Running Head: PICOT STATEMENT 1 PICOT STATEMENT 4 PICOT statement Name of the student: Good start on your PICO question this week. However, I am not clear on what the PICOT question is. What is the specific intervention, comparison, and outcomes you are evaluating? I noted a few corrections and comments in your paper. Be sure to make corrections before including this in the final capstone paper in week 9. Thanks. – Mrs. Guzman PICOT Sstatement Patient/Ppopulation The population that is mostly affected with hypertension are male adults between the ages of 40 and 70 with hypertension, and with different diseases, that shows alteration in lifestyle (attracting routinely in practice and taking in more advantageous and sufficient dinners), appeared differently in relation to patients who use solution to treat/manage their high blood pressure, assist to manage their heartbeat and lessen the threat of making cardiovascular sicknesses in their recovery time inside a half year. The period will be adequately long to make a sick be able not to encounter the evil impacts of high blood pressure and to in like manner diminish the threats that the general population will customarily experience (Dua, et.al, 2014). Comment by Melanie Guzman: Meaning is not clear Comment by Melanie Guzman: This is vague Comment by Melanie Guzman: 5 authors: Put all last names inn first citation, then et al. in subsequent citations Intervention Comment by Melanie Guzman: Headings bolded The essential strategy for mediation for sick with high blood pressure it is with no vulnerability to place them under medicine so that they can be restored. That is the most secure way as it will impact the patient to have the ability to manage themselves to the extent how they to think, what they eat and even the activities that they endeavor to take an interest in. The age of the patients will in like manner suggest that the sick are given arrangement that can oversee them in the most useful means and which they can recognize with everything taken into account. The medicine that can be provided for this circumstance is one that can diminish the brutality of a prescription. The nursing intercession for sick with high blood pressure is evaluating the migraine torments that sick is encountering and checking the obscured vision in like clockwork until the point when it leaves. Another nursing mediation is for an attendant to teach a sick on how they counsel with their specialist before the medicine is ceased (Dua, et.al, 2014). Comment by Melanie Guzman: This is not clear. What is the identified problem? PICOT statement? What evidenced-based interventions related to that problem are you proposing? Comment by Melanie Guzman: What interventions are being doing to prevent high blood pressure? Is evaluation of migraine a major issue with HTN? Comment by Melanie Guzman: Comparison Comment by Melanie Guzman: What are you specifically comparing in your PICOT statement? The first c.

1. Running Head: PICOT STATEMENT 1
PICOT STATEMENT 4
PICOT statement
Name of the student:
Good start on your PICO question this week. However, I am not
clear on what the PICOT question is. What is the specific
intervention, comparison, and outcomes you are evaluating? I
noted a few corrections and comments in your paper. Be sure to
make corrections before including this in the final capstone
paper in week 9. Thanks. – Mrs. Guzman
PICOT Sstatement
Patient/Ppopulation
The population that is mostly affected with hypertension
are male adults between the ages of 40 and 70 with
hypertension, and with different diseases, that shows alteration
in lifestyle (attracting routinely in practice and taking in more
advantageous and sufficient dinners), appeared differently in
relation to patients who use solution to treat/manage their high
blood pressure, assist to manage their heartbeat and lessen the
threat of making cardiovascular sicknesses in their recovery

2. time inside a half year. The period will be adequately long to
make a sick be able not to encounter the evil impacts of high
blood pressure and to in like manner diminish the threats that
the general population will customarily experience (Dua, et.al,
2014). Comment by Melanie Guzman: Meaning is not clear
Comment by Melanie Guzman: This is vague Comment by
Melanie Guzman: 5 authors: Put all last names inn first citation,
then et al. in subsequent citations
Intervention Comment by Melanie Guzman: Headings bolded
The essential strategy for mediation for sick with high
blood pressure it is with no vulnerability to place them under
medicine so that they can be restored. That is the most secure
way as it will impact the patient to have the ability to manage
themselves to the extent how they to think, what they eat and
even the activities that they endeavor to take an interest in. The
age of the patients will in like manner suggest that the sick are
given arrangement that can oversee them in the most useful
means and which they can recognize with everything taken into
account. The medicine that can be provided for this
circumstance is one that can diminish the brutality of a
prescription. The nursing intercession for sick with high blood
pressure is evaluating the migraine torments that sick is
encountering and checking the obscured vision in like
clockwork until the point when it leaves. Another nursing
mediation is for an attendant to teach a sick on how they
counsel with their specialist before the medicine is ceased (Dua,
et.al, 2014). Comment by Melanie Guzman: This is not clear.
What is the identified problem? PICOT statement? What
evidenced-based interventions related to that problem are you
proposing? Comment by Melanie Guzman: What
interventions are being doing to prevent high blood pressure? Is
evaluation of migraine a major issue with HTN? Comment by
Melanie Guzman:
Comparison Comment by Melanie Guzman: What are you
specifically comparing in your PICOT statement?
The first contrasting alternative to differentiate from the

3. intervention will have to do with affecting the sick to acquire
the chance to complete a large proportion of exercises. That’s
one fundamental step that will make it legal to have the ability
to deal with the issue of high blood pressure and since practices
have been shown that they function, it will then be essential for
the patient to recover from hypertension and what will suggest
that they will be restored from such sickness. Around the end,
all will have wound up being satisfied as the patient will have
the ability to get the pined for medication. Understanding
consideration to those with hypertension is to initially instruct,
measure the pulse and even offer guidance learning will involve
altering the conduct of a sick that is identified with smoking,
liquor admission and to oversee pressure (Howes, et.al. 2013).
Comment by Melanie Guzman: Meaning is unclear
Outcome Comment by Melanie Guzman: What outcome are you
evaluating?
In this investigation and dealing with a sick it is with no
worry that there are issues that are being assumed to and which
are there to have the ability to deal with the manner in which a
sick finds the opportunity to respond to medication or even
exercise. The cerebral torments that are consistently seen in
patients with hostile hypertension joined with the proportion of
contemplations are the status that are to be wiped out in the
patients that have high blood pressure. The various ominous
events in the sick will have decreased given the patients having
the ability to be under medical or despite partaking in practices
that are helpful for their prosperity. Social insurance
organization for thinking about patients with hypertension can
be any semblance of Intrepid USA Healthcare Services which
gives Hypertension Management Program that enables patients
to get and have a kept up circulatory strain that is sound
(Howes, et.al. 2013). Comment by Melanie Guzman: This
should have a citation. Hostile hypertension should be defined.
Time
The period that should be considered in this hypertension
condition is around half an year. Through seeking information

4. from the case studies and preparing questionnaires with the
medical experts of hypertension (Howes, et.al. 2013).
PICOT Question.
The PICOT study question for this study is- Wich methods can I
use ti improve HYPERTENSION without medications?
Population- Elderly Patients-
· Intervention-
· Comparison-
· O-
· T-
References
Dua, S., Bhuker, M., Sharma, P., Dhall, M., & Kapoor, S.
(2014). Body Mass Index Relates. to Blood Pressure Among
Adults. North American Journal of Medical Sciences, 6(2), 89–
95. http://doi.org/10.4103/1947-2714.127751 Comment by
Melanie Guzman: Title: only capitalize first letter of title, any
proper nouns or first letter after colon/semicolon.
Howes, F., Warnecke, E., & Nelson, M. (2013). Barriers to
lifestyle risk factor assessment and management in
hypertension: A qualitative study of Australian general
practitioners. Journal of Human Hypertension, 27, 474-478

5. doi:10.1038/jhh.2013.9. NRS-490 PICOT Statement Paper:
Problem of Hypertension Comment by Melanie Guzman: Not
bolded
Running Head: Articles Summary 1
Articles Summary 2
Articles Summary
Literature Review
KS, M., VM, B., M, B., & B, B. (2014). Making tradeoffs
between the reasons to leave and reasons to stay employed in
long-term care homes: perspectives of licensed nursing staff.
International Journal Of Nursing Studies.
This article, emphasis on characteristics that provides nursing
income to long-term care. There are little consideration and
molting nervousness as well as low solidarity. Both income and
maintenance look at haul long minds which are focused on the
care workers sort out issues as they were before in the approved

6. staff in nursing. This article also states some factors which
affect nurses making them remain used of the present business
place. Even the qualities of the authors of this articles are the
gathering of information.
It also uses qualitative research techniques to gather and
analyze data assembles through bunch concentration drove as a
way of appreciating the nursing home. There is also a restriction
of any shortcomings in this article. More than forty-three nurses
approved the long-term care which was taken into
consideration. There is also a satisfactory confirmation which
leads to rehearse change so as the researcher can make use of
this article in the future.
Tilden VP, T. S. (2012). End-of-life care in nursing homes: the
high cost of staff turnover. Nursing Economic.
This article gives an overview of the nursing home staff
turnover. It also explains the achievement of most extreme
charges of both contrarily and individual influences and money-
related ideas of the care given for the inhabitants for life wrap
up. In this case, the decrease in staff turnover results in big
benefits to the cost of US. Staff turnover in nursing leads to an
inhabitant of care to be voiceless and powerless which in turn
result in proved death. There is rising on the nursing home
weight to improve the unwinding of the lesser trade; end-of-life
mind sharpens which are used for recuperating offices for safe
conditions administration at the areas. This article values the
enthusiasm for specific fundamental planning so that the
phenomena care can estimate the failing of the miserable
tenants. Also, the shortcoming of this article is that it has no
characterized data about the accumulation techniques which can
be utilized during the data gathering. There is an also
inadequate sign for change because it gives itemized
information about the nursing home.
Wendsche, J., Hacker, W., Wegge, J., Schrod, N., &
Tomaschek, A. (2014). Rest break organization in geriatric care
and turnover: a multimethod cross-sectional study. International
Journal Of Nursing Studies.

7. In this article, there are some characterizes which shows that
distinctive component of the exertion nurse turnover and
motivation conducts may lead to an examination of the past.
According to the survey of the setting care and piece of the
break, association shows that the immediate and backhanded in
break association and care setting and enrolled caretakers of the
medicine. This leads to additional administrative traits and
turnover. The quality of this article is based on an exhibit which
comes out and the rest of framework up geriatric making the
nursing home to be more routinely. This leads to unapproved
and reduces than the homecare units. Also, the conveying of
this article is that there is adequate training change proposal
because it is a surveyed associated article and has dynamic data
which is characterized.
dshs. (2016). Texas Center for Nursing Workforce Studies
Long-Term Care Nurse Staffing Study
In this article, there is long haul care study about the nursing
staff which assesses the staffing nurture and issues which are
related in the deal attitude. 27% of the approved proficient care
were overseers in the year 2007, and 3% of the nurses who are
registered in the Taxes works in the wide nursing home. The
personality of the whole deal workplace uses confirmed nurses
associates. The mostly routinely uncovered registration strategy
was laborer affirmation programs for the upkeep of the agents.
The exhibits correlation of response that paid escape days were
declared the most typically in maintenance and enrolment
systems of all the specialized. Moreover, the article quality is
that the information is displayed using charts and tables.on the
other hand, the shortcoming of this article is that the whole deal
mind works place should recognize the streets but not
registering the nurses.
Antwi, Y. A., & Bowblis, J. R. (2016). The Impact of Nurse
Turnover on Quality of Care and Mortality in Nursing Homes:
Evidence from the Great Recession. Upjohn Institute Working
Papers
The author of this article evaluates the impacts of the casual of

8. the nurse’s turnover on the mortality and the nursing home care
nature. It uses settled outcomes of the adjustable instrumental
estimation which the unemployment rate as the reason for the
nursing turnover instrument. Ten rate point increase in turnover
of the nurse’s results to office experiencing lack of
administrative review and miring the expansion. An example of
utilized investigation is unattached nursing home which is
found in California. The data was collected through a survey
method. This article focuses on the disregarding endogenetic
prompt as an effective impact of the turnover of the nurses
based on the nature of mortality and cares in the Nursing home
of California. Also, this article incorporates legitimate
confirmation of the sources. This article does not provide any
table to display data.
Cox, P., Willis, W. K., & Coustasse, A. (2014). The American
Epidemic: The U.S. Nursing Shortage and Turnover Problem.
Management Faculty Research.
Based on this article nursing deficiencies has been the ascent in
all nation which leads to turning of issues because of child
maturity of the post-war in America. Based on the rise of the
nurse requirement, deciding the drivers underlying of the issues
are basic for human services and since the cost is also raising.
The technique for qualitative examination used survey of the
semi-organized interview. This results in disapproving of the
five electronic databases.
Based on the theoretic structure which was used, the main issue
of nursing deficiency and nurse’s turnover was assessed. The
examination depends on various factors like maturing of the
nurses, inadequate staffing, socioeconomic, the experience of
absence, nursing schools and pay issues. Assessment of the
investigation issues took a positive connection in turnover and
nursing deficiency in human services association. Also, the
issues results in negative satisfaction of employment quick
turnover which lead to general nursing and inadequate confronts
in the U.S.
PB, R., MG, P., & C., J. M. (2016). Cost of nursing turnover in

9. a Teaching Hospital. Journal of School of Nursing.
The authors of this article examine the medical services
association which spend a great deal of money to nurses
supplant and scholarly loss of capital when they quit. This
appears to be the potential reason for efficiency misfortune
related to nurse’s turnover. The main aim of this article is to
provide sub forms which are identified with the turnover of the
nurse’s staff and to investigate and measure the nursing cost of
turnover. The investigation is directed in showing healing
center and the contextual analysis in the south-east of Brazil.
This populace was developed by the nursing staffs bearing in
mind the utilizing of the nursing turnover cost calculation
methodology. This article quality is based on furnishing the
data with the assistance of tables and illustrations. Moreover,
the article shortcoming is that it incorporates troublesome
dialect. The investigation also recognizes the importance of
dealing with the staff turnover cost and the money related
effects of the cost work end.
Fritzler, K. J. (2014). Factors Associated with Turnover Rates
of Certified Nursing Assistants in Long-Term Care Facilities:
The Impact on Residents and the Implementation of Empowered
Workforce Strategies. North Dakota State University.
This article examines survey factors which are related to high
turnover rates which are guaranteed in the nursing collaborators
in the utilizing the long-term care office. The primary purchase
of the long-term care is the grown-up 85. This article anticipate
that long-term health care business will experience an
increasingly sought after because of the old established
subgroup of the populace maturity. It also uses quasi-
experimental designs. The most target population for this article
is nursing partners, while the beneficiaries in long-haul minds
offices to speak to the circuitous populace. The main aim of this
article is to examine factors which emphatically relates to high
turnovers of the registered nursing partners. It also gives
intersession systems which can be the counterbalance in this
pattern. This mainly affects the personal satisfaction and care

10. between the assessed occupants.
References
Antwi, Y. A., & Bowblis, J. R. (2016). The Impact of Nurse
Turnover on Quality of Care and Mortality in Nursing Homes:
Evidence from the Great Recession. Upjohn Institute Working
Papers
Cox, P., Willis, W. K., & Coustasse, A. (2014). The American
Epidemic: The U.S. Nursing Shortage and Turnover Problem.
Management Faculty Research
dshs. (2016). Texas Center for Nursing Workforce Studies Long
Term Care Nurse Staffing Study
Fritzler, K. J. (2014). Factors Associated with Turnover Rates
of Certified Nursing Assistants in Long-Term Care Facilities:
The Impact on Residents and the Implementation of Empowered
Workforce Strategies. North Dakota State University.
KS, M., VM, B., M, B., & B, B. (2014). Making tradeoffs
between the reasons to leave and reasons to stay employed in
long-term care homes: perspectives of licensed nursing staff.
International Journal Of Nursing Studies.
PB, R., MG, P., & C., J. M. (2016). Cost of nursing turnover in
a Teaching Hospital. Journal of School of Nursing .
Tilden VP, T. S. (2012). End-of-life care in nursing homes: the
high cost of staff turnover. Nursing Economic.
Wendsche, J., Hacker, W., Wegge, J., Schrod, N., &
Tomaschek, A. (2014). Rest break organization in geriatric care
and turnover: a multimethod cross-sectional study. International
Journal Of Nursing Studies.