problem statement - Nursing
see attached
Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research.
You will also be required to submit your completed practicum hours using CORE ELMS. You must submit a minimum of 20 hours with each assessment deliverable to receive a grade for the entire assessment.
Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assessment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course.
First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your projects scope.
Preparations
· Read
Guiding Questions: Problem Statement (PICOT) [DOC]
. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
· As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
. As you reflect on your work in the field, what population do you feel has the greatest need? Why? Is the need across the population, or within a specific setting?
. What interventions already exist for the selected population? Are they effective? Why or why not?
. How will site support from your practicum and your preceptor support your goals and objectives?
Instructions
Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.
At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked above) to better understand how each criterion will be assessed.
Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.
Your Problem Statement (PICOT) should be structured as follows:
PART 1: PROBLEM STATEMENT (2–3 PAGES)
Need Statement (1 paragraph).
· Analyze a health promotion, quality improvement, prevention, education or management need.
Population and Setting (1–2 paragraphs).
· Describe a target population and setting in which an identified need will be addressed.
Intervention Overview (1–2 paragraphs).
· Explain an overview of one or more interventions that would help address an identified need within a target population and setting.
Comparison of Approaches (1–2 paragraphs).
· Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
Initial Outcome Draft (1 paragraph).
· Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Time Estimate (1 paragraph).
· Propose a rough time frame for the development and implementation of an intervention to address and identified need.
PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)
· Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
· Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.
ADDRESS GENERALLY THROUGHOUT
· Communicate problem statement and literature review in way that helps the audience understand the importance and validity of a proposed project.
The population that I will working with will be 18 and older patients (inpatient facility) and the typically length of stay 7-10 days. Issues with placement or resistance to treatment can stay longer and a court hearing will be needed for these patients. Supporting family caregivers, assessing the needs of the family caregiver is important in this setting. Teaching essential skills to family caregivers ( nonverbal signals to look for or at , health care literacy, understanding the disorder, treatment plan, teachable moments that are useful to the caregiver) Communicating with family caregivers (sharing information, discussion of common goal, family meetings, communication strategies, caregiver education).
The physical, emotional and financial stress on the caregiver being some patients can’t work and be self-sufficient .Caregiver strengths and limitations so nursing interventions can be put in place to support the limitations. Caregivers cognitive and health status (they have to be healthy themselves to care for others)
Modifying care plans with collaboration of caregivers (care plans have to be completed with caregiver input and capabilities in place). Working with nurses and social workers to find proper resources for caregiver support. The top five diagnosis on the unit at Jersey City Medical center is Schizophrenia, Bipolar Disorder, Major Depression, and Borderline Personality Disorder & Psychosis NOS
My plan is to attend virtual family support sessions with social worker 3days a week in the evening, (will see the type of issues the family is having and want to discuss). I will engage in pre-court family prep sessions with nursing leadership (where patients are in court and being committed involuntary against their will) 32 bed facility only involuntary goes to court the unit has 21 beds for involuntary patients and 15 beds for voluntary patients.
Judge can order long term commitment in a longer facility, discharge home, continues the stay in the inpatient unit at Medical Center.
I will interview the family support person regarding common themes, etc. Family support person that navigates the family through this process. In my healthcare history I’ve since how stressful caregivers have been to the point where they’ve actually people the patients in live in facilities because of the behaviors. They weren’t capable of taking care of the needs of them. They would be okay but would attack the family, destroy the home, and just were very hard to handle in the home setting. The inpatient unit offer Individual support support groups, network with other families for support
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