Need help with this worksheet

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Need help with this worksheet

Picot question

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Surgical site infection (SSI) rates have increased significantly at your hospital. As the unit manager, you have been tasked with reviewing the literature and making subsequent recommendations to determine if a chlorhexidine/alcohol combination skin scrub prior to surgery will decrease your SSI rates as compared to your current practice of betadine skin scrub. 

For this assignment:

  • Create a PICOT question based on the information above. Possible question guides can be found here. 
  • Research your PICOT question using at least 4 peer-reviewed journals. Sources should be less than 5 years old.
  • Create an APA-formatted annotated bibliography of the references you used to research your PICOT question. Use this template.
  • Create your PICOT question on a Word document and an annotated bibliography on the provided template. Submit both documents in a single upload.
  • The Writing Center. or Purdue OWL have resources to help with APA formatting and the annotated bibliography.

Worksheet 3

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BJ week 4

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Bj week 4

Tiff week 4 700

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Tiff week 4 700

Response

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See Attachment

Create a Reply for a Discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Evaluating Spirituality in Nursing Practice

      Spirituality is a fundamental aspect of patient-centered care, significantly impacting how individuals cope with illness and make health-related decisions. Over time, healthcare professionals have developed structured approaches to assess spiritual needs, ensuring that these concerns are addressed as part of holistic nursing practice. Several validated tools assist nurses in evaluating patients’ spiritual well-being and integrating this dimension into care planning.

     One widely used assessment method is the FICA Spiritual History Tool, developed to guide clinicians in exploring a patient’s spiritual beliefs and their role in health. This model focuses on four key areas: personal faith, the importance of spirituality in daily life, connections to a religious or spiritual community, and how these beliefs influence medical decisions (Puchalski, 2020). By incorporating this approach into patient assessments, nurses can gain valuable insight into an individual’s values and preferences related to their care.

      Another recognized framework is the HOPE Spiritual Assessment Tool, which facilitates discussions about spiritual concerns. The acronym HOPE represents sources of hope, engagement in organized religion, personal spirituality and practices, and the impact of these beliefs on healthcare choices (Anandarajah & Hight, 2021). This method is particularly beneficial for patients receiving palliative or end-of-life care, as it allows nurses to explore existential concerns and provide appropriate support tailored to the patient’s needs.

      Additionally, the Spiritual Well-Being Scale (SWBS) is a standardized questionnaire that measures an individual’s overall spiritual wellness. This tool evaluates both religious well-being—reflecting one’s connection with a higher power—and existential well-being, which pertains to finding meaning and purpose in life (Bufford et al., 2022). The SWBS is particularly useful for identifying individuals experiencing spiritual distress, especially those managing chronic illnesses or facing significant life transitions.

         Utilizing these tools allows nurses to deliver compassionate and holistic care by addressing spiritual dimensions that influence patient well-being. Acknowledging and supporting a patient’s spiritual concerns fosters emotional resilience, enhances coping mechanisms, and strengthens the nurse-patient relationship. Integrating spirituality into nursing practice ultimately contributes to a more comprehensive and meaningful approach to healthcare.

References

Anandarajah, G., & Hight, E. (2021). Spirituality and medical practice: Using the HOPE questions as a practical tool. Journal of Palliative Medicine, 24(3), 456-462. https://doi.org/10.1089/jpm.2021.0093

Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (2022). The Spiritual Well-Being Scale: A psychometric review and applications in health care. Journal of Religion and Health, 61(2), 765-779. https://doi.org/10.1007/s10943-021-01374-8

Puchalski, C. M. (2020). The FICA spiritual history tool: Clinical application in holistic nursing care. Journal of Holistic Nursing, 38(1), 12-18. https://doi.org/10.1177/0898010119895363

Create a Reply for a Discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Discussions on Spirituality in Nursing Practice

Integrating spirituality into nursing care has been widely accepted as a means of providing holistic care that leads to better patient outcomes. Spirituality assessment tools allow for data collection regarding integrating spirituality in nursing practice and improving the address of the spiritual requirements in the nursing clinical surroundings. This debate focuses on two prominent tools used to evaluate spirituality in nursing, specifically, the Spiritual Assessment Scale (SAS) and the FICA Spiritual History Tool.

Few tools specifically exist to evaluate spiritual and religious coping in multicultural clinical settings (Casaleiro, Caldeira, & Esperandio, 2022)—and such instruments can help healthcare providers understand the degree to which prayer and religious considerations influence patient care. The authors assert that spirituality should be evaluated clinically, culturally sensitive, and respectfully. Among the tools they mention is the Spiritual Assessment Scale (SAS), a measure of spiritual well-being and coping across patients of various religious and spiritual traditions. This guide helps nurses evaluate patients’ coping skills and how much spirituality contributes to their health. The authors state that SAS is helpful in various clinical environments in which patients’ spiritual needs may vary.

In another instrument that nurses frequently use for spiritual assessment, by Green (2021), the FICA Spiritual History Tool is presented. This tool includes questions related to the patient’s Faith or beliefs, the importance of spirituality, Community involvement, and how these factors affect their health (FICA). According to Green (2021), the FICA tool helps nurses have meaningful discussions with patients regarding spirituality, resulting in a holistic understanding of their necessities. The ease of the tool and its comprehensiveness give it excellent efficacy in practice, promoting discussions of patients’ spiritual wellness with nurses.

Both articles underscore the necessity of integrating spiritual assessment as a component of a patient-centered model of care into nursing practice. Green (2021) states that an enforced spiritual health assessment improves therapeutic relationships and makes patients more satisfied; thus, the implementation of this type of tool is successful in practice. Casaleiro et al. (2022) contend that addressing performance, attention, and social danger during patient care is paramount to adequate cultural competence for clinicians to mitigate biases and holistically consider the patient’s needs.

Incorporating tools like the Spiritual Assessment Scale (SAS) and the FICA Spiritual History Tool into nursing practice is vital to addressing the spiritual aspect of patient care. These instruments are essential in providing nurses with practical assessments that enable them to offer patient-centered care that affirms and nurtures spiritual needs and enhances holistic care.

References

Casaleiro, T., Caldeira, S., & Esperandio, M. R. G. (2022). Instruments for assessing spiritual/religious coping in multicultural clinical settings. Journal of Christian Nursing, 236–243. https://doi.org/10.1097/CNJ.0000000000000997

Green, C. (2021). Nurses and patients’ perspectives on spiritual health assessment. Journal of Religion & Health, 60(1), 122–133. https://doi.org/10.1007/s10943-020-01113-5

week 4 health promotion

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Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.

Nursing NR Homework PICO Question week 4

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PICO Question Submission

Purpose: The purpose of this assignment is to submit your PICO question, which is the topic you have been researching over the past few weeks. This exercise will help you clarify your clinical question and ensure it is well-structured and focused.

Instructions:

  1. Submit Your PICO Question:
  • Topic Submission: Submit the PICO question that you have been researching. Ensure your question is clear, specific, and well-defined.
  • PICO Framework: Utilize the PICO framework to structure your question. Be sure to address each component of the framework:
  • P: Patient, Problem, or Population
  • I: Intervention
  • C: Comparison
  • O: Outcome
  • T: Timeframe, Type of Study, or Type of Question (if applicable)
  1. PICO Framework Guidance:
  • Clarify Your Clinical Question: Use the PICO mnemonic to help clarify your clinical question. Think specifically about different aspects of what you want to investigate. Ensure you are clear and specific about what you are looking for to target the right evidence to use in practice.
  1. Good PICO vs. Bad PICO:
  • Good PICO: A good clinical question will address most, if not all, parts of the PICO framework. It will be specific, define terms and outcomes if necessary, and investigate something new in terms of diagnosis, etiology, therapy, harm, etc.
  • Bad PICO: A bad PICO is usually a background question disguised as a research question. It may be too vague, lack specificity, and may not require in-depth research.
  1. Search Strategies:
  • Literature Search: When searching for existing literature, try searching for one or two components of your PICO question first if you cannot locate articles that address the entire question. Build your case by explaining the research that is out there, even if your articles do not 100% match your entire PICO question.
  1. PICO Question Templates:
  • Intervention/Therapy: In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
  • Etiology: Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
  • Diagnosis/Diagnostic Test: Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
  • Prevention: For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
  • Prognosis/Predictions: In__________ (P) how does ________ (I) compared to _______(C) influence _______ (O) over ______ (T)?
  • Meaning: How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
  1. Example PICO Questions:
  • Intervention/Therapy: In school-age children (P), what is the effect of a school-based physical activity program (I) on a reduction in the incidence of childhood obesity (O) compared with no intervention (C) within a 1-year period (T)?
  • Etiology: Are males 50 years of age and older (P) who have a history of 1 year of smoking or less (I) at an increased risk of developing esophageal cancer (O) compared with males age 50 and older (P) who have no smoking history (C)?
  • Diagnosis/Diagnostic Test: Is a yearly mammogram (I) more effective in detecting breast cancer (O) compared with a mammogram every 3 years (C) in women under age 50 (P)?
  • Prevention: For women under age 60 (P), does the daily use of 81mg low-dose Aspirin (I) reduce the future risk of stroke (O) compared with no usage of low-dose Aspirin (C)?
  • Prognosis/Predictions: Does daily home blood pressure monitoring (I) influence compliance with medication regimens for hypertension (O) in adults over age 60 who have hypertension (P) during the first year after being diagnosed with the condition (T)?
  • Meaning: How do teenagers (P) diagnosed with cancer (I) perceive chemotherapy and radiation treatments (O) during the first 6 months after diagnosis (T)?
  1. Resources:
  • PICO Help: Utilize the following resources to help structure your PICO question and build a well-defined clinical question:
  • PICO Question Templates: Use this guide to help structure your PICO question.
  • The Well-Built Clinical Question: Check out this guide to building a PICO question, developed by UNC.
  • Asking Focused Questions: PICO guide from the Centre for Evidence Based Medicine.
  • Formulating Answerable Questions: Practice building your PICO questions here.
  • Forming Focused Questions with a Specialty: A UNC Health Sciences Library guide about PICO questions within a specialty.
  1. Submission Guidelines:
  • Format: Ensure your PICO question is well-structured and formatted according to APA 7 guidelines.
  • Clarity and Specificity: Make sure your question is specific and clear, addressing all components of the PICO framework.
  • Deadline: Submit your PICO question by the specified deadline.
ONLY THE QUESTION IS DUE