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“Are high quality foods important for cuisine?” Homework Solution

“Are high quality foods important for cuisine?” Homework Solution

week 3 discussion due by 2/11/20 @ 5:00pm EST : Week 3 – Discussion 66 unread replies.99 replies. Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated. Cardiovascular Disease [WLOs: 1, 2] [CLOs: 1, 2, 3, 4, 5, 6, 7] Prior to beginning work on this discussion, read Chapter 5 in your textbook, the Heart Disease Facts (Links to an external site.) website, and review this week’s Instructor Guidance. Review the risk factors identified in Chapter 5 that are associated with cardiovascular disease. Following the table below, review your assigned topic and address the required components in your initial post. Your initial post must be a minimum of 250 words and use your textbook as a resource. TopicFirst Initial of Last NameChoose one of the four heart conditions listed in section 5.3 of the textbook (e.g., congenital heart disease, hypertension, heart disease, and stroke). Discuss the impact the chosen condition has on the people within the micro-level system (refer to Chapter 1 Section 6 if you need to review the micro-level system).C, F, G, L, M, R, U, XWith Bronfenbrenner’s macro-level system in mind, discuss what you believe to be the most prevalent societal factor that has contributed to the increase in cardiovascular disease (e.g., occupation, environmental factors, food processing, lifestyle behaviors, socioeconomic status, etc.). Give your rationale.A, D, I, J, O, P, S, V, YDiscuss the biopsychosocial and cultural factors that have contributed to an increase in the incidence of cardiovascular disease. Include changes that have occurred only during your lifetime that have contributed to this change.B, E, H, K, N, Q, T, W, Z Guided Response: Respond to two classmates that were assigned to a different topic than your own. Do you agree or disagree with the information in their post? Give your rationale as to why you agree or disagree. What additional factors would you add? Your response should be a minimum of 100 words.

Week 3 - Discussion 66 unread replies.99 replies. Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated. Cardiovascular Disease [WLOs: 1, 2] [CLOs: 1, 2, 3, 4, 5, 6, 7] Prior to beginning work on this discussion, read Chapter 5 in your textbook, the Heart Disease Facts (Links to an external site.) website, and review this week’s Instructor Guidance. Review the risk factors identified in Chapter 5 that are associated with cardiovascular disease. Following the table below, review your assigned topic and address the required components in your initial post. Your initial post must be a minimum of 250 words and use your textbook as a resource. TopicFirst Initial of Last NameChoose one of the four heart conditions listed in section 5.3 of the textbook (e.g., congenital heart disease, hypertension, heart disease, and stroke). Discuss the impact the chosen condition has on the people within the micro-level system (refer to Chapter 1 Section 6 if you need to review the micro-level system).C, F, G, L, M, R, U, XWith Bronfenbrenner’s macro-level system in mind, discuss what you believe to be the most prevalent societal factor that has contributed to the increase in cardiovascular disease (e.g., occupation, environmental factors, food processing, lifestyle behaviors, socioeconomic status, etc.). Give your rationale.A, D, I, J, O, P, S, V, YDiscuss the biopsychosocial and cultural factors that have contributed to an increase in the incidence of cardiovascular disease. Include changes that have occurred only during your lifetime that have contributed to this change.B, E, H, K, N, Q, T, W, Z Guided Response: Respond to two classmates that were assigned to a different topic than your own. Do you agree or disagree with the information in their post? Give your rationale as to why you agree or disagree. What additional factors would you add? Your response should be a minimum of 100 words.

ERM Wk7 – S : Readings: IT Governance and IT Risk Management Practices” Vincent, N. E., Higgs, J. L., & Pinsker, R. E. (2017). IT Governance and the Maturity of IT Risk Management Practices. Journal of Information Systems, 31(1), 59–77. https://doi.org/10.2308/isys-51365 Etges, A. P. B. da S., Grenon, V., Lu, M., Cardoso, R. B., de Souza, J. S., Kliemann Neto, F. J., & Felix, E. A. (2018). Development of an enterprise risk inventory for healthcare. BMC Health Services Research, 18(1), N.PAG. https://doi.org/10.1186/s12913-018-3400-7  Q1. 275 words  The article on IRB this week discusses broad consent under the revised Common Rule. When you are doing any sort of research you are going to need to have your research plan approved by the University’s institutional review board or IRB. If you have never heard of this term before, please take a look online and find a brief summary of what it is about, before you read the article.   Please answer the following questions in your main post: What are the main issues that the article addresses? What is the Common Rule? How is this issue related to information systems and digital privacy?  Q2. Research Paper:   —  SEPARATE Document —- 7 full pages     Risk management is one of the most important components in empowering an organization to achieve its ultimate vision. With proper risk management culture and knowledge, team members will be “speaking” the same language, and they will leverage common analytical abilities to identify and mitigate potential risks as well as exploit opportunities in a timely fashion. In order to consolidate efforts, the existence of an integrated framework is crucial. This is why an ERM is necessary to the fulfillment of any organization’s goals and objectives. In your final research project for the course, your task is to write a 7 full pages paper discussing the following concepts: Introduction – What is an ERM? Why Should an Organization Implement an ERM Application? What are some Key Challenges and Solutions to Implementing an ERM? What is Important for an Effective ERM? Discuss at least one real organization that has been effective with implementing an ERM framework/application. Conclusion – Final thoughts/future research/recommendation The paper needs to be in 7 full pages long, including both a title page and a references page (for a total of 9-12 pages). Be sure to use proper APA formatting and citations to avoid plagiarism. Your paper should meet the following requirements: Be approximately 7 full pages in length, not including the required cover page and reference page. Follow APA7 guidelines. Your paper should include an introduction, a body with fully developed content, and a conclusion. Support your answers with the readings from the course, the course textbook, and at least FIVE scholarly journal articles PEER REVIWED to support your positions, claims, and observations, in addition to your textbook.  Be clearly and well-written, concise, and logical, using excellent grammar and style techniques. You are being graded in part on the quality of your writing.

Readings: IT Governance and IT Risk Management Practices" Vincent, N. E., Higgs, J. L., & Pinsker, R. E. (2017). IT Governance and the Maturity of IT Risk Management Practices. Journal of Information Systems, 31(1), 59–77. https://doi.org/10.2308/isys-51365 Etges, A. P. B. da S., Grenon, V., Lu, M., Cardoso, R. B., de Souza, J. S., Kliemann Neto, F. J., & Felix, E. A. (2018). Development of an enterprise risk inventory for healthcare. BMC Health Services Research, 18(1), N.PAG. https://doi.org/10.1186/s12913-018-3400-7  Q1. 275 words  The article on IRB this week discusses broad consent under the revised Common Rule. When you are doing any sort of research you are going to need to have your research plan approved by the University’s institutional review board or IRB. If you have never heard of this term before, please take a look online and find a brief summary of what it is about, before you read the article.   Please answer the following questions in your main post: What are the main issues that the article addresses? What is the Common Rule? How is this issue related to information systems and digital privacy?  Q2. Research Paper:   ---  SEPARATE Document ---- 7 full pages     Risk management is one of the most important components in empowering an organization to achieve its ultimate vision. With proper risk management culture and knowledge, team members will be “speaking” the same language, and they will leverage common analytical abilities to identify and mitigate potential risks as well as exploit opportunities in a timely fashion. In order to consolidate efforts, the existence of an integrated framework is crucial. This is why an ERM is necessary to the fulfillment of any organization's goals and objectives. In your final research project for the course, your task is to write a 7 full pages paper discussing the following concepts: Introduction - What is an ERM? Why Should an Organization Implement an ERM Application? What are some Key Challenges and Solutions to Implementing an ERM? What is Important for an Effective ERM? Discuss at least one real organization that has been effective with implementing an ERM framework/application. Conclusion – Final thoughts/future research/recommendation The paper needs to be in 7 full pages long, including both a title page and a references page (for a total of 9-12 pages). Be sure to use proper APA formatting and citations to avoid plagiarism. Your paper should meet the following requirements: Be approximately 7 full pages in length, not including the required cover page and reference page. Follow APA7 guidelines. Your paper should include an introduction, a body with fully developed content, and a conclusion. Support your answers with the readings from the course, the course textbook, and at least FIVE scholarly journal articles PEER REVIWED to support your positions, claims, and observations, in addition to your textbook.  Be clearly and well-written, concise, and logical, using excellent grammar and style techniques. You are being graded in part on the quality of your writing.

Complementary and Alternative Health DQ 1 week 5 student reply Maydenis Molinet : The following post is from another student. please reply to this post  APA style and less than 10 % similarity  How is the practice of yoga related to health and illness?  Fitness doctors, gym instructors, and therapists have played a core role in promoting yoga as one of the essential healthcare practices. The practice of yoga has an intensive history since its rules and popularity originated in china a few centuries ago (Beri et al., 2020). Over the years, medical researchers have established multiple studies that evidence the correlation between yoga exercises and improved physical, mental, behavioral, and psychological health (Eggen, 2020). However, the limited information regarding yoga’s healthcare benefits is one of the core factors that hinder its popularity in many parts of the world. Yoga is more popular among women as compared to men. However, one of the core benefits of practicing yoga is promoting body balance, thus improving overall strength and flexibility (Eggen, 2020). Yoga has been identified as an essential healthcare practice since it plays a core in relieving pain and strengthening the heart’s internal muscles and other critical organs in the body (Beri et al., 2020). Besides, yoga is recommended or prescribed to the patient with various sleep disorders since it helps to reduce anxiety and boost the quality of sleep. Moreover, yoga practice plays a vital role in improving the outcome and the efficiency of therapy needed to treat the back of joint, back, neck, and other types of pains. The limited or delayed integration of yoga as a core healthcare practice is one of the major factors that limited its contribution to improving patients’ health (Eggen, 2020). Hence, it is critical to promote the efficiency of yoga through training and policing. References Beri, K., Menon, V., Guzman, E., Chapa, C., Patel, R., Shariff, M. A., & Kasubhai, M. (2020). The effect of living a ‘yogic lifestyle on stress response and self-image in healthcare professionals: a pilot study. Future Science OA, 6(6), FSO473. Eggen, L. S. (2020). The Impact of Yoga on Symptom Management in Adults with Depression. Fontaine, K., 2019. Complementary and Alternative Therapies for Nursing Practice. 5th ed. Pearson Education, Inc. Perkins, A. (2020). Yoga for patient health: Uniting body, mind, and spirit. Nursing made Incredibly Easy, 18(4), 6-9.

The following post is from another student. please reply to this post  APA style and less than 10 % similarity  How is the practice of yoga related to health and illness?  Fitness doctors, gym instructors, and therapists have played a core role in promoting yoga as one of the essential healthcare practices. The practice of yoga has an intensive history since its rules and popularity originated in china a few centuries ago (Beri et al., 2020). Over the years, medical researchers have established multiple studies that evidence the correlation between yoga exercises and improved physical, mental, behavioral, and psychological health (Eggen, 2020). However, the limited information regarding yoga's healthcare benefits is one of the core factors that hinder its popularity in many parts of the world. Yoga is more popular among women as compared to men. However, one of the core benefits of practicing yoga is promoting body balance, thus improving overall strength and flexibility (Eggen, 2020). Yoga has been identified as an essential healthcare practice since it plays a core in relieving pain and strengthening the heart's internal muscles and other critical organs in the body (Beri et al., 2020). Besides, yoga is recommended or prescribed to the patient with various sleep disorders since it helps to reduce anxiety and boost the quality of sleep. Moreover, yoga practice plays a vital role in improving the outcome and the efficiency of therapy needed to treat the back of joint, back, neck, and other types of pains. The limited or delayed integration of yoga as a core healthcare practice is one of the major factors that limited its contribution to improving patients' health (Eggen, 2020). Hence, it is critical to promote the efficiency of yoga through training and policing. References Beri, K., Menon, V., Guzman, E., Chapa, C., Patel, R., Shariff, M. A., & Kasubhai, M. (2020). The effect of living a 'yogic lifestyle on stress response and self-image in healthcare professionals: a pilot study. Future Science OA, 6(6), FSO473. Eggen, L. S. (2020). The Impact of Yoga on Symptom Management in Adults with Depression. Fontaine, K., 2019. Complementary and Alternative Therapies for Nursing Practice. 5th ed. Pearson Education, Inc. Perkins, A. (2020). Yoga for patient health: Uniting body, mind, and spirit. Nursing made Incredibly Easy, 18(4), 6-9.

Networks, Collaborative Technology, and the Internet of Things : Critical Thinking    Collaborative Technologies and the Internet of Things (IoT) (105 points) Conduct research and write a paper on either mobile technologies or  the Internet of Things (IoT). In your paper, address the following: Briefly define the technology (collaborative technologies or IoT technologies). How and why are organizations applying this technology? Identify and describe one real-world example. What are the benefits of the technology to organizations? For example, does the technology reduce costs? How does the technology benefit the organization’s internal and external users? What are some challenges or potential problems of the technology to the organization? In your opinion, do the benefits outweigh these concerns? Explain. Your well-written report should be 4-5 pages in length, not  including the cover and reference pages. Use APA style academic writing    Required Chapter 4: Networks, Collaborative Technology, and the Internet of Things in Information Technology for Management: On-Demand Strategies for Performance, Growth, and Sustainability Monteiro, E., & Parmiggiani, E. (2019). Synthetic Knowing: The Politics of the Internet of Things. MIS Quarterly, 43(1), 167–184. https://doi.org/10.25300/MISQ/2019/13799 Schahram Dustdar, Surya Nepal, & James Joshi. (2019). Introduction to the Special Section on Advances in Internet-based Collaborative Technologies. ACM Transactions on Internet Technology (TOIT) – Special Section on Advances in Internet-Based Collaborative Technologies, 19(3), 1–4.https://doi.org/10.1145/3361071 Oueis, J., Conan, V., Lavaux, D., Rivano, H., Stanica, R., & Valois, F. (2019). Core network function placement in self-deployable mobile networks. Computer Communications, 133, 12–23.

Critical Thinking    Collaborative Technologies and the Internet of Things (IoT) (105 points) Conduct research and write a paper on either mobile technologies or  the Internet of Things (IoT). In your paper, address the following: Briefly define the technology (collaborative technologies or IoT technologies). How and why are organizations applying this technology? Identify and describe one real-world example. What are the benefits of the technology to organizations? For example, does the technology reduce costs? How does the technology benefit the organization’s internal and external users? What are some challenges or potential problems of the technology to the organization? In your opinion, do the benefits outweigh these concerns? Explain. Your well-written report should be 4-5 pages in length, not  including the cover and reference pages. Use APA style academic writing    Required Chapter 4: Networks, Collaborative Technology, and the Internet of Things in Information Technology for Management: On-Demand Strategies for Performance, Growth, and Sustainability Monteiro, E., & Parmiggiani, E. (2019). Synthetic Knowing: The Politics of the Internet of Things. MIS Quarterly, 43(1), 167–184. https://doi.org/10.25300/MISQ/2019/13799 Schahram Dustdar, Surya Nepal, & James Joshi. (2019). Introduction to the Special Section on Advances in Internet-based Collaborative Technologies. ACM Transactions on Internet Technology (TOIT) - Special Section on Advances in Internet-Based Collaborative Technologies, 19(3), 1–4.https://doi.org/10.1145/3361071 Oueis, J., Conan, V., Lavaux, D., Rivano, H., Stanica, R., & Valois, F. (2019). Core network function placement in self-deployable mobile networks. Computer Communications, 133, 12–23.

PICOT Formulation : Abbade et al. (2016), states that the PICOT format is generally applicable to comparative studies or studies of association between exposure and outcome.  In breaking down this week’s assignment we will first look at the elements of each provided PICOT question.  The first question: P: Children 5-19 years old I: Use of motivation interviews during well-child visits to influence BMI, quality of life, and daily physical activity C: Practice as usual compared to motivational interviews during well-child visits O: The use of motivation interviews to influence BMI improvement, quality of life, and daily physical activity T: 8-10-week period In identifying key search terms for the first PICOT question, I would focus on motivational interviews, well-child visits, BMI, quality of life, physical activity, and an 8-10-week timeframe. In further investigating the first PICOT question, a research-based intervention that was being addressed was the use of motivational interviews.  Borrello et al. (2015), describe motivational interviewing as a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.  The quantifiable outcomes were that those patients who received motivational interviews at their visit showed to have decreased BMI, improved/increased physical activity, and overall improved quality of life. This group of researchers used a meta-synthesis to quantify the research findings with the inclusion of six articles.  The use of anthropometric measures, the Motivational Interviewing Treatment Integrity (MITI) scale, and pre-and post-measurement data.  In the review of the research, I do not feel as though an eight to ten-week timeframe is long enough to measure true raw data of implementing the suggested intervention because maintained BMI decrease, improved physical activity, and quality of life need more time to be assessed. Eight to ten weeks does not allow time for life factors, such as finance, access, patient contact, and measurable outcomes.  One positive attribute is that there were pre and post interaction but follow-up and additional conversations/interviews need to be had at the 12-week mark, six-month mark and annual mark need to be addressed, to truly elicit valid outcomes. One of the biggest factors regarding weight is “relapse” or falling back into old patterns or habits and the value of the initial motivational interview could be lost. In the review of a secondary study that utilized randomized controlled trials, the timeframe of eight to ten weeks was not enough time to truly evaluate the effects of motivational interviews to improve BMI, physical activity and quality of life.  Three months was the time frame that this group utilized.  Luque et al. (2018), found that positive effects of a motivational interview on BMI and other obesity-related behavior outcomes. In the second PICOT question: P: Adult critical care patients I: Implementing research-based skincare integrity bundle C: Implementing research-based skincare integrity bundle compared to standard care practice influencing hospital-acquired pressure injuries O: Affect on the incidence of hospital-acquired pressure injures T:8-10-week period In identifying key search terms for the second PICOT question, I would focus on research-based skincare integrity bundle, adult critical care patients, current incidence with current standard care practice, and 8-10-week timeframe. In further investigation of PICOT question two, the research-based evidence was to evaluate the use of a multifaceted approach aimed at improving equipment, digital documentation and education on risk assessment, prevention, and treatment strategies regarding pressure injuries.  Goodman et al. (2018), reports a pressure injury as a localized injury and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure (including pressure associated with shear).   The quantifiable outcome that this research group identified was that in-spite of all research applied they found despite multiple quality improvement initiatives, suggesting critically ill patients represent a unique challenge for reducing hospital-acquired pressure injuries (HAPI) for these patients at our institution (Goodman et al., 2018).  This group of researchers implemented a quality improvement initiative.  In this initiative, they sought to assess, available equipment, education, and digital documentation and utilized project champions to promote changes and evoke support.  Data was collected through the use of the International Pressure Ulcer/Injury Prevalence (IPUP) Survey and a Plan-Do-Study-Act (PDSA) methodology.  Although I do feel as though eight to ten weeks would be a quantifiably adequate amount of time to assess this patient group, this group of researchers evaluated the data over a year’s time. The biggest contingency, that would have an effect is the patient length of stay (LOS) in the critical care setting.  In today’s time, patients’ LOS is a measure that is taken into heavy consideration, and therefore evaluating the use of the addressed measures in the PICOT question could potentially yield short-term results but on the long-term scale, results show variability.  In considering implementing the research there are several things to be considered to allow this intervention to effective, these include, LOS, staffing ratios, patient condition, quality of care, intervention adjuncts, patient age, availability of funding to support this continued initiative.  Although patient benefit should be at the forefront of positive outcomes, sometimes budget is the key indicator in hindrance to yield effective outcomes. Overall, the use of the PICOT question can frame effective and quantifiable research outcomes, when seeking to elicit specific results.  As a DNP scholar effectively implementing a practice change, utilization of a quality PICOT question can potentially yield results that will evoke a positive change in healthcare changes, that will overall improve the healthcare paradigm as a whole. Abbade, L. P., Wang, M., Sriganesh, K., Mbuagbaw, L., & Thabane, L. (2016). Framing of research question using the PICOT format in randomised controlled trials of venous ulcer disease: A protocol for a systematic survey of the literature. BMJ Open, 6(11), e013175. https://doi.org/10.1136/bmjopen-2016-013175 (Links to an external site.) Borrello, M., Pietrabissa, G., Ceccarini, M., Manzoni, G. M., & Castelnuovo, G. (2015). Motivational interviewing in childhood obesity treatment. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.01732 (Links to an external site.) Goodman, L., Khemani, E., Cacao, F., Yoon, J., Burkoski, V., Jarrett, S., Collins, B., & Hall, T. N. T. (2018). A comparison of hospital-acquired pressure injuries in intensive care and non-intensive care units: a multifaceted quality improvement initiative. BMJ Open Quality, 7(4), e000425. https://doi.org/10.1136/bmjoq-2018-000425 (Links to an external site.) Luque, V., Feliu, A., Escribano, J., Ferré, N., Flores, G., Monné, R., Gutiérrez-Marín, D., Guillen, N., Muñoz-Hernando, J., Zaragoza-Jordana, M., Gispert-Llauradó, M., Rubio-Torrents, C., Núñez-Roig, M., Alcázar, M., Ferré, R., Basora, J., Hsu, P., Alegret-Basora, C., Arasa, F., Venables, M., Singh, P., Closa-Monasterolo, R. (2019). The Obemat2.0 Study: A Clinical Trial of a Motivational Intervention for Childhood Obesity Treatment. Nutrients, 11(2), 419. https://doi.org/10.3390/nu11020419 I need a comment for this discussion board and use 3 sources no later than 5 years and at least 2 paragraphs.

Abbade et al. (2016), states that the PICOT format is generally applicable to comparative studies or studies of association between exposure and outcome.  In breaking down this week’s assignment we will first look at the elements of each provided PICOT question.  The first question: P: Children 5-19 years old I: Use of motivation interviews during well-child visits to influence BMI, quality of life, and daily physical activity C: Practice as usual compared to motivational interviews during well-child visits O: The use of motivation interviews to influence BMI improvement, quality of life, and daily physical activity T: 8-10-week period In identifying key search terms for the first PICOT question, I would focus on motivational interviews, well-child visits, BMI, quality of life, physical activity, and an 8-10-week timeframe. In further investigating the first PICOT question, a research-based intervention that was being addressed was the use of motivational interviews.  Borrello et al. (2015), describe motivational interviewing as a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.  The quantifiable outcomes were that those patients who received motivational interviews at their visit showed to have decreased BMI, improved/increased physical activity, and overall improved quality of life. This group of researchers used a meta-synthesis to quantify the research findings with the inclusion of six articles.  The use of anthropometric measures, the Motivational Interviewing Treatment Integrity (MITI) scale, and pre-and post-measurement data.  In the review of the research, I do not feel as though an eight to ten-week timeframe is long enough to measure true raw data of implementing the suggested intervention because maintained BMI decrease, improved physical activity, and quality of life need more time to be assessed. Eight to ten weeks does not allow time for life factors, such as finance, access, patient contact, and measurable outcomes.  One positive attribute is that there were pre and post interaction but follow-up and additional conversations/interviews need to be had at the 12-week mark, six-month mark and annual mark need to be addressed, to truly elicit valid outcomes. One of the biggest factors regarding weight is “relapse” or falling back into old patterns or habits and the value of the initial motivational interview could be lost. In the review of a secondary study that utilized randomized controlled trials, the timeframe of eight to ten weeks was not enough time to truly evaluate the effects of motivational interviews to improve BMI, physical activity and quality of life.  Three months was the time frame that this group utilized.  Luque et al. (2018), found that positive effects of a motivational interview on BMI and other obesity-related behavior outcomes. In the second PICOT question: P: Adult critical care patients I: Implementing research-based skincare integrity bundle C: Implementing research-based skincare integrity bundle compared to standard care practice influencing hospital-acquired pressure injuries O: Affect on the incidence of hospital-acquired pressure injures T:8-10-week period In identifying key search terms for the second PICOT question, I would focus on research-based skincare integrity bundle, adult critical care patients, current incidence with current standard care practice, and 8-10-week timeframe. In further investigation of PICOT question two, the research-based evidence was to evaluate the use of a multifaceted approach aimed at improving equipment, digital documentation and education on risk assessment, prevention, and treatment strategies regarding pressure injuries.  Goodman et al. (2018), reports a pressure injury as a localized injury and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure (including pressure associated with shear).   The quantifiable outcome that this research group identified was that in-spite of all research applied they found despite multiple quality improvement initiatives, suggesting critically ill patients represent a unique challenge for reducing hospital-acquired pressure injuries (HAPI) for these patients at our institution (Goodman et al., 2018).  This group of researchers implemented a quality improvement initiative.  In this initiative, they sought to assess, available equipment, education, and digital documentation and utilized project champions to promote changes and evoke support.  Data was collected through the use of the International Pressure Ulcer/Injury Prevalence (IPUP) Survey and a Plan-Do-Study-Act (PDSA) methodology.  Although I do feel as though eight to ten weeks would be a quantifiably adequate amount of time to assess this patient group, this group of researchers evaluated the data over a year’s time. The biggest contingency, that would have an effect is the patient length of stay (LOS) in the critical care setting.  In today’s time, patients' LOS is a measure that is taken into heavy consideration, and therefore evaluating the use of the addressed measures in the PICOT question could potentially yield short-term results but on the long-term scale, results show variability.  In considering implementing the research there are several things to be considered to allow this intervention to effective, these include, LOS, staffing ratios, patient condition, quality of care, intervention adjuncts, patient age, availability of funding to support this continued initiative.  Although patient benefit should be at the forefront of positive outcomes, sometimes budget is the key indicator in hindrance to yield effective outcomes. Overall, the use of the PICOT question can frame effective and quantifiable research outcomes, when seeking to elicit specific results.  As a DNP scholar effectively implementing a practice change, utilization of a quality PICOT question can potentially yield results that will evoke a positive change in healthcare changes, that will overall improve the healthcare paradigm as a whole. Abbade, L. P., Wang, M., Sriganesh, K., Mbuagbaw, L., & Thabane, L. (2016). Framing of research question using the PICOT format in randomised controlled trials of venous ulcer disease: A protocol for a systematic survey of the literature. BMJ Open, 6(11), e013175. https://doi.org/10.1136/bmjopen-2016-013175 (Links to an external site.) Borrello, M., Pietrabissa, G., Ceccarini, M., Manzoni, G. M., & Castelnuovo, G. (2015). Motivational interviewing in childhood obesity treatment. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.01732 (Links to an external site.) Goodman, L., Khemani, E., Cacao, F., Yoon, J., Burkoski, V., Jarrett, S., Collins, B., & Hall, T. N. T. (2018). A comparison of hospital-acquired pressure injuries in intensive care and non-intensive care units: a multifaceted quality improvement initiative. BMJ Open Quality, 7(4), e000425. https://doi.org/10.1136/bmjoq-2018-000425 (Links to an external site.) Luque, V., Feliu, A., Escribano, J., Ferré, N., Flores, G., Monné, R., Gutiérrez-Marín, D., Guillen, N., Muñoz-Hernando, J., Zaragoza-Jordana, M., Gispert-Llauradó, M., Rubio-Torrents, C., Núñez-Roig, M., Alcázar, M., Ferré, R., Basora, J., Hsu, P., Alegret-Basora, C., Arasa, F., Venables, M., Singh, P., Closa-Monasterolo, R. (2019). The Obemat2.0 Study: A Clinical Trial of a Motivational Intervention for Childhood Obesity Treatment. Nutrients, 11(2), 419. https://doi.org/10.3390/nu11020419 I need a comment for this discussion board and use 3 sources no later than 5 years and at least 2 paragraphs.