Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers. 
Please also post the article you plan to use for assignment 4 so I can make sure it is an evidence-based / clinical practice guideline. The article I am using is Prevention of Accidental Falls among the Elderly 65 Years and Older

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
DQ1 UMBO – 3, 4DQ1 PLG – 1, 2DQ1 CLO – 6

Overview
This module opens by defining evidence-based practice and evidentialism. It explains the importance of integrating patient preferences and values and nurses’ clinical expertise with rigorous research to make decisions that lead to positive healthcare outcomes. The module emphasizes collaboration between the inter-professional healthcare team and patients and families in the context of the clinical situation to assure that the patient’s healthcare values, concerns and goals are considered when making clinical decisions. Direct experiential learning is defined as it relates to developing nursing knowledge and clinical expertise. Valid external evidence, clinical expertise and understanding patient preferences are identified as key components to the implementation of evidence based decision making to provide the best possible patient care.
The module explains how systematic reviews of evidence along with analysis of the benefits and harms of interventions are utilized to formulate clinical practice guidelines and evidence-based recommendations to optimize clinical care. How to locate and access clinical practice guidelines and evidence-based recommendations is explained in detail. The module describes the process of developing a rigorous evidence-based practice guideline. The importance of critically appraising the guidelines and recommendations prior to implementation into the clinical practice environment is emphasized. Tools to facilitate students’ critical appraisal of clinical practice guidelines and evidence based recommendations are provided.
 Learning Materials

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer Health. ISBN: 978-1-4511-9094-6 Chapters 7 and 8

You are challenged with the task to research reasons negotiations fail. In at least 10 pages, you will need to identify four reasons why negotiations fail. Upon identifying these errors, in the next section, you will need to identify a situation, with which you are familiar, where a negotiation effort has failed. This may be a situation that has happened in your personal life, your professional life, or a situation that has been revealed or made public in the news.  
Explain the process taken in the negotiation effort and then explain how or at which point the negotiation failed. On a final note, explain concepts and ideas that you should have taken (if you are describing a personal or professional situation) or would have taken (if you are discussing a situation revealed in the news). Refer to your textbook to determine best practices of negotiation that should have been used.
The title and reference page will not count towards 10-page page count. Please ensure that you address each element asked of you, and be thorough, in your assessment. Use subtitles to help you determine your areas of completion.
Be sure to support and justify your positions and conclusions with references to relevant library resources or reputable sources outside of the library. All written assignments should follow APA requirements.
The inclusion of your textbook and four outside references (a total of five sources) is required for the completion of this paper.
Assignment: Why Negotiations FailObjective of Exercise:  You are challenged with the task to research reasons negotiations fail. In at least 10 pages, you will need to identify four reasons why negotiations fail. Upon identifying these errors, in the next section, you will need to identify a situation, with which you are familiar, where a negotiation effort has failed. This may be a situation that has happened in your personal life, your professional life, or a situation that has been revealed or made public in the news. 
Explain the process taken in the negotiation effort and then explain how or at which point the negotiation failed. On a final note, explain concepts and ideas that you should have taken (if you are describing a personal or professional situation) or would have taken (if you are discussing a situation revealed in the news). Refer to your textbook to determine best practices of negotiation that should have been used.
The title and reference page will not count towards 10-page page count. Please ensure that you address each element asked of you, and be thorough, in your assessment. Use subtitles to help you determine your areas of completion.
Be sure to support and justify your positions and conclusions with references to relevant library resources or reputable sources outside of the library. All written assignments should follow APA requirements.
The inclusion of your textbook and four outside references (a total of five sources) is required for the completion of this paper.
TEXTBOOK(S) AND REQUIRED MATERIALS:
Title:  Negotiation
Author:  Roy Lewicki, Bruce Barry, and David Saunders
Publisher: McGraw-Hiill
Year Published: 2020
Edition: 8th edition
ISBN:  10: xxxxxxxxxx or 13: 9781260043648

The post You are challenged with the task to research reasons negotiations fail. In at le appeared first on Assignmentio.

Answers the next PICOT questions using an investigative paragraph. The paragraph has to be more than 6
sentences. Its needed 3 sources per question and not older than 5 years each.

Question # 1 (Therapy/Treatment/Intervention) In critical care nurses (P), what is the effect of education regarding alarm management (I) in comparison to triage alerts with the software(C) on decreased alarm fatigue (O)? /
Question #2 (Prognosis)In critical care nurses (P), does excess noise (I) relative to sensory overload (C) increase the risk of alarm fatigue (O)?/
(Therapy/Treatment/Intervention)  In post-surgical adults (P), what is the effect of complementary therapy (I) in the management of chronic pain (O)?/
(Diagnosis/assessment) For post-surgical adults (P) does the use of complementary therapy (I) instead of opiates (C) effectively manage chronic pain (O)? /
(Prognosis)In post-surgical adults (P), does the use of complementary therapy (I) relative to opiates (C) better manage chronic pain (O)? /
(Etiology/Harm) In post-surgical adults (P), does the use of complementary therapy (I) decrease the extent of chronic pain (O)?
(Meaning or Process) What is it like for post-surgical adults (P) who use complementary therapy (I) to experience a reduction in chronic pain (O)? 

cenario:
You are the nurse manager of a small, four-bed emergency department. Your department received seven patients involved in a mass casualty shooting at a local grocery store two days ago. A brief overview of each client is provided below.

Brief Client Overviews

Pregnant female: 32-years-old, 36 weeks gestation. Presentation to the ED: alert and oriented x 3, respiratory rate at 25 breaths/minute, radial pulses palpable, complaining of abdominal pain after being trampled during the event. Triaged as green. The course of treatment in the ED: Extensive resources (human and non-human) were used to assess the fetus. Both the patient and fetus survived and were discharged 24 hours later.
Caucasian female: 45-year-old suspected shooter. Presentation to the ED: gunshot wound to the right chest, unconscious, shallow breathing at eight breaths/minute, thready radial pulse. Triaged as red. The course of treatment in the ED: Patient was aggressively treated, but an argument ensued between staff members upon discovering that she was the suspected perpetrator. No further care was provided to this patient once the other patients arrived. She did not survive.
Caucasian female: 52-years-old, HIV positive. Presentation to the ED: gunshot wound to the right leg, confused, respirations shallow at 40 breaths/minute, no palpable radial pulse. Triaged as red. The course of treatment in the ED: Aggressive treatment of the individual, including first access to the OR. She is stable and recovering in the ICU. Upon realization that this patient was HIV positive, there is much anxiety amongst the ED staff related to potential exposure with the substantial blood loss the patient experienced.
African American male: 45-year-old Iraqi war veteran, history of PTSD, allegedly shot the perpetrator. Presentation to the ED: No visible physical injuries, hyperventilating at 45 breaths/minute, light-headed, palpable pulse. Triaged as green. The course of treatment in the ED: Patient was observed by ED nursing staff for several hours and released to police for questioning regarding the event.
Hispanic male child: 6 years-old. Presentation to the ED: gunshot wound to the abdomen, unconscious, no spontaneous respirations, radial pulse not palpable. Triaged as red. The course of treatment in the ED: Extensive treatment was provided, including bag-mask ventilation, intubation, wound care, cardiac monitoring, and blood transfusions. The patient did not survive.
Hispanic female: 29-years-old, mother to the six-year-old patient. Presentation to the ED: open fracture to the left leg, hysterically screaming for her child, climbing out of gurney, palpable radial pulse, respirations at 40 breaths per minute. Triaged as yellow. The course of treatment in the ED: Wound care and stabilization of fractured leg after administration of a sedative. She was the second patient to the OR. The client was kept separated from her child during the incident and not informed of his death until the following day. She is stable and recovering on the medical/surgical unit.
Migrant Spanish-speaking male: age unknown, appears to be in his 50s. Presentation to the ED: lethargic, unable to communicate verbally due to the language barrier, was pointing to and holding his head, laceration noted to the forehead, respirations at 30 breaths/minutes, palpable radial pulse. He was triaged as green. The course of treatment in the ED: wound care to the laceration and monitored by nursing staff for several hours, at which time he suddenly became unresponsive. A CT scan revealed a subdural hematoma, and he is in a vegetative state. No attempts were made to find a Spanish-speaking individual to assist in assessing the confusion or pain when he was still conscious.

Instructions:
The Chief Nursing Administrator of your facility has requested a post-action report focusing on the triaging and outcomes of these seven patients. The post-action report should include:

An evaluation of the triaging of each patient
Was the triaging appropriate or not, and what was the associated rationale? Use evidence/resources to support your assessment.
Was there evidence that personal beliefs, values, and ethics affected the health care providers’ approach to triaging the patients?
An explanation of the treatment of each patient, and a judgment of whether or not the treatment was futile.
The outcome of each patient.
How can the outcome be associated with the triage category, the provider’s ethics, and subsequent treatment provided?
Any corrective actions that will occur as a result of the event.
Include ethical considerations in your corrective actions.