...Running head : UNDERSTANDING ENDOMETRIOSIS 1 UNDERSTANDING ENDOMETRIOSIS 2 Endometriosis is a condition when the lining of the uterus grows in other places. The lining of the uterus sheds and that’s what creates the menstruation cycle. The lining grows in the fallopian tubes, along the pelvis and the ovaries that cause heavy flow and sever cramps. Over 6 million women in America suffer from this condition. Endometrial implant occurs primarily in the abdominal and pelvic area of the body. The endometrial breaks down and bleed in conjunction with a female normal menstruation cycle. This break down of the lining causes inflammation and pain. The inflammation can lead to further complications like fibrosis, scarring and adhesions. (Huether, S & McCane, K, 2012) The cause of endometriosis is unknown. Some say is caused by the backflow of menstruation. They also say it can be a genetic disorder. Know one knows the exact cause of endometriosis but it can have some serious effects. The symptoms of endometriosis are pelvic pain, dypaurnia, dyschezia and abnormal vagina bleeding. (Huether, S & McCane, K , 2012). Some people...
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...PICOT Question PICOT Question As a Hispanic American, the realization that my family and I are at increased risk of receiving a diagnosis of Type 2 Diabetes is a real consideration. Within the last 2 years both my mother and father have been diagnosed with this disease. Additionally, all of my grandparents have been diagnosed with Type 2 Diabetes and two have died as a result of comorbidities associated with this disease. It is estimated that Hispanics are at 50% to 100% increased risk of experiencing burden of illness and mortality compared to non-Hispanics (Two Feathers et al., 2005, p. 1552). Additionally, the elimination of racial and ethnic disparities regarding type 2 diabetes risk factors have been identified as a goal for the Centers for Disease Control and Prevention (Two Feathers et al., 2005, p. 1552). The discipline of nursing is one that is concerned with human responses and in affecting improved health and wellbeing in the communities we serve. Therefore, it is in the realm of nursing to understand and remove barriers to improve health outcomes in Hispanic Americans with newly diagnosed type 2 diabetes. Therefore I pose the following PICOT question: How do adult Hispanics with newly diagnosed type 2 diabetes perceive barriers to implementing dietary and lifestyles changes to reduce A1C levels in the first 3 months after diagnosis? P- (population) adult Hispanics with newly diagnosed type 2 diabetes. I- (issue of interest) perceived barriers...
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...The PICOT question format is a consistent "formula" for developing answerable, researchable questions. Writing these questions is deceptively simple! When you write a good one though it makes the rest of the process of finding and evaluating evidence much more straightforward. As strange as it sounds deciding what you are looking for related to your outcome can be one of the hardest parts! When you determine the outcome it helps you hone the process of searching for evidence. Remember evidence is not just what you want the outcome to be... it is evaluating the evidence supporting or refuting what influences the outcome. If you are interested in getting to the heart of the effect of testing Foley balloons on the rates of UTIs then you need to find evidence on the pros and cons of testing the balloon! Question Templates for Asking PICOT Questions: P: Population/disease (i.e. age, gender, ethnicity, with a certain disorder) I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) C: Comparison: (could be a placebo or "business as usual" as in no disease, absence of risk factor, Prognostic factor B) O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome) T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed). Note: Not every question will have an intervention (as in a meaning question)...
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...Picot exemples Around five years back, our hospital intensive care unit switched to using wipes for daily bathing and cleaning patients. I assume this was based on studies that wash clothes and basins can be a source of infection. Two kinds of wipes were introduced at that time. One was 2% chlorhexidine gluconate (CHG) wipes and the other was regular wipes (we called them peri wipes) which we used for the face and perineum. The general impression was that the CHG wipes could not be used for the perineum as it was too harsh for the sensitive skin in the face and perineum. Even though we learned later that the CHG wipes are safe to use in the perineum region (as per the Manufacturer), old habits die hard and we continue to use the peri wipes for cleaning the perineum in both urinary catheterized and non-catheterized patients. This is absolutely okay for non-catheterized patients but since then I always wondered if using the CHG wipes in the perineum during daily baths and routine periuretheral cleansing in catheterized patients would help in bringing down the rates of catheter associated urinary tract infection. If the evidence is strong enough, this practice can be implemented without any additional cost to the organization as we already use CHG wipes for the rest of the body. Also, there would not be any additional time or effort to be invested by the direct-care nurses as daily baths and routine periuretheral cleansing is already the current practice. Based on this...
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...State your PICOT question. Did using the terms used in this question lead you to useful research studies? The PICOT question is, In obese women with PCOS ages 18-44 (P) does family based lifestyle modification (I) compared to individual lifestyle modification (C) have a greater impact on BMI (O) within 24 months (T)? Using the PICOT question exactly as how it is written yield no result but, using some of the terms such as, PCOS- yield over 3600 result, PCOS and obesity- yield 1948 results, PCOS and lifestyle modification- yield 360 results and PCOS and BMI- yield 1713 result, all these results were obtain from the US National Library of Medicine National Institutes of Health. Using some of the terms in the PICOT question did lead to useful research studies. What MESH terms have you tried? Did they help you find additional studies? Are you finding MESH terms useful to expand or delimit your search? The MESH terms that this writer have tried includes, polycystic ovary syndrome, polycystic ovarian syndrome, syndrome polycystic ovary....
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...Frost Disseminating Evidence Dianna Frost Grand Canyon University Professional Development NRS-441V November 04, 2012 Frost Disseminating Evidence Disseminating the evidence from this program to community health nurses (CHM) is vital. The CHMs in this ASU nurse-managed health clinic (NMHC) in downtown Phoenix are in particular advantageous position to help address the problem of maternal obesity, because their primary cliental is college age students as well as other women of childbearing age in the local community. This evidence supporting preconception care will be presented to the clinical board for the ASU-NMHC, as well as financial supporters for the unique position they are in to drive this cost effective program to improve the health of future generations. These CHM encounter women of childbearing age during clinical visits and can begin to provide preconception education during clinical visits. They can be proactive in identifying those whom are at high risk for adverse pregnancy outcomes. Education about the effects of high risk health behaviors early before pregnancy and the effect on future children will reduce adverse pregnancy outcomes. Women who are appropriately informed with evidenced-based education will be empowered to make better choices about their health. They will be more likely to adapt positive health strategies to reduce a BMI greater than 30 with improved nutrition and physical activity, as well as decrease high risk behaviors. CHMs can also...
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...PICOT Literature Review Mia Fisher Grand Canyon University EBP 325 Wendy Cockron PICOT Literature Review This literature review examines the available research on the topic of the administration of natural surfactant vs synthetic surfactant in neonates with respiratory distress syndrome. Respiratory distress syndrome is caused by a deficiency, dysfunction, or inactivation of pulmonary surfactant and is a significant cause of morbidity or mortality of preterm infants. The literature reviewed, highlights the differences in extracted natural surfactants and synthetic surfactants and whether one proves to be more beneficial over the other. Pfister RH, Soll R, Wiswell TE. Protein-containing synthetic surfactant versus protein-free synthetic surfactant for the prevention and treatment of respiratory distress syndrome. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD006180. DOI: 10.1002/14651858.CD006180.pub2. In the above article the use of synthetic surfactant is discussed with regards to protein containing or non-protein containing synthetics. The synthetics that contain proteins have shown a higher efficacy in preventing respiratory distress syndrome than those without. The research suggests the reasoning for this is due to the synthetic containing proteins acting like naturally occurring surfactant proteins. This research lends to the rationale that the synthetic containing protein surfactants effectiveness being like that of a natural surfactant...
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...evidence-based nursing. This first milestone offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the milestone will include identification of the problem or concern using the PICOT format and a literature search to find evidence to support an intervention that will change the outcomes. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO4 Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4) CO8 Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8) DUE DATE Milestone #1 consists of the completion of one worksheet that contains to parts (i.e., the PICOT portion and the Literature Search portion). Submit the worksheet with the two portions completed to the Dropbox by the end of Week 2. POINTS This milestone is worth 200 points (100 for each portion of the worksheet). DIRECTIONS 1. Read this document including the grading rubrics below. 2. Download the PICOT/Literature Search Worksheet from Doc Sharing.Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to a nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional...
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...PICOT is an acronym for the elements of the clinical question: patient population (P), intervention or issue of interest (I), comparison intervention or issue of interest (C), outcome(s) of interest (O), and time it takes for the intervention to achieve the outcome(s) (T). When Rebecca asks why the PICOT question is so important, Carlos explains that it's a consistent, systematic way to identify the components of a clinical issue. Using the PICOT format to structure the clinical question helps to clarify these components, which will guide the search for the evidence. A well-built PICOT question increases the likelihood that the best evidence to inform practice will be found quickly and efficiently. Templates and Definitions for PICOT Questions5, 6 Question type Definition Template Intervention or therapy To determine which treatment leads to the best outcome In _____________________ (P), how does ______________ (I) compared with _________ (C) affect __________________ (O) within _________________ (T)? Etiology To determine the greatest risk factors or causes of a condition Are ______________________________ (P) who have ________________________ (I), compared with those without ________ (C), at ____ risk for ____________________ (O) over _____________________________ (T)? Diagnosis or diagnostic test To determine which test is more accurate and precise in diagnosing a condition In ______________________________ (P), are/is ___________________________...
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...One epiphany that I had in this class is seeing the difference between research questions and evidence-based practice questions. Research questions brings a new knowledge in to nursing that has been tested. Through this course I was able to expand my knowledge of evidence-based practice from my ADN program. In my ADN program I had the chance to learn a bit about how to write a PICOT question. I am glad I get to do some more practices in this course and see how a PICOT is used. I enjoyed reading the class discussion and learn from them. It was nice to see how evidence based practice is being apply in my cohorts area of practices. From the nursing word activity it interesting to learn about the different nursing theories and how I can apply...
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...NURS 439 DISCUSSION QUESTION WEEK 2 To purchase this visit here: http://www.activitymode.com/product/nurs-439-discussion-question-week-2/ Contact us at: SUPPORT@ACTIVITYMODE.COM NURS 439 DISCUSSION QUESTION WEEK 2 One of the most challenging aspects once your PICOT question is developed is to conduct an effective search of the literature to be certain you have not missed important sources of information. I know I have been challenged in the past with being certain I had investigated all potential sources of evidence. For example, many times, I am researching educational literature and I often find that I can locate information from a variety of sources including nursing databases (Cinahl). One of the most helpful things I have found to do is when I am conducting a search is to look in the reference list for the articles I am choosing to discover if I am missing an important article or book from a source I haven’t explored yet. I look forward to learning about the challenges you faced in your literature search and how you overcame those challenges. I can assure you that we will all learn a lot from this discussion. The Course Outcomes (COs) we will apply in Unit 3 include: • Examine the sources of evidence that contribute to professional nursing practice. • Apply research principles to the interpretation of the content of published research studies. Review the guidelines, grading rubric, and brief video (link found in guidelines) that explain the Research Database...
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...towards obtaining a DNP degree at Chamberlain College of Nursing, I will proudly say that I have completed a sixteen week of my DNP journey that the ANCN has advocated for. Hence, the following account is a self-reflection of my experience in the application of analytical methods course. Over that past eight weeks of the application of analytical methods course, we dealt with different topics, assignments, and discussions that range from PICOT question development to DNP project dissemination. I learnt the importance of evidence-based practices (EBPs) and their relevance to my current job as a nurse practitioner, and most importantly to my upcoming DNP project. My learning experiences during this eight weeks course section has been quite versed. In the first week, the class objective was to formulate a PICOT that will be used for an EBP intervention. I vividly could remember how I struggled to put a one-sentence PICOT question for high blood pressure education for African American adults. Later, I was able to come up with a better PICOT question at the end of the sixth week of class with the help of the class instructor. Similarly, I learnt about EBP models for practice. Examples of such models are: the ACE star (2004); IOWA (1994); Stetler and Marram (1976); Rosswurm and Larrabee models (1990); Alice Magaw (1902)….. Although these models have been in existence for quite a bit, I found them relatively new. In the class discussions, we discussed at length on how EBs and models...
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...assignment. Choose a nursing problem from your current practice setting, and identify a possible solution to that problem. Conduct a search of the literature related to this problem. Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review. Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications. Include the following components into the presentation: 1. Present the nursing practice problem with the PICOT question. 2. Discuss your appraisal of the literature that addresses the problem. 3. Present the proposed practice changes from an integration of the findings. 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. NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections To purchase this tutorial visit here:...
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...Palestine has been recognized as a common ground for the constant and continuous conflict between the Jewish and Arabic communities. Through these situations, outer forces, such as Britain, have attempted avaricious approaches to the predicament, which ultimately led to the eruption between the two parties[1]. Beginning with World War 1, The Sykes-Picot Agreement, and the Arabs, following through to The Balfour Declaration with the Jews, showed that the respective parties were forced to rely on outside forces to help mend their broken hearts full of nationalism and possession[2]. It is safe to say that these two breeds of strong-hearted individuals made an impact in more places than Palestine itself. With Britain’s reign over the land, it was the duty of the Arabs and the Jews to get along with one another as best as they could, provided that Britain would give each party what they were owed[3]. Britain and The Balfour Declaration contradicted the original deal during World War 1 between Britain and the Arab community, sparking the conflict between the Arabs and the Jews, which, to this day, made living in Palestine a hostile and challenging place to call ‘home’. The Balfour Declaration, created in 1917, revealed the British offering Israel as a homeland for the Jewish people[4]. For the Jews, this meant that they would finally be able to have what is rightfully their own. Israel is the birthplace of the Jewish community, and living on the land where their story began has been...
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...NUR 439 DISCUSSION QUESTION WEEK 2 To Purchase this tutorial visit following link http://wiseamerican.us/product/nur-439-discussion-question-week-2/ Contact us at: SUPPORT@WISEAMERICAN.US NUR 439 DISCUSSION QUESTION WEEK 2 One of the most challenging aspects once your PICOT question is developed is to conduct an effective search of the literature to be certain you have not missed important sources of information. I know I have been challenged in the past with being certain I had investigated all potential sources of evidence. For example, many times, I am researching educational literature and I often find that I can locate information from a variety of sources including nursing databases (Cinahl). One of the most helpful things I have found to do is when I am conducting a search is to look in the reference list for the articles I am choosing to discover if I am missing an important article or book from a source I haven’t explored yet. I look forward to learning about the challenges you faced in your literature search and how you overcame those challenges. I can assure you that we will all learn a lot from this discussion. The Course Outcomes (COs) we will apply in Unit 3 include: • Examine the sources of evidence that contribute to professional nursing practice. • Apply research principles to the interpretation of the content of published research studies. Review the guidelines, grading rubric, and brief video (link found in guidelines) that explain the Research...
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