Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

PICOT QUESTION 1: Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.


Pathology is unique to a medical diagnosis, the emphasis is on the disease. On the other hand, nursing diagnosis focuses on the patient and the reaction to physiology and psychology.

The doctors who make the medical diagnosis come up with such a diagnosis that will cure the medical condition, while the nurses’ diagnosis, thus a nursing diagnosis, focuses on treating such patients. Furthermore, a medical model deals with sickness or medical status. Using a problem-solving technique, the doctor focuses on the defect, or dysfunction, within the patient. The nursing model is not established, but nursing has several practice models/theories that emphasize nursing’s more holistic approach to disease. Finally, a model of nursing deals with the human reaction to real or possible responses, this kind of practice problem looks at the clinical judgment about an individual patient, a family, or a community and how they respond to actual or potential health problems that they are exposed to. A nursing practice problem,therefore, provides nurses with a basis from which they select appropriate.

On a clinical level, ethical questions arise every day. In a study of the ethical issues encountered by nurses, Ulrich et al. (2010) found that more than 60% of nurses identified patient’s rights, autonomy, and informed consent as frequent or daily problems. Other common issues included advanced care planning, surrogate decision making, end-of-life decision making, and breeches of confidentiality (Ulrich et al., 2007).  Such problems include acute pain, nausea, constipation, self-care deficit,and risk injury among others. For example, the complimentary nurse practice problems ofimpaired verbal communication, interrupted family processes, the risk for falls, and powerlessness provides a general and a more holistic understanding of the impacts of a condition on a particular patient or family. Also, they help direct nursing interventions .

Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M. & Grady, C. (2010). Everyday ethics: Ethical issues and stress in nursing practice. Journal of Advanced Nursing 66(11)

Ulrich, C., O’Donnell, P, Taylor, C., Farrar, A., Danis, M. & Grady, C. (2007). Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine


Cinita, Thank you for posting DQ1 Module 2. You discussed strategies that would help a researcher manage and organize qualitative data. References included. Your post was 1 day late. Per GCU policy, 10% deducted from the grade.


Cinita, Thank you for posting DQ1 Module 3. Examples of experimental and nonexperimental research design presented. Level of control for reach research included in post. References included. Good job

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