The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:

Identify and provide a brief description of the healthcare issue you selected.

Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.

How does the healthcare issue get on the agenda and how does it stay there?

Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

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. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided 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 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

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

attached is my PICOT statement you can use to develop a paper

1. Question: Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?

2. Question: Idiopathic thrombocytopenic purpura (ITP) is an autoimmune process involving antibodies attacking which type of cells?

3. Question: When renin is released, it is capable of which action?

4. Question: Which of the following are formed elements of the blood that are not cells but are disk-shaped cytoplasmic fragments essential for blood clotting?

5. Question: In a full-term infant, the normal erythrocyte life span is _____ days, whereas the adult erythrocyte life span is _____ days.

6. Question: Graves disease is a result of:

7. Question: What is the most commonly reported symptom of cancer treatment?

8. Question: In which structure does B lymphocytes mature and undergo changes that commit them to becoming B cells?

9. Question: Chvostek and Trousseau signs indicate which electrolyte imbalance?

10. Question: On average, what percent of cardiac output do the kidneys receive?

11. Question: Which substance is used to correct the chronic anemia associated with chronic renal failure?

12. Question: When the maternal immune system becomes sensitized against antigens expressed by the fetus, what reaction occurs?

13. Question: Which statement is true regarding pain and cancer?

14. Question: During an infection, why do lymph nodes enlarge and become tender?

15. Question: Which statement best describes cystic fibrosis?

16. Question: Carcinoma refers to abnormal cell proliferation originating from which tissue origin?

17. Question: What local complication of a gonococcal infection is diagnosed in approximately 10% of affected women?

18. Question: Which terms represent the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

19. Question: What provides the best estimate of the functioning of renal tissue?

20. Question: Children with phenylketonuria (PKU) are unable to synthesize:

21. Question: Which of the following causes condylomata acuminata or genital warts?

22. Question: Cystic fibrosis is caused by which process?

23. Question: The area of the kidneys that contains the glomeruli and portions of the tubules is called the:

24. Question: The concentration of the final urine is determined by antidiuretic hormone (ADH), which is secreted by which gland?

25. Question: The ability of the pathogen to invade and multiply in the host is referred to as:

26. Question: In 95% of children of delayed puberty, the problem is caused by:

27. Question: Which substance is a water-soluble protein hormone?

28. Question: Having ejected a mature ovum, the ovarian follicle develops into a(n):

29. Question: The most critical aspect in correctly diagnosing a seizure disorder and establishing its cause is:

30. Question: The two most important risk factors for type 2 diabetes are:

31. Question: It is true that myasthenia gravis:

32. Question: What term is used to identify an interlacing bundle of dense, white fibrous tissue that is richly supplied with nerves, blood vessels, and lymphatic vessels?

33. Question: The mucosal secretions of the cervix secrete which immunoglobulin?

34. Question: Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

35. Question: What is the first indication of nephrotic syndrome in children?

36. Question: What is the most common opportunistic infection associated with acquired immunodeficiency syndrome (AIDS)?

37. Question: What part of the brain provides the emotional response to pain?

38. Question: What directly causes ovulation during the menstrual cycle?

39. Question: Transcription is best defined as a process by which:

40. Question: Considering the mediating factors of premenstrual syndrome (PMS), which medication may be used either continually or only during the menstrual period as a treatment for the condition?

41. Question: Pinkeye is characterized by inflammation of which structure?

42. Question: Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for which type of stroke?

43. Question: Clinical manifestations of Parkinson disease are caused by a deficit in which of the brain’s neurotransmitters?

44. Question: Which hormone is linked to an increase in appetite during puberty?

45. Question: Which change is a result of puberty and defends the vagina from infection?

46. Question: Which hormone is involved in the regulation of serum calcium levels?

47. Question: Which medication compensates for the deficiency that occurs as a result of cystic fibrosis?

48. Question: It is true that Guillain-Barré syndrome (GBS):

49. Question: An infant suddenly develops abdominal pain, becomes irritable (colicky), and draws up the knees. Vomiting occurs soon afterward. The mother reports that the infant passed a normal stool, followed by one that looked like currant jelly. Based on these data, which disorder does the nurse suspect?

50. Question: Which condition is considered a clinical cause of amenorrhea?

51. Question: Which anatomic structure secretes follicle stimulating hormone (FSH) and luteinizing hormone (LH)?

52. Question: Which medical diagnosis is described as a chronic inflammatory joint disease characterized by stiffening and fusion of the spine and sacroiliac joints?

53. Question: How can glaucoma cause blindness?

54. Question: Which virus is a precursor for developing cervical intraepithelial neoplasia (CIN) and cervical cancer?

55. Question: Which type of diarrhea results from lactose intolerance?

56. Question: Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?

57. Question: Obesity acts as an important risk factor for type 2 diabetes mellitus by:

58. Question: A blunt force injury to the forehead would result in a coup injury to which region of the brain?

59. Question: The secretion of adrenocorticotropic-stimulating hormone (ACTH) will result in the increased level of which hormone?

60. Question: Bacteria gain access to the female urinary tract by which means?

61. Question: The failure of bones to ossify, resulting in soft bones and skeletal deformity, characterizes which disorder?

62. Question: What is the cause of familial hypercholesterolemia (FH)?

63. Question: Which characteristic is true of type II (white fast-motor) muscle fibers?

64. Question: The presence of a zygote having one chromosome with the normal complement of genes and one with a missing gene is characteristic of which genetic disorder?

65. Question: What term is used to identify the condition that exists when the urethral meatus is located on the undersurface of the penis?

66. Question: Which hormone stimulates gonads to produce both male and female hormones?

67. Question: Which term is used to describe an intestinal obstruction caused by the invagination of the ileum into the cecum and part of the ascending colon by collapsing through the ileocecal valve?

68. Question: Where is the usual site of cervical dysplasia or cancer in situ?

69. Question: Which statement is true regarding the major difference between male and female sex hormone production?

70. Question: Using a fan to reduce body temperature is an example of which mechanism of heat loss?

71. Question: In scoliosis, curves in the thoracic spine greater than how many degrees result in decreased pulmonary function?

72. Question: What is the second most commonly recognized genetic cause of mental retardation?

73. Question: Which risk factor for hypertension is influenced by genetic factors and lifestyle?

74. Question: Prolonged high environmental temperatures that produce dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia cause which disorder of temperature regulation?

75. Question: Saliva contains which immunoglobulin (Ig)?

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.

Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:

· Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.

· Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.

· Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.

· Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.

· Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.

Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.

For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.

To prepare

· Review the Learning Resources this week about successful implementations of EHRs.

· Consider how you would present the new EHR system to the nurses to win their approval.

· Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?

Write a 3- to 5-page paper which includes the following:

· Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.

· Analyze the role of nurses as change agents in facilitating the adoption of new technology.

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsPHI-413V-RS-T3ApplyingFourPrinciplesCaseStudy.docx