week 4 collaboration

Need help with my Nursing question – I’m studying for my class.

With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice.

Select one current, qualitative or mixed methods scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential application.

My PICOT below , you did these assignments for me , all the information is below , APA , no plagiarism , sources peer reviw within 5 years

In community-dwelling adults (Population) what is the effect of NP intervention(Intervention) in comparison to standard care (Comparison) on a decrease in hospital admissions (Outcome) to be completed over 3 years (Time)?question

Identify and describe one practice-related issue or concern. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes.

The issue to be discussed is the primary care gap. The landscape of primary care practice is declining. Hospitals have started to buy up primary care practices. People who finish their education on primary care are opting to join bigger organizations (Enochs, 2019). The United States has a serious geographical maldistribution in giving out primary care services and is in a state of primary care employee shortages. This issue is not only a United States issue but a worldwide concern. With a decline in premature mortality, a rise in longevity, as well as an increase in a healthy lifestyle, the fitness-for-purpose of present health systems can be examined. This makes it a significant issue for nurse practitioners (Penm, et al, 2017).

P-Population and problem

These are Grown-up, Primary care patients, who have been receiving treatment on chronic diseases. The second population is children with special health care needs.

I- intervention

The primary care gap strategy is aimed at improving chronic diseases care of giving out the provision in preventive services. The intervention of the primary care gap is a combination of these components; Team base care, coordinated care, enhanced access to care, comprehensiveness, reorganizing care delivery, and a sustainable partnership.

C-comparison

Usual care and programs that are aimed at improving primary care quality.

O – Outcome

The outcomes include the Process of care, experiences by the staffs, which include retention rates, and job satisfaction. Also, patients experience and assessed validated measure is also an outcome.

T- Time frame

The time will depend on the quality of care given and the seriousness of the disease. The minimum time is 1 year.

PICOT question

Are ­­­­­­­­­­­________ (P) who have____________ (I) at________ (increased/decrease) risk of _______ (O) in comparison with _______ (P) with __________(C) over _________ (T)

Are the hospitalized patient’s populations at the age of between 25 to 80 years, (P) suffering from brittle diabetes (I) compared with those with normal diabetes (C) at increased risk of all having brittle diabetes (O) during the first year of admission (T)?

References

Enochs, S. (2019). Bridging the Gap between Emotional Trauma Practice Guidelines and Care Delivery in the Primary Care Setting (Doctoral dissertation, Brandman University).

Penm, J., MacKinnon, N. J., Strakowski, S. M., Ying, J., & Doty, M. M. (2017). Minding the gap: factors associated with primary care coordination of adults in 11 countries. The Annals of Family Medicine, 15(2), 113-119.

Complete the Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool. Once you’ve completed the tool, use your own words to summarize your appraisal of the article. Include the following:

  • Description of the purpose
  • Explanation of research design
  • Discussion of sample
  • Description of data collection methods
  • Summary of findings
  • Strengths of the study (minimum of 1)
  • Limitations of the study (minimum of 1)
  • Recommendations regarding potential application for future practice that are insightful and appropriate.

Attach the article to your post, in addition to including the full reference for the article in your post.

During the week, read a minimum of two articles posted by peers and add your thoughts about whether you feel their article would support an EBP change.

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