Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. (RUBRIC ATTACHED)

A. Write a summary of the significance and background of a healthcare problem by doing the following: (THE HEALTHCARE PROBLEM I CHOSE IS PEDIATRIC PAIN MANAGEMENT)

1. Describe a healthcare problem that can be used to develop a PICO question.

2. Explain the significance of the problem from part A1.

3. Describe the current healthcare practices related to the problem from part A1.

4. Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences).

B. Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:
(ALL SEVEN ARTICLES ARE UNDER “UPLOADED FILES”)

1. Discuss two research evidence sources and two non-research evidence sources that you considered. (UNDER “UPLOADED FILES”, PLEASE USE “BREASTFEEDING AS DISTRACTION” AND “MATERNAL VOICE DISTRACTION” FOR RESEARCH EVIDENCE AND “SOAP BUBBLES AS DISTRACTION” AND “PRACTICE OF DISTRACTION” FOR THE NON-RESEARCH ARTICLES.

C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.
*MY PICO QUESTION IS AS FOLLOWS;

QUESTION: In pediatric patients at risk for pain, will distraction techniques result in reduced pain as compared to not using distraction techniques at all?
P: Pediatric patients at risk for pain
I: Use of distraction techniques
C: Not using distraction techniques
O: Reduction in pain
(“PICO GUIDE” IS UNDER “UPLOADED FILES” FOR YOU TO HELP WITH THIS SECTION)

D. Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points: (I HAVE ALREADY COMPLETED THIS MATRIX, YOU WILL FIND IT UNDER “UPLOADED FILES”)

E. Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.

F. Describe a process for implementing the practice change from part E in which you do the following:

1. Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.

2. Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.

3. Identify two strategies that could be used to overcome the barriers described in part F2.

4. Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

H. Demonstrate professional communication in the content and presentation of your submission.

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