PICOT Question and Literature Search

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.

For this assignment, you will 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-reviewed 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.

1. 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.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

AttachmentsNRS-433V -RS1-LiteratureEvaluationTable.docx 

Create a table that shows all of the possible IT security (Cyber, Information, and Physical) certifications.

Highlight six of the certifications that you have chosen to take, as well as any you have already completed (indicate results). Include columns indicating the name of the exam, the date you will begin study, and the date you plan to write the exam. Your dates should be reasonable in terms of study time and spacing of exams to ensure success. Include columns to indicate where the exam will be held, what organization proctors the exam, and what study materials you will need to have available. Indicate also the total cost of all study materials and the exam itself. Also indicate other considerations such as the penalty (wait time) before you can write the exam again.

When you are finished, you will have a plan for certification.

Under the table create one paragraph that explains the importance to you of following the plan in terms of becoming a fully certified IT security professional ready to begin your career.

Create a second paragraph indicating the importance of continuing professional development once you are employed. Discuss further certification, study, and conferences which will be important to your career.paper should be 2–3 pages in length

Reading the following reply below, what are your thoughts? Please be sure to meet the word count of 175 – 265. Absolutely no plagiarizing! This response is due 08/02/21. Thanks so much in advance.

 When seeking out the best outcome, it is important to ensure that you have the best strategic plan in place. When watching the videos in LinkedIn videos it is important to ensure that you take advantage of putting the correct employees in place and to use the proper and necessary resources, this is a step-by-step process. Laying out the plan and ensuring that the organization recognizes its strengths and weaknesses. These tools in the videos show how to recognize the skills that the organization and the members have working to further develop them. By working with the team and identifying the mission and the goal of the organization it will be easier to implement the strategic plan and ensure that it is successful. This would be useful for me to help with the organizational needs as I am working with my team on developing and recognizing their strengths. This skill set is important to ensure that the employees can develop their careers as well as the organization being successful. Taking the time to recognize individual strengths can ensure the success for everyone involved.

Scenario

XYZ health clinic has operated in the local area for 10 years. Due to an economic decline as a result of the state’s increasing number of uninsured residents, XYZ health clinic must adjust its current service offerings in order to recoup lost revenue. The state has elected to opt out of the Medicaid expansion program; therefore, many of the residents remain uninsured. This has proven extremely problematic for XYZ as many of the patients in the area are low income, but do not qualify for traditional Medicaid. As a result, XYZ’s payer mix is unfavorable as 33% of the residents have public insurance, 12% are uninsured, and only 5% are covered by private insurance. XYZ would like to implement telehealth as part of a new strategy to reach a wider demographic of patients.

Instructions

You will conduct a case study analysis of the aforementioned case. Your case analysis will address XYZ’s health clinic challenges reflected in the scenario.

• Utilizing a mind map or Root Cause Analysis, provide an assessment of the issues facing XYZ health clinic.
• Assess the strategy by XYZ to implement a telehealth program in order to address current issues facing XYZ.
• Develop a proposed solution to the issues facing XYZ.
• Include a discussion on the staffing models necessary, technology requirements, and legal requirements of implementing telehealth.

rubric:

Mind Map/Root Cause Analysis provided a thorough and detailed assessment of issues facing the clinic with proper organization based on the selected method.

Assessed the strategy by XYZ to implement a telehealth program with strong, well-implemented supporting evidence.

Thoroughly developed a proposed solution to the issues facing XYZ that included a discussion on the staffing models necessary, technology requirements, and legal requirements of implementing telehealth.

Case study was cohesively organized, formatted, and professional in tone.

As robust as the IP protocol is, it does not perform the actual transmission of the data. In this step, you will investigate the network protocol called Transmission Control Protocol (TCP), responsible for creation, reliability of delivery, and proper assembling of data packets. 

In addition to IP, TCP is also widely used on the internet, especially for any network communication where it is essential to confirm receipt of the transmission. Many of the network protocols used to implement cloud computing use both TCP and IP. You will review TCP’s workings and discuss them in your final technical report. 

In general, there is no guarantee that a data packet will reach its destination. Packets can get lost or corrupted during transmission, and there are network applications where you need assurance that the packets have reached their destination. To achieve reliability, TCP establishes connections between communicating hosts, using port numbers to refer to applications on these hosts. Then, packets are created, sequenced, transmitted, acknowledged, and retransmitted if missing or containing errors. Finally, at the destination, they are reassembled into the original messages. 

To synchronize the flow of packets between sender and receiver, and avoid packet congestion in case of varying speeds, TCP uses sliding windows for packets remaining in processing at a given time, at both the sender and receiver ends. 

In the next step, you will look into subnetting BallotOnline’s IP addresses.

One of the drawbacks of IPv4 is the maximum number of network devices it can support. IPv4 addressing uses a 32-bit network address. This allows for 232,, or a little over 4 billion devices. However, today there are significantly more devices on the internet. Even though the more robust IPv6 version has been introduced and efforts are under way to assure wide adoption, IPv4 is still widely used.

One method used to more efficiently use the IPv4 network addresses is a technique to optimize the addresses by splitting them into network addresses and host addresses within designated networks. You will need to take advantage of IP address splitting so that you can efficiently use and allocate the IPv4 network addresses that have been assigned to BallotOnline.

For a given large network, rather than addressing all the hosts using the host part of the address, subnetting allows for splitting the network into several smaller ones by borrowing the host part bits and adding them to the network bits. It supports efficient management of local networks composed of multiple LANs. In this step, you will investigate subnetting conventions and discuss them in your final report in order to lay ground for the use of subnets by BallotOnline.

As the network engineer for BallotOnline, you know that subnetting a network into several smaller and variable-sized networks will be best for the organization’s needs. BallotOnline has been assigned a network address block by the Internet Assigned Numbers Authority (IANA).

Because BallotOnline has several offices around the world, you will need to subnet this network address to assign just the right number of addresses to each office location based on the number of systems at that office location (the network address assigned by IANA and the number of offices along with their sizes will be provided in the announcement section of this class at the beginning of Week 2).

Your task is to create the appropriate number of subnets with the right size to optimize the network.

Your technical report should include Classless Interdomain Routing (CIDR) notation, which allows for specifying a variable-length network as part of the IPv4 address, leaving the rest for addressing hosts within the network.

Submit the network information in the submission box below.

Classless Interdomain Routing (CIDR)

Classless Interdomain Routing (CIDR) is a method to use IP addressing without being restricted to the original grouping of IPv4 (Class A, B, and C).  Using CIDR, you can create a network (or subnetwork) and size it appropriately based on the needs. 

For example, without CIDR, if you have a network with 500 hosts or systems, you cannot use a Class C network because Class C is limited to 254 hosts, so you are forced to use a Class B network, which leads to a waste of IP addresses.

Also, prior to CIDR, when specifying a network address, you will need to also provide the subnet mask. For example: 

• Network address: 192.168.1.0
• Subnet mask: 255.255.255.0

You need both to inform the size of the network.

With CIDR notation, instead of specifying the subnet mask, you note the number of bits used for the network hosts. For example, the same network as above would be written as:

• Network address: 192.168.1.0/24

For more information, review the following article:

https://opensource.com/article/16/12/cidr-network-notation-configuration-linux