Assignment Criteria:
1 Describe the clinical or administrative problem related to the PICOT question below:

In critical care patients with central lines (P), how does proper insertion and care (I) Compare to improper insertion and care (C) affect the reduction rate of central line-associated infection (O) within one year (T)?

Formulate the PICOT question in the intervention format
  Discuss why the problem is important to nursing practice
  Discuss the chosen intervention
  Elaborate on how the intervention impacts the stated outcome

2.  Discuss two (2) barriers that a masters prepared nurse might encounter before implementing the intervention.

3.Explore two (2) possible actions that can be used for handling those barriers.

4.  Identify two (2) explicit inclusion criteria and two (2) inclusion criteria to be used in the analysis of the evidence

5.  Identify the databases (e.g., CINAHL, Medline) and key terms used in initiating the search.

6.  The scholarly paper should be in narrative format, four (4) to five (5) pages excluding the title and reference pages.

7.  Include an introductory paragraph, purpose statement, and a conclusion.

8.  Include level 1 and 2 headings to organize the paper.

9.  Write the paper in third person, not first person (meaning do not use we or I) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.

10. Include a minimum of three (3) references from professional peer-reviewed nursing journals to support the paper. References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old.

11. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

12.  Submit the assignment to Turnitin prior to the final submission. Please be sure to review the originality report and make any needed changes.

Case Study

A 41-year-old male patient presents at the community walk-in clinic with complaints of severe elbow pain radiating into the forearm. His 13-year-old daughter is serving as a translator because her father is unable to speak English and understands only a few words in English. The daughter explains that he has been taking Tylenol to manage pain, but the pain is getting worse and is keeping him from working. You ask the daughter to describe the type of work her father does, and you notice she is hesitant to respond, first checking with her father. He responds, and she translates that he works in construction. Based on the response and the apparent concern, you suspect that the patient may be an undocumented worker. Further conversation reveals that several members of the family are working with the same local construction company.

Case Questions

You suspect the pain reported as coming from the elbow and radiating down the forearm is caused by repetitive motions, perhaps indicating lateral epicondylitis. What can you do to confirm this diagnosis?
While performing the physical examination, you ask the patient, through his daughter, if he has reported this injury to his employer, because the injury is most likely work-related. The daughter responded without consulting her father that this is an old injury that happened before he started working at his current place of employment. You could tell that she was becoming more distressed. What is the most likely explanation for her concern?
Visual inspection reveals erythema around the affected area with no evidence of overlying skin lesions, scars, or deformities. What other assessments should you perform?
How is lateral epicondylitis treated?
When discussing possible treatment approaches, you notice that the patient is very worried and seems to suggest to his daughter that they should leave. The daughter begins trying to explain why they have to leave right away. What would you tell the patient and his daughter to help them feel comfortable staying for treatment?