Essay On Police Brutality

Essay On Police Brutality

4-5 full pages

MLA format, double-spaced, times new roman font, 1 inch margins, with a properly formatted title and heading

A thesis statement that explains what the three-four essays seem to be saying together (4th essay should be a counterargument)

A focused introduction of the 3-4 (2+scholarly) articles

Brief introductory summary of the main argument of each article (only summarize the argument of the info you are addressing, not necessarily the entire article)

Adequate evidence in each paragraph (as a rule of thumb, please use 2 direct quotes and 1 paraphrase or vice versa from AT LEAST two of your sources) which properly supports the topic sentence (each topic sentence should tie back to the thesis statement and serve as a “mini” thesis statement)

In this essay, students will use newly acquired college-level, library-based research skills to find three text-based sources on their topic and write an informational synthesis that describes the arguments made in the three sources and how they are in conversation with each other.

Assignment Objectives: You will complete this assignment by writing an essay that explains in detail the argument presented in four articles on similar topics and explain how the four different arguments are related to each other. Your essay should 1) explain what the essays seem to be saying together about the topic, 2) explain the kinds of evidence presented in the essays, how the authors use them, and important connections among evidence in all three essays, and 3) summarize, paraphrase, and quote from the three essays adequately to complete the task

Associated Student Learning Outcomes

Compose argumentative or persuasive essays that demonstrate interpretation, analysis and synthesis

Apply the writing process through invention, drafting, revision, and editing

Design writing to meet its rhetorical situation, particularly with regard to diction, tone, and audience

Document sources in MLA Style

Edit essay to conform to standard written English

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The P.O.S. Decision: Ray’s Place Dilemma

The P.O.S. Decision: Ray’s Place Dilemma

Introduction

It is nearing the end of 2016, and Charlie Thomas along with the management team at Ray’s Place Kent, are preparing to sit down for their annual December meeting. They have many important topics to discuss, but one in particular is sure to dominate the meeting. The topic of discussion is point of sales systems (POS) and their implications for Ray’s Place Kent, based on the results of the POS system in use during the first 2.5 years since the opening of the second Ray’s Place location in Fairlawn, Ohio. A second main concern of the meeting is to address management opinions on the utilization of POS data at the Fairlawn location, as well as determine whether the general management team believes that the current POS maintenance contract should be renewed once the initial 3-year term expires in 6 months. While every one of the six men sitting at the table have an opinion on the subject, none of them can come to any sort of agreement on these topics as the meeting begins.

Ray’s Place History and Background

Ray’s Place is a full service restaurant and bar, with locations in Kent (Appendix A) and Fairlawn (Appendix B), Ohio. Ray’s Place Kent was founded in 1937 when Ray Salitore opened a small Italian eatery in Kent, OH, which he named “Ray’s Place”. The business is located in the former Franklin Hotel Building, and over the past 80 years of operation, has changed ownership 4 times. It is currently owned by Charlie Thomas, who has operated the business since 1978. During the 1970’s and 80s Ray’s Place and Mother’s Junction (a separate band bar upstairs) were primarily late night establishments serving bar food, pitchers of beer, and liquor drinks by the tray. Mother’s Junction started out playing live music 7 days a week, but later was only opened Wednesday through Saturday. When the legal drinking age changed from 18 to 21 during the Reagan administration, Mr. Thomas decided it was time for a change.

In 1991, Mother’s Junction was permanently closed, and the building was significantly renovated to cater to changing demographics. At this point Ray’s Place Kent began operating primarily as a restaurant, and a significant increase in food sales began. In 2002 Chef Robert Paone came on board as the Executive Chef at Ray’s Place Kent, and began working to redefine the culinary landscape at Ray’s Place Kent. In 2006-08 another major set of renovations of the establishment changed the face of Ray’s Place Kent forever. This, coupled with a massive redevelopment effort in downtown Kent began bringing visitors in from the surrounding area, which launched the establishment into a new era. Not long after the renovations, another major event would occur, which helped to put Ray’s Place on the culinary map! In 2011 Ray’s Place Kent was featured on the Food Network, during an episode of “The Best Thing I Ever Ate”. During the episode, Iron Chef Michael Symon detailed one of his favorite college meals in Kent, Ohio named the “MOFO” burger, which has been a staple of the Ray’s Place menu for over 40 years. This feature would send Ray’s Place Kent into the stratosphere and made it a well-known brand in the Northeast Ohio area. It is because of this success that a second location was discussed, and ultimately a suitable location was found in Fairlawn, Ohio. Ray’s Place Fairlawn Eatery and Tavern was opened in April 2014.

Both locations carry a similar décor, menu, and drink selection. However, each location has its own personality, character traits, and management team. These factors make Ray’s Place a fun and unique place for employees and customers alike! Ray’s Place Fairlawn differs from the Kent location, in that it features some higher end beverage items, which Kent does not carry. However, the essence of Ray’s Place is still visible to anyone who walks through the doors. The menus at both locations are relatively large, and almost identical. They feature a variety of American comfort foods; burgers, salads, sandwiches, appetizers (many of them fried), and a few higher priced entrees as well as daily specials. A full bar is featured at both locations, with a wide variety of beers, wines, and liquors. Craft beer is a focus at Ray’s Place, and both locations carry at least 60 draft beers, as well as over 100 different bottled beers from around the world. Keeping up to date inventory of these items has been a challenge over the years, and on busy nights the restaurants will often sell out of certain popular draft beers and menu items.

A friendly family atmosphere and team dynamic are heavily institutionalized at Ray’s Place. The atmosphere is very casual and upbeat at both locations, with staff wearing Ray’s Place logoed t-shirts and jeans. Customers often strike up interesting conversations with their favorite employees on a regular basis. It is very commonplace and even encouraged for employees to spend time with each other outside of the workplace, and many employees share living arrangements. Some other important ways that the company promotes teamwork are; by the practice of the serving staff splitting all tips evenly at the end of a shift, ½ price employee meals and drinks (1 per employee) offered after shifts (with a “family meal” encouraged). There are also several yearly companywide social gatherings, where the company will organize events, such as travelling (on a charter bus) to Cleveland Indians baseball games, or attending beer tastings at Great Lakes Brewing Company, free of charge to all employees.

Ray’s = The Customer + The Employee + The Physical Plant

What you see above is the time tested formula for success at Ray’s Place. It is explained in detail to every employee of the company upon hiring, and is reinforced on shift as well as at every restaurant wide employee meeting (twice annually). This formula, along with an emphasis on providing quality customer service, and other key Ray’s Place specific teachings, such as; “The 3 Commandments” (Appendix C), “You Can’t Manage from the Back Office”, and “You Can Get a Cheeseburger at Ray’s, but You Can’t Get a Beer at McDonalds”, are what makes Ray’s Place a unique and rewarding place for customers, employees, and management alike.

Ray’s Place Kent

Ray’s Place Kent it is located in downtown Kent, Ohio, the home of Kent State University, within a historic (approximately 150 years old) two-story structure (Refer to Appendix A). The establishment does approximately 3 million in revenue yearly (45% Food, 55% Alcohol). There are 45 tables (4 chairs each) = 180 chairs, 2 bars and a billiards area with 55 bar stools total (180+55=235 total seats). While the dining area is relatively spacious, the kitchen and bar areas are overcrowded with wares/equipment needed in the operations of the business. Every General Manager in Kent (4 GM + Owner), as well as the Executive Chef have been with the company at least 15 years, with an average employment of approximately 25 years, and an average age of approximately 60 years. Most of the servers/bartenders at Ray’s Place Kent are in their early to mid-20s; however, there are several outliers with several (non-management) servers/bartenders in their late 30s, 40s and 50s. The servers/bartenders over the age of 30 have all worked at the establishment since their 20s. The way the process works, all front of house employees in Kent start at the door, and are then trained to work the floor starting from there. These employees are usually in their early 20s when hired, with a few exceptions made for individuals with passion and experience.

The Kent location has historically and still currently, utilizes a Guest Check system (Appendix D). Two different types of guest checks (a separate type of check for downstairs and upstairs) are used, each with carbon copy capability. In this system, a server or bartender takes a customer’s order and writes each item on a separate line of the guest check. After writing all of the items down, the server takes the carbon copy of the order and submits it to the kitchen. The kitchen then makes the food and gives the food to the server, with the carbon copy ticket. Once all items are accounted for the carbon copy ticket is put on a spindle. When the customer is ready for their bill, the server takes the original copy and manually adds up all of the prices of the food and drink items, then manually calculates and adds sales tax, before handing the totaled check to the customer. Payment transactions are then run through antique NCR cash registers (Appendix E) and/or separate credit card terminals. Management is then able to create written daily reports, and ultimately records the data in excel spreadsheets.

The antique National Brand cash registers are located behind both bars, and are fully functional. They are used daily in the operations of the business, and customers enjoy the classic charm, and constant ringing they provide. They are part of the show at Ray’s Place! However, these registers have been out of production for decades, and while Ray’s Place Kent has a vendor who is knowledgeable and able to repair the registers, it is becoming ever harder and more expensive to find replacement parts. The vendor is also growing older, and it is unclear if there will be another option for register repairs if he retires or becomes unable to continue his work. Currently, the business spends $500/per year in cash register maintenance. It is estimated that Ray’s Place Kent spent approximately $2,000 on guest checks in 2015. While this cost by itself does not seem very high, it does not take into account the wasted resources, such as; food wasted from illegible or inaccurate handwriting resulting in items being remade, time wasted from handwriting errors resulting in kitchen employees being taken off their job to clarify orders with serving staff, voids and comps resulting from lost or delayed tickets, and the labor needed to manually calculate data from the cash registers and credit card machines in order to produce written daily reports and excel spreadsheets for accounting purposes. Also, without having specific sales transactions stored in digital files, all of the sales receipts must be kept and stored for 8 years as required by government mandate.

Ray’s Place Fairlawn

Ray’s Place Fairlawn is in a much different situation than Ray’s Place Kent. It is located next to a large suburban mall and caters to an older and more professional demographic than the Kent location. It is housed in a 1 story structure, which was originally built to be a corporate style restaurant and has all of the design elements expected of such construction. The Fairlawn location also has a heated patio which is often used for special events. Although the structure is very different from the Kent location, many of the design elements of the bar area were intentionally created to mimic that of Ray’s Place Kent, in order to give the establishments a consistent feel. The kitchen, storerooms, and office are significantly larger and more modern than at Ray’s Place Kent, and the hardwiring and infrastructure for a POS system was already in place when the building was acquired.

The Fairlawn location utilizes a POS System, which was installed prior to its opening in 2014. The POS system in Fairlawn was purchased from Hospitality Control Systems(HCS), which also currently has a service contract for the system. The system is comprised of 7 Terminals (3 with payment capability), 10 Printers (7 F.O.H., 3 B.O.H.), and a control monitor in the back office. The POS system cost $19,000, which included a 3 year, all included, 24/7 warranty/service contract. This was compared with a similar package from Competitor A, which was quoted at $28,231, and Competitor B, which was quoted at $25,212. One other key differentiating feature between the three companies was the ability to utilize gift card capabilities without extra fees (Competitors A and B did not offer this feature). While the POS system has brought many efficiencies to Ray’s Place Fairlawn, it is still a constant work in progress. Currently, the inventory functions are only being used at their most rudimentary levels, mainly for countdowns and X-outs when management knows they are low on certain items. Alcohol costing and beverage menu mix functions are being utilized with the POS system, however food costing or menu functions are not used beyond basic sales counts. In that sense, Chef Paone conducts operations in the kitchen much the same way as he does at Ray’s Place Kent, primarily paper based with an intuitive sense of the what needs to be done.

Each member of the current general management team at Ray’s Place Fairlawn was originally employed at the Kent location, with the average tenure of Ray’s Place Fairlawn’s management being approximately 10 years with the company. The average age of the management team at Ray’s Place Fairlawn is approximately 40 years old. In the physical establishment there are approximately 130 chairs in the dining room, 70 chairs on the patio, and 20 bar stools (130+70+20=220 Total). The company currently generates approximately 1.5-2 million in revenues yearly (60% Food, 40% Alcohol). Even though the situation in Fairlawn is very different from Kent, an attempt has been made to create a similar culture and team dynamic as to what exists at the Kent location. For instance, all members of the serving staff clock in using their social security number, but access the POS under one “team number” (“Bar 100” for example) and split tips evenly at the end of every shift. This approach has been successful in creating team morale, but can make it difficult when issues arise with orders and creates lower accountability for mistakes.

Overall, management has been very happy with the POS system at Ray’s Place Fairlawn. There however have been some notable differences compared to Ray’s Place Kent, with some employees citing concerns about there being less communication, employee empowerment, and knowledge of the menu pricing at Ray’s Place Fairlawn. Whether this is related to the POS system usage, or the relatively early stages of development that Ray’s Place Fairlawn is currently in remains to be seen. Regardless, management feels that the benefits of the POS system in Fairlawn far outweigh the drawbacks, and they would not try to operate Ray’s Place Fairlawn in the same manner as Ray’s Place Kent. As General Manager K.B.S. said, when asked about her opinion of working at both locations, “We at Ray’s Place Fairlawn could not do things the way they do them at Ray’s Place Kent, and Ray’s Place Kent could not do things the way we do them at Ray’s Place Fairlawn”

Return to the Meeting

This brings us back to the December meeting at Ray’s Place Kent, which was discussed at the beginning of the case study. As the meeting drags on, the POS debate begins to heat up! Chef Paone cites the constant mistakes and illegible handwriting on the guest checks in Kent. Manager M.D. discusses how, “on a day we do $20,000 in business, the register may be off $40” (from employee error). Having seen the efficiency and consistency of POS in Fairlawn, it is easy to see how these, and other problems could be solved with a POS system. However, Manager T.C. chimes in that he is not sure that there is adequate space to install a POS system in Kent. Chef Paone agrees, and says “I don’t think that a POS system can be implemented downstairs in Kent without losing seating”. Manager P.W. joins the conversation, saying in a grumbly deep voice, “if it ain’t broke don’t fix it”. Mr. Thomas, sits back and ponders. He knows that these are all valid points, and that table is no closer to agreement on the subject of POS adoption at Ray’s Place Kent than when they started the meeting.

The POS Decision

As the meeting draws on, it has become apparent to Mr. Thomas that there is little chance of coming to a unanimous decision regarding the implementation of a POS system at Ray’s Place Kent. Mr. Thomas has a lot to consider, and the cost of a POS system for the Kent location is the last thing on his mind. Each member of his management team has been with him for decades, they trust him and have devoted their lives and careers to making Ray’s Place the best restaurant company that it can be. There is a lot of emotion involved in making a decision such as this, which will dramatically change the way operations are conducted at the establishment. It is also apparent that some of the management team is staunchly opposed to the idea. Mr. Thomas knows that at the end of the day the decision made must be what is best for Ray’s Place Kent as a whole, and that it must make business sense.

APPENDICES

Exhibit A

Ray’s Place Kent Currently

Upstairs Cash Register(Kent)

Grill Line in Kitchen(Kent)

Exhibit B

Ray’s Place Fairlawn

Bar Area with POS (Fairlawn)

Grill Line in Kitchen(Fairlawn)

Exhibit C

The 3 Commandments (According to Ray)

  1. Thou Shall Not Steal
  2. Thou Shall Not Drink on the Job
  3. Thou Shall Not Knowingly Serve a Minor

Exhibit E

Exhibit D

Sample Guest Checks NCR Cash Register

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Need A answer To Discussion Have To Be 2 Seperate Answers Details Below:

Need A answer To Discussion Have To Be 2 Seperate Answers Details Below:

Justine

Magazines often report surveys giving statistics such as “63% of women expect the man to pay on the first date.” Are these random samples? These surveys are most definitely not random – they are typically click-through from the magazine website – and so can provide an opportunity to discuss the sort of biases that can result from lack of random sampling.

This is most certainly not a random sample, if anything I would call this a convenient sample as the results of the poll are being driven by volunteered participation. This would also be a biased sample, since the poll is voluntary most of the participants will be individuals that feel strongly about that question. Either women who agree with the idea of men paying for the first date or those individuals who may want to skew data, say a man who thinks the question is bogus and wants to distort the result. The sample size for participants is also limited as not every woman reads this particular magazine, this results in a secondary bias as those participating will be people who have a positive interest in the source material. However, that source material is not a fair representation of ALL women, just the ones who are reading or visiting the website.

Tzeng

Magazines often report surveys giving statistics such as “63% of women expect the man to pay on the first date.” Are these random samples? These surveys are most definitely not random – they are typically click-through from the magazine website – and so can provide an opportunity to discuss the sort of biases that can result from lack of random sampling.

As suggested within the question, some surveys are provided through their own website. These biased surveys can provide false data. It can be detrimental if decisions are based on this data. It can also create conflicting information if there is another website with a different audience asking the same question. A lack of random sampling creates biases because it could provide results the surveyor has intended to receive. For example, if a person or company wanted to convince others that their product is superior, they could survey locations where their products are sold at a higher volume. Also, a company has a better chance of getting high ratings if they only surveyed customers they notified about a known product issue and were calling to rectify the situation, versus customers who called to complain about their product. In addition, the questions may be created in such a way that results in a more positive outlook. For instance, they can include questions that ask how good the company did at notifying their customers. A customer who was not notified would probably have rated this question a particularly low score.

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PICOT post And Literature Search

PICOT post And Literature Search

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. The PICOT question will provide a framework for your capstone project.
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Solid academic writing is expected, and documentation of sources should be presented using APA formatting guideline. See the attached sheets along with the above questions.

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PICOT Statement and Literature Search

PICOT Statement and Literature Search

Clinical Issue Summary

Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

PICOT Statement

In mechanically ventilated patients in the ICU, does the utilization of a custom oral care protocol with chlorhexidine compared to a routine oral care protocol reduce the incidence of ventilator-associated pneumonia (VAP) during the length of stay in the ICU.

Literature Search

Cutler, L. R., & Sluman, P. (2014). Reducing ventilator associated pneumonia in adult patients through high standards of oral care: A historical control study. Intensive & Critical Care Nursing, 30(2), 61-68. http://dx.doi.org/10.1016/j.iccn.2013.08.005

Objectives: Implement and evaluate the impact of oral hygiene measures (teeth brushing, 1% oral chlorhexidine and oropharyngeal suction) on the incidence of ventilator-associated pneumonia (VAP) and the costs of prevention and treatment.

Design: A historical control study of all 1087 patients, mechanically ventilated for at least 48hours in a general adult critical care unit, between July 2009 and December 2011. The incidence of VAP in 528 patients before a practice change was compared with the incidence in 559 patients after a practice change. The clinical audit cycle was used to review compliance with existing standards and implement a regime of enhanced oral hygiene. The costs of changing the oral care regime and the treatment of VAP with antibiotics was calculated.

Setting: 22 bed combined intensive care and high dependency unit in England.

Main outcome measures: (1) Compliance with standards for oral care. (2) The incidence of VAP before and after the change.

Results: 91% (95% CI 90–93%) compliance with the standards for oral care was achieved throughout the 30 months of the study with very little difference before (90%, 95% CI 88–93%) and after (92%, 95% CI 90–95%) the changes in oral care standards were introduced. Of 528 patients mechanically ventilated for at least 48hours before the change, 47 developed VAP. The mean incidence of VAP was 0.09 (8.9%) (95% CI 0.07–0.12). The mean VAP per 1000 ventilator days was 13.6 (95% CI 13.1–14.0). After the change 24 of 559 patients developed VAP. The mean incidence of VAP after the change was 0.04 (4.1%) (95% CI 0.03–0.06). The mean VAP per 1000 ventilator days was 6.9 (95% CI 6.5–7.1). There was a £6319 ($10,112, €7518) cost saving on preventing and treating VAP following the practice change. A statistically significant difference (p<0.01) was seen between the incidence of VAP expected and that observed after the change in oral care. This represents a relative risk reduction of 0.53 (95% CI 0.25–0.71) and number needed to treat (NNT) of 21.

Conclusion: An enhanced oral care bundle, incorporating 1% Chlorhexidine Gluconate, was associated with a significant reduction in VAP and the costs of treating VAP. Limitations of the study relate to analysis of other variables, in particular severity of illness, between the two groups and the lack of agreement in the literature on VAP criteria, which limits generalisation of these findings.

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General post For A SOFTWARE DEVELOPER

General post For A SOFTWARE DEVELOPER

  1. Do you have regular opportunities to discuss your work, and action plans? Explain.
  2. What were the goals and objectives that you hoped to achieve with the projects you were involved in over the review period?
  3. How much of the goals and objectives have you been able to achieve?
  4. Did you get any guidance/assistance from your supervisor at Analytics9? Please explain
  5. What , if any, issues did you have that have affected your work?
  6. What help do you need from your supervisor to overcome these issues?
  7. What new technical skills (coding, presentation, new technologies) did you acquire during the review period? Please provide examples.
  8. What new soft skills (leadership, teamwork, communication, time management, adaptability, attention to detail, etc.) did you acquire during the review period? Please provide examples.
  9. Can you suggest training which would help to improve your performance or development?

10.What are your career objectives for the next six months?

I need 50 words for each question, just general information for a SOFTWARE DEVELOPER. Take SOFTWARE DEVELOPER as the job

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How Does the Article Relate to the PICOT Question?

How Does the Article Relate to the PICOT Question?

Literature Evaluation Table

Student Name:

Summary of Clinical Issue (200-250 words):

PICOT Question:

Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

How Does the Article Relate to the PICOT Question?

Quantitative, Qualitative (How do you know?)

Purpose Statement

Research Question

Outcome

Setting

(Where did the study take place?)

Sample

Method

Key Findings of the Study

Recommendations of the Researcher

Criteria

Article 4

Article 5

Article 6

APA-Formatted Article Citation with Permalink

How Does the Article Relate to the PICOT Question?

Quantitative, Qualitative (How do you know?)

Purpose Statement

Research Question

Outcome

Setting

(Where did the study take place?)

Sample

Method

Key Findings of the Study

Recommendations of the Researcher

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Clinical Issue Summary

Clinical Issue Summary

Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

PICOT Statement

In mechanically ventilated patients in the ICU, does the utilization of a custom oral care protocol with chlorhexidine compared to a routine oral care protocol reduce the incidence of ventilator-associated pneumonia (VAP) during the length of stay in the ICU.

Literature Search

Cutler, L. R., & Sluman, P. (2014). Reducing ventilator associated pneumonia in adult patients through high standards of oral care: A historical control study. Intensive & Critical Care Nursing, 30(2), 61-68. http://dx.doi.org/10.1016/j.iccn.2013.08.005

Objectives: Implement and evaluate the impact of oral hygiene measures (teeth brushing, 1% oral chlorhexidine and oropharyngeal suction) on the incidence of ventilator-associated pneumonia (VAP) and the costs of prevention and treatment.

Design: A historical control study of all 1087 patients, mechanically ventilated for at least 48hours in a general adult critical care unit, between July 2009 and December 2011. The incidence of VAP in 528 patients before a practice change was compared with the incidence in 559 patients after a practice change. The clinical audit cycle was used to review compliance with existing standards and implement a regime of enhanced oral hygiene. The costs of changing the oral care regime and the treatment of VAP with antibiotics was calculated.

Setting: 22 bed combined intensive care and high dependency unit in England.

Main outcome measures: (1) Compliance with standards for oral care. (2) The incidence of VAP before and after the change.

Results: 91% (95% CI 90–93%) compliance with the standards for oral care was achieved throughout the 30 months of the study with very little difference before (90%, 95% CI 88–93%) and after (92%, 95% CI 90–95%) the changes in oral care standards were introduced. Of 528 patients mechanically ventilated for at least 48hours before the change, 47 developed VAP. The mean incidence of VAP was 0.09 (8.9%) (95% CI 0.07–0.12). The mean VAP per 1000 ventilator days was 13.6 (95% CI 13.1–14.0). After the change 24 of 559 patients developed VAP. The mean incidence of VAP after the change was 0.04 (4.1%) (95% CI 0.03–0.06). The mean VAP per 1000 ventilator days was 6.9 (95% CI 6.5–7.1). There was a £6319 ($10,112, €7518) cost saving on preventing and treating VAP following the practice change. A statistically significant difference (p<0.01) was seen between the incidence of VAP expected and that observed after the change in oral care. This represents a relative risk reduction of 0.53 (95% CI 0.25–0.71) and number needed to treat (NNT) of 21.

Conclusion: An enhanced oral care bundle, incorporating 1% Chlorhexidine Gluconate, was associated with a significant reduction in VAP and the costs of treating VAP. Limitations of the study relate to analysis of other variables, in particular severity of illness, between the two groups and the lack of agreement in the literature on VAP criteria, which limits generalisation of these findings.

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Cyber Law-Information Systems homework task

Cyber Law-Information Systems homework task

Note : Each question should be maintain 300 words . with APA format with two proper references.

  1. Please assume you have the absolute power to control the internet and its content.
  2. On the discussion forum, describe your expectations for finding law from anywhere in the world by use of the internet. Why is it important to have a uniform method of citation of that law?
  3. On the discussion forum, describe an instance where a government has taken some action the result of which is influence on commerce.
  4. Please describe an instance of which you are aware of which an act of internet crime took place.

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