Purpose

The Topic Search Strategy paper is the first of three related assignments. The purpose of this initial paper is to briefly describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest.

Course outcomes: This assignment enables the student to meet the following course outcomes.

1. Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)

2. Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

Preparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

a. Paper should be 3-4 content pages in length. Title and reference pages are required but are excluded from 3-4 -page length.

2) The paper will include the following sections:

a. Clinical Question

· Describe the problem. What is the focus of your work?

· Explain the significance of the problem in terms of patient outcomes. What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.

· PICOT question in support of the group topic.

· State the purpose of your paper. What will your paper do or describe? This is like a problem

statement. “The purpose of this paper is to . . .”

b. Levels of Evidence

· Identify the type of question being asked (therapy, prognosis, meaning, etc.).

· What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)?

c. Search Strategy

· List search terms and results.

· Databases used (start with the CU library). Link your search with the PICOT question described above.

· Refinement decisions. As you did your search, what decisions did you make in refinement to get your required articles down to a reasonable number for review? Were any limits used? If so, what?

· Identification of two (2) most relevant articles (primary sources published within the last 5 years).

d. Format

· Correct grammar and spelling.

· Include a title page.

· Use of headings for each section.

· Clinical Question, Levels of Evidence, Search Strategy, and Conclusion

· Adheres to current APA formatting and guidelines.

· 3-4 pages in length, excluding title and reference pages.

NR449 Evidence-Based Practice

RUA: Topic Search Strategy Guidelines

NR449 Evidence-Based Practice

RUA: Topic Search Strategy Guidelines

© 2023 Chamberlain University. All Rights Reserved

NR449_RUA_Topic_Search_Strategy_NOV23 1

© 2023 Chamberlain University. All Rights Reserved

NR449_RUA_Topic_Search_Strategy_NOV23 1

© 2023 Chamberlain University. All Rights Reserved

NR449_RUA_Topic_Search_Strategy_NOV23 1

see attached

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and non pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

all i need is paraphrazing this work sample.

Assignment Instructions: 

• Review the case study scenario below and the client’s family history and medical profile information from unit 1.  
• Next, write a 6-8  analysis of the client (including title and reference) according to the assignment specifications, outline, and grading rubric. 

Case Study 2 Scenario:

Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. 

Case Study Analysis Assignment Outline: 

The case study analysis should include the following sections with responses and rationales for all the prompts.

Introduction (3-5) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

• What additional assessment findings would you look for? 
• What lab abnormalities would you expect to see? 
• What diagnostics would you anticipate the healthcare team ordering? 
• Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

• Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  
• How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

• Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 
• Describe the educational strategies that should be incorporated when building a plan of care for your client.
• Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

• Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 
• Consider the care the client will need while inpatient and upon discharge.  
• Consider nutrition, community services, and financial implications. 

Conclusion 

• Summarize the key concepts of this disease process and client case study scenario.  

References 

• A minimum of three references should be used.  
• References should be no more than five years old. Exceptions include seminal works, such as original publications by nurse theorists.  
• One reference must be your textbook, 
• One reference must be from a peer-reviewed journal,  
• One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

• Name thewith a File Naming Protocol: When you save the, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx  reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

• All should be written in APA formatting. This should include: 
• Formal components, such as a title, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 
• APA-formatted level headings 
• APA margin, font, and paragraph spacing 
• Include page numbers 
• Appropriate in-text reference citations 
• A reference page, in correct APA format