19 Sep 1 Step 1: Introduction :A good introduction should
1 Step 1: Introduction :A good introduction should be no more than 1 paragraph grabbing the reader’s attention providing insight to the Opioid Use Disorder and acute or chronic pain management and significance to the Psychiatric Nurse practitioner. End with a strong thesis or purpose statement. Note: the thesis should be condensed to 1 brief purpose statement. 2 Step 2: POI Significance: (POI) Opioid Use Disorder and acute or chronic pain management.Discuss why this POI is significant to your role as an APN. How will it change practice? Why did you select this topic? What expected structural, process OR outcome measures are you hoping to see with instituting a change in practice? To see a more thorough discussion on these measures, review the following information. Step 3 PICO :You will include a PICO framework AND the clinical question in this section. Follow these directions as specified.Outline the PICO framework by listing (do not write in a paragraph format) P-population or patients, I-intervention, C-comparison, and O-outcomes as it relates to your POI. Then develop the clinical question by including all parts of the PICO framework in the question. Be as specific as possible in both the PICO framework development and clinical question and avoid phrases such as: “compared to the standard practice” , or “compared to the current practice” because faculty do not know what the normal practice or standard practice is at your facility. EXAMPLE: Be sure to include a heading for this sectio Step 5 Critique of Guideline/Position Statement: Critique the guideline or position statement by discussing ALL of the following and including appropriate support from your guideline/statement selection: (a) purpose/aim, and recommendations-are they clear, current and relevant to your population? (b) who developed the guideline/statement-was any bias present, how did you know, consider funding sources (c) what levels of evidence were used to support each recommendation statement-look at the studies and resources used to develop the guideline or position statement. What levels of evidence were these resoruces/studies? Are those individual studies/resources of high quality or low quality and how do you know? How does this information influence the quality of the evidence used in the guideline or position statement? (d) is the source of the information credible, how do you know? (e) what is the overall Level of Evidence rating and Quality of evidence rating? Step 6 Quality Improvement: Explain how this guideline or position statement would be used in your practice area or APN role to support change. How do these changes support bio ethical principles of autonomy, justice, beneficence, nonmaleficence (discuss 2)? If changes are needed before implementing into practice, explain what and how you would address them. Step 7 Conclusion: Conclude the entire paper by summarizing each section. Do not repeat what you did in the paper, but summarize the findings. Never include new findings in the conclusion. Step 8 Guideline/Position Statement Link or Attachment: Include a direct and working link to the guideline or Position Statement. Option: If you are having difficulty providing a direct link, you may provide a hard copy of the full guideline or position statement as an attachment or merged to the paper after the resources. Faculty must be able to have full and direct access to your guideline or position statement to determine if you selected and analyzed accordingly on your tool to receive full credit. See format example below: Guideline/Position Statement Link – center this heading p. 48-49 in the APA book https://www.guidelinecentral.com/summaries/best-evidence-statement-best-support-from-bedside-nurses-for-caregivers-of-children-newly-diagnosed-with-type-1-diabetes-mellitus/ OR use the following info.: Guideline/Position Statement Link – center this heading p. 48-49 in the APA book See guideline/position statement submitted with paper or merged to the paper NOTE: .The evidence-based guideline I chose to support my POI (Opioid Use Disorder and acute or chronic pain management) was written by many authors. The guideline is entitled “Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP)”. This guideline focused on the ways of reducing opioid abuse without interfering access of those patients suffering from non-cancer pain who have an appropriate medical indication for opioid use
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