For the Course Project, you identify and apply relevant research to a specific nursing topic or problem.

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For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

  • Review the article, “Formulating the Evidence Based      Practice Question: A Review of the Frameworks,” found in the Learning      Resources for this week. Focus on the PICOT model for guiding the      development of research questions.
  • Review the section beginning on page 71 of the course      text, titled, “Developing and Refining Research Problems” in the course      text, which focuses on analyzing the feasibility of a research problem.
  • Reflect on an issue or problem that you have noticed in      your nursing practice. Consider the significance of this issue or problem.
  • Generate at least five questions that relate to the      issue which you have identified. Use the criteria in your course text to      select one question that would be most appropriate in terms of      significance, feasibility, and interest. Be prepared to explain your      rationale.
  • Formulate a preliminary PICO question—one that is answerable—based      on your analysis. What are the PICO variables (patient/population,      intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

  • Using the PICOT variables that you determined for your      question, develop a list of at least 10 keywords that could be used when      conducting a literature search to investigate current research pertaining      to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

  • A summary of your area of interest, an identification      of the problem that you have selected, and an explanation of the      significance of this problem for nursing practice
  • The 5 questions you have generated and a description of      how you analyzed them for feasibility
  • Your preliminary PICOT question and a description of      each PICOT variable relevant to your question
  • At least 10 possible keywords that could be used when      conducting a literature search for your PICOT question and a rationale for      your selections

Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

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Please follow this instruction

To prepare for this Discussion:

Case 1: Volume 2, Case #16: The woman who liked late-night TV

The Case: The woman who liked late-night TV  The Question: What to do when comorbid depression and sleep disorders are resistant to treatment  The Dilemma: Continuous positive airway pressure (CPAP) may not be a reasonable option for treating apnea; polypharmacy is needed but complicated by adverse effects.

Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

· Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

· Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

· Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

· Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

· Review the posttest for the case study.

Learning Resources

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Review the following medications:

For insomnia

· alprazolam

· amitriptyline

· amoxapine

· clomipramine

· clonazepam

· desipramine

· diazepam

· doxepin

· flunitrazepam

· flurazepam

· hydroxyzine

· imipramine

· lorazepam

· nortriptyline

· ramelteon

· temazepam

· trazodone

· triazolam

· trimipramine

· zaleplon

· zolpidem

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Davidson, J. (2016). Pharmacotherapy of post-traumatic stress disorder: Going beyond the guidelines. British Journal of Psychiatry, 2(6), e16-e18. doi:10.1192/bjpo.bp.116.003707. Retrieved from http://bjpo.rcpsych.org/content/2/6/e16

The case Study

PATIENT FILE

The Case: The woman who liked late-night TV

The Question: What to do when comorbid depression and sleep disorders

are resistant to treatment

The Dilemma: Continuous positive airway pressure (CPAP) may not be a

reasonable option for treating apnea; polypharmacy is needed but

complicated by adverse effects

How Information Technology (IT) promotes getting people who are affected by policies involved in the policy-making process

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 How Information Technology (IT) promotes getting people who are affected by policies involved in the policy-making process. Cite specific examples.

  1.  APA Format
  2. You must reference two (2) peer-reviewed articles or papers that support thesis statement. One of these papers may be from annotated bibliography assignment. The paper must be at least 1000 words in length but not longer than 1200 words .

In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.

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Based on the required topic study materials, write a reflection about worldview and respond to following:

  1. In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.
  2. In 250-300      words, explain what scientism is and describe two of the main arguments      against it.
  3. In 750-1,000      words, answer each of the worldview questions according to your own      personal perspective and worldview: (a) What is ultimate reality? (b) What      is the nature of the universe? (c) What is a human being? (d) What is      knowledge? (e) What is your basis of ethics? (f) What is the purpose of      your existence?

Remember to support your reflection with the topic study materials. 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.

Rubric 

· Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials.

· Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials.

· Each of the worldview questions is answered clearly and with deep personal insight.

· Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

· Writer is clearly in command of standard, written, academic English.

· Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

· All format elements are correct.

· Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.