Research and develop a picot question for the rate and increasing number of adolescence with hiv.Week 2: Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process
Purpose
This assignment provides the opportunity for the student to continue work on a previously identified area or phenomenon of interest related to their MSN specialty track. Week Two’s assignment builds upon the identified area of interest by developing an overview of the evidence-based practice (EBP) project and the PCIOT/PICo question. This assignment initiates the evidence-based practice proposal that is continued throughout the entire course with each assignment adding components of the research process.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO#1 Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. PO 1

CO#2 Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes. PO 2, 5

CO#4 Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. PO 1, 2, 3, 5

Due Date: Sunday 11:59 PM MT at the end of Week Two
Total Points Possible: 150 points
Requirements
Description of the Assignment
This assignment builds on the identification of a nursing concern from NR 500 and the application of a nursing theory to the selected concern from NR 501. For this course, the selected concern and nursing theory then serve as a foundation to the identification of PICOT/PICo. Identification of the literature search strategy is also required. The purpose of the MSN project proposal is to translate evidence currently found in the literature into practice within the chosen specialty track. Due to the research complexity, time involvement, and implications regarding human subjects, drug studies are not acceptable areas of interest for a MSN project.

Criteria for Content

1. Overview of Selected Evidenced-based Practice Project: This section provides a foundation to the MSN EBP scholarly project. It should contain the following elements:
• Explain the relationship between research and evidenced-based practice (EBP)
• Distinguish how EBP is different from research
• Explain the contribution of EBP to professional nursing
• Identify your MSN Program Specialty Track and practice focus
• Explain how EBP promotes change within your future practice setting

2. Identification of the Nursing Concern to be Improved: This section provides a comprehensive discussion of the selected nursing concern. It should contain the following elements:
• Explain the selected nursing concern in detail
• Identify how frequently the selected concern occurs within your specialty track setting
• Identify the stakeholders impacted by the concern
• Identify the consequences of the selected concern
• Identify your proposed solution to the selected concern
• Identify a purpose statement for this EBP proposal

3. PICOT/PICo question and Literature Search Process: This section identifies the PICOT/PICo question that will used for this EBP proposal. The literature search parameters will also be identified. It should contain the following elements:
• Identify the question in correct format with all required elements
o PICOT for quantitative research approach
o PICo for qualitative research approach
• Identify how the expected outcome will be useful to your future practice setting
• Discuss the purpose of conducting a literature review and the contribution it will provide to this EBP proposal
• Identify the steps used to conduct a literature review for this EBP proposal by including:
o The specific library databases used
o The key search terms and phrases used
o The minor (additional) search terms and phrases used
o Identify any specialty organization that is relevant to this EBP proposal

4. Theoretical Framework: This section presents the theoretical framework that will used in this EBP project. It should contain the following section:
• Explain the theoretical framework to be used in this EBP proposal
• Describe how the identified theoretical framework is applied to this EBP proposal

Preparing the Assignment
Criteria for Format and Special Instructions

1. The paper (excluding the title page and reference page) should be at least 5, but no more than 8 pages. Points will be lost for not meeting these length requirements.
2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
3. A minimum of 6 (six) appropriate research-based scholarly references must be used. Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Course Resources tab. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.
4. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.
5. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

Research, compose, and type a scholarly paper based on the scenario described below, and
choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons
learned in this class about technology, privacy concerns, and legal and ethical issues and
addressed each of these concepts in the paper, reflecting on the use of smartphones and social
media in healthcare. Consider the consequences of such a scenario. Do not limit your review of
the literature to the nursing discipline only because other health professionals are using the
technology, and you may need to apply critical thinking skills to its applications in this scenario.

SCENARIO
You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has
been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive
pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart
failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight
because you were scheduled to work, and you respond to her between care of patients, jealous that she
is there and you are not. “What a jerk to torture me like this!” you think to yourself.
It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident
victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed
cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The
patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle
overturned after rolling over an embankment. There were several fatalities among the bus passengers,
and “this victim has remained unconscious, though his vitals are currently” . . . and as you start to focus
on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue
Lizards,” who you have adored since you first heard his voice! The band had just left the concert that
you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can you
believe?” and she responds with “Yeah, right. PROVE IT.” So you quickly snap a picture with your
smartphone, when alone with the patient, and send it to her. Can’t hurt, right? Celebrities are “public
property,” and that’s a part of their life, right? Just for good measure, you snap a few more pictures of
the unconscious singer in various stages of undress and then a shot of his home address, phone number,
and demographic information from his electronic health record. You sit your phone down on the
bedside table for a minute as you continue your assessment of the patient.
At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.

What happens next? Choose an ending to the scenario, and construct your paper based on those
reflections:
1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside
table. While trying to figure out to whom it belongs, you open the phone and see the photographs taken the night before. Holy moly! What a find, and nobody could trace you to the
photos.

2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos
you have taken (courtesy of your best friend). Your identity would never be revealed, and you
desperately need a new car and are behind on some bills.

3. You go on Facebook, on your day off, and talk about the night you had at work and how you
didn’t really feel as bad having to miss the concert, because you actually got to meet Jerod in
person and even “Got his number!” You then post a picture of Jerod on Facebook and
Instagram, figuring that most of your contacts would never recognize him anyway. It’s your day
off and your personal time, so no harm, no foul, right?

4. You receive a message the next morning from a peer at work that there is a big investigation
being conducted at work due to a HIPAA violation and that it involved a celebrity who had been
admitted to the hospital. The word is that legal action is being taken against the hospital due to
some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with
your best friend, you reach for your smartphone, but it is nowhere to be found.

Choose a listed company that has undergone change process and examine whether the change process was successful or not. If change was successful state how it was managed to achieve the desired outcomes. If it was not successful, outline a change model that the company would have used.

• Question 1: Describe the difference between the law and ethics.

• Question 8: Explain what happened in the 1968 Supreme Court’s re-interpretation of the First Amendment to the U.S. Constitution regarding public employees’ limited speech protections.

• Question 3: Explain why laws exist that do not impose a duty to rescue.

• Question 6: Discuss the differences in utilitarianism and values ethics in making a decision.

1. Discuss general principles of cancer management in the aging adult.

2. Discuss the causes and management of the aging adult with anemia.

3. The clinical presentation, management and treatment modalities of common infectious diseases in the older adult.

Please answer separately.

Find an article on transformational leadership and its use in nursing/health care. Briefly summarize the article and discuss how an individual in your practice setting uses this leadership style. Include a reference or link to the article that you have summarized.

This is a team assignment. In this assignment, your team will demonstrate its knowledge of health information and communication technologies that provide accessible and quality health care to diverse populations (underrepresented minorities, English as a second language [ESL], incarcerated, elderly, homeless) and communities (inner city, rural, medically underserved) by writing a proposal no longer than 8 pages.

A wealthy benefactor has established a new center, The FNP Breakthrough Foundation, and as a first step will fund two innovative FNP projects that provide accessible health care to a population in need. This foundation was formed from the benefactor’s fortune with his wife, an RN. Their sizable wealth was made in the technology sector. The goal of the foundation is to harness the power of technology to bring health care to communities in need. The foundation modeled this call for proposals from the Robert Wood Johnson’s Pioneer Program Area that funds “innovators whose bold ideas push beyond conventional thinking to explore solutions at the cutting edge of health and healthcare.” The call for Step 1—brief proposals—has been issued today.

Nasa, Voyager, the Golden Record CPA

Don’t forget to actually click on the Assignment link.

1) Read the attached article and listen to the NPR story of how the new release of this 40 year old record were made. Beyond its intention as a way to communicate with aliens, how are these artifacts emblematic of their time, both 1977 and 2017?

2) Look through the titles of the Spotify playlist. Listen. Do you feel that the this record presents an accurate portrait of the musical culture of the world? What would you change?

3) Notice the references to recording technology throughout the written pieces. How difficult was it to assemble these works in one place in 1977? What would change if one were to create this as a playlist in 2017? What would remain the same?

4) If tasked with creating an audio document, limited to one hour in length, as our ambassador to the universe what three principles would you use to select the music?

Money & Banking Questions

The Federal Reserve’s surveys of bank loan officers contain questions about

• All of the answers given are correct
• The interest rates being charged
• The supply of and demand for loans
• The quantity and quality of loans

“If central bankers raise the interest rate, the asset-price channel of monetary policy implies

• Stock prices will decrease
• Stock prices will remain the same but bond prices will increase
• Bond prices will remain flat
• Stock prices will increase and bond prices will remain flat

An open market sale of securities by the central bank to banks usually will

• Diminish the inclination of banks to make loans
• Induce the banks to make more loans since their revenue will decrease if they do nothing
• Increase the amount of deposits in the banking system
• Increase the banks’ willingness and ability to make loans

The relationship between real estate markets and interest rates is:

• Inverse, higher interest rates drive down real estate prices and vice versa
• Nonexistent
• Complex; cuts in the short-term interest rate lead to increases in long-term rates and higher real estate prices.
• Direct high interest rates lead to high real estate values as people abandon other financial assets

Most economists agree that the target rate of inflation for the central banks should be:

• Above zero for fears of deflation
• Between 7 and 9 percent
• Less than zero
• Something over 3 but less than 6 percent

One monopoly that modern central banks have is in:

• Issuing currency
• Regulating other banks
• Making loans to banks
• Issuing U.S. Treasury securities

The primary objective of most central banks in industrialized economies is:

• Price stability
• High securities prices
• Low unemployment
• A strong domestic currency

Which is a function of modern central banks?

• To control the availability of money and credit
• To control securities markets
• To control the government’s budget
• To manage fiscal policy

What matters most during a bank run is

• The liquidity of the bank
• The number of loans outstanding
• The solvency of the bank
• The size of the bank’s assets

If your stockbroker gives you bad advice and you lose your investment

• The government will not reimburse you for the loss, you are not protected from bad advice by your stockbroker
• The government will reimburse you similar to reimbursing depositors if a bank fails
• These losses would be covered under FDIC insurance
• Your investment would only be covered if the stockbroker was employed by a bank

Rumors of a bank failing, even if not true, can become a self-fulfilling prophecy because’”

• Depositors will rush to the bank to withdraw their deposits and the bank under normal situations would not have sufficient liquid assets on hand
• Regulators will scrutinize the bank heavily looking for something wrong
• Equity investors will not be able to sell the bank s stock
• Customers will not want to obtain loans from this bank

The government regulates bank mergers, sometimes denying the proposed merger.  Often the reason given for the denial is to protect small investors.  What are small investors being protected from?

• Mergers can increase the monopoly power of banks and the bank may seek to exploit this power by raising prices and earning unwarranted profits
• In order to pay for the merger, the bank may seek higher returns putting the depositors’ funds at greater risk
• With a larger bank the bank is likely to take greater risk and may fail
• Bank runs hurt larger banks more than smaller banks

“In the U.S., loans made by Federal Reserve to banks fall in the categories of.”

• Discount loans
• Reserves
• Discount loans and reserves
• Discount loans and foreign exchange reserves

Monetary policy operations for central banks are run through changes in the liability category of:

• Reserves
• Government’s accounts
• Currency
• Gold

Consider a $2 billion open market purchase of U.S. Treasury securities by the Federal Reserve.  The Fed’s balance sheet will show: 

• An increase in the asset category of securities and the liability category of reserves by $2 billion
• “no change in the size of the balance sheet, just the composition of assets will change from cash to securities.”
• Only show an increase in the liability of reserves of $2 billion
• Only an increase in the assets of securities of $2 billion

A central bank’s balance sheet will categorize the following as liabilities:

• Currency
• Loans
• Securities
• Foreign exchange reserves

Which of the following would be categorized as an unconventional monetary policy tool?

• Targeted asset purchases
• The interest rate on excess reserves (IOER)
• Federal funds rate target range
• Deposit rate

Quantitative easing is:

• Expansion of the supply of aggregate reserves beyond the amount needed to maintain the policy rate target.
• Statements today about policy targets in the future
• Asset purchases that shift the composition of the Fed’s balance sheet
• Expansion of the demand for aggregate reserves to drive down the IOER

“The conventional policy tools available to the Fed include each of the following, except the:”

• Currency-to-deposit ration
• Discount rate
• Target federal funds rate range
• Reserve requirement

The Taylor rule is:

• An approximation that seeks to explain how the FOMC sets their target
• The monetary policy setting formula followed explicitly by the FOMC
• An explicit tool used by the ECB but no the Fed
• A rule adopted by Congress to make the Fed’s monetary policy more accountable to the public

The portfolio demand for money reflects

• The portion of wealth people desire to hold in the form of money
• The money we hold for our everyday transactions
• The money we hold to purchase stocks and bonds and other financial securities
• The money we hold for our everyday transactions and the money we hold to purchase stocks and bonds and other financial securities

A decline in the yields earned by bonds should:

• Increase the demand for money
• Not impact the demand for money since money doesn’t earn any interest
• Also decrease the demand for money
• Increase the velocity of money

“In high inflation countries, inflation rates can exceed the rate of growth of money because.”

• All of the answers given are correct
• Money loses value quickly with inflation
• High rates of inflation increase the opportunity cost of holding money
• High inflation increases the velocity of money

“Over the long run if central banks want to avoid high rates of inflation, they need to be concerned with the.”

• Money growth rate
• Unemployment rate
• Real economic growth rate
• Productivity of labor

A unit bank is a bank that

• Has no branches
• “provides a myriad of financial services, so customers get all or most of their financial needs taken care of at the bank.”
• Only offers savings accounts
• “only makes one type of loan (i.e., home mortgages)”

“In order for insurance companies to generate predictable payouts, they need to.”

• Spread the risk across many policies
• Accept policyholders from a very specific geographic area
• “focus on insuring only specific events, for example only fire.”
• Offer only life insurance

Universal banks are:

• Firms that engage a wide array of financial and non-financial activities
• Firms that engage in banking services across many countries
• Banks that make direct investment in non-financial firms
• Multinational corporations that own U.S. banks

The Gramm-Leach-Bliley Act:

• Repealed the Glass-Steagall Act’s prohibition of mergers between commercial banks and insurance or securities firms
• Repealed the Riegle-Neal Interstate Banking and Branching Efficiency Act
• Repealed the McFadden Act’s restriction on bank branching
• Reinforced the Glass-Steagall Act’s limitation on commercial banks’ availability to merge with insurance or securities firms by increasing the penalties for doing so

One way inflation reduces aggregate demand is by:

• Reducing real balances
• Increasing nominal GDP
• Increasing velocity
• Increasing wealth

A decrease in taxes would cause:

• The dynamic aggregate demand curve to shift to the right
• A movement up and along the existing dynamic aggregate demand curve
• A movement down and along the existing dynamic aggregate demand curve
• The dynamic aggregate demand curve to shift to the left

The slope of the monetary policy reaction curve is determined by:

• How aggressively policymakers change interest rates in response to deviations between current and target inflation rates
• How strongly the inflation rate impacts people’s decisions
• How strongly the economy reacts to changes in the nominal interest rate
• People’s expectations for inflation

“In the short run, the point on the aggregate demand curve where an economy will end up depends on.”

• The short-run aggregate supply curve
• Potential output
• The long-run rate of inflation
• The money supply

“When faced with negative supply shocks, policymakers.”

• Face a trade-off because they cannot simultaneously stabilized both output and inflation.
• Cannot stabilize output so they trend to focus on inflation
• Will always focus on stabilizing output
• Will stabilize both inflation and output

Which of the following would be classified as a negative supply shock?

• An increase in the legal minimum wage
• A decrease in the price of oil
• An increase in government purchases
• An increase in demand for exports

Stagflation is a term that usually describes an economy experiencing:

• High inflation coupled with low growth
• Low inflation
• Low inflation coupled with low growth
• Low unemployment rates and low inflation rates

Globalization and trade:

• All of the answers provided are correct
• Provide an opportunity to reduce inflation permanently
• Shifts both the short-run and long-run aggregate supply curves to the right
• Expands economic potential in a similar fashion to productivity enhancing technological progress

Member banks of the Federal Reserve System include:

• Nationally chartered banks and state chartered banks that decide to join
• Only nationally chartered banks
• All state chartered banks with assets exceeding $100 million
• Nationally chartered banks and all state chartered banks

One reason it took so long to have a central bank in the United States is that:

• States feared centralization of power
• It wasn’t needed
• State currencies worked fine
• All of the answer options are correct

The Reserve Banks of the Federal Reserve System are owned by:

• The commercial banks in their districts
• The taxpayers in their districts
• The U.S. Treasury
• The Board of Governors

The Agreement to form a European monetary union was formalized in the Treaty of

• Maastricht
• Paris
• Amsterdam
• Milan

Each Question: 2 pages  (6 toal pages) plus major assignment(watching a bit of a webcast) 4 pages = 10 pages (total)

Question 1:

1. Classroom Environment…

“The best classrooms are literacy havens where students flourish as readers, writers, and learners as they explore their physical and social world.”

– A Guide to Effective Literacy Instruction, Grades 4 to 6, Volume Three, Planning and Classroom Management, 2006, p. 64-87

Consider the needs of the junior learner. Discuss the organization of a junior classroom in terms of the physical layout and of the learning environment that will support the students. Describe the floor plan for a junior classroom and the resources/materials that need to be available.

Question 2:

2. Timetabling for the Junior Grades

As you explore the subject areas, range of curriculum expectations, etc. how will you create a timetable to support meaningful learning experiences? What factors will you consider as you plan the timetable for junior learners? How would you plan for a class of combined grades in the junior division?

A Guide for Effective Literacy Instruction, Grades 4 to 6, Volume Three, Planning and Classroom Management, 2006, p. 45-49

Combined Grades: Strategies to Reach a Range of Learners in Kindergarten to Grade 6, 2007. p. 6-17

Question 3:

3. Making Connections – Planning, Instruction and Assessment

“The largest proportion of assessment time should be spent on assessment during learning.”

(Literacy for Learning, The Report of the Expert Panel on Literacy in Grades 4 to 6 in Ontario, 2004, p. 46)

What are the formative assessment opportunities presented on a daily basis? How will you make meaningful connections between instruction and assessment as you plan for each learning experience in the junior grades?

How will you frame assessment strategies in a class of combined grades in the junior division?

• Combined Grades: Strategies to Reach a Range of Learners in Kindergarten to Grade 6, 2007, p. 18 & p. 47-54