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Nursing 611 Assignment 4

PICOT Question

In community-dwelling older adults aged 60 years and above (P), how do evidence-based nursing interventions, including health education, centralized reminders, and onsite vaccination (I), compared to standard care (C), affect influenza vaccination uptake rates (O) over six months (T)?

Purpose Rationale for the Scholarly Project

This study-oriented endeavor addresses a pressing issue in the implementation of influenza vaccination among elderly community dwellers. Since its inception, it has been the most effective means of preventing flu-like complications. However, the rates are still grossly inadequate among elderly community-dwelling individuals (Antonelli Incalzi et al., 2024). Meanwhile, from an epidemiological standpoint, influenza and its complications account for hospitalizations in approximately 45% of cases and deaths in about 58.7% of cases, predominantly affecting people older than 65 years (Du et al., 2024). The influenza vaccination disparity for elderly community residents is recognized as a major issue in public health. It has major hospitalizing and life-threatening potential, which makes its prevention an important public health concern.

Evidence-based nursing interventions offer great benefits, both prevention-wise and economically, based on efficiency. An increase in vaccination levels would directly impact reducing morbidity and mortality figures, preventing further hospitalizations and loss of function. On a fiscal basis, the project seeks to avert expensive emergency room visits and long-term care attendance. Gains in efficiency are accrued when nursing work is undertaken systematically to maximize resources to attain optimal health outcomes.

Background for the Problem and Population of Interest

Influenza is the foremost viral respiratory infection and health threat for the older population, who experience much higher rates of mortality and morbidity compared to younger patients. Adult vaccination has existed for decades; however, acceptance has been an issue for community-dwelling elderly individuals (Jiang et al., 2022). Studies show that a lack of information about infection severity and vaccine safety is the main barrier preventing people from getting vaccinated.

Du et al. (2024) systematically reviewed 22 RCTs involving 385,182 older adults. They concluded that combined interventions - healthcare education, centralized reminders, and onsite vaccination - were most effective in increasing vaccine uptake. Nevertheless, gaps remain in standardized nursing protocols and community-investigated, evidence-based, and tailored interventions.

Significance of the Issue to Nursing and Healthcare

The problem ties into the healthcare community's interest in preventive care, population health management, and reducing disparities among vulnerable populations. The significance encompasses public health concerns such as community immunity and the sustainability of the healthcare system. Nurses are well-placed to combat vaccine hesitancy using individual persuasion and interventions grounded in altering evidence to foster vaccine confidence in older adults (Antonelli Incalzi et al., 2024). This translation can be seen as congruous with national health priorities in preventive care delivery and chronic disease management among the aging populations.

Benefits of the Project to Nursing Practice

The project will establish standardized, evidence-based protocols to be implemented by nurses working in all communities throughout the country. Other expected outcomes are older adults receiving more vaccines, patients knowing more about influenza and its risks as well as the benefits of vaccines, and nurses becoming more confident in delivering interventions that promote vaccination.

These outcomes directly correlate to the evidence-based guidelines from the Centers for Disease Control and Prevention and their corresponding professional nursing organizations, which have all emphasized the critical role of nurses in promoting vaccination. This systematic approach to mixing various evidence-based interventions may be extended to other populations and settings to provide a replicable model for addressing vaccine hesitancy and determining best practices for chronic disease prevention interventions targeting community-dwelling older adults.

References

Antonelli Incalzi, R., Consoli, A., Lopalco, P., Maggi, S., Sesti, G., Veronese, N., & Volpe, M. (2024). Influenza vaccination for elderly, vulnerable, and high-risk subjects: a narrative review and expert opinion. Internal and Emergency Medicine, 19(3), 619-640. https://link.springer.com/article/10.1007/s11739-023-03456-9

Du, P., Jin, S., Lu, S., Wang, L., Ma, X., Wang, J., & Feng, X. (2024). Strategies to increase the coverage of influenza and pneumonia vaccination in older adults: a systematic review and network meta-analysis. Age and ageing, 53(3), afae035. https://academic.oup.com/ageing/article-abstract/53/3/afae035/7626920

Jiang, M., Yao, X., Li, P., Fang, Y., Feng, L., Hayat, K., & Atif, N. (2022). Impact of video-led educational intervention on uptake of influenza vaccine among the elderly in western China: a community-based randomized controlled trial. BMC Public Health, 22(1), 1128. https://link.springer.com/article/10.1186/s12889-022-13536-8

PowerPointPresentation.docx

icon PowerPoint Presentation: Advanced Practice

Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

1. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.

2. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.

3. Select a middle-range theory and identify the application of nursing theories to your research problem. Conduct a literature review.

4. Based on your literature review answer the following questions:

· If qualitative,

· Identify the purpose of the study.

· Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.

· Identify ethical issues related to the study and how they were/were not addressed.

· Identify the sampling method and recruitment strategy that was used.

· Discuss whether sampling and recruitment were appropriate to the aims of the research.

· Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.

· Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.

· Identify four (4) criteria by which the rigor of a qualitative project can be judged.

· Discuss the rigor of this study using the four criteria. 

· Briefly, describe the findings of the study and identify any limitations.

· Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

· If quantitative,

· Identify the purpose and design of the study.

· Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.

· Identify ethical issues related to the study and how they were/were not addressed.  

· Explain the sampling method and the recruitment strategy was used.

· Discuss how the sample size was determined – include in your discussion an explanation of terms used.

· Briefly, outline how the data was collected and identify any data collection instrument(s).

· Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.

· Outline how the data were analyzed.

· Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.

· Briefly, outline the findings and identify any limitations of the study.

· Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

Submission Instructions:

· The presentation is original work and logically organized.

· Follow current APA format including citation of references.

· The PowerPoint presentation should include 10-15 slides which are clear and easy to read.

· Speaker notes expand upon and clarify content on the slides.

· Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).

· Your submission will be reviewed for plagiarism with Turnitin.

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Grading Rubric

Your assignment will be graded according to the grading rubric.

Presentation Rubric

Presentation Rubric
Criteria	Ratings	Points
Identification of Main Issues/Problems	Distinguished Identify and demonstrate a sophisticated understanding of the issues/problems. 4 pts Excellent Identifies and demonstrate an accomplished understanding of most of issues/problems. 3 pts Fair Identifies and demonstrate an an acceptable understanding of most of issues/problems. 2 pts Poor Identifies and demonstrate an unacceptable understanding of most of issues/problems. 1 pts	/4 pts
Analysis and Evaluation of Issues/Probelms	Distinguished Presents an insightful, thorough analysis and evaluation of issues/problems. 4 pts Excellent Presents a thorough analysis and evaluation of most of the issues/problems. 3 pts Fair Presents a superficial or incomplete analysis and evaluation of issues/problems. 2 pts Poor Presents unacceptable analysis and evaluation of issues/problems. 1 pts	/4 pts
Demonstrates a Conceptual Understanding	Distinguished Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding. 4 pts Excellent Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding. 3 pts Fair Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding. 2 pts Poor Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding. 1 pts	/4 pts
Use of Citations to Course Readings and Additional Research/Literature	Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. 4 pts Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 3 pts Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 2 pts Poor Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. 1 pts	/4 pts
Writing Mechanics and APA Formatting Guidelines view longer description	Full Marks Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors. 4 pts Excellent Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail. 3 pts Fair Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail. 2 pts Poor Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention. 1 pts	/4 pts

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611assignment4done.edited.docx

4

Nursing 611 Assignment 4

PICOT Question

In community-dwelling older adults aged 60 years and above (P), how do evidence-based nursing interventions, including health education, centralized reminders, and onsite vaccination (I), compared to standard care (C), affect influenza vaccination uptake rates (O) over six months (T)?

Purpose Rationale for the Scholarly Project

This study-oriented endeavor addresses a pressing issue in the implementation of influenza vaccination among elderly community dwellers. Since its inception, it has been the most effective means of preventing flu-like complications. However, the rates are still grossly inadequate among elderly community-dwelling individuals (Antonelli Incalzi et al., 2024). Meanwhile, from an epidemiological standpoint, influenza and its complications account for hospitalizations in approximately 45% of cases and deaths in about 58.7% of cases, predominantly affecting people older than 65 years (Du et al., 2024). The influenza vaccination disparity for elderly community residents is recognized as a major issue in public health. It has major hospitalizing and life-threatening potential, which makes its prevention an important public health concern.

Evidence-based nursing interventions offer great benefits, both prevention-wise and economically, based on efficiency. An increase in vaccination levels would directly impact reducing morbidity and mortality figures, preventing further hospitalizations and loss of function. On a fiscal basis, the project seeks to avert expensive emergency room visits and long-term care attendance. Gains in efficiency are accrued when nursing work is undertaken systematically to maximize resources to attain optimal health outcomes.

Background for the Problem and Population of Interest

Influenza is the foremost viral respiratory infection and health threat for the older population, who experience much higher rates of mortality and morbidity compared to younger patients. Adult vaccination has existed for decades; however, acceptance has been an issue for community-dwelling elderly individuals (Jiang et al., 2022). Studies show that a lack of information about infection severity and vaccine safety is the main barrier preventing people from getting vaccinated.

Du et al. (2024) systematically reviewed 22 RCTs involving 385,182 older adults. They concluded that combined interventions - healthcare education, centralized reminders, and onsite vaccination - were most effective in increasing vaccine uptake. Nevertheless, gaps remain in standardized nursing protocols and community-investigated, evidence-based, and tailored interventions.

Significance of the Issue to Nursing and Healthcare

The problem ties into the healthcare community's interest in preventive care, population health management, and reducing disparities among vulnerable populations. The significance encompasses public health concerns such as community immunity and the sustainability of the healthcare system. Nurses are well-placed to combat vaccine hesitancy using individual persuasion and interventions grounded in altering evidence to foster vaccine confidence in older adults (Antonelli Incalzi et al., 2024). This translation can be seen as congruous with national health priorities in preventive care delivery and chronic disease management among the aging populations.

Benefits of the Project to Nursing Practice

The project will establish standardized, evidence-based protocols to be implemented by nurses working in all communities throughout the country. Other expected outcomes are older adults receiving more vaccines, patients knowing more about influenza and its risks as well as the benefits of vaccines, and nurses becoming more confident in delivering interventions that promote vaccination.

These outcomes directly correlate to the evidence-based guidelines from the Centers for Disease Control and Prevention and their corresponding professional nursing organizations, which have all emphasized the critical role of nurses in promoting vaccination. This systematic approach to mixing various evidence-based interventions may be extended to other populations and settings to provide a replicable model for addressing vaccine hesitancy and determining best practices for chronic disease prevention interventions targeting community-dwelling older adults.

References

Antonelli Incalzi, R., Consoli, A., Lopalco, P., Maggi, S., Sesti, G., Veronese, N., & Volpe, M. (2024). Influenza vaccination for elderly, vulnerable, and high-risk subjects: a narrative review and expert opinion. Internal and Emergency Medicine, 19(3), 619-640. https://link.springer.com/article/10.1007/s11739-023-03456-9

Du, P., Jin, S., Lu, S., Wang, L., Ma, X., Wang, J., & Feng, X. (2024). Strategies to increase the coverage of influenza and pneumonia vaccination in older adults: a systematic review and network meta-analysis. Age and ageing, 53(3), afae035. https://academic.oup.com/ageing/article-abstract/53/3/afae035/7626920

Jiang, M., Yao, X., Li, P., Fang, Y., Feng, L., Hayat, K., & Atif, N. (2022). Impact of video-led educational intervention on uptake of influenza vaccine among the elderly in western China: a community-based randomized controlled trial. BMC Public Health, 22(1), 1128. https://link.springer.com/article/10.1186/s12889-022-13536-8

PowerPointPresentation.docx

icon PowerPoint Presentation: Advanced Practice

Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

1. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.

2. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.

3. Select a middle-range theory and identify the application of nursing theories to your research problem. Conduct a literature review.

4. Based on your literature review answer the following questions:

· If qualitative,

· Identify the purpose of the study.

· Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.

· Identify ethical issues related to the study and how they were/were not addressed.

· Identify the sampling method and recruitment strategy that was used.

· Discuss whether sampling and recruitment were appropriate to the aims of the research.

· Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.

· Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.

· Identify four (4) criteria by which the rigor of a qualitative project can be judged.

· Discuss the rigor of this study using the four criteria. 

· Briefly, describe the findings of the study and identify any limitations.

· Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

· If quantitative,

· Identify the purpose and design of the study.

· Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.

· Identify ethical issues related to the study and how they were/were not addressed.  

· Explain the sampling method and the recruitment strategy was used.

· Discuss how the sample size was determined – include in your discussion an explanation of terms used.

· Briefly, outline how the data was collected and identify any data collection instrument(s).

· Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.

· Outline how the data were analyzed.

· Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.

· Briefly, outline the findings and identify any limitations of the study.

· Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

Submission Instructions:

· The presentation is original work and logically organized.

· Follow current APA format including citation of references.

· The PowerPoint presentation should include 10-15 slides which are clear and easy to read.

· Speaker notes expand upon and clarify content on the slides.

· Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

· Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).

· Your submission will be reviewed for plagiarism with Turnitin.

null

Grading Rubric

Your assignment will be graded according to the grading rubric.

Presentation Rubric

Presentation Rubric
Criteria	Ratings	Points
Identification of Main Issues/Problems	Distinguished Identify and demonstrate a sophisticated understanding of the issues/problems. 4 pts Excellent Identifies and demonstrate an accomplished understanding of most of issues/problems. 3 pts Fair Identifies and demonstrate an an acceptable understanding of most of issues/problems. 2 pts Poor Identifies and demonstrate an unacceptable understanding of most of issues/problems. 1 pts	/4 pts
Analysis and Evaluation of Issues/Probelms	Distinguished Presents an insightful, thorough analysis and evaluation of issues/problems. 4 pts Excellent Presents a thorough analysis and evaluation of most of the issues/problems. 3 pts Fair Presents a superficial or incomplete analysis and evaluation of issues/problems. 2 pts Poor Presents unacceptable analysis and evaluation of issues/problems. 1 pts	/4 pts
Demonstrates a Conceptual Understanding	Distinguished Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding. 4 pts Excellent Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding. 3 pts Fair Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding. 2 pts Poor Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding. 1 pts	/4 pts
Use of Citations to Course Readings and Additional Research/Literature	Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. 4 pts Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 3 pts Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 2 pts Poor Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. 1 pts	/4 pts
Writing Mechanics and APA Formatting Guidelines view longer description	Full Marks Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors. 4 pts Excellent Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail. 3 pts Fair Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail. 2 pts Poor Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention. 1 pts	/4 pts

611assignment4done.edited.docx

PowerPointPresentation.docx

611assignment4done.edited.docx

PowerPointPresentation.docx

image1.png

image2.png

611assignment4done.edited.docx

Nursing 611 assignment 4