The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the “Literature Evaluation Table” to complete this assignment.
Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
President Barack Obama spoke to the american human beings this January in his annual nation of the Union deal with, though his actual target market changed into Congress and more particularly the Democratic birthday party. There were hot topics that needed to be addressed to appease his birthday celebration and to steer Congress. The chief emphasis of the speech became the country's economy, additionally in brief speakme of home resourcefulness and concluding with our navy efforts. a whole lot of the point of interest was on the usa's unemployed. The state's unemployment rate was described as being 'the lowest in five years' (6); however, lack of proof weakens this declaration. he is a very articulate speaker but his speech itself lacks substance, so on the way to preserve the listeners engaged he starts with one of the two patterns used to inspire his target market ' the human interest tales. He in brief describes examples of a instructor, farmer, car worker, and entrepreneur who have 'finished their component' in a few manner to better america. this is a method used to convince the target market that he can also relate to their character hardships. the second one fashion used by the president to engross his audience is the usage of assertive slogans which include 'possibility for All' and 'yr of alternate.' these slogans can be located peppered all through the live presentation. The entire address turned into written in sequential order so that it easily flowed into the subsequent topic, with lots of pauses for dramatic effect. He used all of these strategies as a manner to steer the yank public that he's relaying important statistics however surely said not anything new, believable or substantial. He focused lots of his speech on the kingdom's economic system more specifically the countrywide unemployment stage. He says that he believes this 'can be a step forward 12 months' (7). In 2008 the kingdom's unemployment price turned into five.8% in step with the Bureau of exertions Statistic. In an editorial written through Mary O'Leary she states that 'Republican applicants are correct whilst the say that the kingdom's unemployment charge is higher because Obama took office'Obama assumed workplace on Jan. 20, 2009 with the 7 percent price, which persevered to grow to 9.4 percent in August 2010, a 3-decade high, and handiest began to slowly cross down throughout 2011 to 8 percent in January 2012 and now to 7.eight percent in February.' The president examine from a letter he acquired from Misty DeMars an unemployed mother of , 'She'd by no means gathered unemployment blessings' she and her husband used their life savings to buy their first domestic. per week later, finances cuts claimed the activity she cherished.' The most powerful announcement in Misty's letter to the president is whilst she writes 'i am now not depending on the authorities'Our united states relies upon on humans like us who build careers, make a contribution to society' (35). The president goes on to describe the improved efforts of process creations. 'The nice degree of possibility is get entry to to a very good activity. With the economy selecting up velocity, groups say they intend to rent more human beings this 12 months' (17). in keeping with an editorial written by means of Jonathan Berr within the day by day Finance 'American's trust that 'now's a terrible time to find a activity' the article additionally states 'We estimate that the price of task boom might should more or less triple among now and the end of 2015 simply to repair hard work marketplace situations'5 years from now 'to what they had been on the begin of the recession (roughly a five% unemployment fee and better exertions pressure participation).' The president introduces us to Andra Rush who 'opened up a production company in Detroit. She knew that Ford needed components for the pleasant-selling truck in america, and she knew the way to make them. She simply needed the personnel. So she dialed up what we name an American process center ' locations wherein folks can stroll in to get the assist or schooling they want to find a new process, or higher task. She become flooded with new people. And nowadays, Detroit production structures has extra than 700 employees' (32). throughout the speech there are plenty of proposals but nothing tangible to say that a change is virtually coming. whilst talking of minimum wage and social reform the overall feeling is that the speech is empty. Obama says that he is 'dedicated to making Washington paintings better' (9). He says 'we're partnering with mayors, governors, and nation legislatures on issues from homelessness to marriage equality' (14). He pledged 'to connect 99 percent of our college students to high-velocity broadband'without adding a dime to the deficit' (forty two). all of the preceding examples appear greater like a desire-list for Washington instead of a concrete laid out plan for alternate; they are not new troubles and aren't probably to look any movement. The president said that both citizens and businesses could gain from a simplified tax code that might assist crea>GET ANSWER