PICOT Nursing Question development

**Please use APA 7th edition format, articles within last 5 years only (peer reviewed), and follow topic of previous assignment that is attached via essaypro since this STEP 2 from STEP 1 that has already been written(see attachment)**
TOPIC: Effectiveness of Nurse Practitioner’s Home Visits in Improving Patient Adherence in the Management of Hypertension
This week’s assignment is STEP 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question.
The student will answer the items below in a Word doc and submit to the assignment link.
1. Provide a title that conveys or describes the assignment.
2. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
3. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
4. PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
-Formulate PICOT question based on topic:
· Effectiveness of Nurse Practitioner’s Home Visits in Improving Patient Adherence in the Management of Hypertension
5. References – Cite references using APA 7th ed format.

Discussion Board: Gulick’s POSDCORB proposal

In this week’s reading, Gulick proposed POSDCORB as an alternative to previous ways of organizing administrative functions. Gulick wrote Notes on the Theory or Organization in 1937; how does Gulick’s POSDCORB proposal translate to the present-day landscape for public administrators? Do you think POSDCORB needs to be revised and updated, if so, how would you update it?

Preliminary Needs Assessment/Healthcare

From your readings, it is suggested that we as health providers, and, for the purposes of this class health promoters, must ask ourselves why we do what we do. Philosophically, this question can be answered in terms of why we have a desire to help people live better lives. Pragmatically, as per Dr. Martin, it has to do with why we choose the type of promotion programming that we do. Consider in this assignment being able to articulate WHY you would want to take on certain health promotion or disease prevention projects. Ideally, the key is to take on a project that is justifiable within your community versus taking on a project that you personally think is important regardless of what the community or targeted population perceives or really needs. As outlined in the readings, it is easy to place energy into an activity that is somewhat successful but that ultimately misses a larger, more important goal.
For example, a community program that teaches bicycle safety would seem like a worthy undertaking. However, using information learned in the course, a needs assessment (evidence-based literature review) could show that bicycle injuries were very low in the target community while drowning rates were very high. Thus, efforts aimed at reducing bicycle injuries would be noble but would not be the best allocation of talent and resources.
*Review Healthy People 2030 documents and the objectives from 2030 Topics and Objectives (Objectives A–Z) Link: https://health.gov/healthypeople/objectives-and-data/browse-objectives.
(Links to an external site.)
(Links to an external site
Choose a numerical Healthy People 2030 objective with a HEALTH BEHAVIOR
CHANGE FOCUS for your anticipated health promotion/education program (examples include obesity, tobacco use, substance abuse, responsible sex behavior, mental health, injury, violence, immunization).
Make sure that the Healthy People 2030 OBJECTIVE and associated HEALTH BEHAVIOR CHANGE FOCUS is one that you can envision being able to develop into a ready to implement community health promotion intervention with a strong health education component as well as a strong health promotion and empowerment focus.
Approvals are not required. However, if you are considering a health behavior focus for your assignment that is not included in Healthy People’s Objectives, you will need to contact the professor and obtain approval prior (72 hrs) to the assignment due date.
REQUIRED COMPONENTS for Assignment #1: THE PRELIMINARY NEEDS ASSESSMENT (PLEASE READ CAREFULLY)
The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences.
APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. .In addition, include a reference page that consists of three (3) references from creditable resources
Requirements:
1. Document your targeted Objective and your Health Behavior Change Focus. State your chosen health behavior focus and targeted objective from HP 2030 and the Leading Health Indicator it relates to that you intend to address in your health education and program.
2. Document the need for a program related to your targeted objective. Discuss the rationale or need for your choice to design a program to meet the targeted HP 2020 objective by reporting on the following: a) Report on the documented health risk(s) associated with not meeting this objective. b) State ALL of the HEALTH RISKS AND HEALTH CONDITIONS and DISEASES that are associated with the objective’s corresponding maladaptive health behavior. This is to be done by doing an evidence-based literature review using appropriate sources of secondary data.
Examples of appropriate sources include official statistical databases like National Center for Health Statistics, technical reports, scholarly journal articles, and literature review articles. A practical example of this would be to perform a literature review that provides documentation of all pertinent health risks and conditions and diseases that are associated with one of the Healthy People Objective’s that deal with tobacco use, and that describes each of these health risks and diseases (lung cancer, chronic obstructive pulmonary disease).
3. Report on the incidence and prevalence rates of the health risks and the health conditions and diseases that are associated with your chosen Healthy People 2030 Health Behavior. Report on any pertinent morbidity rates or mortality rates that are directly linked to your chosen Healthy People 2030 health behavior. Report any temporal trends of incidence and prevalence rates of the health risks and health conditions and health diseases that are directly linked to your chosen Healthy People 2030 health behavior. Locate research data and statistics from scholarly literature, trustworthy websites, and statistical evidence. You must provide incidence and prevalence rates on a national level. Examples of appropriate sources of data include official statistical databases like NWCHS and census database at www.census.gov
(Links to an external site.)
, technical reports, scholarly journals, and literature review articles). An example of this would be to expound upon the prevalence AND incidence rates AND TRENDS of INCIDENCE AND PREVALENCE RATES of lung cancer and chronic obstructive pulmonary disease for one of the Healthy People 2020/2010 Tobacco Use Objectives at the national level morbidity and mortality rates associated with lung cancer and chronic obstructive pulmonary disease.
4. Report what the research and literature suggest to minimize the risk that is associated with not performing your chosen health behavior change and thus, to meet the Healthy People 2030 objective. This is also to be done by doing an evidence-based literature review using appropriate sources. Examples of appropriate data sources include evidence base search engines, journals, and resources such as Cochrane, Medline, Trip Database, and any other evidence-driven journals or resources. An example would be to search the literature for “evidence-based” methods and programs that have been most effective to accomplish the desired behavior change (like increased physical activity).

Prenatal Testing Scenarios and Reflection

In the scenario assignments, you are asked to reflect on responses to the presented scenario. It should not just be writing down your first reaction or what you already know.
Reflection involves critical thinking, which means rethinking your existing knowledge and previously held opinions in light of what we have learned about theories of ethics, logic, and reasoning. You will need to question your current knowledge and beliefs.
Discuss the main points of the debate, what stance you take, support that stance, and discuss the opposing argument. Also discuss an ethical theory that would apply to defend your view.
To complete each scenario assignment:
Complete the entire scenario.
Compose your reflection in a Word document and be sure to address, at a minimum, the following questions:
Why do you feel the way you do about the issue presented?
Of the four responses offered in the scenario, which do you think is the most ethical and why?
Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.
Your reflection must be 1-2 pages in length and follow APA formatting and citation guidelines as appropriate, making sure to cite at least two sources.
Review the rubric for specific grading criteria.

Speech Outline for Narrative and speech!!

narrative: How I learned to “dance in the rain”
(pick topic from here)

As you see in the syllabus and course folders, the speeches for the entire term are narrative, informative, ceremonial and persuasive. These are your topics for each. We are presently focusing only on the first. one.
Outline due prior to speech day. See pertinent due date in syllabus.

I. The objective of this speech is to tell a 4 minute story that helps illustrate a point. You will practice the following skills:
Introducing yourself confidently
Using a story to illustrate a larger point
Setting up your topic creatively
Organizing your speech ideas clearly (by using the story arc structure, as discussed in class)
Appealing to 5 senses
Building drama in your language through details, suspense, and careful word choice
Escalating and de-escalating drama through use of voice, gesture, non-verbals
Adhering to duration target (4:00 min)
Monitoring yourself and the audience while speaking
Transitioning from point to point
Ending the speech gracefully
II. Develop your listening and analysis skills. After the program of speeches concludes, you are asked to give general feedback and share observations.
III. Be mindful while speaking. You will write a self-critique of your own speech which is graded, earning a maximum of 4 semester points.
The technique (skill) for this speech, in addition to applying the story arc structure, is appealing to our 5 senses in your language.
Bringing in details that appeal to our sense of sight, hearing, taste, smell, and touch you make your speech content more VIVID and engaging.
Goal: Try to appeal to at least 2-3 senses in your speech.
Examples:
(touch/sensation) Instead of saying “I was nervous” you can show it by saying “I could hardly breathe and my hands were drenched with sweat”
(vision/touch) Instead of saying “She was mad at me” you can say “I felt the heat of her laser eyes as she shot me look of death”
(hearing) ….As I walked in the room, everyone hushed and it seemed like the clock ticking became louder
Of course, you would only develop sensory information that is pertinent to the story arc, not just random tastes, smells, for the sake of it.

Mother Tongue by Amy Tan

Step-by-Step Plan:
For the introduction:
Use the introduction techniques discussed in class. Be creative for your introduction!
Introduce the Wake Tech Reader essay. Include the author name, the date of publication, and the publication title.
Conclude the introduction with a thesis statement that announces if the author was successful at conveying his or her main message.
For the first body paragraph (writing the summary, 10% of paper):
Use the summary techniques discussed in class. Report the text’s main purpose and supporting ideas
Use author tags like “he states” and “he shows”
Do not rely on quotations in the summary
For the remaining body paragraphs (writing the response, 90% of paper):
Your response should answer the question: Was the author successful at conveying his or her main message for the intended audience?
Analyze the author’s techniques; do not get sidetrack by only responding to the content. How does the author construct the argument?
Purpose: Are the text’s aims clear and organized?
Audience/Reader: Will the intended audience accept the author’s claim?
Thesis/Main Ideas: Do the main ideas support the thesis? Which examples are especially convincing and why?
Organization & Evidence: Did the author support his or her contentions in a logical order? What type of evidence did you find convincing? Refer to specific moments in the text for evidence
Language & Style: Did the tone and style support the author’s purpose?
Do not go on a tangent about how the essay relates to something you’ve experienced. For the response section, keep the lens only on how well you think the author is delivering his or her purpose by analyzing the technique
For the conclusion:
Repeat the thesis statement in a new way
Mention the so-what factor, or the big lesson/takeaway from the essay
Leave the readers with a final, engaging line

Asthma Database- INFORMATICIAN (Course is Public Health Informatics)

Assume the role of
the public health informatician and use your pre-intervention asthma
surveillance data set from the CDC to calculate risk/odds ratios and
prevalence/incidence rates (DATA SET IS ATTACHED).
FIRST: Review the data
set from a population perspective and calculate various population ratios and
rates for the asthma data in your Excel spreadsheet.
NEXT: You will then
answer the following questions in a short application paper of 3–4-pages
(Not including cover/reference/any imbedded data), explaining your
results. Must use APA7 referenced INTEXT CITATIONS where necessary!!!!
Ratios and Rate Questions
[Note: School populations: Asthma elementary
student count in this study is 800 for this school year. School’s population (A
+ B + C + D) = 7,200 students for this school year.]
Does one school have a higher number of students with asthma?
Which school has the highest number of students with wheezing?
How many students had both asthma and wheezing?
If you have asthma, what are the odds that you also have
wheezing?
Is the odds ratio for bronchitis and RAD lower or higher than
asthma and wheezing?
How many children with wheezing were prescribed medication?
From those results, what is the risk ratio?
Is the risk ratio for being prescribed medication for asthma
higher or lower than being prescribed medication for wheezing?
Are the risk ratios for asthma and wheezing higher for
children under the age of 10 than they are for the survey population as a
whole?
What is the student asthma prevalence for the school
district, i.e., A, B, C, D based on total student population as shown
above?
What is the student asthma incident rate for the school
district, i.e., A, B, C, D based on total student population as shown
above?

FINALLY: In a summary, provide your interpretation of what your statistical ratio and
rate calculations results demonstrate about this grade school population of
students’ asthma risk and odds ratios, prevalence, and incidence rates. Explain
how you may use this data in supporting the need and development of a
public health asthma prevention program. You may use the prevalence resources
in the links provided for your summary response.

If necessary, you may Reference the following article
by Moonie, Sterling, Figgs, and Castro (2006): (ATTACHED): Moonie, S. A., Sterling, D. A.,
Figgs, L., & Castro, M. (2006). Asthma status and severity affects missed
school days. The Journal of School Health, 76(1), 18–24.

Constructed Meaning and Perception

Constructed Meaning and Perception
Provide an example of a situation where you encountered (or an example on television or friend/family experienced, etc.) hate speech or loaded language. Describe that situation fully since I wasn’t there with details of nonverbal communication signals, was it hate speech or loaded language (specify which and why), and other details. How did that language impact you/the person?
What could improve that verbal communication within that situation? Provide an analysis of the situation with what we learned this week through readings/textbook.
After sharing and analyzing the situation consider these statements from the textbook:
Chapter 3, “there is no intrinsic meaning in phenomena but that humans actively construct meanings and attach values”.
Chapter 4, “language is powerful and that values inherent in the words we use shape our perceptions and those of others.”
Do these two statements contradict or correlate to each other? What things have we learned this far that help support your answer? How does these statements relate back to the situation with hate speech or loaded language?
Your paper should be 300 – 500 words (roughly 1 – 2 pages double spaced) double spaced and font Times New Roman size 12.

Identify and explain the salient ethical issues of the case.

The objective of this written assignment is to help you apply the information you have learned during the course to a specific ethical scenario. Your essay should provide an overview of the ethical dilemma, outline of the potential courses of action, and a justification for the action YOUwould take in a similar situation (600-900 words i.e., 2-3 page).
Step 1. Select a case study from the additional files attached to this assignment. *If you would like to select another case study (Bahamian related only), you must ask for permission from the professor.
Step 2. Describe the Case.
Identify and describe the parties involved, their rights, their responsibilities.
Identify and explain the salient ethical issues of the case.
Identify the relevant factual issues, conceptual issues, social constraints, and any additional information necessary for an accurate understanding of the case.
Factual issues: What facts are known about a case? Are any aspects of the case are controversial? What relevant information is missing or unknown?
Conceptual issues: What is the meaning or applicability of an idea? For example, should something be considered a gift or a bribe?
Step 3. Determine potential options.
Formulate at least three possible courses of action.
Compare and contrast your options (a. Good/Bad Consequences, b. Nullify any rules, c. Expected outcomes, d. Benefits vs. Harm).
Provide your own opinions; do not regurgitate others’ opinions.
“Use your facts/sources to convince me of your ethical point of view”.
Step 4. Select and justify a course of action.
Which course of action do you feel is most appropriate for this situation? (Meaning: Of the three potential options you listed in Step 3, which one would you choose?)
Explain your answer. (Why did you choose that course of action?)
Which ethical theory justifies your decision? How?
Of the 4 guiding ethical principles (non-maleficence, beneficence, autonomy and justice), which one(s) seems most applicable to this case and why?
Step 5. Provide evidence for the ethical arguments you see presented in the study? (Support your opinion with evidence).
Cite your sources and list in a Works Cited using APA style. Choose sources of substance. Should look at outside articles to have multiple sources (i.e. reading assignments/ required text).
Remember the object of this essay is to lay out and defend a particular decision about a controversial case. Thus, it is important that you take a position, even if you personally remain unsure about what you really think is ethically best. Your papers will be evaluated not in terms of whether I personally agrees with your ethical judgment about the case, but by how well you are able to articulate and argue for a moral judgment about the case using known facts and relevant ethical principles. Make certain to follow all directions/instructions for this assignment.
Format: This written essay should be typed using MS Word (save as a PDF), it should be between 2-3 pages, and should be double-spaced.