Identify articles and other evidence-based resources that answer the question. Identify all sources (APA citations) used that informed your decision making in this particular case. 

Discuss the following:

1. Formulate a well-built question. 

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What clinical questions and terms did you use to direct your search in the library database?

2.  Identify articles and other evidence-based resources that answer the question. Identify all sources (APA citations) used that informed your decision making in this particular case.

3. Critically appraise the evidence [research study, evidence based or clinical practice guidelines, published care standards, etc.] to assess its validity. Comment on the quality of the research or evidence based practice guidelines used. What is the level of evidence? How credible is it? Is it a just a recommendation or an expected standard of care?

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4. Apply the evidence and evaluate for areas of improvement.   How valuable was the evidence in understanding and directing the care in this case? How did it influence your decision making? Were you able to assess the outcome? If so, are changes needed?

*Self-Reflection:

Reflection on decision making:  This is an area where you look over the data gathered and after a careful review of the available resources (i.e. text books, reference readings) will provide a reflection of what might have been added or deleted that would have made this note more conclusive or complete. This is not an area to critique the preceptor. Discuss areas could you have changed? What areas might you have added, perhaps additional questions you should have asked in the ROS, or additional areas you may have assessed for in the PE?

Advanced Practice Practitioner Role Analysis:  Identify the specific person that drove this plan of care and developed the management, while including detail in how you advocated for the patient. It is entirely possible, and desirable, that you drove the development of the plan of care.  Include how an individualized approach was applied to this patient’s care. Also include how you identified your advocacy for the role of the Nurse Practitioner.

*Reference Page: Follow APA guidelines for constructing all reference page citations and ensure you used APA style for all in-text citations.

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