Develop a searchable question using the PICOT format. (The question is a single statement identifying the components of PICOT.)The PICOT question must be based on LVAD patients with recurring line drive infections that lead to re-admissions to the ICU. (Or something regarding the readmission of LVAD patients to ICU.Refer to Developing a Question and Topic 1: Checklist. (Documents attached)Preview and utilize the Topic 1 Checklist. (ATTACHED) This resource will assist you in organizing your work and will provide additional information regarding the assignment.PART IIConsider the clinical environment in which you are currently working or have recently worked (SURGICAL INTENSIVE CARE UNIT) Collaborate with a leader or educator in the clinical environment to identify a problem (READMISSIONS OF LVAD PATIENTS) issue or educational deficit upon which to build a proposal for change.In a paper of no more than 800 words describe the nature of the problem issue or educational deficit. Include the following in your discussion:1.The setting and/or context in which the problem issue or educational deficit can be observed.2.Detailed description of the problem issue or educational deficit.3. Impact of the problem issue or educational deficit on the work environment the quality of care provided by staff and patient outcomes.4. Gravity of the problem issue or educational deficit and its significance to nursing.5. Proposed solution to address the problem issue or educational deficit.PART III:Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 15 articles must be research-based (e.g. a study which is qualitative quantitative descriptive or longitudinal).Preview each of the 15 articles chosen by reading the article abstracts and summaries.Hint: Article abstracts and summaries provide a concise description of the topic research outcomes and significance of findings.Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):1.How does each article describe the nature of the problem issue or deficit you have identified?2.Does each article provide statistical information to demonstrate the gravity of the issue problem or deficit?3.What are example(s) of morbidity mortality and rate of incidence or rate of occurrence in the general population?4.Does each article support your proposed change?Prepare this assignment according to the APA 6 guidelines!!!!!! PLEASE CITE REFERENCES AND PROVIDE REFERENCES IN APA 6. An abstract is not required.

 

You are to write a 3000 word (+/- 10% excluding reference list) a literature review. Select atopic of interest which is relevant to your pathway based on one of the domains from the NHSOutcomes Framework (2015/16) informed by the NICE Quality Standard or GP ContractQuality and Outcomes Framework (2015/16). Formulate a research queation relating to yourarea of practice undertake a systematic literature search of relevant sources examine andcritically evaluate the relevant evidence-based information in order to identify the clinicalpractice gap and make an action plan to address them to bridge the gap which may form partof your background to yout project in the Evaluating and Advancing Nursing Practice moduleassignment.Module Learning OutcomesLearning Outcome 1Critically examine how evidence-based practice underpins their safe practice in healthcare.Learning Outcome 2Distinguish confidently between the different types of evidence used in nursing practice.Learning Outcome 3Critically evaluate the different research paradigms and approaches within evidence-basedpractice including qualitative and quantitative research methodologies.Learning Outcome 4Critically apply relevant research findings for patient benefit.Essay structure1. Introduction (200 words) An introduction generally need to answer these 3 questions.a. What? The introduction must begin by clearly explaining what the essay is about.Identify in your own words what is required in the assessment brief given above.b. How? The second part of the introduction needs to outline how the essay isstructured. You need to summarise the details given in points 2 to 5 below.c. Why? An introduction needs to articulate why the topic under consideration is ofsignificance. This should be evidence-based and supported with relevantliterature.2. Background (500 words)a. Briefly summarise what is already known about the topic and how this relates toyour chosen domain from the NHS Outcomes Framework (2015/16). (LearningOutcome 4).2b. Briefly highlight the key original research studies and guidelines related to yourtopic that have been published in reputable journals/sources in your field ofpractice. (Learning Outcome 2).c. Explain and justify why the findings of the background studies indicate a need foryour review of literature. In other words explain what already exists and the gapsin what is known that will be answered during your review of existing literature.(Learning outcome 1& 4).3. Formulation of a research question (200 words)a. Clearly explain the process you followed to formulate your question using thePICO/SPICE framework. (Learning Outcome 3).b. Explain the issue you are examining its significance to your field of practice andits relation to your chosen domain from the NHS Outcomes Framework(2015/16). (Learning Outcome 4).c. Clearly explain why the question you have formulated needs to be answered andthe reasons why it is important to your field of practice.d. Clearly explain the improvements that will result from the findings of the review ofthe literature. (Learning outcome 1).4. Methodology (700 words)a. Discuss the Literature search search strategy that you have used.i. Search terms. Give details of the terms you used to search for the literature.ii. Briefly outline the type of studies that were included in your search and thosethat were excluded. Give a rationale for this criteria.iii. Sources. Identify the sources you searched. Briefly discuss the range ofmaterials that were observed during the search. (Learning Outcome 3).a. Discuss the process you followed in order to identify the research papers/relevantliterature you have selected. You need to demonstrate that you have appraisedthe research paper (You could use a tool such as CASP/Moule and Heck (2011)guidelines). (Learning Outcome 3).b. Discuss how you extracted data from your articles. Clearly discuss the tool youused (for example Timmins and McCabe (2005). Ensure that the data you extractincludes: research aims or hypothesis research design sampling participantsdata collection methods reliability and validity considerations how data wereanalysed findings and their interpretations ethical considerations and limitationsof the studies. (Learning Outcome 3).A data extraction table needs to be included.3c. Discuss your approach to synthesis for example narrative synthesis. Give arationale for your approach to synthesis. (Learning outcome 3).5. Discussion (1200 words)a. Describe the literature obtained and confidently distinguish between the differenttypes of evidence. (Learning outcome 2).b. Summarise the key findings or key themes that emerged from the studies underreview highlighting how this relates to your chosen domain from the NHSOutcomes Framework (2015/16). The emerging themes need to be logicallypresented. (Learning outcome 3).c. For each of the themes you have identified discuss and critically analyse andevaluate the relevant evidence-base. (Learning outcome 3).d. Critically discuss and analyse the knowledge and clinical practice gaps anddiscuss the actions needed to address these in order to bridge the gap. Applyyour research findings for patient benefit in line with the current ClinicalGuidelines and National Service Framework (Learning outcome 1 & 4).6. Conclusion (200 words)a. Summary: Summarise the key learning points that have emerged from the review.b. Recommendations. Make recommendations on what needs to be done in light ofyour findings and conclusions.7. References. Appropriate referencing is an important element of academic writing. Ensurethat you have used the most up-to-date UWL referencing guide available from the library.(the referencing style for this work is cite them right)Please be aware that the referencing guide is regularly updated.(i am nursing but my field of study is mental healthso i want the research or topic based on mental healththis work will be checked for plagiarism so there should be no copy and paste my university is based in the uk)

 

Anaesthetics and recoveryAnalyse and reflect on the roles of the ODP within anaesthetic and recovery practice. Is required to reflect on the role they played in the anaesthetic and post anaesthetic care required of a patient along the three distinct patient groups( adult paediatric and elderly ) and also discuss how the care needs or other patient group would be met. There is an introduction which states the purpose of the essay and is 10 pro cent of the essay!! Integration of knowledge clearly applied and relevant to the practice . Evidence of originality and creativity . Guideline : Health and safety responsibility as a ODP to check all the equipment and if they safety to be use local policy( can be made up) check drugs according to the local policy plan care communication with the anaesthetist demonstrate specialist knowledge : using CVP l- arterial line research evidence Recovery- specific for the surgery!I will structure the way it should look the essay and the name of the surgery which you should follow: The purpose of this essay is the role that I played in 3 distinct group; adult paediatric and elderly . Compare and contrast but focus in one and compare and contrast with all off them demonstrate un-understanding of invasive line( CVP- arterial line) demonstrate individualise role of the ODP. Dont forget to follow the case( Right Hemicolectomy) but just as reminder of it was a paediatric and elderly . Use the reflective framework Driscoll and put a reference!! And explained it has 3 components. Next anonymity declaration( use a HCPC reference). Example how it starts the essaySo What; I been allocated in theatre 4 seen the list: 3 adults and one elderly Ive checked all the equipmentts for the adult and elderly I been told first is a GA Et tube size 75 and epidural . Checked everything and got ready for CVP and arterial line then I went to recovery room to tell the sister in charge I am gonna look after this patient.. And Ive did all the checks in there and I made sure all the monitors work and got available everything to look after this patient. Aftere the checking connect the patient to the monitor preoxigenate on 6 litre remifentanil( how much is given) propafol( 160mg) and how much rocuronium pass the laryngoscopes pass the tube position for CVP preparing the skin during the procedure observe the monitor( ECG blood pressure) put the skin dressing I monitor the urine did all blood rags required . Dont forget to remind about paediatric and elderly !! What you could do in those cases!!The patient is beginning to wake up ( got ready the reversal drugs) then the patient went to recovery room accompanied by scrub nurse and anaesthetist.Receiving the patient in recovery watching the bilateral chest moving connected to oxygen to 6 litre type of breathing the pain was 8 checked drug chat if it was prescribed any opium checked the wound was dry and clean!! Temperature keep on eye blood pressure and HR every 10 min!! Using extra blanket etc) . Hope is clear the way it has to look and I will appreciate if you go deeper in knowledge when you have to compare those 3 groups) i. In recovery focus in this patient but remind what you could do if you had a paediatric or elderly patient. I need at least 30 references! If it does help I have a example of essay but it covers just the anaesthetic part . If you think it helps please give me an email where I can send it.

 

Prior to completing this assignment please review the Week 1 required readings (textbook articles videos and Instructor Guidance) that cover the three theories used for this assignment. When researching journal articles for this assignment please use these search terms for best results: Biopsychosocial Model Person-in-Environment system and Bronfenbrenner?s Ecological Theory or Bronfenbrenner?s Ecological Model. When preparing your PowerPoint presentation you may want to do a Google or YouTube search for How do I ____ (add Speaker?s Notes quote in APA change a design change colors etcetera) in PowerPoint.Scenario: You have been asked to speak to an audience on the importance of the social factors affecting one?s experience of life. For this presentation create an interesting and educational PowerPoint presentation which contains a critical narrative that integrates aspects of the various theories with your individual sociocultural experiences.To begin create a PowerPoint presentation of 10 to 12 slides (excluding title and reference slides). Research each theory fully so you can effectively synthesize information relevant to these topics. Your presentation must include three scholarly sources that are cited in APA format as outlined in the Ashford Writing Center. For help with finding scholarly resources for your presentation view the tutorial on searching for articles from the Ashford University Library.Please include the following in your presentation.Include a succinct thesis statement for your presentation.Choosing one of the SOC313 Family members provide a thorough description of the health condition and describe how the condition affects the person physically and mentally.Provide a thorough explanation as to how the condition affects their meso-level and exo-level interactions.Compare and contrast the three developmental theories in your presentation. Discuss the similarities and differences in each theory. There will be three comparisons (Bronfenbrenner to PIE Bronfenbrenner to Biopsychosocial and PIE to Biopsychosocial).Incorporate appropriate images tables graphs or other visuals as necessary.Must end with a conclusion that reaffirms your thesis.Follow directions below regarding information to be placed on the slides versus what is included in the Speaker?s Notes section below each slide.Please observe these general guidelines for your visual presentation. This link contains tips for basic guidelines of slide presentations. Additionally this website offers tips for creating effective and interesting slide presentations.Slides should be sequenced and organized clearly.Slides should show a clear and logical progression of ideas.Slides should include a maximum of five bullet points or short sentences not dense paragraphs. The information that explains each bullet point is conveyed via Speaker?s Notes. Speaker?s Notes are the typed notes that appear in the box below the slide that complement the presentation slides. Whereas the slides have short bulleted items the Speaker?s Notes will contain more details. They are essentially what the presenter will say during a presentation to an audience to explain the bulleted points and any images graphs data summary and/or animation on the slide. It is important that the Speaker?s Notes are concise and detailed when explaining the points.Slides should include relevant visuals such as images graphs tables data summaries sound and/or animation that enhance understanding of concepts ideas and relationships.When using sourced material follow APA as you would for discussions or other written assignments using quotation marks at the beginning and end of verbatim material a citation and a corresponding reference on the reference slide.The presentation as a whole should include a consistent theme format and font to assist with readability.The slideshow needs to be visually engaging. For assistance with designing the visuals for your presentation view the PowerPoint Best Practices tool. Remember this presentation is for an audience. You want to include far more details in the Speaker?s Notes section than on the slide so the audience members focus on the presenter not the presentation.All sources used within the presentation must be cited properly within the slides and included on the required reference slide which will be the last slide of the PowerPoint presentation. You must include a reference slide when you submit your PowerPoint presentation.Creating the PresentationThe PowerPoint presentation:Must be 10 to 12 slides (excluding title and reference slides).Must include a title slide with the following:Title of the presentationStudent?s nameCourse name and numberInstructor?s nameDate submittedMust include images and text that tastefully convey the message presented on each slide.Must use three scholarly resources in addition to the course text (four total).Must document all sourced material in APA style as outlined in the Ashford Writing Center.Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.