Purpose:The purpose of this Assignment is to give you a practical application to implement your PICOT idea, supported by the evidence-based research you have obtained in during your systematic review. You will apply evidence-based research findings discovered from your clinical question, and then integrate those to support your suggested change in nursing practice.Directions:Identify your refined PICOT question. PICOT QUESTION LISTED BELOWUsing PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.Describe your systematic review and include an errors analysis.Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.Summarize the case study selected.Describe the study approach, sample size, and population studied.Apply the evidence from this review to your practice specifically in your overview.Evaluate the outcomes, identifying the validity and reliability.Discuss if the study contained any bias.Determine the level of evidence identified in the review.The length should be no less than 10 pages in APA formatPICOT QUESTION BELOW In Patients with hypertension (P) what is the effect of using Telemonitoring blood pressure (I) compared to usual care (C) dose it improves blood pressure control (O) within the first few months of starting medication (T)Assignment- Use as outline. Use level I section headers.Identify your refined PICOT question.Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question. Find credible research to answer your question.Describe your systematic review and include an errors analysis. An error analysis should include potential errors in finding evidence. How did you find the articles? What databases were searched? What where your findings? What search terms were used? What was inclusion/exclusion criteria? What roadblocks occurred? What limits occurred. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial. You will discussion this article. You only need one article. Summarize the case study selected. Discuss the article selected. Do so succinctly. Describe the study approach, sample size, and population studied. Be specific. Include statistical analysis the authors included in the article. Do not copy and paste graphs, charts, or tables. Write in your own words. Cite appropriately. Apply the evidence from this review to your practice, specifically in your overview. How will you use this evidence? Evaluate the outcomes, identifying the validity and reliability. How do you know this study is credible?Discuss if the study contained any bias. What bias was encountered. Usually the researcher will include this in the discussion of the paper. Determine the level of evidence identified in the review What is the level of evidence?The length should be no less than 10 Pages in APA format. Be sure to review your work carefully before you submit. Use Spell and Grammar CheckTextbook ReadingsEvidence-Based Practice in Nursing and Healthcare“Clinically Appraising Qualitative Evidence for Clinical Decision Making”LINK TO BOOK: https://books.google.com/books?id=7tdLDgAAQBAJ&printsec=frontcover&dq=Philosophies+And+Theories+For+Advanced+Nursing+Practice+3RD+18&hl=en&sa=X&ved=0ahUKEwj3pviH9ebhAhXCxFkKHZC1CqYQ6AEILzAB#v=onepage&q=Philosophies%20And%20Theories%20For%20Advanced%20Nursing%20Practice%203RD%2018&f=falseGrading Rubric for this Assignment is attached please make sure the assignment follows the rubric and everything asked in the rubric is included in the power pointAssignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format.Here are resources for setting up your paper in APA formatting. University of South Dakota (2014, April 27). How to use the features in Word to set up paper in APA format [YouTube Video]. Retrieved from https://www.youtube.com/watch?v=o4L3WaqBttkHere is a source for learning more about the Cochrane database.Cochrane Library. (n.d.) How to use the Cochrane Library. Retrieved fromhttp://www.cochranelibrary.com.libauth.purdueglobal.edu/help/how-to-use-cochrane-library.htmlPLEASE FOLLOW RUBRIC. NO PLAGIARISM, ASSIGNMENT MUST MEET POST REQUIREMENT AS WELL AS RUBRIC IN ORDER TO BE ACCEPTED. WILL CHECK FOR PLAGIARISM AND WILL NOT BE ACCEPTED IF PLAGIARISM IS DETECTED

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.  For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep psychiatric assessment and diagnostic reasoning in mind.  To Prepare Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the Practicum help you achieve these aims??  Review the information related to developing objectives provided in this week’s Learning Resources.? Your practicum?learning objectives that you want to achieve during your Practicum experience must be:  Specific?  Measurable?  Attainable?  Results-focused?  Time-bound  Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)?  Note: Please make sure your objectives are outlined in your Practicum Experience Plan (PEP).?  Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site. 

Read the Multifactorial Medication Mishap case study (Used with permission: Agency for Healthcare Research and Quality Patient Safety Network).Complete the Root Cause Analysis Worksheet to analyze the case.Multifactorial Medication Mishap Case Study:The Case A previously healthy 50-year-old man was hospitalized while recovering from an uncomplicated spine surgery. Although he remained in moderate pain, clinicians planned to transition him from intravenous to oral opioids prior to discharge. The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the past without difficulty. The nurse informed the physician that the patient was having significant pain and liquid opioids had been effective in the past. When the physician searched for liquid oxycodone in the computerized prescriber order entry (CPOE) system, multiple options appeared on the list — two formulations for tablets and two for liquid (the standard 5 mg per 5 mL concentration and a more concentrated 20 mg per mL formulation).At this hospital, the CPOE system listed each choice twice, one entry with the generic name and one entry with a brand name. In all, the physician saw eight different choices for oxycodone products. The physician chose the concentrated oxycodone liquid product and ordered a 5-mg dose. All medication orders at the hospital had to be verified by a pharmacist. The pharmacist reviewing this order recognized that the higher concentration was atypical for inpatients but assumed it was chosen to limit the volume of fluid given to the patient. The pharmacist verified the order and, to minimize the risk of error, added a comment to both the electronic medication administration record (eMAR) and the patient-specific label that the volume to be given was 0.25 mL (5 mg). For added safety, the pharmacist personally retrieved, labeled, and delivered the drug and a calibrated syringe to the bedside nurse to clarify that this was a high concentration formulation for which the volume to administer was 0.25 mL (a smaller volume than would typically be delivered).Shortly thereafter, the nurse went to the bedside to administer the drug to the patient for his ongoing pain. She gave the patient 2.5 mL (50 mg) of liquid oxycodone, a volume that she was more used to giving, and then left for her break. A covering nurse checked on the patient and found him unconscious — a code blue was called. The patient was given naloxone (an agent that reverses the effect of opioids), and he responded well. He was transferred to the intensive care unit for ongoing monitoring and a continuous infusion of naloxone to block the effect of the oxycodone. By the following morning, the patient had returned to his baseline with no apparent adverse effects.Write a 525 word-summary in which you:Explain why a root cause analysis was appropriate for this situation.Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care.Cite a minimum of two peer-reviewed or evidence-based sources published within the last five years to support your summary in an APA-formatted reference page.