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Research, EBP and QI Module 1: Directions for discussion
Please read through these directions for a better understanding of the assignment. At the end you will see a video presentation going over the rubric and how to submit. 
Approximate lengths of each section outlined below.
Step 1 Introduction:
Open up a Word Document and write directly into the word document. Remember you need to save on your computer and another reliable drive or computer. You don’t want to lose your work, so save often and to 2 different places….ALWAYS!  Save as you go and do not wait until your assignment is complete to save or you will risk losing information. 
Write an introduction to the discussion. A good, solid introduction will grab the reader’s attention by stating interesting facts, statistics or points about your topic. Then you should conclude this introductory paragraph by including one, concise thesis or purpose statement. The thesis tells the reader why you are writing the discussion. The entire paragraph should be about 3-5 sentences. Keep in mind that paragraphs should include a topic sentence, 2-3 support sentences (min.) and one concluding statement (thesis sentence).  Review APA manual 7th edition section 3.4 for details on starting your paper and rules on introductions.
Step 2 Concepts:
Use a proper heading with this section, then begin your 2nd paragraph. You can look at APA p. 47-49 for the proper level of headings. In this section you need to differentiate among research, evidence-based practice (EBP) and quality improvement (QI) in a robust discussion. When you differentiate between these concepts, they should explain why they are similar (if applicable) or different and should summarize similarities and differences rather than definitions. In fact, you should be paraphrasing what you review in the textbooks about these concepts and describe how they are applied to your specific phenomenon of interest (POI) and in relationship to your Advanced Practice Nurse role. This section  should be no more than 2 paragraphs. Textbooks/peer reviewed resources serve as great resources here. 
POI TOPIC:  Suicide
Prevention/ Mental Health Depression
ADVANCED CLINICAL PRACTICE ROLE: Psychiatric Mental Health Nurse Practitioner
POI CLINIICAL QUESTION: In adolescents diagnosed with
depression, does regular attendance at mental health clinic visits compared to
participation in group therapy sessions reduce the risk of suicide?
Step 3 Health Disparities
In this section you are taking a deeper dive into health disparities. According to the Centers for Disease Control, health disparities are experienced by socially disadvantaged groups of people based on preventable differences in the burden of disease, injury, violence, or opportunities that would allow you to otherwise achieve optimal health. Health disparities are inequitable and have a direct correlation to unequal distribution of resources. They can be improved though. Addressing the social determinants of health can help by addressing the positive and negatives associated with 5 key domains: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. In this section you should provide a robust discussion on how a person’s health or burden of disease is impacted by these domains. Be sure to discuss these areas in relation to your POI/APN Role. Support this section with peer reviewed references. You should have 2-3 well developed paragraphs for this section.
Be sure to review the links that were provided to you in the Readings/Resources section of the module: 
Health Disparities LinkLinks to an external site.
Social Determinants of HealthLinks to an external site.
Step 4: Donabedian Model:
In this section of the discussion, you will differentiate among 3 measures: structure, process, and outcomes. Be sure to clearly describe how they are different.  Then you will apply each of the measures (structure, process, outcome)  directly to your POI. Think about why you chose that POI and what you would like to change in practice. What did you describe in your clinical question of the POI approval process?  Is there a new policy, a metric that you want to improve? This should guide the direction of your focus for each of your measures as you determine what is needed to accomplish change. Likewise, this serves as a building block for future assignments. Each measure should be specific rather than generalized so that you can see exactly what is needed to determine success or failure. Below is a comparison of a general versus specific measure. You will re-visit the concept of structure, process, and outcome measures throughout the coursework and program so be sure that you have a good understanding of the concepts now. Be sure to incorporate peer reviewed references throughout your discussion. You should include 2-3 paragraphs for this section. 
Incorrect General Measure that lacks specificity:  Patient satisfaction scores will be improved.
Correct Measure that includes specicity: Patient satisfaction scores will be 85% or higher and evaluated quarterly for improvements. 
Be sure to review the link below for assistance on the measures
Donabedian ModelLinks to an external site.
Step 5 Conclusion:
Include a heading and write your conclusion paragraph. A good conclusion:-never introduces new info.-summarizes what was learned/discussed and does not simply state what you did or re-state only the purpose statement-citations are not expected in this section.
Step 6: Turnitin:
Submit your initial post ONLY to Turnitin. Be sure to review the info. on turnitin so you know how to submit, what to look for when your report is returned, etc.  Rather than focus on the percentage of similarity, review what was highlighted and change anything that can and should be changed. There is some wording that can’t be changed, i.e. quality of life, American Academy of Pediatrics, Institute of Medicine Aims, so don’t worry about those. Focus on changing the areas of similarity that you can change and re-submit the paper. You do not have to submit this report to the assignment area;  faculty will review the reports directly in Turnitin. You do NOT have to submit the cross or peer posts to Turnitin. 
Initial Post References:   
Minimum of 2 peer reviewed  from journals that are current (within 5 years) references in the initial post; no more than 1000 words excluding headings, in-text citations, and references.
Copy and paste your discussion directly into the discussion area. Attachments should not be included in the discussion area. No title page needed. Try to make sure that there is at least 1 space in between all paragraphs and individual references. You do not need to double space this document. You are permitted to use first person for these informal discussions.
Reminders
As you get started be sure to keep the following in mind:
Write your posts in a Microsoft Word document using Times New Roman 12 point font and save it to 2 different sources.  Information is often lost and computers crash, so don’t get caught without a copy of your own work. You will also need to submit your discussion to turnitin, so you will need a word document.  
Copy and paste your initial post directly into the discussion area. No attachments should be included. 
First person is permitted for your discussions only.
Use the edit tools within the discussion to help you with centering titles, headings, italics, etc. However, faculty are aware that hanging indents do not always copy/paste correctly. We will take that into consideration, but all other APA formatting, grammar, syntax, etc. should be strictly adhered to. (The use of Headings (level 1) is expected). 
No title page is needed.  
Submit your initial post to Turnitin only, then review the report by visiting https://www.turnitin.com/Links to an external site. and finding your faculty’s section setup. Make any necessary changes to the initial post and resubmit (as needed) to turnitin by the due date. Re-submission to turnitin is not required, but encouraged if your report shows high similarity. You will NOT submit the report anywhere; faculty will review your reports directly in the Turnitin system.
Post your cross post(s) by the due dates. You are required to respond to at least 1 peer’s initial post. You do not have to submit your Cross Post to Turnitin.  You are encouraged to post to a student’s initial post who does not have any other cross posts. 
All references should be current, no older than 5 years. Quotes should not be used. Students should be paraphrasing material from refereed/peer reviewed journals.
Initial posts should be no more than 1000 words; cross posts should be no longer than 250 words. Word counts do not include in-text citations, headings, or references.
The use of any form of Artificial Intelligence is strictly prohibited on this assignment. 

After watching the video Prep Talks: Healthcare Emergency Preparedness and Response, answer the following questions about the first scenario discussed, Memorial Medical Center during Hurricane Katrina:
Which clients would you have prioritized first for evacuation and why? Do you agree with the decision to prioritize “do not resuscitate” clients last? Why or why not?
Hospital staff had made the decision to hasten the death of some of the do not resuscitate clients who they felt would not survive the wait for rescue.
What ethical dilemmas does this pose?
What legal obligations do the staff have for the clients?
Would you have felt comfortable administering the medications ordered?
Do you think the healthcare workers arrested should have had these charges brought against them? If yes, do you think the case should have gone to court?
For the second scenario discussed, Harris County, Texas during Tropical Storm Harvey, answer the following questions:
In what ways did preparedness and planning fail in this situation?
What improvements should be made to improve the triaging and prioritization of rescue?
How can social media be used to facilitate response in emergency management?
Are there any legislative laws in place in the state of Florida to guide healthcare providers in care of clients during a disaster?