The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a Practice Problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement (Put an example of patientdisease )in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both Quantitative and Qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research.

 reference include the article’s abstract. The completed assignment should have a title Create a reference list in which the six articles are listed. Beneath each page and reference list with abstracts a.

Suggestions for locating qualitative and quantitative research articles from credible sources:

1.     Use a library database such as CINAHL Complete for your search.

2.     Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.

3.     When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

 
The Affordable Care Act was signed into law in the spring of 2010 and was followed later in the year by the launch of a 10-year agenda for improving the Nation’s health: Healthy People 2020. According to the Office of Disease Prevention and Health Promotion, a department of the U.S. Department of Health and Human Services, the initiative is intended, in part, to help identify national health improvement priorities, strengthen policies and improve practices, achieve health equity and improve the health of all groups (https://www.healthypeople.gov/2020/About-Healthy-People).
 
Information available at the following links will be used in the preparation of this assignment: 

• 2020 Leading Health Indicator Topics  https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics  
• Who’s Leading the Leading Health Indicators?https://www.healthypeople.gov/2020/LHI/whosleading.aspx  
• Public Health 3.0https://www.healthypeople.gov/2020/tools-resources/public-health-3  
• County Health Rankings & Roadmaps website located at http://www.countyhealthrankings.org/ 

Select your state on the County Health Rankings & Roadmaps website: 

• Review the most recent state Summary Report(Downloads tab)  
• Review the Health Gaps Report for your state, paying close attention to the Highlighted Health Gapssection that are considered to be meaningful gaps that policymakers and leaders may want to examine more closely.

Prepare a report discussing the meaningful health gaps in your state and how health policies supporting community and national health can help close those gaps. Your report should also include a discussion of differences in health outcomes and health factors between the county ranked #1 in your state and the one ranked the lowest, suggesting county health policies that could help improve the ranking of the latter. Finally, your report should conclude with a summary of how public policies support community and national health.
 
The body of the report should be 3-4 pages, excluding the title page and references page. The County Health Rankings and the Health Gaps Report must be listed on the references page along with any other references you use in preparing the report. Use the following format for these required references: 

• Robert Wood Johnson Foundation & University of Wisconsin Population Health Institute (insert copyright year). (insert state name) Health Gaps Report. Retrieved (insert date) from http://www.countyhealthrankings.org/  
• Robert Wood Johnson Foundation & University of Wisconsin Population Health Institute (insert copyright year). (insert state name) Summary Report. Retrieved (insert date) from http://www.countyhealthrankings.org

The news headlines provide a constant supply of social scenarios that present us with opportunities to contemplate socioemotional development. How are the emotional and social characteristics of a child affected by trauma, adversity, or challenge? Conversely, what role does a child’s socioemotional development play in shaping society’s response to issues such as teen pregnancy and bullying?

To prepare for this Discussion, review this week’s Learning Resources.

By Day 3, post a comprehensive response to one of the following:

• 
  
• What are the threats to the emotional development of a child born to a teen parent versus an older parent?
• 
  
• When children commit violent crimes, should they be tried as adults?
• 
  
• What makes early childhood and young adulthood a vulnerable time for humans to be affected by bullying?

Include specific examples to help support your position. Be sure to use supporting documentation and cite your sources in correct APA format.

_________________________________________________________________________

APPLICATION DUE SUNDAY

Application: Synthesis Paper

Socioemotional development determines how we see ourselves and how others see us. This two-way interchange begins during our earliest experiences with our primary care givers and continues through to our final moments.

This week, you will begin work on a paper in which you will synthesize information presented in Weeks 4 and 5. The Synthesis Paper is due by Day 7 of Week 5.

To prepare for this Synthesis Paper, review this week’s Learning Resources. Then select a socioemotional issue, such as self-esteem, risk taking, body image, gender identity, disability, forming relationships, or another issue of your choosing.

To complete this Synthesis Paper, write a 2- to 3-page paper in which you examine how the issue you select manifests in each of the following developmental stages:

• Early childhood
• Adolescence
• Early adulthood
• Middle adulthood
• Late adulthood

You should provide examples of the issue you select at each developmental stage of human aging. Cite at least two sources from the Learning Resources in your paper.

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.

_______________________________________

RESOURCES…..

Media

Video: Laureate Education (Producer). (n.d.). Aging across the lifespan: Socioemotional development: Aging from birth through adolescence [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 26 minutes.

In this week’s media, Dr. Nina Lyon-Bennett explores theorist Erik Erikson’s eight stages of socioemotional development; the four types of emotional attachment; sibling relationships; the effect of divorce and remarriage on children; the correlation between caregiver and peer relationships in children; and the impact of media on adolescents.

Media

Video: Laureate Education (Producer). (n.d.). Aging across the lifespan: Socioemotional development: Aging from birth through adolescence [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 26 minutes.

In this week’s media, Dr. Nina Lyon-Bennett explores theorist Erik Erikson’s eight stages of socioemotional development; the four types of emotional attachment; sibling relationships; the effect of divorce and remarriage on children; the correlation between caregiver and peer relationships in children; and the impact of media on adolescents.

Media

Video: Laureate Education (Producer). (n.d.). Aging across the lifespan: Socioemotional development: Aging from birth through adolescence [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 26 minutes.

In this week’s media, Dr. Nina Lyon-Bennett explores theorist Erik Erikson’s eight stages of socioemotional development; the four types of emotional attachment; sibling relationships; the effect of divorce and remarriage on children; the correlation between caregiver and peer relationships in children; and the impact of media on adolescents.

Media

Video: Laureate Education (Producer). (n.d.). Aging across the lifespan: Socioemotional development: Aging from birth through adolescence [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 26 minutes.

In this week’s media, Dr. Nina Lyon-Bennett explores theorist Erik Erikson’s eight stages of socioemotional development; the four types of emotional attachment; sibling relationships; the effect of divorce and remarriage on children; the correlation between caregiver and peer relationships in children; and the impact of media on adolescents.

• Video: PBS. (2002, January 31). Frontline: Inside the teenage brain. Retrieved from http://www.pbs.org/wgbh/pages/frontline/video/flv/generic.html?s=frol02sfa9q392&continuous=1
  
  Adolescents are often the brunt of jokes and derision for their perceived lack of common sense. How often have you heard, or even said, to an adolescent, “where is your brain?” or “what were you thinking?” This segment, from the PBS series Frontline, examines what is actually happening inside the developing adolescent brain.

Readings

• Course Text: Kail, R. V., & Cavanaugh, J. C. (2016). Human development: A life-span view. (7th ed.). Belmont, CA: Wadsworth Cengage Learning.  
• • Chapter 5, “Entering the Social World: Socioemotional Development in Infancy and Early Childhood”
  • Chapter 7, “Expanding Social Horizons: Socioemotional Development in Middle Childhood”
  • Chapter 9, “Moving into the Adult Social World: Socioemotional Development in Adolescence”
  
  From infancy through adolescence, humans are forming the interpersonal connections and developing the complex emotions that will define them socially. In this week’s textbook reading, you will be examining the development of the social self in the first half of the lifespan.

____________________________________________________________________________-

DISCUSSION BOARD DUE WEDNESDAY 250 TO 350 WORDS ONLY

HEALTH INFORMATICS

Health Informatics and Changes in Society and Practice

To prepare for this Discussion, review the assigned readings. Then consider the changes that have occurred in ONE of the following areas and how this relates to health informatics:

• Evidence-based practice
• Health management and clinical decision making
• Society and Culture
• Patient Safety
• Consumer Health
• Design of health technology
• Public Health

By Day 3, post a comprehensive response to the following:

• Describe at least two changes that have occurred in the last 10 years relative to your chosen topic. Be specific.
• What are the benefits and challenges of each change?
• What needs to happen next and why?

____________________________________________________________________

APPLICATION DUE SUNDAY

Application: Decision Support Systems

To prepare for this Application Assignment, review this week’s readings and websites. Then pick ONE scenario below to address for this week’s Application.

Construct a convincing argument in 400-500 words that explains the benefits and the challenges of using a CDS in the clinical situation you choose. Use your readings to support your rationale.

The following three scenarios depict examples of the use of CDS (Healthcare Information and Management Systems, 2012, Retrieved from http://s3.amazonaws.com/rdcms-himss/files/production/public/HIMSSorg/Content/files/CDS101WebSite.pdf:

Scenario A
You are a nurse on a busy surgery unit in an acute care hospital. Every time you administer a medication, you are required to scan the bar codes of your patient’s wristband and the medication. Occasionally, this process prompts an alert that the medication you are about to administer is contra-indicated for your patient.

Scenario B
You are a primary care physician in a large group practice that uses an electronic health record (EHR). At the beginning of each visit, you view a dashboard of preventive care measures – like flu vaccine, colon cancer screening, cholesterol tests – that are due for your patient, based on age, medical history (problem list), and medication list stored in the EHR.

Scenario C
You are a care manager in an emergency department. Thirty patients are in the unit right now, and new lab results, imaging studies, and orders are constantly being posted on all of them. You have a visual “air traffic” tracking display which shows which patients have not been seen yet, which have new orders to process, which have abnormal lab results, which ones have been in the unit more than four hours, which have inpatient beds ready, and more. Your status display filters and reformats all the information to help you know where to direct your attention next.

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.
__________________________________________________

RESOURCES

Readings

• U.S. Department of Health & Human Services. (2014). eHealth tools you can use. Retrieved from http://www.healthit.gov/patients-families/ehealth
• Walker, J., & Carayon, P. (2009). From tasks to processes: the case for changing health information technology to improve health care. Health Affairs, 28(2), 467-477. Retrieved from: http://content.healthaffairs.org/content/28/2/467.full.pdf+html-
• Park, T., & Basch, P. (2009). A historic opportunity: Wedding health information technology to care delivery innovation and provider payment reform. Center for American Progress. Retrieved from: http://www.americanprogress.org/issues/healthcare/report/2009/05/18/6025/a-historic-opportunity/
• Chaudhry, B., Jerome, W., Shinyi, W., Maglione, M., Mojica, W., Roth, E., & … Shekelle, P. G. (2006). Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care. Annals Of Internal Medicine, 144(10), E12-W18, 144:742. Retrieved from: http://annals.org/article.aspx?articleid=723406
• Power, D. (n.d.). Types of decision support systems (DSS). Retrieved from http://www.gdrc.org/decision/dss-types.html
• Berner, E. S. (2009). Clinical Support Systems: State of the Art. Agency for Healthcare Research and Quality (AHRQ Publication No. 09-0069-EF). Retrieved from https://healthit.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
• Weaver, C. (2010, April 7). Savings from computerizing medical records are hard to measure. Kaiser Health News. Retrieved from http://www.kaiserhealthnews.org/Stories/2010/April/07/veterans-admin-electronic-health-record.aspx
  

Optional Resources

Readings

• Berry, K. (2008, February). A Rx to improve medication safety. Behavioral Healthcare, 28(2), 36–8.

Websites

• Health IT
  http://www.govhealthit.com/

• Agency for Healthcare Research and Quality
  http://www.ahrq.gov

Write a 2-3 page review, double-spaced evaluation of your selected document as follows:

• Introductory paragraph: This includes a brief description of the selected patient materials and why they have been selected. Address the following issues: Toward whom is this document directed? What is the age of the reader of this information? If the reader has disabilities, are they addressed to assist the reader? What ethnic/cultural groups do you interact with in your practice?
• 2nd paragraph: Using the “Checklist for Easy-to-Understand Print Materials,” assess whether the document is easy to understand. Evaluate the document in each of the six areas: message content, text appearance, visuals, layout and design, translation, and understandability. For each area, provide a summary of your assessment according to the criteria given. Please note that you do not need to address whether the document has been pre- or post-tested.
• 3rd and final paragraph: Suggest revisions to improve health literacy. Suggest one revision for each of the six areas.

Draft a revision of the patient document that you believe will enhance the health literacy level. Explain how your revisions are important for nursing practice. Your revision can be a new handout, flyer, or any written documentation that you would provide to the patient.

Health information literacy has become an important aspect of quality care that is also critical for patient safety and culturally competent care. In this Assignment, you are asked to evaluate a document in your agency to determine the appropriateness of the images and level of language used. The Centers for Disease Control and Prevention’s publication in this week’s Resources will guide you through the review and proposed revision of the document.

For this Assignment:

• Locate a patient-related document that is given to patients in your practice area or an area with which you are familiar. This document could be admission paperwork, health education materials, or other materials that are provided to a patient to inform them about health care decisions.