Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. 

Develop a 5-9 page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. 

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assessment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course.

First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.

Preparations

• Read Guiding Questions: Problem Statement (PICOT) [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
• As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
  • As you reflect on your work in the field, what population do you feel has the greatest need? Why? Is the need across the population, or within a specific setting?
  • What interventions already exist for the selected population? Are they effective? Why or why not?
  • How will site support from your practicum and your preceptor support your goals and objectives?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked above) to better understand how each criterion will be assessed.

Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.

Your Problem Statement (PICOT) should be structured as follows:

PART 1: PROBLEM STATEMENT (2–3 PAGES)

Need Statement (1 paragraph).

• Analyze a health promotion, quality improvement, prevention, education or management need.

Population and Setting (1–2 paragraphs).

• Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).

• Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1–2 paragraphs).

• Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).

• Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).

• Propose a rough time frame for the development and implementation of an intervention to address and identified need.

PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)

• Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
• Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.

ADDRESS GENERALLY THROUGHOUT

• Communicate problem statement and literature review in way that helps the audience understand the importance and validity of a proposed project.

Additional Requirements

• Length of submission: 5–9 double-spaced pages.
• Number of resources: 10–15 resources. (Your final project summation will require 12–18 unique sources across all sections.)
• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
• Font and font size: Times New Roman, 12 point.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  • Explain an overview of one or more interventions that would help drive quality improvement related to an identified need within a target population and setting.
• Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
  • Analyze a health promotion, quality improvement, prevention, education, or management need.
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
• Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
  • Describe a quality improvement method that could impact a patient, population, or systems outcome.
• Competency 4: Design patient- and population-centered care to improve health outcomes.
  • Propose a rough time frame for the development and implementation of an intervention to address an identified need.
• Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.
• Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
  • Evaluate and synthesize resources from diverse sources illustrating existing health policy, health care technologies, or other communications that could impact the approach taken to address an identified need.
• Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Note: You will also be assessed on two additional criteria unaligned to a course competency:

• Communicate problem statement and literature review in a way that helps the audience to understand the importance and validity of a proposed project.
• Demonstrate completion of hours toward the practicum experience.

How did a nurse practitioner keep a patient out of the hospital?

As a nurse practitioner, it’s important that you understand the impact of health care payer system politics on the quality of care.
Assume you’ve been asked, in your role as lead nurse practitioner for your local medical clinic, to prepare an editorial reflecting on the article below and its applicability in your local community.
Read “Equity-Efficiency Tradeoff: The Hospital Readmissions Reduction Program And Disparities In Outcomes Among Vulnerable Medicare Heart Failure Patients In Pennsylvania.” from the University Library page.
Write a 750-word editorial reflection on the issue of the equity-efficiency tradeoff on quality of care and positive patient outcomes as they might apply to your own community.
Note: An editorial reflection is written in the first person. It is supported by evidence that is justified using citations and references.
Use the following questions to reflect on the article and your editorial response:
What impact did the Affordable Care Act have on the Centers for Medicaid and Medicare (CMS) in their effort to focus on both quality of care and cost reduction?
How did the CMS’s Hospital Readmission Reduction Program (HRRP) impact disadvantaged populations?
How did a nurse practitioner keep a patient out of the hospital?
The article makes the statement that health care is a civil rights issue. Do you agree or disagree with this statement after reading the article? Provide evidence for your position.

Discuss the topic of your choice by defining it and then providing an example of how an organization has addressed the challenge or exploited the opportunity.

Select either one of the challenges or one of the opportunities for healthcare as presented in Chapter #1 of the text.  Discuss the topic of your choice by defining it and then providing an example of how an organization has addressed the challenge or exploited the opportunity.

Choose 2 methods of data collection, and examine how each can be used measure quality and performance in a health care organization.

Within the Discussion Board area, write 400-600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Reliable data are needed for administrators to make the best decisions to improve quality and performance in a health care organization. Complete the following:

• Choose 2 methods of data collection, and examine how each can be used measure quality and performance in a health care organization.
• Discuss the advantages and disadvantages of each method.

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

Discuss the advantages and concerns of incorporating or closely linking marketing activities with research activities.

cases
Abstract
The Scenario
Nashville-based TCS Management Group markets TeleCenter System, software
used to forecast staffing needs for reservation centers, order centers, or customer
service centers. Using TeleCenter System allows companies to have the correct
number of people on duty at any given hour of the day or night, thereby optimizing
the delivery of good service while holding costs as low as possible. TCS has an
impressive list of customers, including American Express, British Airways, Sears,
Amtrak, and Citicorp.
TCS was planning a special two-day educational event, Users Forum, for
its 300-plus customers, but was unsure how many TeleCenter System users
would attend. Scheduled at the Opryland Hotel, the forum would offer speakers,
workshops, and presentations. While TCS would underwrite the costs associated
with planning the meeting and preparing the presentations, customers would be
responsible for paying a fee to attend, as well as their own hotel and travel
expenses to Nashville. “Ten weeks before the forum, we weren’t sure whether we
would have 40 people or 140 people coming to Nashville,” shared Jim Gordon,
CEO of TCS.
While TCS had previously done most of its own customer satisfaction
research, given the time frame of the need, it turned to Nashville-based Prince
Marketing, who promised to design, conduct, and interpret survey results within
21 days.
Three objectives were set for the phone survey:
• Determine the likelihood of Users Forum attendance.
• Update the TCS software users database (for subsequent use in
mailing quarterly newsletters, special announcements, and software
updates).
• Measure the level of user satisfaction (with the company and its
software generally, as well as regarding specific software features and
This case examines a study by Prince Marketing for TCS Management Group.
TCS Management Group, Inc., part of Aspect Communications, is the leading
provider of workforce management software, especially related to call center
management. The study discusses measures of customer satisfaction and aims to
predict attendance at a two-day educational event, Users Forum.
www.aspect.com
Calling Up Attendance
Used with permission of
Pamela S. Schindler issues).
©2001. Respondents were asked to rate on a 7-point scale the software’s ease of
Business Research Methods, 13e/Schindler

Respondents were asked to rate on a 7-point scale the software’s ease of
Business Research Methods, 13e/Schindler
Discussion
1 Build the management-research question hierarchy.
2 Discuss the communication methodology chosen.
3 Develop the preliminary analysis plan.
4 How would you deal with the 16 percent of the sample who were new to
the software?
5 Discuss the advantages and concerns of incorporating or closely linking
marketing activities with research activities.

If sales and per capita income are positively related, classify all variables as dependent, independent, moderating, extraneous, or intervening.

250 words each

Discussion Question 1: An automobile manufacturer observes the demand for its brand increasing as per capita income increases. Sales increases also follow low-interest rates, which ease credit conditions. Buyer purchase behavior is seen to be dependent on age and gender. Other factors influencing sales appear to fluctuate almost randomly (competitor advertising, competitor dealer discounts, introductions of new competitive models). If sales and per capita income are positively related, classify all variables as dependent, independent, moderating, extraneous, or intervening.
Discussion Question 2: Chipotle Mexican Grill continues to suffer from perception issues after a string of outbreaks, including E.coli, worried customers about the safety of eating at the fast-casual chain. Chipotle’s strategy for getting customers back into its restaurants was to give away free tacos, burritos, and chips. And while its customer survey scores are improving, Chipotle is still operating at a loss. What concepts, constructs, and operational definitions should any future research deal with?

How can we use some of the lessons learned from past public health contributions such as the Henrietta Lacks Story, the Tuskegee Syphilis Experiment, or the Stanford Prison Experiment to introduce public health interventions that will be beneficial for less fortunate populations?

Define social determinants of health. How do you feel that social determinants of health play a role in the health status of vulnerable populations groups? How can we use some of the lessons learned from past public health contributions such as the Henrietta Lacks Story, the Tuskegee Syphilis Experiment, or the Stanford Prison Experiment to introduce public health interventions that will be beneficial for less fortunate populations?

How might visual literacy help you in your future career or plans?

1. In your own post, please respond to the following in complete sentences. Book: Understanding Art, 11th Edition – Part V: Themes and Purposes of Art. Response must be 250-300 words.
   • How might visual literacy help you in your future career or plans?
   • Find a new-to-you artwork from the textbook that interests you. Feel free to look through upcoming chapters. Include identifying info on the artwork (title, artist, date, medium). Describe what drew your attention, and why it interests you. Make as many observations as you can. Which details establish the work’s subject?  Which details contribute to the work’s form? Is this work abstract, realistic, or nonobjective? 
   • What theme or purpose from the “Themes and Purposes of Art” section in Understanding Art would best suit this work? Justify your response.

What does Secularism say about how we should live”?

3 Page paper that answers the following question, “What does Secularism say about how we should live”? Then in the final paragraph of the paper, compare and contrast the difference between the Secular viewpoint on how we should live and the Christian viewpoint. 

Discuss one advantage of using this tactic for telehealth marketing.

In this assignment, you will read an article on marketing telehealth services.  You will then select 5 tactics out of the 20 tactics (best ways) mentioned in the article. You will discuss one advantage and one disadvantage and provide a real-life example for each of the 5 tactics that you select.

Preparation

1. Read: How to Market your Telehealth Services. 

Instructions

1.  Complete the Week 8 Activity Template by doing the following:
   • Select five (5) marketing tactics from the list of 20 tactics (best ways) mentioned in the article that you believe will provide the best marketing plan for growing telehealth services.
   • For each of your five (5) selected marketing tactics:
     • Discuss one advantage of using this tactic for telehealth marketing.
     • Discuss one disadvantage of using this tactic for telehealth marketing.
     • Provide a real-life example (including web link) for each of the 5 telehealth marketing tactics that you discuss.
   • https://healthcaresuccess.com/blog/advertising/how-to-market-your-telehealth-services.html