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Use of PEG tubes in advanced dementia

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. PEG tube use in advanced dementia. Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population. Write a 750-1,000-word paper that analyzes your research and focuses on the use of PEG tubes in advanced dementia. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. PEG tube use in advanced dementia. Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population. Write a 750-1,000-word paper that analyzes your research and focuses on the use of PEG tubes in advanced dementia. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative. Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient safety risk and reduce costs. Competency 2: Analyze factors that lead to patient safety risks. Explain factors leading to a specific patient safety risk. Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs. Explain how nurses can help coordinate care to increase patient safety and reduce costs. Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score. Explain factors leading to a specific patient-safety risk. Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient-safety risk and reduce costs. Explain how nurses can help coordinate care to increase patient safety and reduce costs. Identify stakeholders with whom nurses would coordinate to drive safety enhancements. Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Preparation For this assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation. Option 1: Dashboard and Health Care Benchmark Evaluation Simulation If you decide to use the simulation dashboard for your evaluation, review the dashboard, as well as relevant local, state, and federal laws and policies. Consider the metrics within the dashboard that are falling short of prescribed benchmarks. Option 2: Actual Dashboard From a Professional Practice Setting If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes: The size of the facility that the dashboard is reporting on. The specific type of care delivery. The population diversity and ethnicity demographics. The socioeconomic level of the population served by the organization. Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information. Option 3: Hypothetical Dashboard Based on a Professional Practice Setting If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be underperforming the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes: The size of the facility that the dashboard is reporting on. The specific type of care delivery. The population diversity and ethnicity demographics. The socioeconomic level of the population served by the organization. Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information. Report Requirements Structure your report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action. Note: The tasks outlined below correspond to grading criteria in the scoring guide.

For your Final Project in this course, you’ll complete a written analysis of a healthcare policy (such as a new bill, regulation, judicial decision, or other health policy). The Final Project structure is as follows: Problem Statement Background Landscape Options Recommendations Its broken down further bellow PAPER CONTENT AND GUIDELINES Your paper should include the following sections and information: Problem Statement

The Problem Statement should be 1–2 pages in which you: Identify the problem you are analyzing; Clearly define the problem statement; and Identify several options for solving the problem. Background The Background section should be 2–3 pages in which you: Include all relevant background information on the topic and options; Clearly define why the issue is important; and Explain why the issue needs to be addressed now. Landscape The landscape section should be 2–3 pages in which you:

Identify the key stakeholders; Identify their position; and Identify the possible factors (all of them do not need to be included) relating to your topic or policy. Options The Options section should be 2–3 pages in which you:

Discuss the options and their relevance to the problem identified; Assess the pros and cons of each option; and Identify criteria to assess the options. Recommendations The Recommendations section should be 1–2 pages in which you: Recommend options; Explain your reasons for recommending these options; and Articulate why the issue needs to be addressed now.