Review the PICO(T) resources listed in the topic readings.

 

Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.

 

In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.

 

Make sure to address the following on the PICOT statement:

 

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

 

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.

 

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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

The focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one:

• Summarize each article utilizing the Week 2 research template.
• Identify and describe the problem, purpose, and hypothesis or research questions of each study.
• Analyze and discuss the significance of the research to nursing practice.
• Identify two details to support the research as qualitative or quantitative.
• NOTE: If a component is absent, student receives a zero for that component.

Cite all sources in APA format.

Submission Details

• Name your document SU_NSG3029_W2_Project_LastName_FirstInitial.doc.
• Submit your template to the Submissions Area by the due date assigned.

Article Assignments

Students with the last name beginning with A-L

Bortz, A., Ashkenazi, T., & Melnikov, S. (2015). Spirituality as a predictive factor for signing an organ donor card.Journal of Nursing Scholarship, 47(1), 25-33. doi: 10.1111/jnu.12107

Dinkel, S., & Schmidt, K. (2015). Health education needs of incarcerated women. Journal of Nursing Scholarship, 46(4), 229-234. doi: 10.1111/jnu.12079

Respond on two different days who selected a different scenario than you, in one or more of the following ways:

Share insights on how the factor you selected impacts the disorder your colleague identified.

Ask a probing question regarding the disorder that your colleague identified.

Suggest an alternative disorder for the scenario your colleague selected.

Main Post

Respiratory Alterations

Windell (2018) acknowledges the clinical name for croup is laryngotracheobronchitis, which reveals that it is an inflammation of the larynx, trachea, and bronchi caused by a viral infection that mostly affects children between the ages of six months and three years. The incomplete immunization history could explain the croup in an older child. The low-grade temperature also guides in the diagnosis of viral croup. According to Henningfeld (2019), viral croup is often accompanied by a low-grade fever and is responsible for 70 to 75 percent of croup cases.

Pathophysiology of Croup

The pathophysiology of croup stems from the infection; the infection causes the immune system to respond. The virus that causes croup inflames the windpipe and voice box, and this swelling means they become narrowed (Windell, 2018). This narrowing causes the barking cough that is associated with croup. The mucous membranes of the larynx are tightly adherent to the underlying cartilage, whereas those of the subglottic space are looser and thus allow accumulation of mucosal and sub-mucosal edema (Huether & McCance, 2017). The edema, the mucous, and swelling make croup a life-threatening disease, children’s airways are smaller than adults and time is valuable.

Factors of Genetics and Gender

For gender, croup is more prevalent in males than females by a 5:1 ratio. Huether and McCance (2017) report that approximately 15% of children who experience croup have a family history of the disease.

Conclusion

Respiratory alterations or disease processes can turn into life-threatening moments quickly, it is important that the practitioner be able to differentiate and diagnose the disease to begin the treatment process. A thorough physical examination coupled with an active interview with both patient and parents can guide the practitioner towards the correct diagnosis.

References

Henningfeld, D. A. P. D. (2019). Croup. Magill’s Medical Guide (Online Edition). Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=ers&AN=86194029&site=eds-live&scope=site

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Windell, J. (2018). Coping with Croup. Community Practitioner, 91(8), 22–24. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=132575714&site=eds-live&scope=site

Week 6 Discussion Post .doc (56.5 KB)

• Consider the following scenario:
  You are a charge nurse and one of your direct subordinates is also a personal friend of yours. You have noticed a decline in her/his professional performance as witnessed by tardiness, delayed patient response, failing to complete documentation, and altered peer relationships.

By Day 3 of Week 8 (Post First)

Explain how you would mentor and coach the subordinate nurse in the scenario. Specifically address the following:

• Explain your expectations of the performance the nurse should be demonstrating.
• Explain the type of feedback you would provide to the nurse. Be specific and provide examples grounded in the Resources on coaching and mentoring.
• Explain how the AONL Competencies on Leadership and Professionalism and the ANA Magnet Standard on peer feedback support would inform your feedback choices.

Based on your selected MSN program, write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3 page paper (excluding the title page and references):

• Focusing on the specialty (Family Nurse Practitioner), select an advanced nursing role to research. (It must be one offered by South University.)
• Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level
• Apply an Advance Nursing Practice Concept to your chosen role
•  Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)
• Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).
• Format your paper, citations, and references using correct APA Style.