Responses to Other Students: Respond to at least 1 of your fellow classmates with at least a 250-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:
What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
PLEASE READ POST
In all research, various types yield the best results, for not every question can be answered with the same version of research. For example, quantitative research answers phenomena regarding measurable outcomes and goals whereas qualitative research is based on experiences and is exploratory. In research for evidence-based practice, mixed-methods of research require the researcher to be able to integrate both qualitative and quantitative data and apply it to practice (Epidemiol, 2022). When using qualitative and quantitative research together, this can be referred to mixed-method research. Mixed-method research attempts to provide deeper understandings of certain phenomena and aims to yield best practice results. While each type of research is different, both are essential in developing the full picture.PICOT: In adult congestive heart failure patients hospitalized on a telemetry unit at Thompson Peak Medical Center (P), how does a heart failure education bundle program (I) compared to standard heart failure discharge education (C) affect 30-day readmission rates (O) after discharge (T)?In my PICOT question, the use of mixed-method research is essential. One example of quantitative research is the measurable outcome of readmission rates within 30 days after discharge. Data collected on these readmissions such as BNP, weight gained since discharge, and other lab values will also be included in a quantitative data set. When interviewing the patient regarding medication and treatment adherence, this information would be classified as qualitative data. Qualitative data would help us understand how the patients feel about their disease and treatment plan and can hopefully help us develop a better plan for their current care goals. By including mixed-method research, we can view the patient as a whole and not simply a disease to treat. We can better understand cultural differences, variances in education and socioeconomic status, and treat the patient as an individual based on their care goals.In addition to mixed-method research, I would also use randomized controlled trials (RCTs) to conduct my research. RCTs provide some of the highest levels of research in evidence based practice (Sargeant et al., 2022). RCTs based on my PICOT questions would aim to develop a relationship between heart failure readmission rates within 30-days after discharge and standard heart failure education versus discharge with a heart failure education bundle. The target of this study would be to decide if using the heart failure education bundle would decrease readmission rates within 30 days after discharge for patients with heart failure in comparison to standard heart failure education. The hope of this study would be to determine that patients who received the heart failure bundle would have decreased readmission rates to therefore create a new standard of heart failure discharge education.I chose to use RCTs as they help establish a cause-and-effect relationship. By using randomized selection, researchers would avoid bias regarding which patients were selected to receive the heart failure bundle versus discharge standard education. There would also be clear outcomes by measuring readmission rates within 30 days of discharge. Along with the use of quantitative and qualitative research, researchers could develop an extraordinary study about heart failure and preventative ways to prevent exacerbations and readmissions.ReferencesEpidemiol, N. J. (2022). The growing importance of mixed-methods research in health. Nepal Journal of Epidemiology, 12(1). doi: 10.3126/nje.v12i1.43633Sargeant, J. M., Brennan, M. L., & OConnor, A. M. (2022). Levels of evidence, quality assessment, and risk of bias: Evaluating the internal validity of primary research, Frontiers in Veterinary Science, 9(960957). doi: 10.3389/fvets.2022.960957
All sources should be cited using APA format. Grammar, spelling, punctuation, and format should be correct and professional.
Research TOPIC:Rising incidence of gestational diabetes mellitus (GDM) in pregnant women. What is the impact of a family nurse practitioner-led evidence-based educational program for women at risk of developing gestational diabetes mellitus in a primary care clinic?
Please answer the questions below.
Regarding your presentation assignment, what did you learn about the research project?
Would you have approached the assignment differently? Why or why not?
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years. Will be submitted through AI detector and turnitin. Similarity must be less than 20%
Primary Task Response: Within the Discussion Board area, write 500700 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 2 scholarly resources, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas. BOOK==Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Why is it important to have different types of research? How does the variety benefit evidence-based practice? Complete the following, using your revised PICOT question from Unit 2:
Explain the type of research studies that you would use to support the idea.
Explain why you selected that type of study.
Include at least 2 references to research sources
PICOT question
Improving Type 2 Diabetes Outcomes Through Nurse-Led Self-Management EducationPICOT QuestionIn adults with type 2 diabetes in primary care settings (P), how does nurse-led diabetes self-management education (I), compared with usual brief discharge or visit teaching (C), affect HbA1c levels and self-care behaviors (O) over 6 months (T)?This PICOT question focuses on a nursing-driven intervention and a measurable clinical outcomes
Provide a brief narrative introduction to your project topic or idea that covers the following points:
The problem
How the problem was identified
The proposed solution (innovative teaching strategy)
The potential benefits to the organization that the proposed change will bring about
Post an initial draft of your five PICOT elements (see below for further requirements) and your PICOT question using the standard PICOT format.
After posting a short narrative introduction to your proposed quality improvement idea, you will list an initial draft of each of your five PICOT elements:
P: Identify/define the population
This can be the population (learners) that is being asked to change a practice.
This may be a population (learners) that is the focus of the change.
Do not use this element to state the problem.
I: Intervention This is the innovative educational intervention/teaching strategy you propose to address the problem and is intended to produce an improved outcome.
C: Comparison What is the current practice that is not producing the desired outcome? This could be … compared to no intervention…
O: Outcome This is an objective measure that will be used to evaluate the effect of your intervention. There must be objective and measurable metrics as part of this statement.
T: Time How long will it take to have enough time and enough data to determine if your intervention produced the desired results? You should not exceed 8 weeks, as you will be implementing this quality improvement project in either NR621 or NR622.
For example, let say that you are in a pharmacology didactic course for your practicum site and your mentor states that students are exhibiting low test scores. The class is currently being taught primarily by lecture. You and your mentor decide to implement a flipped classroom to see if the students understand the concepts better. Your PICOT question could look like this:
In first year nursing students enrolled in a pharmacology course (P), will a flipped classroom (I) as compared to no intervention (C) improve students knowledge related to the identified concepts (O) in eight (8) weeks (T)?
Review the NR621 Course Outcomes and collaborate with your practicum mentor regarding your goals to meet these outcomes.
Create self-identified practicum objectives to facilitate achievement of each personalized goal. Include a minimum of two objectives for each of the course outcomes.
Develop a plan to meet the self-identified practicum objectives. Include specific activities that will facilitate achievement of each established practicum objectives. Include a minimum of two targeted activities for each practicum objective.
Confirm approval of your Learning Agreement via practicum mentor signature on the Learning Agreement as indicated for Week 1.
Submit your Learning Agreement for instructor approval and grading.
Your response offers thoughtful, supportive mentorship while still addressing areas for growth. I especially like how you balance encouragement with practical strategies, such as using criticism as a learning opportunity and practicing pronunciation and presentation skills. Suggesting mirror practice and rehearsal is a constructive way to build confidence and reduce distracting habits. Overall, your approach models reflective practice and promotes continuous improvement, which is essential for novice educators.
please responds to these people with at least 2 paragraphs supporting or disagreeing with their work and provide references:
KK
Feb 24 5:31pm
Reply from Kuljinder Kaur
In an era of significant innovations in healthcare technology, the effective integration of AI tools into patient assessments, data analytics, and clinical reasoning is crucial. Decision-making and diverse healthcare services are significantly shaped by artificial intelligence. AI enhances advanced nursing practice competencies by facilitating interprofessional collaboration through information sharing. Access to real-time data by pharmacists, physicians, nurses, and others promotes coordinated decision-making (Rony et al., 2025). AI integration can also enhance competencies by streamlining documentation, promoting care planning, and improving workflow efficiency. They can also support decision-making during patient assessments. When AI tools are integrated into clinical decision support systems ( CDSS), nurses’ clinical reasoning improves significantly, leading to accurate diagnosis. I believe that AI tools could help achieve APNs’ competencies when appropriately employed for guidance, but not as a substitute for clinical reasoning.
Associated potential benefits of integrating AI into practice include enhanced clinical decision support. This is crucial for reducing medical errors, such as incorrect diagnoses and incorrect medication dosages, resulting in better outcomes(Rony et al., 2025). Additionally, nurses can have more time for patient engagement when workflow and documentation are streamlined by these tools. On the other hand, AI tool integration, especially in addressing the healthcare needs of underserved populations, could exacerbate healthcare disparities. Some individuals with low digital literacy may find it challenging to use AI-enabled tools, necessitating training in their use and interpretation (Atalla et al., 2025).
AI integration can also raise significant ethical concerns about patient information access and storage(Rony et al., 2025). In the event of unauthorized access to AI tools’ data storage, patients’ data and confidentiality would have been violated, potentially leading to accountability issues. Additionally, poorly configured AI algorithms and inadequate data training can lead to bias, especially in recommendations. In reality, AI tools should help and augment clinical reasoning for practitioners, but not replace human judgment.
AI may improve patient outcomes by alerting staff to missed elements in diagnosing a condition that could lead to complications (El Arab et al., 2025). Implementing AI- enabled tools in telehealth programs could help manage underserved populations remotely, thereby improving access to care. In the long run, it helps address access barriers such as transportation constraints. Additionally, readmissions and admissions are reduced due to increased follow-up.
Reflections on AI content and course context significantly strengthen my understanding of APNs’ competencies, which align with clinical decision-making. I also give confidence in evaluating AI-supported clinical recommendations. It is also key in preparing me to lead interprofessional stakeholders to support technology-driven environments.
References
Atalla, A. D. G., El-Gawad Mousa, M. A., Hashish, E. A. A., Elseesy, N. A. M., Abd El kader Mohamed, A. I., & Sobhi Mohamed, S. M. (2025). Embracing artificial intelligence in nursing: Exploring the relationship between artificial intelligence-related attitudes, creative self-efficacy, and clinical reasoning competency among nurses. BMC Nursing, 24(1), 661.
El Arab, R. A., Al Moosa, O. A., Abuadas, F. H., & Somerville, J. (2025). The role of AI in nursing education and practice: Umbrella review. Journal of Medical Internet Research, 27, e69881.
Rony, M. K. K., Das, A., Khalil, M. I., Peu, U. R., Mondal, B., Alam, M. S., … & Akter, F. (2025). The role of artificial intelligence in nursing care: An umbrella review. Nursing Inquiry, 32(2), e70023.
AS
Feb 24 5:06pm
Reply from Abasi Semakula
Artificial Intelligence and Advanced Practice Nursing Competencies
Advanced practice nursing competencies, including comprehensive patient assessment, evidence-based practice (EBP), interprofessional collaboration, leadership, and ethical decision-making, form the foundation of nurse practitioner (NP) practice. As artificial intelligence (AI) becomes increasingly integrated into healthcare, it has demonstrated measurable potential to enhance clinical reasoning, improve patient outcomes, and promote health equity when implemented with ethical oversight and professional judgment.
AI strengthens advanced patient assessment through predictive analytics and clinical decision support systems (CDSS). A scoping review examining AI-driven CDSS found evidence that machine learning-based decision support improves clinical decision-making processes, care delivery efficiency, and patient-related outcomes across multiple clinical domains. For adult-gerontology NPs managing complex patients with multimorbidity, AI-supported risk stratification enhances anticipatory judgment and supports proactive intervention. Rather than replacing provider expertise, AI serves as a decision-support adjunct that refines assessment precision and promotes preventative care.
AI-driven diagnostic tools also demonstrate improved clinical accuracy. In a multi-center diagnostic study, Shen et al. (2022) reported that AI-assisted breast cancer screening reduced false-positive findings while maintaining sensitivity. Similarly, Rajpurkar et al. (2022) demonstrated that deep learning models improved diagnostic interpretation accuracy in medical imaging. These findings indicate that validated AI systems can enhance evidence-based decision-making, improve patient safety, and reduce unnecessary interventions.
AI further supports EBP by synthesizing large datasets into actionable insights at the point of care. However, ethical challenges remain central to implementation. Cross (2024) warns that algorithmic bias in medical AI may perpetuate disparities if datasets lack adequate representation of diverse populations. Nurse practitioners must critically evaluate AI recommendations, advocate for equitable algorithm design, and safeguard patient autonomy. Transparency, privacy protection, and informed consent remain essential components of ethical AI integration.
When responsibly implemented, AI contributes to improved outcomes and reduced disparities. Evidence indicates that AI-enhanced clinical decision support improves workflow efficiency and patient-centered care measures. In underserved and rural communities, AI-driven telehealth and remote monitoring technologies may expand access to timely care. However, equitable implementation requires intentional oversight to prevent widening existing gaps in healthcare delivery.
Reflecting on this course and the evolving role of technology in healthcare has reinforced the importance of developing competency in health informatics, ethical leadership, and systems-based practice. Understanding AI applications strengthens my ability to critically evaluate emerging technologies, integrate evidence into clinical decision-making, and advocate for equitable innovation. As I continue to pursue advanced practice in a technology-driven healthcare environment, refining these competencies will support my career goal of delivering accessible, patient-centered, and evidence-based care while ensuring that technological advancement enhances, not replaces the human foundation of nursing practice.
References:
Cross, J. L. (2024). Bias in medical artificial intelligence: Implications for clinical decision-making and health equity. PLOS Digital Health, 3(1), e0000651.
Rajpurkar, P., et al. (2022). Deep learning for medical image interpretation: Validation and clinical implications. JAMA Network Open, 5(7), e2221234.
Shen, Y., Shamout, F. E., Wu, N., et al. (2022). Artificial intelligence system reduces false-positive findings in breast cancer screening: A multi-center diagnostic accuracy study. The Lancet Digital Health, 4(9), e651e661.
Susanto, A. P., Lyell, D., Widyantoro, B., Berkovsky, S., & Magrabi, F. (2023). Effects of machine learning-based clinical decision support systems on decision-making, care delivery, and patient outcomes: A scoping review. Journal of the American Medical Informatics Association, 30(11), 20502063.
DP
Feb 24 11:04am
Reply from Destiny Peters
Main Post:
Artificial intelligence (AI) has the potential to strengthen the performance of Advanced practice nurses (APRNs) and their clinical judgment; however, it should not be a replacement. As APRNs, it is critical that competencies such as patient assessment, education, clinical decision-making, and evidence-based practice (EBP) are mastered to provide safe and ethical care to patients. AI tools can help identify inpatient abnormal trends, flag medication interactions, and support early recognition of patient deterioration, helping APRNs make more informed decision as the point of care. AI can also aid efficiently in documentation, specifically regarding coding, aiding in accuracy, quality reporting, and reimbursement integrity (CMS 2024). However, APRNs must be accountable, and critically analyze AI recommendations to ensure that challenges of over-reliance on AI, workflow disruption, and algorithmic biass does not hinder patient care (Olawade et al., 2024). Challenges also include whether AI is ethical regarding its integration within the healthcare system. As nurses, it is important to uphold the commitment to equity and patient advocacy, and AI comes with challenges that include issues with data privacy, transparency, informed consent, bias, and accountability must all be considered to protect the patient. According to WHO, AI systems are historically biased that highlight disparities amongst patients in marginalized populations (2021). The content in this course such as the role of AI can refine competencies and support future career goals in advanced nursing practice regarding technology in the healthcare environment.
References
Centers for Medicare and Medicaid Services (CMS). (2024). ICD-10-CM official guidelines for coding and reporting. Links to an external site..
Olawade, D. B., David-Olawade, A. C., Wada, O. Z., Asaolu, A. J., Adereni, T., & Ling, J. (2024). Artificial intelligence in healthcare delivery: Prospects and pitfalls. Journal of Medicine, Surgery, and Public Health, 3, 100108.
World Health Organization. (2021). Ethics and governance of artificial intelligence for health: WHO guidance. WHO. .
Theories of leadership. Organizational structures that allow staff autonomy to govern their practice. Organizational structure of health care P.18, 19, 240-241. shared governance vs self governance chapter 6. organizational structures that allow staff staff autonomy to govern their practice
Objectives
The purpose of the Group Presentation activity is to:
Obtain three evidence-based peer reviewed articles through the use of technology (CO 3).
Analyze three evidence-based peer reviewed articles (CO 1, 3, 4).
Examine the role of the professional nurse in the selected evidence-based readings (CO 2).
Describe relevance, accuracy, and quality of the sources cited.
Summarize the articles that support the development of the presentation (CO 1, 3, 4).
Create a presentation that highlights the major points of selected topics (CO 1, 3, 4).
Utilize creativity in the development of the presentation using various technological strategies (CO 3).
Method of Evaluation
As part of the development of the Group Presentation assignment, each student individually will create an Annotated Bibliography for the reference material the student utilized to develop the presentation.
The Annotated Bibliography represents 1% of the overall course grade and will be graded according to the rubric below. This assignment is due when the students’ Group Presentation is due.
The annotated bibliography must include the citations (the bibliography) to books, articles, and documents utilized to develop the presentation followed by a brief (usually about 150200 words per citation) descriptive and evaluative paragraph (the annotation). The purpose of the annotation is to inform the instructor of the relevance, accuracy, and quality of the sources cited.
Students are required to cite four (4) academic references (one reference being the course textbook and the other three consisting of academic journals, books and other published documents). Internet websites are not acceptable academic reference. Therefore, the completed annotated bibliography will contain at least four (4) paragraphs, each with a citation and annotation informing the instructor of the relevance, accuracy, and quality of the source cited.
The Annotated Bibliography must be completed utilizing APA format (12-point font and 1-inch margins, name on the paper, APA citation format, etc.). For a sample of what an Annotated Bibliography is, visit
.
Completion of this assignment is a pre-requisite for passing the course. Students who do not complete this assignment will receive a grade equal to the lesser of 72% or their final course grade calculated per the Method of Evaluation set forth above.
NOTE: The Annotated Bibliography must be submitted on the day of the scheduled In-Class Presentation.
Resources
Annotated Bibliography
Annotated Bibliography
CriteriaRatingsPtsThis criterion is linked to a Learning Outcome
Source Selection
30 pts
Superior
Sources chosen are highly relevant to the topic of the group presentation
22 pts
Satisfactory
Most sources chosen are relevant to the topic of the group presentation
14 pts
Poor
Some sources chosen are relevant to the topic of the group presentation
0 pts
Unsatisfactory
Few sources chosen are relevant to the topic of the group presentation
30 pts
This criterion is linked to a Learning Outcome
Annotations
30 pts
Superior
Annotations comprehensively describe the source material
26 pts
Satisfactory
Most annotations describe the source material
14 pts
Poor
Some annotations describe the source material
0 pts
Unsatisfactory
Few annotations meet the length requirement and a vague when describing the source material
30 pts
This criterion is linked to a Learning Outcome
Evaluations
25 pts
Superior
Evaluation clearly explains why the source was chosen for the development of the group presentation
20 pts
Satisfactory
Most evaluations explain why the source was chosen for the development of the group presentation
15 pts
Poor
Evaluation sometimes explains why the source was chosen for the development of the group presentation
0 pts
Unsatisfactory
Evaluation mostly lacking in explanation of why source was chosen for the development of the group presentation
25 pts
This criterion is linked to a Learning Outcome
Assignment Criteria and Mechanics, Grammar, and Proofing
15 pts
Superior
4 sources are included in the document with complete paragraphs Virtually free from mechanical, grammatical, punctuation, and spelling errors
9 pts
Satisfactory
3-4 sources are included in the document with at least one source missing a complete paragraph Occasional minor errors do not distract the reader
4 pts
Poor
2-3 sources are included in the document source missing a complete paragraph Some significant errors are present, but the overall meaning is clear
0 pts
Unsatisfactory
Less than 2 sources are included in the document with at least one source missing a complete paragraph Errors are distracting, and the meaning is not clear
15 pts
only articles used becomes references . cover page required for annotated bibliography no more than 200 words. 3 annotations. Why this article chosen in just 4 sentence
Write a 3-4 page paper in APA format with a minimum of 3 references.
Address the following Areas:
Project Objectives
The objectives are something you hope to achieve from doing the project
Strategies
Strategies are the method you will use to reach the objectives you have set for your project
Background Analysis
This may also be called a situation analysis. This section you will need to discuss what is happening that made you decided to do your capstone project.
For example, the nurses at a facility are making a many medication errors. For your capstone project you decide you will try to reduce the number of medication errors from 10 every week to three a week. You will have to analyze why the errors are taking place. Maybe the lighting in the medication room is poor or maybe the nurses are working 70 hours every week.
You will also need to locate peer review articles that support you analysis.
Please use the template provided; also view the attached file provided. all the information are there. please follow directions.