SASMH Nursing Presentation

Purpose. ( I attached my previous work that the power point will be based on)

Translating knowledge into practice establishes evidence-based practice (EBP) within the nursing profession. Nurse practitioners participate in the dissemination of research evidence to support the creation of practice interventions. The purpose of this assignment is to prepare students to disseminate evidence to support practice.

Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Through this assessment, the student will meet the following Course Outcomes:

• CO1: Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1,4)
• CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve health outcome. (PO 1, 2)
• CO3: Demonstrate professional and personal growth through a spirit of inquiry, scholarship, and service in diverse healthcare settings. (PO 3, 4)
• CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)
• CO5: Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5)

Due Date: Sun., 11:59pm MT Sunday

• Submit your PowerPoint file to the Dropbox by 11:59 p.m. MT Sunday at the end of Week 7.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

TOTAL POINTS POSSIBLE: 200

Requirements

In Week 7, students will create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. In Week 8, students will create a Kaltura recording of the presentation for the Peer Discussion thread.

CRITERIA FOR CONTENT

Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.

Creating a Professional PowerPoint Presentation Download Creating a Professional PowerPoint Presentation

In a PowerPoint Presentation, address the following.

1. Title Slide
2. Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
3. Practice Issue (1-3 slides): Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
4. PICOT Question (1 slide): Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:P-Population and problem – What is the nursing practice concern or problem and whom does it affect?I–Intervention – What evidence-based solution for the problem would you like to apply?C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?
5. Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.
6. Recommendations (3 slides):Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.
7. Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
8. References:Reference elements provided in APA format, may use bullets. Hanging indents not required.

Preparing the Presentation

SUBMISSION REQUIREMENTS

1. Application: Use Microsoft Power Point to create the presentation. Submit as a .ppt or .pptx file.
2. Length: The PowerPoint presentation should be between 9-13 total slides (excluding title and reference slides).
3. Speaker notes should be used and include in-text citations when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes.
4. Submission: Submit the PowerPoint file to the Week 7 Dropbox.

BEST PRACTICES IN PREPARING THE PRESENTATION

The following are best practices in preparing this presentation:

1. Review directions thoroughly.
2. Follow submission requirements.
3. Make sure all elements on the grading rubric are included.
4. Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
5. Review the Creating a Professional Presentation located in Course Resources.
6. Correctly cite and reference ideas and information that come from scholarly literature.
7. Abide by Chamberlain University academic integrity policy.

Requirements: Must have speaker notes | .ppt file

PICOT Question Worksheet
Name: Courtney Solano
Please read the assignment guidelines and rubric. Provide answers to the following:
1) Identify and describe one practice-related issue or concern. You may choose
to build on the practice issue you identified in NR500NP/NR501NP. Provide
support for the issue from scholarly nursing sources current within the last 5
years.
The prevalence of obesity among older adults is increasing rapidly. de Oliveira
Silva et al. (2018) assert that nearly 7% of the global population is aged above 65 years
and the figure is predicted to double by 2030. Such observations suggest that obesity
among the elderly will be a serious health issue in the future, considering that 12% or 35
million of the US population is aged over 65 years, and they are projected to increase to
71 million or 20% by 2030 (de Oliveira Silva et al., 2018). The cause of obesity in older
adults is their energy consumption rate being higher than their energy expenditure, an
aspect that leads to the accumulation of body fats. Furthermore, obesity accentuates
chronic illnesses such as coronary disorder, hypertension, diabetes, and arthritis in the
elderly.
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2) Explain why the issue/concern is important to nurse practitioner practice and
the issue’s impact on health outcomes. Provide support for the importance of the
issue from scholarly nursing sources current within the last 5 years.
Obesity is an important issue to nurse practitioner practice as the condition
affects the quality of life and presents a higher potential for hospitalization, not to
mention mortality and morbidity implications. González and Di Girolamo (2021) state
that effective weight loss programs are vital for improving physical functioning. Most
importantly, interventions should not be focused on diet alone as this could contribute to
dire consequences, including an impact on bone and muscle physiology (Hou et al.,
2019). Otherwise, the condition enhances the potential to acquire chronic ailments that
reduce the elder’s physical capacity and increase the complexity of losing weight.
3) Define each element of your PICOT question in one or two sentences.
P-Population and problem (What is the nursing practice concern or
problem, and whom does it affect?)
●
The nursing practice concern is obesity, and it affects the elderly.
I–Intervention (What evidence-based solution for the problem would you
like to apply?)
●
The evidence-based solution is home-based physical activity.
C–Comparison (What is another solution for the problem? Note that this
is typically the current practice, with no intervention, or alternative solutions.)
●
The comparison is with diet-only interventions.
O–Outcome (Very specifically, how will you know that the intervention
worked? How you will measure the outcome?)
●
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The outcome is the reduction of obesity among the elderly population.
T–Timeframe (Timeframe involved for the EBP initiative/target date of
completion.)
●
The time frame is twelve months.
Construct your PICOT question in the standard PICOT question format (narrative)
and define each letter separately, such as:
o
o
o
o
o
o
P=
I=
C=
O=
T=
PICOT Question written in full:
In older adults (P), what is the impact of a home-based physical activity
intervention (I) on the reduction of the occurrence of elderly obesity (O) compared to a
diet-only program (C) within a period of twelve months (T)?
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References
de Oliveira Silva, A., Dutra, M. T., de Moraes, W. M. A. M., Funghetto, S. S., de Farias,
D. L., Dos Santos, P. H. F., … & Prestes, J. (2018). Resistance training-induced
gains in muscle strength, body composition, and functional capacity are attenuated
in elderly women with sarcopenic obesity. Clinical interventions in aging, 13, 411.
https://dx.doi.org/10.2147%2FCIA.S156174
González, C. D., & Di Girolamo, G. (2021). How do you treat obesity in the elderly
pharmacologically?. Expert Opinion on Pharmacotherapy, 22(13), 1639-1642.
https://doi.org/10.1080/14656566.2021.1921150
Hou, Q., Guan, Y., Yu, W., Liu, X., Wu, L., Xiao, M., & Lü, Y. (2019). Associations
between obesity and cognitive impairment in the Chinese elderly: an observational
study. Clinical Interventions in Aging, 14, 367.
https://dx.doi.org/10.2147%2FCIA.S192050
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Research Summary Assignment
Courtney Solano
Chamberlain University
NR 505NP
2
Research Summary Assignment
PICOT Question: In older adults, what is the impact of a home-based physical activity
intervention on the reduction of the occurrence of elderly obesity compared to a diet-only
program within a period of twelve months?
Article 1
Full Reference for the article
LeBlanc, E. L., Patnode, C. D., Webber, E. M., Redmond,
(APA format)
N., Rushkin, M., & O’Connor, E. A. (2018). Behavioral
and Pharmacotherapy Weight Loss Interventions to Prevent
Obesity-Related Morbidity and Mortality in Adults: An
Updated Systematic Review for the U.S. Preventive
Services Task Force. Agency for Healthcare Research and
Quality (US).
Problem related to PICOT
This article is extremely relevant to my PICOT question
because it provides measures to curb obesity.
Purpose
This research was undertaken in 2012 to assist the United
States Preventive Services Task Force in revising its adult
obesity screening and treatment recommendations.
Sample
The study used Controlled Trials for papers published
through June 6, 2017. Studies previously considered for
possible inclusion in the USPSTF review from 2011 were
subjected to the second round of scrutiny.
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Data Collection Method
Two researchers screened 15,483 titles, abstracts, and 572
full-text papers to comply with predetermined inclusion
criteria. The process targeted the studies that focused on
reducing weight in obese individuals. Studies conducted on
populations chosen based on a chronic condition for whom
weight reduction or maintenance is an integral aspect of
disease treatment were not included in the study.
Randomized controlled trials were used for the
investigations carried out for health and intermediate
outcomes, and these trials published their results at least
one and a half years following the start of the intervention.
Study Findings
The researchers found out that the number of sessions,
delivery means, number of sessions, and behavior-based
interventionists were diverse all over the included studies.
Contribution to Review of the
This article applied quantitative research methods; I would
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recommend using qualitative methods.
Article 2
Full Reference for the article
Dalrymple, K. V., Uwhubetine, O., Flynn, A. C., Pasupathy,
(APA format)
D., Briley, A. L., Relph, S. A., Seed, P. T., O’Keeffe, M., &
Poston, L. (2021). Modifiable Determinants of Postpartum
Weight Loss in Women with Obesity: A Secondary
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Analysis of the UPBEAT Trial. Nutrients, 13(6), 1979.
https://doi.org/10.3390/nu13061979
Problem related to PICOT
This article is extremely useful to help increase
understanding of the PICOT question since it covered some
keywords from the question.
Purpose
The main reason for conducting this study was to determine
whether or not there are adjustable variables associated with
postpartum weight maintenance. Among 667 obese women
who participated in the UPBEAT experiment, the variables
were evaluated based on the difference in weight between
pre-pregnancy and six months after giving birth.
Sample
A sample consisting of 667 overweight female participants
from the UPBEAT program.
Data Collection Method
In the research carried out by UPBEAT, the PPWR was
calculated by subtracting the woman’s pre-pregnancy weight
from her weight six months after giving birth.
Study Findings
Following an exhaustive investigation, the researchers
concluded that 48 percent of women were at or above their
weight before becoming pregnant at the six-month checkup.
In addition to this, the PPWR was unfavorable in general.
Breastfeeding for at least four months and engaging in
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moderate to vigorous physical exercise were both associated
with reduced risk of PPWR.
Contribution to Review of the
The article is biased since it chose women; for accurate
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results, both men and women are to participate in the study.
Article 3
Full Reference for the article
Alrushud, A. S., Rushton, A. B., Kanavaki, A. M., & Greig,
(APA format)
C. A. (2017). Effect of physical activity and dietary
restriction interventions on weight loss and the
musculoskeletal function of overweight and obese older
adults with knee osteoarthritis: a systematic review and
mixed method data synthesis. BMJ open, 7(6), e014537.
https://doi.org/10.1136/bmjopen-2016-014537
Problem related to PICOT
This article provides substantiated proof that the use of nondietary measures had positive impacts on reducing obesity
among older adults. This article covers all the keywords of
my PICOT question.
Purpose
This study evaluated the effects of exercise and food
restriction on body weight and musculoskeletal function in
obese or overweight older persons with knee osteoarthritis.
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Sample
Participants with knee osteoarthritis who were at least
60 years old and had a body mass index of 25 kg/m2 took
part in the study.
Data Collection Method
Randomized controlled trials (RCTs) published before
January 2017 were the subject of a comprehensive search of
significant electronic databases.
Study Findings
According to the research findings, the quality of the
evidence on the advantages of combining exercise and
nutritional therapy in the treatment of knee osteoarthritis in
older people who are overweight is not obvious.
Contribution to Review of the
The article is biased since the participants in the study have
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multiple dependent variables.
Article 4
Full Reference for the article
Villareal, D. T., Aguirre, L., Gurney, A. B., Waters, D. L.,
(APA format)
Sinacore, D. R., Colombo, E., Armamento-Villareal, R., &
Qualls, C. (2017). Aerobic or Resistance Exercise, or Both,
in Dieting Obese Older Adults. The New England journal of
medicine, 376(20), 1943–1955.
https://doi.org/10.1056/NEJMoa1616338
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Problem related to PICOT
This article is helpful in understanding answering my
PICOT question since it investigates various forms of
exercises and their effect on the prevention of loss of muscle
caused in the process of weight loss.
Purpose
The objective of this research was to adequately study the
effectiveness of various forms of exercise in overcoming the
effects of frailty and preventing the muscle and bone mass
loss caused by weight loss.
Sample
A population sample of 160 obese older adults was applied
in the study.
Data Collection Method
The researcher used a randomized selection process to place
individuals in a weight-management program.
Study Findings
Weight loss that was achieved via the integration of aerobic
and resistance training seemed to be the most effective
strategy for enhancing the functional status of obese older
individuals compared to the other investigated methods.
Contribution to Review of the
This article effectively covers all parts of the research, and it
Literature
leaves the reader fully answered on the issue of obesity and
non-dietary measures.
Article 5
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Full Reference for the article
Kitzman, D. W., Brubaker, P., Morgan, T., Haykowsky, M.,
(APA format)
Hundley, G., Kraus, W. E., Eggebeen, J., & Nicklas, B. J.
(2016). Effect of Caloric Restriction or Aerobic Exercise
Training on Peak Oxygen Consumption and Quality of Life
in Obese Older Patients With Heart Failure With Preserved
Ejection Fraction: A Randomized Clinical
Trial. JAMA, 315(1), 36–46.
https://doi.org/10.1001/jama.2015.17346
Problem related to PICOT
This article is extremely relevant to my PICOT question as
it investigates the relationship between calorie restriction,
aerobic exercise training, and the quality of life of obese
older people.
Purpose
The main research objective was to measure whether or not
calorie restriction or aerobic exercise training had a greater
impact on an individual’s exercise ability and quality of life
in obese older persons who have high-fat, low-protein diets.
Sample
To conduct the study, 577 patients who had previously been
evaluated were narrowed down to only 100 participants who
met the criteria for the study: older persons who were obese
and had HFPEF that was chronic and stable.
Data Collection Method
Experiments using a randomization scheme, attentional
controls, and a two-by-two factorial design were carried out
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at a medical institution affiliated with an urban university
between February 2009 and November 2014.
26 of the 100 participants were allotted to the diet group, 24
to the exercise group, 25 to the exercise and diet group, and
the remaining 25 participants were placed in the control
group.
Study Findings
For obese older persons who maintained a constant highfrequency physical activity equivalent function (HFPEF), a
greater peak VO2 was achieved through either calorie
restriction or aerobic exercise training. The research
findings also suggested that the effects can build up over
time. The results of the MLHF Questionnaire indicate that
none of the interventions had a significant impact on the
respondent’s quality of life.
Contribution to Review of the
This article fails to give clear and brief findings and results.
Literature
It leaves the reader gasping for understanding.
Article 6
Full Reference for the article
Liao, C. D., Tsauo, J. Y., Huang, S. W., Ku, J. W., Hsiao, D.
(APA format)
J., & Liou, T. H. (2018). Effects of elastic band exercise on
lean mass and physical capacity in older women with
sarcopenic obesity: A randomized controlled trial. Scientific
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reports, 8(1), 2317. https://doi.org/10.1038/s41598-01820677-7
Problem related to PICOT
This article is relevant to my PICOT question since it
analyses the impact of training on muscle loss.
Purpose
This study’s objective was to investigate the impact that
resistance training with elastic bands had on the amount of
muscle mass and overall physical function in sarcopenic
obese older women.
Sample
Fifty-six women were randomly assigned to undergo 12
weeks of ERT or no exercise intervention.
Data Collection Method
The global physical capacity score was used to assess the
lean mass. A short-form questionnaire consisting of 36
questions was given to the participants during the baseline
assessment. In addition, the researchers carried out a followup study after three months and again after nine months.
Study Findings
The researchers observed that the physical competence,
muscle strength, and functional ability all had comparable
patterns of results. The ERT had a beneficial effect on the
total quantity of muscle mass and the quality of the muscle
in older women who were sarcopenic and obese.
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Contribution to Review of the
A more mathematical and efficient data analysis method is
Literature
required in a study like this.
Article 7
Full Reference for the article
Hita-Contreras, F., Bueno-Notivol, J., Martínez-Amat, A.,
(APA format)
Cruz-Díaz, D., Hernandez, A. V., & Pérez-López, F. R.
(2018). Effect of exercise alone or combined with dietary
supplements on anthropometric and physical performance
measures in community-dwelling older adults with
sarcopenic obesity: A meta-analysis of randomized
controlled trials. Maturitas, 116, 24–35.
https://doi.org/10.1016/j.maturitas.2018.07.007
Problem related to PICOT
This article is extremely relevant to my PICOT question
since it covers old individuals suffering from sarcopenic
obesity and the impact of exercise as a retention measure.
Purpose
The objective of this study was to measure the impact that
exercise has on physical performance and body
composition in participants aged above 59 and who suffer
from sarcopenic obesity, either on their own or in
combination with dietary supplements.
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Sample
The study included nine publications reporting seven
RCTs with 558 participants.
Data Collection Method
Up until April 15, 2018, a thorough analysis of studies was
carried out using various database search websites. The
investigation looked for randomized controlled trials that
lasted for six weeks and tested either EXE or EXE-SUPPL
on older people with sarcopenic obesity.
Study Findings
EXE-SUPPL and EXE alone improved muscle-related
findings and lowered fat-related results in sarcopenic
obese individuals. To evaluate sarcopenic obese
individuals’ exercise regimens and nutritional
supplements, better-designed randomized controlled trials
are needed.
Contribution to Review of the
This study uses quantitative methods, and it also fails to
Literature
cover how effective the measures were. Also, the study
findings are not clear and to the point.
Article 8
Full Reference for the article
Martínez-Amat, A., Aibar-Almazán, A., Fábrega-Cuadros,
(APA format)
R., Cruz-Díaz, D., Jiménez-García, J. D., Pérez-López, F.
R., Achalandabaso, A., Barranco-Zafra, R., & Hita-
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Contreras, F. (2018). Exercise alone or combined with
dietary supplements for sarcopenic obesity in communitydwelling older people: A systematic review of randomized
controlled trials. Maturitas, 110, 92–103.
https://doi.org/10.1016/j.maturitas.2018.02.005
Problem related to PICOT
This article aligns with my PICOT question because it
investigates the effects of various exercises on obesity
retention among old individuals.
Purpose
This research assessed the effects of exercise on sarcopenic
and obese older people’ body composition, muscular
strength, and physical function.
Sample
The research used a total of 2073 papers drawn from the
four databases.
Data Collection Method
A literature search was conducted using research databases
such as SCOPUS, PubMed, and CINAHL.
Study Findings
According to the research findings, the inclusion of protein
supplements in the link between exercise and
improvements in muscle strength is not necessary. On the
other end, it was shown that workout routines that included
both aerobic and resistance training and nutritional
supplements had a beneficial link with physical function.
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Contribution to Review of the
The study fails to give clear information on what results in
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improved physical function between protein supplements
and aerobics.
Article 9
Full Reference for the article
Brinkley, T. E., Leng, I., Bailey, M. J., Houston, D. K.,
(APA format)
Hugenschmidt, C. E., Nicklas, B. J., & Hundley, W. G.
(2021). Effects of Exercise and Weight Loss on Proximal
Aortic Stiffness in Older Adults With
Obesity. Circulation, 144(9), 684–693.
https://doi.org/10.1161/CIRCULATIONAHA.120.051943
Problem related to PICOT
This article is extremely relevant to my PICOT question
because the study examines aerobic exercises on the aorta’s
function.
Purpose
This study was to evaluate the effects of aerobic exercise
training on the function and structure of the proximal aorta
in older obese men and women with and without the addition
of moderate- to high-level calorie restriction (CR).
Sample
A sample population of 160 obese older adults and ladies
aged 65 to 79 was used.
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Data Collection Method
Participants were randomly placed in one of three groups
and followed the pattern for 20 weeks. The four groups were
aerobic exercise training alone, mixed with moderate
cardiorespiratory activity, more intensive cardiorespiratory
exercise, and more extreme cardiorespiratory exercise. This
study analyzed aortic pulse wave velocity and distensibility
using cardiac MRI. Pearson correlation coefficients
evaluated the relationships between aortic stiffness and
fitness, fatness, and other possible confounding variables.
Study Findings
According to the findings of this research, changes in both
body composition of fat throughout the body are linked to
increases in aortic distensibility. When compared to exercise
on its own, the combination of aerobic activity with
moderate CR leads to greater reductions in aortic stiffness in
patients who are obese and older.
Contribution to Review of the
The study requires a more detailed data analysis.
Literature
Article 10
Full Reference for the article
Papadopoulou, S. K., Papandreou, D., Tassoulas, E.,
(APA format)
Biskanaki, F., Kalogiannis, S., & Hassapidou, M. N. (2020).
Gender and Exercise in Relation to Obesity in Greek Elderly
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Population. International journal of environmental research
and public health, 17(18), 6575.
https://doi.org/10.3390/ijerph17186575
Problem related to PICOT
Since the article covers the evaluation of factors on exercise
activities towards obesity retention among older adults, it is
extremely relevant to my PICOT question.
Purpose
The goal is to evaluate potential risk factors and the benefits
of regular physical exercise on various forms of obesity
among older adults.
Sample
This study used a population sample of 102 free-living
participants older than 60 years old.
Data Collection Method
The Rehabilitation Centers for the Elderly and municipal
gymnasiums in Thessaloniki were used to choose 102
individuals over 60 who were free-living randomly.
Study Findings
According to the research, women are twice as likely as men
to develop abdominal obesity. 69% of inactive seniors had
central obesity, compared to 38% of active seniors.
Sedentary seniors had a higher risk of body fat, central
obesity, and body mass obesity than those who exercised.
Exercise prevents all forms of obesity.
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Contribution to Review of the
The article provides the reader with sufficient illustrations. It
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also compares the variables in an effective manner. Despite
those strengths, the article uses a small population size.