P=cultural incompetence Pop-adults I=education O=patient satisfaction, health and medicine homework help
These are my instructors comments on my paper. And my paper is attached, Screen shots of what is wrong and why it is will be attached. First you picked a very big topic for the paper and I can see how hard you have been working to make task 2 comply with the rubric.The task calls for a nurse focused intervention to improve the care of patients. Most of your paper talks about the systems of healthcare which is much larger than the task calls for.By my reading, your paper could start on page 3, talking about cultural incompetence as the problem and focus on a measurable change for patients that can be impacted by nurses. Cultural incompetence has a dramatic effect on patient satisfaction, for example. You have systematic reviews which are great, but can be hard to select a portion of meaningful info.I used a PICO search “P=cultural incompetence Pop-adults I=education O=patient satisfaction” Here is a citation from one article using that PICO:Castro, A., & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal Of The American Academy Of Nurse Practitioners, 21(5), 278-286 9p. doi:10.1111/j.1745-7599.2009.00406.xThese are the tips in completing the paper. A1-4. Write 1-2 paragraphs for each response. You may want to include in text citations to support these sections. The current practice should relate to the C in the PICO. Discussion on how the problem impacts either the workplace culture OR the patient’s culture is required.B. Download the table from Taskstream or just include a 4 row/2 column table in the paper and use the PICO toolkit as a guide.B1. Construct the question that relates to the PICO elements in the table using the PICO Question Development toolkit as a guide.C1-C2a.C1. This is a list of the search terms used. C2. Describe the general categories of the articles you find in your search. They may include research articles, quality improvement, practice guidelines, pieces written to educate/inform, expert opinion, and more. This is a bare-bones description of the types of articles you find, and it should only require a couple of sentences. C2a. This will be 4 paragraphs describing the 2 research (Level I-III) and 2 non-research (Level IV-V) studies found during the search. Each paragraph should include the in-text citation for that article, for example:The first research study found … (Smith & Jones, 2014). Then write a few sentences about that research study and do the same for the other 3 articles. Review the research evidence appraisal toolkit and chapter 6 readings for the research evidence articles. Review the non-research evidence appraisal toolkit and chapter 7 for the non-research evidence articles. D. Download the matrix from Taskstream. Enter the 5 research articles in the table using the level and quality guide toolkit to determine the correct level. The research design/type should be quantitative, qualitative, or mixed methods. Please read chapter 6 and be sure not to include quality improvement projects in the table. E.Discuss what intervention the 5 studies support with evidence and use in-text citations from all 5 studies in the matrix. (1-2 paragraphs)F1. A stakeholder is anyone who has something to win or lose from this change. Also, think about those whom you need to engage in the process to make it a lasting change by involving them in the decision to make the change. They can be floor nurses, nurse educators, nurse managers, nurse administrators, etc. You will need to mention at least 3 and describe how you would involve each in the decision to change the procedure, for example collaborating to lead research education sessions that will spark discussion on updating current procedures, etc. Think about how you would do this in a real life situation. For each of the 3 stakeholders mentioned, write one sentence on how you would get them involved in the decision to change the procedure. (1-2 paragraphs)F2.This section is a discussion of the barriers to change. You may want to talk about change, delegation of tasks, training/education, funding, and attitude toward research as these are areas that cause barriers to initiation and continuing compliance with a practice change. For example, nurses may feel that research is not relevant to practice or not understand research or resist change, etc. Mention one barrier related to change and one barrier related to translation of research into practice. (1 paragraph)F3.This section will discuss 2 strategies to overcome the identified barriers in section F2. (1 paragraph)F4. An indicator is something that can be measured. For example, if the I in the PICO is “hourly rounding to prevent falls” the outcome measure would be the number of falls. G. Remember to include 5 in-text citations in section E from the 5 research studies in the Evidence Matrix. Also, remember that the reference page should include all 7 studies mentioned in the paper, assuming the 2 research studies in C2a are also included in the Evidence Matrix.
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