PICOT Question 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. 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. 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). The PICOT question will provide a framework for your capstone project. 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.

Why do you think it is important to possess a strong working knowledge intergovernmental relations as it relates to emergency management and preparedness?  Integrate a recent SPECIFIC example of intergovernmental relations and emergency management and preparedness.

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.To Prepare:Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)Part 1: Agenda Comparison GridUse the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.Describe the administrative agenda focus related to the issue you selected.Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.Explain how each of the presidential administrations approached the issue.Part 2: Agenda Comparison Grid AnalysisUsing the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?Part 3: Fact Sheet or Talking Points BriefUsing the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:Summarize why this healthcare issue is important and should be included in the agenda for legislation.Justify the role of the nurse in agenda setting for healthcare issues.