Best, best - Nursing
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Student Name:
PICO and Literature Search
NUR4440
Scenario: Non-Pharmacological Management of Dementia: On the neurology inpatient unit, there are increasing numbers of patients with dementia. Some of the symptoms noted in these patients include agitation, wandering and even screaming and violence. A nurse on the unit was recently injured by an elderly man who attacked and hit her while she was providing nursing care to him. Your task is to propose a plan that will address the non-pharmacological management of dementia on the unit and train the nurses to provide quality care to patients with dementia.
PICO Question: In adults with Alzheimer’s disease, what is the effect of animal-assisted therapy compared to usual care on the intensity of agitation?
P: adults with Alzheimer’s disease
I: animal-assisted therapy
C: usual care
O: intensity of agitation
3 Keywords: Alzheimer’s, animal-assisted therapy, agitation
1 Synonym: dementia
1 MeSH term: psychomotor agitation
References
Majic, T., Gutzmann, H., Heinz, A., Lang, U. E., & Rapp, M. A. (2013). Animal-assisted therapy and agitation and depression in nursing home residents with dementia: A matched case-control trial. American Journal of Geriatric Psychiatry, 21(11), 1052-1059. https://doi.org/10.1016/j.jagp.2013.03.004
Nordgren, L., & Engström, G. (2014). Effects of dog-assisted intervention on behavioural and psychological symptoms of dementia. Nursing Older People, 26(3), 31-38. https://doi.org/10.7748/nop2014.03.26.3.31.e517
Olsen, C., Pedersen, I., Bergland, A., Enders‐Slegers, M., Patil, G., & Ihlebæk, C. (2016). Effect of animal-assisted interventions on depression, agitation and quality of life in nursing home residents suffering from cognitive impairment or dementia: A cluster randomized controlled trial. International Journal of Geriatric Psychiatry, 31(12), 1312-1321. https://doi.org/10.1002/gps.4436
Swall, A., Ebbeskog, B., Lundh Hagelin, C., & Fagerberg, I. (2017). Stepping out of the shadows of Alzheimer’s disease: A study of older people with Alzheimer’s disease caring for a therapy dog. International Journal of Studies on Health & Well-Being, 12(1), 124-127. https://doi.org/10.1080/17482631.2017.1347013
Updated 8/29/2020 CJPPICO and Literature Search Scenarios
1:
Delegation: A unit employs RNs, LPN’s and PCTs (patient care techs) to provide direct care. The unit has had an issue with appropriate delegation. The PCTs and LPNs report that they are being asked to perform more than their “fair share”, and things they should not do. The RN’s state that they are the only ones who do anything, and every time they ask the LPNs and PCTs to do anything they are told the PCTs and LPNs are not allowed to perform the task. The Unit manager recognizes that efforts to improve delegation need to be made. Your task is to research an intervention to enhance the quality and practice of delegation on this unit.
2:
Decreasing wait times in ER or patient flow time to move from ED: A manager of an Emergency Department is concerned that patient satisfaction scores have dropped significantly for the department. The primary complaint is long wait times. Internal tracking of patient flow has shown patients are waiting up to 7 hours for transfers to patient care areas, or to hospital units. Your task is to research an intervention to decrease wait times with improved flow to the care areas.
3:
New grad nurse retention: The manager of a medical surgical unit that is expanding needs to hire additional staff. Over the last 3 years 90\% of the new graduates hired have quit within the first year of hire. The current RN staff is comprised of 8 nurses with greater than 10 yrs experience, 6 nurses with 5-10 yrs experience and 7 nurses with less than 5 yrs experience on the unit. Six new graduates are hired for the expansion. They will start 3 months before the new beds open. Your task is to research an intervention to enhance retention of the new graduates.
4:
Reducing medication errors: A medical surgical unit manager has had a significant increase in medication administration errors over the last two months. The errors involve many staff members and are occurring on all shifts. The budget does not allow for the purchase of new administration system. Your task is to research an intervention to decrease medication administration errors from the nursing staff within these parameters.
5:
Patient family centered care: The manager of a medical surgical unit has experienced a significant drop in patient satisfaction with the primary complaints being a lack of communication to patients and their family members. Your task is to research an intervention to increase patient-family centered care environment that would address this issue.
6:
Evidence-based practice: A hospital is seeking Magnet Hospital status. The managers of the units are charged with enhancing the incorporation of evidenced based practice on a unit level. Your task is to research an intervention to enhance the exposure to and application of evidence-based practice among nurses on the medical surgical unit.
7:
Enhancing teamwork across care provider levels: The manager of a medical surgical unPICO and Literature Search.
Purpose: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy. It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization.
Instructions:
1. Write a PICO question based on a scenario you choose from the list of scenarios attached below. Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the I) that has been studied and published to solve the problem.
2. Identify the PICO elements for each question.
3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords.
4. Locate 4 articles that help answer your PICO question. The articles must meet the following requirements:
· must be primary source quantitative research articles.
· No article can be older than 2017.
5. Obtain pdfs of the four articles you selected from the ResU database. They must show the full text of the entire article. If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it.
6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below.
7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below.
8. Name each document (one Word doc and 4 article pdfs) as follows and upload to this submission folder:
· Lastname PICO,
· Lastname article 1,
· Lastname article 2,
· Lastname article 3,
· Lastname article 4
Link to MeSH Terms Website
CATEGORIES
Economics
Nursing
Applied Sciences
Psychology
Science
Management
Computer Science
Human Resource Management
Accounting
Information Systems
English
Anatomy
Operations Management
Sociology
Literature
Education
Business & Finance
Marketing
Engineering
Statistics
Biology
Political Science
Reading
History
Financial markets
Philosophy
Mathematics
Law
Criminal
Architecture and Design
Government
Social Science
World history
Chemistry
Humanities
Business Finance
Writing
Programming
Telecommunications Engineering
Geography
Physics
Spanish
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f. Three Social Entrepreneurship Models
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Pharmacology
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Environmental science
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Electronic Engineering
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Geology
Physical chemistry
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INSTRUCTIONS:
To access the FNU Online Library for journals and articles you can go the FNU library link here:
https://www.fnu.edu/library/
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You will need to pick one topic for your project (5 pts)
Literature search
You will need to perform a literature search for your topic
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Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience
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Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
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Understanding Gender Fluidity
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One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
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Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
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We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
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The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
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The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
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While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
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Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
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3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
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Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
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Losinksi wanted details on use of the ED at CGH. He asked the administrative resident