Summarize the PICO(T) components of the health care challenge presented in the following Vila Health scenario and qualitative research study, and write a PICO(T) question:

Vila Health: The Best Evidence for a Health Care Challenge.

Carlfjord, S., Öhrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18, 1–9.

PLEASE SEE THE ATTACHED DOCUMENTS AN USE AT LEAST 4 SOURCES!!! PLEASE USE THE SOURCES LISTED ON THESE DOCUMENTS!!! MENTIONING VILA HEALTH

 

o Summarize the PICO(T) components of the health care challenge presented in the following Vila Health scenario and qualitative research study, and write a PICO(T) question:

o Vila Health: The Best Evidence for a Health Care Challenge.

o Carlfjord, S., Öhrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18, 1–9.

o Your PICO(T) question will be the basis of your search for additional research evidence.

· Implement a search strategy for the best evidence (step 2 in the EBP process).

ASSINGMENT WEEK 5 NHS8065

INTEGRATING AND IMPLEMENTING EVIDENCE TO ADDRESS A HEALTH CARE CHALLENGE

Introduction

In addition to critically appraising research and the evidence it produces, one of the roles of a health care leader is to interpret research study results and determine the significance and potential impact the evidence may have in the EBP process.

Instructions

Write a paper in which you apply the first four steps of the EBP process in relation to the health care challenge presented in the Vila Health: The Best Evidence for a Healthcare Challenge multimedia simulation and readings.

Paper Format and Length

Format your paper using APA style.

· Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your paper. Be sure to include:

. A title page and references page. An abstract is not required.

. A running head on all pages.

. Appropriate section headings.

· Your paper should be 2-3 pages in length, not including the title page and references page.

Assignment Grading

The following requirements correspond to the scoring guide criteria, so be sure to address each point. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

· Construct a PICO(T) question (step 1 in the EBP process).

. Summarize the PICO(T) components of the health care challenge presented in the following Vila Health scenario and qualitative research study, and write a PICO(T) question:

. Vila Health: The Best Evidence for a Health Care Challenge.

. Carlfjord, S., Öhrn, A., & Gunnarsson, A. (2018). Experiences from ten years of incident reporting in health care: A qualitative study among department managers and coordinators. BMC Health Services Research, 18, 1–9.

· Your PICO(T) question will be the basis of your search for additional research evidence.

· Implement a search strategy for the best evidence (step 2 in the EBP process).

· Search for one quantitative study that supports the Chief Nursing Officer’s suggested intervention or an alternative intervention.

· Base your search strategy on your PICO(T) question and on appropriate study methods and designs with the best evidence.

· Describe your search strategy, and explain how you determined it would lead to finding the best evidence for your PICO(T) question.

. What databases did you search?

. What search terms were most effective?

. What’s your rationale for concluding that you’ve found the best evidence?

· Identify and summarize the study you found for this purpose.

· Evaluate the strengths and weaknesses of the evidence in both the qualitative and quantitative research studies, in relation to the health care challenge (step 3 in the EBP process).

· Conduct a rapid critical appraisal of the study provided by the CNO and the quantitative study you found in your search.

· Consider the research design and methods in relation to the evidence presented when you choose an appropriate critical appraisal tool and complete the appraisal for each study.

· Interpret the evidence and its implications, in relation to the health care challenge (step 4 in the EBP process).

· Synthesize all of the evidence, including research evidence, organizational evidence/data, and staff perceptions.

· Explain why the quantitative study you found and (or) the CNO’s study contains the best evidence for your PICO(T) question.

· Recommend a strategy to implement the evidence-based intervention in your PICO(T) question (also part of step 4 in the EBP process).

· Support your recommended strategy with a synthesis of the evidence presented in the studies and (or) additional relevant and timely resources.

· Explain how health care professionals in multiple roles can apply the findings of the studies to improve practice.

· Reflect on how you and other health care professionals can improve practice, based on your interpretation of the implications of these studies.

· This part of your paper extends beyond the steps of the EBP process to address how interprofessional collaboration and communication can lead to improvements in health care.

· Synthesize multiple sources into key themes or findings.

Competencies Measured

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

· Competency 1: Apply the steps of the evidence-based practice process to a health care challenge.

. Construct a PICO(T) question.

· Competency 2: Differentiate among qualitative, quantitative, and mixed research design methods, and evidence for health care and public health.

. Implement a search strategy for the best evidence.

· Competency 3: Evaluate the design, methods, results, and overall quality of qualitative research methods and results, within the context of evidence-based practice.

. Recommend a strategy to implement an evidence-based intervention in a PICO(T) question.

. Evaluate the strengths and weaknesses of the evidence provided in a study, in relation to a health care challenge.

· Competency 4: Interpret the practical significance of quantitative and qualitative health care data analyses and results, using the evidence-based practice process.

. Interpret evidence and its implications, in relation to a health care challenge.

. Explain how health care professionals in multiple roles can apply the findings of a research study to improve practice.

· Competency 5: Produce original, written work, in compliance with Capella’s writing standards, that is a creative synthesis of information from credible sources.

. Synthesize multiple sources into key themes or findings.

Week 6 Case Study: Chronic Obstructive Pulmonary Disease (COPD)

Required Resources

Read/review the following resources for this activity:

• Textbook
• Weekly Concepts
• Minimum of 1 scholarly source

Scenario/Summary

Hector loved visiting and playing with his grandson, David. Today was David’s birthday and the whole family was at the park to celebrate. They had tons of food and lots of games to enjoy. At one point, they had a three-legged race and David asked his grandfather, Hector, to be his partner. They gave it everything they had and crossed the finish line ahead of everyone else for the win.

Afterward, Hector started wheezing and had trouble catching his breath. He also had a tightness around his chest. Fearing that Hector may be having heart troubles, the family rushed him to the local emergency room. Hector reported to the doctor that he had been having a chronic cough that he couldn’t get rid of and had to clear his throat of mucus every morning.

Respiratory function tests indicated that Hector had Chronic Obstructive Pulmonary Disease (COPD) as a result of chronic bronchitis. The ER physician sent him home with some medication and advised hector to assume the tripod position to aid in his breathing when he was experiencing shortness of breath.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

1. How is ventilation different from respiration?
2. Ventilation is dependent upon a pressure gradient. Describe how this pressure gradient works.
3. What muscles are involved in ventilation?
4. What is COPD and how does it affect ventilation?
5. How does the tripod position help breathing in COPD patients?

Submit your case study document.

Required Software

Microsoft Office: Word

Grading

This activity will be graded based on the Case Study grading rubric. You can view the rubric below.

Course Outcomes (CO): 5

Due Date: By 11:59 p.m. MT on Sunday of Week 6