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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Evaluating Spirituality in Nursing Practice

      Spirituality is a fundamental aspect of patient-centered care, significantly impacting how individuals cope with illness and make health-related decisions. Over time, healthcare professionals have developed structured approaches to assess spiritual needs, ensuring that these concerns are addressed as part of holistic nursing practice. Several validated tools assist nurses in evaluating patients’ spiritual well-being and integrating this dimension into care planning.

     One widely used assessment method is the FICA Spiritual History Tool, developed to guide clinicians in exploring a patient’s spiritual beliefs and their role in health. This model focuses on four key areas: personal faith, the importance of spirituality in daily life, connections to a religious or spiritual community, and how these beliefs influence medical decisions (Puchalski, 2020). By incorporating this approach into patient assessments, nurses can gain valuable insight into an individual’s values and preferences related to their care.

      Another recognized framework is the HOPE Spiritual Assessment Tool, which facilitates discussions about spiritual concerns. The acronym HOPE represents sources of hope, engagement in organized religion, personal spirituality and practices, and the impact of these beliefs on healthcare choices (Anandarajah & Hight, 2021). This method is particularly beneficial for patients receiving palliative or end-of-life care, as it allows nurses to explore existential concerns and provide appropriate support tailored to the patient’s needs.

      Additionally, the Spiritual Well-Being Scale (SWBS) is a standardized questionnaire that measures an individual’s overall spiritual wellness. This tool evaluates both religious well-being—reflecting one’s connection with a higher power—and existential well-being, which pertains to finding meaning and purpose in life (Bufford et al., 2022). The SWBS is particularly useful for identifying individuals experiencing spiritual distress, especially those managing chronic illnesses or facing significant life transitions.

         Utilizing these tools allows nurses to deliver compassionate and holistic care by addressing spiritual dimensions that influence patient well-being. Acknowledging and supporting a patient’s spiritual concerns fosters emotional resilience, enhances coping mechanisms, and strengthens the nurse-patient relationship. Integrating spirituality into nursing practice ultimately contributes to a more comprehensive and meaningful approach to healthcare.

References

Anandarajah, G., & Hight, E. (2021). Spirituality and medical practice: Using the HOPE questions as a practical tool. Journal of Palliative Medicine, 24(3), 456-462. https://doi.org/10.1089/jpm.2021.0093

Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (2022). The Spiritual Well-Being Scale: A psychometric review and applications in health care. Journal of Religion and Health, 61(2), 765-779. https://doi.org/10.1007/s10943-021-01374-8

Puchalski, C. M. (2020). The FICA spiritual history tool: Clinical application in holistic nursing care. Journal of Holistic Nursing, 38(1), 12-18. https://doi.org/10.1177/0898010119895363

Surgical site infection (SSI) rates have increased significantly at your hospital. As the unit manager, you have been tasked with reviewing the literature and making subsequent recommendations to determine if a chlorhexidine/alcohol combination skin scrub prior to surgery will decrease your SSI rates as compared to your current practice of betadine skin scrub. 

For this assignment:

• Create a PICOT question based on the information above. Possible question guides can be found here. 
• Research your PICOT question using at least 4 peer-reviewed journals. Sources should be less than 5 years old.
• Create an APA-formatted annotated bibliography of the references you used to research your PICOT question. Use this template.
• Create your PICOT question on a Word document and an annotated bibliography on the provided template. Submit both documents in a single upload.
• The Writing Center. or Purdue OWL have resources to help with APA formatting and the annotated bibliography.

Bj week 4

Tiff week 4 700

PICO Question Submission

Purpose: The purpose of this assignment is to submit your PICO question, which is the topic you have been researching over the past few weeks. This exercise will help you clarify your clinical question and ensure it is well-structured and focused.

Instructions:

1. Submit Your PICO Question:

• Topic Submission: Submit the PICO question that you have been researching. Ensure your question is clear, specific, and well-defined.
• PICO Framework: Utilize the PICO framework to structure your question. Be sure to address each component of the framework:
• P: Patient, Problem, or Population
• I: Intervention
• C: Comparison
• O: Outcome
• T: Timeframe, Type of Study, or Type of Question (if applicable)

1. PICO Framework Guidance:

• Clarify Your Clinical Question: Use the PICO mnemonic to help clarify your clinical question. Think specifically about different aspects of what you want to investigate. Ensure you are clear and specific about what you are looking for to target the right evidence to use in practice.

1. Good PICO vs. Bad PICO:

• Good PICO: A good clinical question will address most, if not all, parts of the PICO framework. It will be specific, define terms and outcomes if necessary, and investigate something new in terms of diagnosis, etiology, therapy, harm, etc.
• Bad PICO: A bad PICO is usually a background question disguised as a research question. It may be too vague, lack specificity, and may not require in-depth research.

1. Search Strategies:

• Literature Search: When searching for existing literature, try searching for one or two components of your PICO question first if you cannot locate articles that address the entire question. Build your case by explaining the research that is out there, even if your articles do not 100% match your entire PICO question.

1. PICO Question Templates:

• Intervention/Therapy: In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
• Etiology: Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
• Diagnosis/Diagnostic Test: Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
• Prevention: For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
• Prognosis/Predictions: In__________ (P) how does ________ (I) compared to _______(C) influence _______ (O) over ______ (T)?
• Meaning: How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

1. Example PICO Questions:

• Intervention/Therapy: In school-age children (P), what is the effect of a school-based physical activity program (I) on a reduction in the incidence of childhood obesity (O) compared with no intervention (C) within a 1-year period (T)?
• Etiology: Are males 50 years of age and older (P) who have a history of 1 year of smoking or less (I) at an increased risk of developing esophageal cancer (O) compared with males age 50 and older (P) who have no smoking history (C)?
• Diagnosis/Diagnostic Test: Is a yearly mammogram (I) more effective in detecting breast cancer (O) compared with a mammogram every 3 years (C) in women under age 50 (P)?
• Prevention: For women under age 60 (P), does the daily use of 81mg low-dose Aspirin (I) reduce the future risk of stroke (O) compared with no usage of low-dose Aspirin (C)?
• Prognosis/Predictions: Does daily home blood pressure monitoring (I) influence compliance with medication regimens for hypertension (O) in adults over age 60 who have hypertension (P) during the first year after being diagnosed with the condition (T)?
• Meaning: How do teenagers (P) diagnosed with cancer (I) perceive chemotherapy and radiation treatments (O) during the first 6 months after diagnosis (T)?

1. Resources:

• PICO Help: Utilize the following resources to help structure your PICO question and build a well-defined clinical question:
• PICO Question Templates: Use this guide to help structure your PICO question.
• The Well-Built Clinical Question: Check out this guide to building a PICO question, developed by UNC.
• Asking Focused Questions: PICO guide from the Centre for Evidence Based Medicine.
• Formulating Answerable Questions: Practice building your PICO questions here.
• Forming Focused Questions with a Specialty: A UNC Health Sciences Library guide about PICO questions within a specialty.

1. Submission Guidelines:

• Format: Ensure your PICO question is well-structured and formatted according to APA 7 guidelines.
• Clarity and Specificity: Make sure your question is specific and clear, addressing all components of the PICO framework.
• Deadline: Submit your PICO question by the specified deadline.

ONLY THE QUESTION IS DUE

See Attachment

Need help with this worksheet

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.

Goal: Develop a PowerPoint presentation on ASTHMA discussed in the McCance text.

Textbook: McCance, C. K., Huether, E. S., Brashers, L. V., & Rote, S. N. (2019). Pathophysiology: The
biologic basis for disease in adult and children (8th ed). Elsevier.
Print: 9780323413176
eText: 9780323583473

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Format Requirements: 

· Presentation is original work and logically organized.

· Followed APA format including citation of references.

· Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.

· Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Content Requirements:

· ASTHMA

· Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.

· Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.

· Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.

· Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly