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During my immersion hours I learned of the population health concern for the facility in the ED. Th emergency department is really struggling to care for the percentage of the population that are opioid abusers as well as homeless. This national epidemic is really getting out of hand and being the main source of medical attention, the ED is really dealing with the epidemic. It leads to an especially difficult safe discharge process. If the patient is homeless they may struggle to pick up prescription or increased risk for infections post discharge. Often times the patient does not reveal this right away or ever, listing someone else’s address or not sharing their living situation until discharge time. According to the article Prevalence of Homelessness in the Emergency Department Setting, the homeless population make up a large portion of ED visits, found to make up 10%, and suffer from more complex health conditions leading to longer hospital stays than the average (2017). The issue of opioid seeking and abuse is making it difficult for nurses and doctors to differentiate between pain crisis’ and ‘drug seekers’. It is often hard to correctly identify if you should send them home with a prescription or order a social work consult. I am gaining confidence in my role for this course and am looking forward to continuing my research on reducing stroke readmission rates. I am also looking forward to my future immersion hours and continuously expanding my knowledge. Feldman, B. J., Calogero, C. G., Elsayed, K. S., Abbasi, O. Z., Enyart, J., Friel, T. J., … Greenberg,M. R. (2017). Prevalence of Homelessness in the Emergency Department Setting. Western Journal of Emergency Medicine, 18(3), 366–372. WEEK 3In the third week of class, we are diving into the real references that we will be using to support our project. We are also presenting our PICOT statement, which is the format we are usingto summarize our research question in a that explores every aspect. This consists of stating the population, intervention, outcome you will be measuring, and the time (duration) of your study 2
(Riva, 2012). I am glad that this concept was addressed in the previous research class, allowing me to be familiar with the format. The previous class also helped me with the assignment this week, as I had already found and evaluated some of the scientific journals I will be using. I think it is very useful to have an intro class before, it really helped me feel less unprepared and overwhelmed this week.This week I have become more comfortable with researching and evaluating each articles relevance and validity to my project. I also feel l am improving with APA format with practice. Being able to evaluate EBP is so important in nursing and needs to be done before knowing if you shouldimplement it in your practice. This week I determined that the approach that will be useful to evaluate evidence during my research and in the future is the Rapid Critical Appraisal (RCA). This