Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

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NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 5 Assignment

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Evidence-Based Project

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NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 2 & 3 Assignment

Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

NURS6052 All Weeks Discussions (September 2019)

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NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Discussion

Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.

Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

Explore the website to determine where and to what extent EBP is evident.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 4 Discussion

Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 8 Discussion

Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.

Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 10 Discussion

Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

Searching Databases

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NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 4 Discussion

Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.

ACC650 All Assignments (October 2019)

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ACC 650 Managerial Accounting

Week 1 Assignment

Job-Order Costing

Complete Problems 2-37 and 3-47 in the textbook.

Complete Problem 2-37 in a Word document and Problem 3-47 in Excel. Please note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail.

ACC 650 Managerial Accounting

Week 2 Assignment

Process Costing

Complete Exercise 4-16 and Problem 4-29 in the textbook.

Complete Exercise 4-16 in a Word document and Problem 4-29 in Excel. Please note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail.

Save your assignment (Word) as Lastname_FirstnameACC 650_T2.docx.

Save your assignment (Excel) as Lastname_FirstnameACC 650_T2.xlsx.

At least one external source should be cited, not including course textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

ACC 650 Managerial Accounting

Week 3 Assignment

Activity-Based Costing

Complete Problems 5-63 and 5-65 in the textbook.

Prepare Problem 5-63 using Word. Problem 5-65 should be prepared using Excel. Please note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail.

ACC 650 Managerial Accounting

Week 4 Assignment

Cost Allocation Concepts

Complete Problems 6-37 and 7-38 in the textbook.

Both of these problems should be completed using Word.

Save your assignment as Lastname_FirstnameACC 650_T4.docx.

At least one external source should be cited, not including a textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

ACC 650 Managerial Accounting

Week 5 Assignment

Budgeting

Complete Cases 9-45 and 9-46 in the textbook

Cases 9-45 and 9-46 should be prepared in a Word document with embedded Excel spreadsheets for relevant calculations and supporting schedules. You still need to post your Excel worksheet to show support for your calculations. Note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail. Suggestion: To complete all parts of the problems correctly you should start each assignment with preparing an Excel workbook. The response for both cases should be between 250-500 words each.

At least one external sources should be cited, not including a textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

ACC 650 Managerial Accounting

Week 6 Assignment

Performance Measures

Complete Problems 12-41 and 13-42 in the textbook.

Cases 12-41 and 13-42 should be prepared in a Word document with embedded Excel spreadsheets for relevant calculations and supporting schedules. You still need to post your Excel worksheet to show support for your calculations. Note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail. Suggestion: To complete all parts of the problems correctly you should start each assignment with preparing an Excel workbook. The response for Problem 12-41 should be a minimum of 250 words.

At least one external source should be cited, not including a textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

ACC 650 Managerial Accounting

Week 7 Assignment

Performance Management

Complete Exercise 8-27 and Problem 17-26 in the textbook.

Exercise 8-27 should be prepared in a Word document with a response of a minimum of 250 words.

Problem 17-26 should be completed using Excel with supporting calculations shown. Please note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail.

At least one external sources should be cited, not including a textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

ACC 650 Managerial Accounting

Week 8 Assignment

Benchmark – Decision Making and Capital Budgeting

Complete all items for Problem 14-47 in the textbook.

To complete all parts of the problems you should prepare an Excel workbook and Word document. Please note, you must show your work in Excel, which includes providing the formulas in the cells, not just the summary value. You may not earn full points if you do not show your work in detail. Provide supporting responses either as part of the Excel document or as a separate Word document (400-750 words), being sure to properly label each response.

At least two external sources should be cited, not including a textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

MGT 496 Week 4 DQ 1 5-S Guidelines

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5-S Guidelines. Review the 5-S Guidelines provided in Chapter 8. Using your desktop, a coffee table, or other small area, attempt to “5–S” that area. In 200-250 words, discuss some of the challenges you faced when trying to implement 5-S and ways you overcame them. Respond to at least two of your fellow student’s posts.

MGT 496 Week 3 Warehouse Health and Safety Risks

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Warehouse Health and Safety Risks. Chapter 7 provides a detailed discussion of warehouse health and safety risks. These include risks associated with layout, floors, heating, noise, housekeeping and fire. Review these risks, and in a two- to three-page paper (not including the title and reference pages), present a risk assessment of a warehouse. If you do not have access to a local warehouse, you can use a buyers’ club (i.e., Costco or Sam’s Club) as a substitute. In addition, for each risk identified, present at least one recommendation on how to mitigate that risk.

Your paper must be formatted according to APA style as outlined in the approved APA style guide and should cite at least two scholarly sources in addition to the textbook.

MGT 496 Week 3 DQ 2 Occupational Safety & Health Administration (O.S.H.A.)

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Occupational Safety & Health Administration (O.S.H.A.) Download the O.S.H.A Pocket Guide – Worker Safety Series: Warehousing. Identify two potential safety issues that your current (or former) organization could be facing and explain why in 200-250 words. Respond to at least two of your classmates’ posts.

MGT 496 Week 3 DQ 1 System Implementation

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System Implementation. Review the “System Implementation” section in Chapter 6 of the text. Select two risks that your current (or former) organization could potentially face. In 200-250 words, provide a potential risk mitigation recommendation for each of the two. Respond to at least two of your classmates’ posts.

MGT 496 Week 2 DQ 2 Live Racking at B.M.W.

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Live Racking at B.M.W. Review Case Study 5.1: Live Racking at B.M.W. found in Chapter 5 of the text. Assume that you are the warehouse director for B.M.W. B.M.W. has learned that the 39- second cycle time described in the case is inadequate for 21st century operations and has asked you to reduce the cycle time down to 30 seconds or less. In 200-300 words, identify a technique described in Chapter 4 or 5 that could potentially be used to reduce cycle time down to 30 seconds or less. Respond to at least two of your classmates’ posts.