providing consistent pain management in patients receiving palliative care improve their overall satisfaction with treatment and quality of life? Discussion of Search An electronic search was performed using the Cumulative Index to Nursing and Allied Health Literature (〖CINAHL〗^®) database. Based on the PICOT question, the key words used were pain management, hospice care, palliative care, and pain. These words were also searched as pain management AND hospice care or pain management AND palliative care. Included articles were of various designs but all focused on ways to improve pain management or evaluation. Articles were chosen based on their population, who completed the intervention (nurse, patient, or caregiver), and if the article was attempting to improve patient quality of life/care. Seven studies (Cagle, J. C., Zimmerman, S., Cohen, L.W., Porter, L.S., Hansen, L.C., & Reed, D. 2015; Covington-East, Best, & Hines, 2014; Hunnicutt, Tija, & Lapane, 2017; Kelly, Bender, & Harris, 2014; Mayahara, Foreman, Wilbur, Paice, & Fogg, 2014; Oliver,...
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...Critique of Colella & Gejerman’s Study “Survivorship Health Information Counseling for Patients with Prostate Cancer” Laura Laughbaum, SN Lake Superior State University Abstract This paper is an academic critique of an article written by Colella and Gejerman (2013) titled: “Survivorship Health Information Counseling for Patients with Prostate Cancer.” The authors undertook a research study to examine whether specialized discharge education counseling increased prostate cancer patients satisfaction with their care and education related to their chronic health problems after radiation therapy. My examination systematically focuses on specific aspects of the article in terms of process and validity of research methods and results. I have attempted to develop a cohesive and unified explanation which not only expounds the particulars of the research but which also formulates a clear interpretation of that research throughout. I suggest that the lack of communication of the researchers in this article about their methods of sample selecting and data analysis greatly reduces the validity and generalizability of their findings. Critique of Colella & Gejerman’s Study “Survivorship Health Information Counseling for Patients with Prostate Cancer” In their article, “Survivorship Health Information Counseling for Patients with Prostate Cancer,” (Colella & Gejerman, 2013) outline...
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...Technische Universität Berlin Fakultät VIII: Wirtschaft und Management Institut für Technologie und Management Fachgebiet Strategische Unternehmensführung Prof. Dr. Michael Mirow Seminar Paper on Strategies to Achieve Market Leadership: The Example of Amazon (Summer term 2005) presented by: Sören Preibusch, 215995 Matthias Fleckenstein, 215274 Kottbusser Damm 24 Magistratsweg 21 10967 Berlin 13593 Berlin Berlin, May 17, 2005 Table of Contents I Table of Contents Table of Contents ............................................................................................ I Table of Abbreviations.................................................................................... II Table of Figures............................................................................................. III Table of Tables..............................................................................................IV 1 Introduction.................................................................................................. 1 2 Market Leadership as a Strategic Goal in Electronic Commerce ................ 1 2.1 Value Chains and Actors in EC............................................................. 1 2.2 Principles for Success in Electronic Commerce.................................... 3 2.3 Porter’s Branch Structure Analysis applied to EC Markets ................... 4 2.4 Context Factors and Value Creation Potentials in EC Markets ...
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...Caregivers of Dementia patients Vascular dementia is the second most common form of dementia after Alzheimer’s disease. Caused by problematic supply of blood to the brain, symptoms include challenging communication, depression and anxiety, strokes, physical weakness or paralysis, confusion, changes in behaviour and difficulties in walking and unsteadiness. This paper discusses the problems faced by caregivers of patients suffering from vascular dementia who are above the age of 65 and possible recommendations to improve their plight through the review of the movie, Amour (a movie about an octogenarian couple, Georges and Anne, where Anne develops vascular dementia) and current literature pertaining to the topic. Georges “Put yourself in my place. Didn’t you ever think it could happen to me, too? Anne: “Of course I did. But imagination and reality have little in common.” Anne’s sudden speech arrest and frozen stare at the breakfast table with no recollection afterward are the first signs of a partial seizure. Caregivers, like Georges, who are not prepared for looking after patients are under pressure because of their increasing needs. Georges does not seem to mind this responsibility of taking care of her initially, but Anne’s condition deteriorates fast. She experiences profound right sided weakness and is bound to the wheelchair. Georges struggles to lift her from the wheelchair and make her sit on a chair or go the bathroom. Increased stress in his behaviour is...
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...long range planning Long Range Planning 34 (2001) 357-381 www.lrpjournal.com Success Factors of Strategic Alliances in Small and Medium-sized Enterprises—An Empirical Survey Werner H. Hoffmann and Roman Schlosser Strategic alliances are increasingly gaining favour over go-it-alone strategies for organisations to achieve fast and economical growth. This study aims to identify critical success factors in alliance-making with special consideration given to the specific situation of small and medium-sized enterprises (SMEs). A comprehensive questionnaire was used to interview a random sample of key executives in 164 Austrian SMEs. This paper reports on the results of that empirical survey, and seeks to identify the weights of various success factors in alliance-making in SMEs. The results show that “soft” facts such as trust are important for alliance success, but not on their own sufficient. Also “hard” facts such as strategic compatibility and appropriate governance mechanisms have an important influence on alliance success. Careful strategic planning and good partnership preparation are essential for alliance success, but the full value of an alliance has to be developed as it evolves. k 2001 Elsevier Science Ltd. All rights c reserved. Introduction Interfirm collaborations, such as strategic alliances and joint ventures,1 have become important business management instruments to improve the competitiveness of companies, especially in complex and turbulent environments...
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