jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS): Please address the following questions in APA format: 

I.     Discuss the epidemiology of IBS?

II.   What is your treatment goals for this patient?

III.  Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

Journey through Nursing 

Our legacy in nursing as a profession began with Florence Nightingale and now it continues with you!

Add a new chapter to your journey and predict challenges facing nursing in the future.

• How do you see yourself leading others to resolve these issues.
• Provide TWO exemplars articulating your envisioned future of nursing that will continue the legacy of nursing as an art and a science.
• Incorporate ways of knowing through personal experiences, published empirical and theoretical sources to support your discussion, challenges and questions facing traditions, and/or new meanings that emerged from this discussion.

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

Read the instructions carefully and make sure that you review the rubrics before submitting an assignment. 

Create a PowerPoint Presentation as a group on the following topic:- 

Sports classes should become mandatory for everybody. 

–  PowerPoint Presentation
.  Each group has three members and each one of you will present your part.  Make sure that you type all of your members’ names on the first slide. Use in-text citations following an APA 7th edition format. 

– The PowerPoint (PPT) should not have complete sentences. Use bullets.

– Presentation should be clear in speech and convincing.

-Include pictures and a video (60 Sec)  

– Reference page should be included with a minimum of five references.

Attached is the essay and the document with the rubrics.

Data-Based Changes

Write an word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

IOM Future of Nursing Report and Nursing

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to 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. 

 Discuss one potential disruptive innovation currently facing healthcare. What implications does it have on the healthcare environment? How may this disruptive innovation impact each of the 5 Ps of healthcare marketing?  

After reading Trifles by Susan Glaspell complete the following worksheet:

 “Trifles” Worksheet

Name: ___________________ Period ____

1. Title Implications: Explain what the word “trifles” literally means. ____________________________________________________________________ 2. Symbolic Setting.

A. Outside: What is the weather? ________________

Specifically, where is the murder site/ farmhouse located? ________________

B. Inside the house:

List two things that let the audience “feel” how literally cold it is: ____________________________________________________________________

3. List three significant details that are evidence of a poorly kept kitchen: ___________ ____________________________________________________________________

4. Thumbnail Sketch: Make a comment about each of the characters

A. Attorney Henderson_________________________________________________ B. Sheriff Peters ______________________________________________________ C. Mr. Hale __________________________________________________________ D. Mrs. Peters ________________________________________________________ E. Mrs. Hale _________________________________________________________

5. List two “put down” comments the men make against women: __________________ ____________________________________________________________________ ____________________________________________________________________

6. What evidence is there to suggest that John Wright was a hard man to live with ? ________________________________________________________________

7. Why hadn’t Mrs. Hale gone to see Minnie Wright in over a year? _______________ _____________________________________________________________________

8. Why does Mrs. Peters not like the phrase “married to the law”? _________________ ____________________________________________________________________

9. Why do the women hide the dead bird? ____________________________________

  _____________________________________________________________________

10. What other action might they have taken?___________________________________

  _____________________________________________________________________

How is each of these important?

A. John Wright’s decision not to pay for a party [shared] telephone line

B. Bird cage with broken door

C. Dead bird with its neck rung

D. Millie sang in the choir thirty years before

E. The quilt pieces

(The Log Cabin quilt pattern has been a favorite because it was a wonderful & frugal pattern for using up fabric scraps. In many of the old quilts the center square was red to symbolize the hearth of the home, its symbolic heart. The overall effect of the log cabin quilt is achieved by the use of light and dark fabrics and how they are arranged.)

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

PICO 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. 

Assessment: This assignment is worth 68 points and represents 20% of your final course grade. It is graded according to the embedded rubric in this submission folder. Late submissions will incur a 10% deduction per day, unless a Late Pass is used.

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 2016. 

5. Obtain pdfs of the four articles you selected from the ResU database. 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 the appropriate submission folder in Brightspace: 

· Lastname PICO, 

· Lastname article 1,

· Lastname article 2,

· Lastname article 3,

· Lastname article 4

Attachments

EBP Step by Step 3.pdf

(188.01 KB)

PICO and Lit Search Template with Example.docx

(30.11 KB)

PICO and Literature Search Scenarios.doc

(44.5 KB)

APA and Writing LibGuide

Link to MeSH Terms W

Criteria

Please, Kindly work on Scenario 4 from the PICO and Literature Search Scenarios uploaded. Thank you.