A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.
2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background.

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers discussed in F2.
4. Identify one indicator to measure the outcome related to the recommendation.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized

1. Briefly outline the relevant medical facts contributing to Ms. Schiavo’s condition
2. Provide a brief summary of the legal history specific to Ms. Schiavo’s case. Include a discussion of the major past cases which influenced the issues in the case, focusing primarily on an individual’s right to refuse medical care.
3. Based on your readings and discussions in Module 4, discuss some of the legal considerations of relevance in Ms. Schiavo’s case.
4. Discuss the contextual motivations potentially influencing the following stakeholders (those directly or indirectly affected by the case), and the ethical or moral justifications for their positions: Ms. Schiavo’s parents, her husband, the Governor of Florida as a representative of a state’s interest, taxpayers and the disabled community.
5. Based on what you have learned so far in this course, state your ethical position relative to the issue–what would you do? Remember to justify your position.
6. Discuss at least one of the health policy considerations that are present in this case.
• In developing your response, keep in mind that public policy seeks to protect and benefit the welfare, safety and interests of society while balancing the rights of individuals. Health policy considerations are issues that can and/or should be discussed, and changed in order to avoid scenarios such as what happened with Terri Schiavo.
7. Briefly discuss what you have learned from your exploration of the Terri Schiavo case. Has the case influenced your view of advanced directives? Presuming you have not already, are you now considering completing your own advance directives? Why or Why Not?