New Logo Homework Lance

Professional Capstone

Professional Capstone and Practicum

Hire Freelance Writer for Your Capstone Project  24/7 On Demand

 

Get your plagiarism-free paper written from scratch starting at just $15 per page with a plagiarism report and free revisions included!

 

  • Get work done on time.
  • Get better grades
  • Pay for plagiarism-free content.
  •  
professional capstone and practicum gcu

How it Works?

Post a Question

Ask all types of Homework & Essay questions in details and set up your deadline. All questions are posted 100% anonymously.

01

Select Tutor

Once you Submit your Question , Our Tutors will review all Requirements Carefully and Send you a Proposal

02

Get Quality Paper

Receive a high quality help from our online tutor. You may ask for explanations and revisions to be completely satisfied.

03

Types of Works We Cover

Get professional assistance from our experts. Our writers only write English language essays and papers

Online Tutoring

Online Homework Help
Tutoring
Copywriting
Argumentative Essay
Admission/Application Essay
Annotated Bibliography Article
Assignment Book Report/Review

Dissertation Chapter – Abstract

Essay Writing Services
Dissertation Chapter – Abstract
Dissertation Chapter – Introduction Chapter
Dissertation Chapter – Literature Review
Dissertation Chapter – Methodology
Dissertation Chapter – Results

Personal Statement help

Online Assignment Help
Personal Statement
Non-word assignment Outline
PowerPoint Presentation Plain Poster / Map
PowerPoint Presentation with Speaker Notes
Proofreading
Paraphrasing

NRS-490 Professional Capstone and Practicum Entire Course

 

Max Points: 5.0

Identify two GCU Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

 

 

The GCU library has several database searches available to help students find scholarly articles pertaining to evidence-based practice research.   The Grand Canyon University Library (2016) features the CINAHL GCU Alumni database search feature. This database specifies over 3,000 articles from 70 different allied health journals. Searching this database offers articles on the subject approach, and has the option to review certain types of articles such as peer reviewed, academic journals, magazines, full text articles, or a periodical. Searches can be refined by selecting key phrases or descriptive subjects, saving you time while you try to pinpoint articles that may pertain to your research.

  Another helpful GCU library database source is the suggested peer reviewed site called Biomed Central. As quality evidence-based research is required as references for GCU research projects, the GCU library suggests this site as a reliable independent database providing peer reviewed research articles from published journals (GCU, 2016). To get to this option, you click on Alumni Library Resources and scroll down to Additional Databases. Once you get to the site, you click on Allied health options, or search valid article subjects to find published evidence based research.

  As previously stated, published evidence based practice articles are proven relevant sources for research projects and meet the educational standard required by GCU curriculum. The GCU library offers these databases, along with learning tools for use of the library, to help students acquire the most reliable information available with minimal time spent searching.

  When using search engines such as Google or Internet explorer, typing in the subject you are searching for leads to suggested websites that may be unreliable and may not be considered scholarly research. It becomes the responsibility of the researcher to verify the articles pulled up on an Internet search to make sure they come from a legitimate scholarly site. Internet search engines are also famous for displaying advertisements related to the search you are trying to make. Clicking on numerous sites, only to find out they are advertisements wastes time and can be frustrating to the researcher. Grand Canyon Library’s suggestions of outside sources contains relevant sites known to contain scholarly work that will be usable for the student in an effort to save time and frustration.

 

References:

Grand Canyon University, 2016. GCU library resource guides. Retrieved from libguides.gcu/c.php?g=330091&p2216272

 

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.

 

Multiple barriers to conducting and implementing evidence-based practice exist and contribute to the constraint of advanced practice in the field. Haynes & Haines (1998) suggest hindrances that may impede the conduction of evidence-based practice exist on the clinical practice level. Sometimes once guidelines have been set to administer care to a patient it ends up being a “hurry up and wait” game. New standards of care for CPR may be implemented but in many places, CPR is not administered on a daily basis. Waiting for the perfect time, place, and person to test a theory on takes time and patience. Age, gender, and specifics of condition may also contribute to the slowing of research.

 Another barrier to conducting EBP research pointed out by Stevens (2013), is the implementation of new practices on the clinical level. Integrating change, even for the sake of research, is difficult and can require tiresome efforts of those in leadership positions to get everyone on board. Simply put, change is hard for people to accept and apply. When we’ve been doing things the same way for so long, it becomes routine and comfortable. Often nurses may feel stressed out by their workload, patient ratios, or duties in general. Then new information, a new way of giving care, and having to learn a new task may add to the pressures and stress of an already busy nurse. Research is halted or slowed for hospitals whose staff may be reluctant to apply new practice.

 

Reference:

Haynes, B. & Haines, A. (1998). Barriers and bridges to evidence based clinical practice. BMJ: British Medical Journal, 317(7153), 273-276.

Stevens, K.R. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing, 2(18).

 

 

ANSWER 2

Ross (2010) found that nurses face research and clinician barriers that include not having the time, skills and knowledge to critically critique and/or synthesis research literature, unable to effectively use and search databases electronically, hold negative views toward research and feel research is too complex, aswell research at times is not clear on how to implement the findings and findings can be contradictory. Due to these barriers, nurses tend to rely on synthesised evidence such as evidence-based protocols, policies and procedures also found that nurses prefer to acquire information through third parties such as their colleagues, the workplace, through patient care experience, and the knowledge they received from their nursing education. Eizenberg (2011) found that the organisation is the greatest factor in successful EBNP implementation. The organisation controls access and the budget to and for evidence resources such as computers with internet access, a well-equipped library, and access to educational opportunities in EBP procedures and theory (Eizenberg, 2011).  It is therefore imperative to implements these processes for good result. Great Job Kiley.

References

Ross, J. (2010). Information literacy for evidence-based practice in perianesthesia nurses: readiness for evidence-based practice. Journal of PeriAnesthesia Nursing, 25(2), 64-70. DOI: 10.1016/j.jopan.2010.01.007

Eizenberg, M. M. (2011). Implementation of evidence-based nursing practice: nurses’ personal and professional factors? Journal of Advanced Nursing,67(1), 33-42. DOI: 10.1111/j.1365-2648.2010.05488.x

 

 

 

ANSWER 3

Evidence-Based Practice (EBP) is the forefront of healthcare and helps improve clinical decision making. By implementing EBP, a practice can become stronger and have a higher standard of care.

One of the main barriers I see in implementing EBP is resistance. I think that people are naturally resistant to change. People like what they know and how they do things, so change can be difficult. “If nurse executives/leaders are not engaging in EBP, serving as role models, and facilitating evidence-based care, it follows that their staff will not engage in evidence-based care as the behaviors of nurse executives and managers influence staff behaviors” (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan. 2012). With that being said, nursing is constantly changing and therfore if the staff is not interested in change, then they are going to be stuck where they are and never improve. EBP can be difficult to implement if it is a completely new procedure that not many people are familiar with and I think that resistance is a main barrier to implementation.

Another barrier is lack of information. I think that EBP is great but sometimes it can be hard to find initially. According to a study “Barriers not frequently cited in previous literature that were noted by this sample of nurses included the lack of available information (55 respondents, 8%) and evidence (15 respondents, 2%) to support EBP efforts” (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan. 2012). I think one must know who to turn to and where to look for this information in order for it to be implemented. An EBP mentor would be a good starting point for information on EBP. Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The

REFERENCES

State of Evidence-Based Practice in US Nurses. JONA: The Journal of Nursing Administration, 42(9), 410-417. doi:10.1097/nna.0b013e3182664e0a

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

I work in the Corrections setting for a local county jail. That being said, our nurse to inmate ratio is 1:150 on a good day. We stay busy not only caring for injured, critically ill, and often psychiatric patients, but monitoring and regulating vaccinations through national standards. It is required through the National Commission on Correctional Health Care (2016), that every inmate be TB skin tested within 7 days of entry into the facility. According to the CDC (2015), 44 cases of TB were diagnosed in the corrections setting in Arizona alone. TB skin testing is mandatory for inmates due to overcrowded conditions, closeness of inmates, and inmate level of contact. Many of the facilities are old and lack ventilation, contributing to the spread of communicable diseases such as TB.

  TB skin testing becomes a problem when inmates try to refuse a TB skin test. This happens often and many times it’s the tattoo-covered inmate who is “scared of needles”. Understand, that the jail is not a prison. Jail is the holding facility from the time they are charged with a crime, until they are sentenced and sent to a prison. In order for an inmate to be sent to prison, they must have a current TB skin test. When an inmate refuses to get a TB skin test, one nursing implication we instill is trying to talk them into it peacefully. Occasionally this works, but there are times it doesn’t. At this point, the inmate is isolated in a lock down unit. Sounds cruel but sometimes just mentioning it works very well. Inmates in the jail don’t like to be locked down if it’s not necessary. For the occasion when even that doesn’t work, necessary means have be taken to administer the TB injection. This means placing them in a restraint chair. I personally don’t like doing this, however it is sometimes necessary in order to meet federal regulations.

  Prisons are not obliging when they recieve an inmate who hasn’t had a TB skin test, and the inmate is locked down for 3 days after they get there in order to have enough time to administer the test and for it to be read.  Having the ability to talk the inmate in to getting the test done prevents the prison from having to find room for the inmate in lock down at their facility, and helps prevent the spread of communicable diseases. It is unfortunate that sometimes measures of force have to be taken, but in the long run, we are helping keep the spread of TB down. This not only helps the inmates in prison to stay healthier, but prevents the spread of TB once they re-enter the community.

 

Resources:

NCCHC (2016). Federal clinical guidelines. Retrieved from

Federal Clinical Guidelines

 

CDC (2015). TB in correctional facilities. Retrieved from

https://www.cdc.gov/tb/topic/populations/correctional/

 

 

ANSWER 2

Insufficient training/turnovers is an issue that plagues the organization. Which has led to increase absenteeism and the inability of the organization to retain qualified nurses as valuable resources to incoming nurses.  According to Mudaly&Nkosi “employees were absent from work due to stress, depression and anxiety due to work (2015).”  Thus, causing massive nursing turnovers that have contributed to deterioration of care. Let’s be honest here, lack of training which led to stress, decrease workforce, endangerment of patients, complaints and loss of revenue or decrease organizational financial stability.  These costs include loss of talent and organizational knowledge and need to use fill-in outsourced nurses and train new incoming ones with whatever staff is available as a resource.

Job satisfaction is demised causing those who have decided to stay to act in a manner of unkindness, lacking support for each other and are disrespectful to patients and other staff member. This can penetrate in any nurse mind, body and spirit causing emotional, physical and mental harm. According to  Liu, Zhang, Ye et al, “job satisfaction has been identified as a key factor to nurses’ intention to leave and turnover (2012).”

The organization is now realizing the enormous affect this has on productivity now. Hint, conducting surveys and having talkbacks with management and executives to problem solve and develop solutions. Of course, incentive pay for those “lean” days but still lagging behind when it comes to the proper training in current areas. Some of the nurses have teamed up together to share whatever knowledge they have gained. There is a review of where resources can be located on the computer system such as P&P and online training classes within the organization. Providing support and leadership to each other. This is not a replacement or a solid solution to the problem of training and turnovers but it is a start.

 

Reference

Liu, C., Zhang, L., Ye, W., Zhu, J., Cao, J., Lu, X., & Li, F. (2012). Job satisfaction and intention to leave: a questionnaire survey of hospital nurses in Shanghai of China. Journal Of Clinical Nursing, 21(1/2), 255-263. doi:10.1111/j.1365-2702.2011.03766.x

Mudaly, P., &Nkosi, Z. Z. (2015). Factors influencing nurse absenteeism in a general hospital in Durban, South Africa. Journal Of Nursing Management, 23(5), 623-631. doi:10.1111/jonm.12189

 

ANSWER 3

One issue I have noticed in the hospital I work in, nursing shortage and hiring freezes. All units are short on nursing staff, resulting in nurses have to take care of more patient with higher acuity. The hospital is now on a hiring freeze due to budgeting issues. patient’s care and safety is compromised when nurses are expected to do more with less. Nurses are forced to do the bare minimum for patients and become tasked oriented. Things can be overlooked or unintentionally dismissed, resulting i harm to the patient. “In a 2002 national survey of physicians and the public, nurse understaffing was ranked as one of the greatest threats to patient safety in hospitals within the United States”. (Jianghua, H., Staggs, V. S., Bergquist-Beringer, S., &Dunton, N. (2016).

Reference:

Jianghua, H., Staggs, V. S., Bergquist-Beringer, S., &Dunton, N. (2016). Nurse staffing and patient outcomes: a longitudinal study on trend and seasonality. BMC Nursing, 1-10. doi:10.1186/s12912-016-0181-3

 

 

 

 

 

 

 

 

 

PICOT Statement paper

GCU

 Professional Capstone and Practicum

 

 

 

 

 

 

PICOT Statement Paper

Hospital Acquired Infections

PICOT statement stands for population, intervention, comparison, outcomes, and the time needed for the solution of the identified clinical problem. One of the examples of the clinical problem is the hospital acquired infections. There are several practices which lead to severe infections in the hospitals (Boswell & Cannon (Eds.), 2014). Failure to observe the proper hygiene and cleanliness among the workers can lead to the identified problem in the healthcare. However, the problem can be solved by intervention. This involves identifying the problem and solving it using the PICOT statement (Rios & Thabane, 2010). Herein, the hospital acquired infections can be addressed by analyzing the possible causes in the hospitals by the workforce.

The hospital acquired infections, being one of the identified problems is the problem which arises as a result of lack of proper hygiene and cleanliness in the hospitals. This becomes a challenge because of its outcomes, as several clinical departments have addressed the issue as being the result of infections. The evidence-based solution for this issue is that the workforce for the clinics should observe the proper hygiene because cleanliness is the paramount aspect of the clinical environment (Thomas, Ciliska, Dobbins & Micucci, 2004).

 On the other hand, the nursing intervention which should be done is that the responsible clinical officers and nurses should introduce the detergents for washing in clinics. This will help in reducing the possible infections in the clinical environment. Moreover, the patient-care which should be provided to the patients are the strategies which explain how to reduce infections. Providing care to the patients is one of the significant approaches which can ensure that they are well maintained and prevented from other infections. Additionally, the healthcare agency is an intervention or the activity which should be done to prevent the infections (Shekelle, Ortiz, Rhodes, Morton, Eccles, Grimshaw & Woolf, 2001). Therefore, the healthcare agency which should be practiced is supplying the medical tools and drugs which will reduce the infections. This is the same as nursing practice because it involves providing the possible care for the patients. Nursing practices involve regular checking the infections in the patients and providing the drugs which will cure them.

Regarding the PICOT statement, this is a strategy which is followed to solve the problem identified. It involves the population, intervention, comparison, outcomes, and the time taken to solve the issue. Herein, the problem identified is the acquired hospital infections due to the lack of cleanliness. The intervention which is required is to provide the strategies and approaches which should be followed to prevent infections. The comparison of the addressed issue entails the alternative solutions which should be practiced. The alternative solution includes providing lesson plans for the community regarding prevention of the infections. The outcomes of the issue addressed will be the full health of the patients when the proper strategies are followed. The time frame of the addressed issue will depend on the approaches which are provided and how soon the methods should take effect. The effectiveness of the problem and the solutions provided depends on the effort which the clinical officers will take in solving and preventing the acquired hospital infections.

 

 

 

 

 

References

Boswell, C., & Cannon, S. (Eds.). (2014). Introduction to nursing research. Jones & Bartlett Publishers.

Rios, L. P., Ye, C., & Thabane, L. (2010). Association between the framing of the research question using the PICOT format and reporting quality of randomized controlled trials. BMC medical research methodology10(1), 11.

Thomas, B. H., Ciliska, D., Dobbins, M., & Micucci, S. (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews on Evidence‐Based Nursing1(3), 176-184.

Shekelle, P. G., Ortiz, E., Rhodes, S., Morton, S. C., Eccles, M. P., Grimshaw, J. M., & Woolf, S. H. (2001). The validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated?. Jama286(12), 1461-1467.

 

 

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.

 

My Capstone project is about alternatives to the suicide smock. When inmates come into jail, often times the emotional instability of a person is heightened by the nature of the crime, drug addiction, previous incarceration history, or sudden loss of freedom accompanied by legal troubles. Suicidal ideation is highly prevalent in the corrections setting and the suicide smock is often used as a means to keep the inmate safe while on suicide watch. The smock is a green cushioned suit that has no sleeves and is a “dress-like” covering. It is hindersome to movement and inmates often express humiliation due to being seen by judges or other inmates. I believe this treatment increases the length of time a patient is on SI watch and may add to the degree of depression and anxiety of the inmate. Here are six articles:

 1) Suicide Prevention in Correctional Facilities: Reflections and next steps (Hayes, 2013). This article takes a look at suicide prevention from many different angles, including the physical, treatment, and psychological aspects of SI. There are several suggestions to change the current system to encourage inmates to reach out for help, rather than be scared of punishment. This article is peer reviewed and published is  psychiatry journal.

 

Reference:

Hayes, L.M. (2013). Suicide prevention in correctional facilities: reflections and next steps. International Journal of Law and Psychiatry, 36. Retrieved from www.ncianet.org/suicide-prevention-in-correctional-facilities-reflections-and-next-steps/

 

2) Can’t We do Better on Suicide Prevention in Prisons? (Troustine, 2013). Although this article completely supports my view and the changes that need to be made for inmate safety, it is not a peer reviewed article. It does contain great information, including pictures and accurate information on suicide suits and the bulky burden it places on inmates.

 

Reference:

Tourstine, J. (2013). Cann’t we do better on suicide prevention in prisons? Retrieved from: www.bostonmagazine.com/news/blog/2013/02/01/prison-suicide-safety-smocks/

 

 

 

 

3) Suicide Prevention in Administrative Segregation Units. (Sanchez, 2013). This is a peer-reviewed article in a correctional journal that mentions methods of helping to prevent suicide in jails and prisons other than segregation and suicide suits. This article is informative and discusses changes some prisons have made to help lower the occurrence of SI in the facilities.

 

Reference:

Sanchez, H.G. (2013). Suicide prevention in administrative segregation units. Journal of Correctional Health Care, 19(2). Retrieved from

.

 

 

4) National Study on Jail Suicide (Hayes, 2012). Although the same author of another article found on a similar subject, and excellent review of statistics associated with jail suicides and precipitating factors leading to suicide. She also touches on reasons for SI in jails and preventative measures. Great source!

 

Reference:

Hayes, L.M. (2013). National study on jail suicides. Journal of Correctional Health Care, 18(3). Retrieved from journals.sagepub.com/doi/full/10.1177/1078345812445457

 

 

5) Surveillance of Suicidal and Non-Suicidal Self-Injury in the New York City Jail System

 

 

ANSWER 2

*11 Facts about teen pregnancy. (2015). Retrieved from https://www.dosomething.org/us/facts/11-facts-about-teen-pregnancy

This article has been extremely helpful, as it provides concise statistics without a ton of extraneous information. It was easy to read and gather information quickly. However, the information was narrow topic-wise.

 

*Postcard: Teen pregnancy affects graduation rates. (2013). Retrieved from http://www.ncsl.org/research/health/teen-pregnancy-affects-graduation-rates-postcard.aspx

This source was, again, concise and easy to read and gather info. However, the amount of information was small and the topic content was narrow.

 

*Teen pregnancy statistics. (2015). Retrieved from http://www.teenhelp.com/teen-pregnancy/teen-pregnancy-reasons.html

This source was excellent, in that it highlighted the effects of “abstinence-only sex education”. However, it was also limited and a small amount of information.

 

*CDCs abortion surveillance system FAQs. (2014). Retrieved from https://www.cdc.gov/reproductivehealth/data_stats/abortion.htm

This source was extremely helpful, in that it provides me with the factual evidence to support the causative factors behind abortion in the US. This helped to bolster my argument for additional education for minors.

 

*Unintended pregnancies cost federal and state governments $21 billion in 2010. (2015). Retrieved from https://www.guttmacher.org/news-release/2015/unintended-pregnancies-cost-federal-and-state-governments-21-billion-2010

I gained some very valuable information from this site about the financial cost to our government related to unplanned pregnancies. This source also provided specific information pertaining to my state as well.

 

* Sobie, A. R., & Reardon, Ph.D, D. C. (n.d.). Detrimental effects of adolescent abortion. Retrieved from http://afterabortion.org/2001/detrimental-effects-of-adolescent-abortion/

This article was essential in my quest to find the long term negative effect of abortion on young girls. This has helped me to shape my argument for helping to prevent our youth from having to make this type of decision.

ANSWER 3

This writer has chosen the topic issue of lack of diversity within the nursing profession and possible solutions to developing and instituting realistic changes across the board.

American Association of Colleges of Nursing (2011). Enhancing diversity in nursing work-force. Fact sheet. Retrieved from http://www.aacn.nche.edu/me-dia/pdf/diversityFS.pdf

Strength: Offered statistical references point from BSN to Doctoral education levels. Gave clear reference to why there is a need for a diversified workforce. Gave clear strategies in developing diversified nursing education.

Weakness: May present as bias because it is the voice of the national voice for university and four-year college education programs in nursing.

American Nurse Association (2010). IOM future of nursing report. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/IOM-Future-of-Nursing-Report-1

Strength: Discussed recommendations that should occur across the board to ensure that nursing improves and extends its efforts to a diversified force. Gave insight on the expectations of the future of nursing in many different areas including education and working outside the limitation that have been set forth.

Weakness: The strategies that were discussed in the forum were generalized and did not do into detailed regarding minorities and retention in the workforce

Department of Health and Human Services (US), Health Resources and Services Administration. (2010).  The registered nurse population: findings from the 2008 national sample survey of registered nurses. Rockville (MD): HHS; 2010References

Strength: Offered statistical data to give an overview of where minorities are employed and to what level of employment.

Weakness: These statistic finding is from 2008 from a national sample survey and need more updated stat results to compare to.

Mapedzahama, V., Rudge, T., West, S., &Perron, A. (2012). Black nurse in white space? Rethinking the in/visibility of race within the Australian nursing workplace. Nursing Inquiry, 19(2), 153-164.

Strength: this article analyses data from a critical qualitative study with 14 skilled black African nurses. Thus, documenting their experiences of nurse to nurse racism and prejudice within the workplace.

Weakness: May seem bias due to the focus on Migrate African nurses and other issues may have been the underlined tone of dissatisfaction such as language competency, communication barriers and customs of beliefs.

Melillo, K. D., Dowling, J., Abdallah, L., Findeisen, M., & Knight, M. (2013). Bring diversity to nursing: recruitment, retention, and graduation of nursing students. Journal of Cultural Diversity, 20(2), 100-104.

Strength: Discussed the issue of gains with ethical and racial representation in the nursing profession but goes on to state that nursing in fact does not mirror the US. Discussed the project that used at the University of Massachusetts in the manner of pre-entry, retention, and graduation of minority and educationally and economically disadvantaged students. Thus, having an in depth look at the problem and offering solutions.

Weakness: Even though it discussed methods to get minorities into the nursing workforce. Did not discuss how or why there are minorities in leadership roles or motivation for higher levels of education post BSN.

Nielsen, A., Stuart, L. A., & Gorman, D. (2014). Confronting the cultural challenge of the whiteness of nursing: Aboriginal registered nurses’ perspectives. Contemporary nurse: a journal for The Australian nursing profession, 48(2), 19

Strength: this article the provision made to employ more Aboriginal nurses diverse to help improve the health of the Aboriginal people health which was the equivalent to the third world countries. It discussed the strategies taken to make this materialize and the setbacks that happened due to the Aboriginal nurses based on the whiteness of nursing and the push back that they experienced.

Weakness: Many may not understand or know what or who an Aboriginal person is at first introduction. FYI: I finally determined that they are dark skin Australians that live in a certain region 9my simple version). Again, could be considered confusing to some people.

The data obtained were all within a 5-year requirement timeframe and were peered reviewed journals or documentation. They offered either qualitative or quantitative data research.

 

Name two difference methods for evaluating evidence. Compare and contrast these two methods.

There are many ways to evaluate research-based evidence. Rychetnik et al (2002) states that in order to receive a proper evaluation of research, one must consider if the level of  evidence is sufficient to determine the results. Was the outcome conducive to what the researchers were looking for? Collecting evidence during research can be tricky, especially if researchers have to coordinate the project and individuals are collecting and compiling evidence. The design of the study for collecting evidence has to meet the design for a particular outcome. Simply put, the design has to be particularly geared toward finding a particular outcome.

  Another method for evaluating research evidence suggested by Rycheknik et al (2002) is that the research evidence has to be transferable to the population studied. Can the results be applied to the studied population, and will the results make a difference? I suppose the only way to determine that is to apply the results and conduct another study years down the road. But in the meantime, applying evidential outcomes to a particular population should be conducive with affecting the population with a positive impact to the current situation. In medicine, when evaluating a particular study, it should be done with the intention of improvement of provided care or increase positive outcomes without causing more injury or suffering to the patient. Any evidence-based study should show positive results in the study before being deemed as a success.

 

Resource:

Rychetnik, L., Frommer, M., Hawe, P., &Shiell, A. (2002). Criteria for evaluating evidence on public health interventions. Journal of Epidemial Community Health, 56(119-127). Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1732065/pdf/v056p00119.pdf

 

 

 

 

ANSWER 2

The Iowa Model of Evidence-Based Practice to Promote Quality Care: an illustrated example in oncology nursing. This model of EBP improves the quality of patient care and helps control healthcare costs. According to Brown, The Iowa Model can help nurses and other healthcare providers translate research findings into clinical practice while improving outcomes for patients (2014).” Which is an enormous concern in the healthcare industry with every rising healthcare cost and efforts to decrease time, money and resources. 

The steps include the following: identifying the problem, determining if the problem or issue is of high priority, develop a team that will help develop, evaluate, and implement the EBP change, gather and critique pertinent research related to the desired practice change, critique the available studies to determine whether the study with the tested intervention is scientifically sound, decide whether sufficient research exists to implement a practice change, implement the intervention into a pilot practice change (Brown, 2014).

The Triad Model is a structure that is propose for EBP training includes three participants: the academic faculty member, the clinical supervisor, and the student. This model considers all participants as co-learners throughout the process. The main goals of the triad model are “(a) to increase the use of EBP among the three members and (b) to explicitly train academic–clinical collaboration (Rangamani al et, 2016)”.  With that being said, the outcome of improving ongoing communication among the three members may which leads to increased use of EBP. Thus, promoting quality of care to the public and theoretically to facilitate clinical research (Rangamani al et, 2016).

References

Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing, 18(2), 157-159. doi:10.1188/14.CJON.157-159

Rangamani, G., Coppens, P., Greenwald, M., &Keintz, C. (2016). Collaborative Methods for Training Evidence-Based Practice: The Triad Model. Contemporary Issues in Communication Science & Disorders, 43139-153.

 

 

ANSWER 3

First, is the study research question relevant? This may seem obvious, but it is important that the research being evaluated is relevant to the need. If the research or article is not relative to the need, then it should immediately be discarded.

Secondly, does the study address bias? This is important in research as bias can be introduced by mere chance or from the study method. While “random error does not influence the results in any particular direction” (Young & Solomon, 2009) it can skew results. On the other hand, bias influencing the study method will negate results entirely, making the study useless as a reference point.

Additionally, Cohort Studies back up and further validate the initial research. Locating and evaluating these follow-up studies will lend additional credence to the initial source or provide contrasting evidence.

References

Young, J., & Solomon, M. (2009, June). How to Critically Appraise an Article. Retrieved from http://www.medscape.com/viewarticle/706399

Literature Evaluation Table

Student Name: xxxxxxxx

Assessment and evaluation of literature is an important aspect of the final capstone project. Also, the accurate identification and application of research are essential to achieving successful outcomes in the nursing practice. The following is an articulation of eight peer-reviewed articles that havebeen tabulated.

 

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 

Indah K Murni, Trvor Duke, Sharon Kinney, Andrew J Daley, YatiSoenartohttp://adc.bmj.com/content/archdischild/100/5/454.full.pdf

Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson, http://www.flexmonitoring.org/wp-content/uploads/2015/09/HAI-Strategies.pdf

Hassan AhmedKhan, AftabAhmad, .RiffatMehboob,

http://www.sciencedirect.com/science/article/pii/S2221169115000829

Olsson, L., Graham Rogers

http://www.healthline.com/health/hospital-acquired-nosocomial-infections#overview1

Article Title and Year Published

 

Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study

2015

 

Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals

2015

Nosocomial infections and their control strategies

2015

What Are Nosocomial Infections?

2016

 

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

What is the effectiveness of antibiotics in reducing hospital infections? What are the best antibiotics in reducing hospitals infection? 

To strategize a multi-approach infection control as well as antibiotic stewardship plans.Evaluate its efficiency on hospital acquired infection and antibiotic use.

What are strategies deployed to reduce the rate of hospital infection?

What are the resources necessary for reducing hospital infection?

Defining strategies and programs in reducing hospital acquired infection

What is the type of hospital acquired infections? What are the strategies to eliminate hospital acquired infection?

 

Identification of the type of infection and strategies to reduce infection. 

Types of hospital acquired infection

 

What are the types of hospital acquired infections that clinicians are grappled with in hospitals?

Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative method was used in focusing on groups that were assigned for the study with individual interviews applied

Quantitative method is applied in the research through collecting and analyzing statistics in order to find strategies that reduce infection. 

Qualitative and quantitative strategies were deployed through observation and data analysis in finding solutions

Qualitative method was used to observe patients while asking questions to review the response provided.

Setting/Sample

 

Patients with hospitals acquired infection who have stayed longer are treated with antibiotics to monitor progress of the recovery

Hospitals patients whose term has been overdue are the set up to the research.

Hospital settings where patients have stayed not as the doctor had earlier indicated

Hospital environment where patients are located with recurrence illness opposite from what they have been diagnosed with during their initial visit. 

Methods: Intervention/Instruments

 

Patients records is recorded at every stage of inspection to ascertain the medical records and the disease he/she suffers

Focus groups and nurses were deployed within the hospital environment

Hospital database that contain patients records was the source of information for the research

Medical related treatments are initially tried to treat patients just in case of recurrence of the diseases samples are tested for various diseases  

Analysis

 

Antibiotics was tested if there was a chance to reduce rate of infections in hospitals leading to substantial costs in medication

Analysis is based on the different strategies that are deployed in the field to reduce hospital acquired infection and the best results is chosen

Step by step of reviewing information detailing patient’s records and what are the trends that are noticeable to develop a strategy to reduce infection.

The analysis was conducted with an aim of finding s new type of illnesses that has emerged during patients stay while in the hospital. Samples of blood were identified for pathogens or level of nutrients.

Key Findings

 

 

Hospitals collaboration among departments provides information on patient progress while reducing infection of patients.

Doctors are the source of hospital acquired infection. Patient lack of information within a hospital environment can lead to acquired infection.

There are infections that patients acquire while hospitals. Medical practitioner is also vulnerable to diseases.

Recommendations

 

It is important to advise doctors to use antibiotics for diagnosed infection from a hospital set up.

Nurses and patients are expected to be informed on how to reduce hospital acquired infection through medical related practices.

Patients and medical practitioners should be well informed and with the right resources to ensure rate of hospital infection is reduced.

Medical practitioner is expected to understand various illnesses acquired in hospitals so as to have the right information during treatment hence enriching the literature while conducting research.

Explanation of How the Article Supports EBP/Capstone Project

 

Nurses are informed on how they could use antibiotics in reducing the rate of hospitals infection

Nurses information is developed on what practices should be applied to reduce hospital acquired information to reduce patient burden. 

Correct information is provided to nurses so that they can inform patients on how they can carry themselves in hospital environment to reduce hospital acquired illness.

. The article equips medical practitioner with information on what are the types of hospital infections and how they can provide treatment to each. 

 

 

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 

Center for disease control,

https://www.cdc.gov/hai/pdfs/progress-report/hai-progress-report.pdf

World health organization

http://www.who.int/gpsc/country_work/gpsc_ccisc_fact_sheet_en.pdf

Yatin Mehta, Abhinav Gupta,  Subhash Todi,  SN Myatra,  D. P. Samaddar, Vijaya Patil, Suresh Ramasubban, Pradip Kumar Bhattacharya,

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963198/

Center for disease and control

https://www.cdc.gov/hai/surveillance/index.html

Article Title and Year Published

 

NATIONAL AND STATE HEALTHCARE ASSOCIATED INFECTIONS PROGRESS REPORT

2014

Health care-associated infections FACT SHEET

2015

Guidelines for prevention of hospital acquired infections

2014

Hospitals acquired infection data and statistics

2014

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

Medical institutions associated with hospital acquired information.

To provide information to the public on the state of medical institutions affected by hospital acquired infection.

Types of healthcare associated infection  and intervention

To educate healthcare professionals on what interventions can be applied in reducing hospitals acquired infection. 

What strategies short term can be implemented to prevent hospital acquired infection?

To offer medical practitioners strategies to prevent nosocomial rate in medical institutions.  

What is the statistics on hospitals infection rate?

What is the number of patients suffering from hospital acquired infection?

To provide medical practitioner and planners the correct data illustrating hospital acquired infection rate. 

Design (Type of Quantitative, or Type of Qualitative)

 

The research comprised of qualitative and quantitative approach in order to collect information exhaustively within the state medical institutions. Data analysis numerically as well as interviews and observations was incorporated. 

Qualitative methods of research are applied in the study in order to observe, interview and developing focus groups to gain more insights.

Qualitative and quantitative methodologies are applied in identifying challenges and analyzing data through statistical approach from data collected in medical institutions. 

Quantitative methodologies are applied in analyzing statistics in understandable format to medical practitioners. 

Setting/Sample

 

Medical records were chosen from various hospitals for research

Hospitals in developed countries were the settings for the research. 

Clinicians are allocated focus groups within medical institutions in order to come up with information regarding hospitals acquired infections.

Random medical institutions are chosen for the study with selected database

Methods: Intervention/Instruments

 

Random hospitals were chosen by the nurses for the study. Medical records would be taken to record various non-infection identified.

Hospitals database was used as a resource in collecting information of patient’s treatment. Focused group was analyzed for a comprehensive report.

Willing participation of focus groups and the nursing team to address hospital acquired infection. Monitoring as well as surveillance mechanism was deployed during the study to compile a comprehensive statement.

Database illustrating patient’s records is collected for various medical institutions. Rate of infections are recorded with various timeline reported.

Analysis

 

Hospitals data was identified and analyzed to report on the rate of infection as compared to other medical institutions around the country.

Report on patient’s illnesses recurrence is analyzed and what were the characteristics of the patients during that period.  Interventions that have been tested to medically assist patients during infections are applied to reduce nosocomial. 

Standards procedures were tested during the research to prove if the results were different. Data collected was analyzed through scientific manner which include statistical methods to develop a comprehensive report.  

A trend in rate of infection is analyzed in manner that can make sense to clinicians and hospitals administrators. Tabulation of data is arranged in a scientific manner. 

Key Findings

 

Rate of infections differs within different medical institutions. In all institutions there were reports of hospital acquired infections among patients and nurses.

Hospital acquired infection can be eliminated once medical practitioner ensures hygienic conditions are prioritized during treatment. 

Lack of hygiene increases the chance for hospital acquired infection.

Lack of patient information impedes quick recovery of patients hence an individual is vulnerable to infections within the hospital environment.

Bloodstream infection is the highest rate of illnesses that as reported at 50% followed by surgical site infection at 17%. Steps can be taken to eliminate the rate of infection through proper data analysis for resource allocations.

Recommendations

 

Medical institutions need to be funded to ensure they address medical related infections during a patients stay in hospitals. Proper information on how to reduce nosocomial is vital to reduce infection rate.

Hygiene checklists should be prioritized during treatment to reduce hospital infections hence quicker patients’ recovery. 

The research should categorize patients based on their sex in order to ascertain the rate of hospital acquired infection. 

To conduct proper data and statistics analysis informed personnel from the medical team to data analysts must have basic statistics information in order to grasp information presented.

Explanation of How the Article Supports EBP/Capstone

 

The article equips medical practitioner with information on what are the types of hospital infections and how they can provide treatment to each. 

The article supports capstone through indicating leadership in medical management to reduce nosocomial rate.

The journal supports capstone by assisting clinicians with strategy to prevent infections acquired within hospitals environments. 

The journal supports capstone through data analysis which assists in resource allocation to eliminate hospital acquired infections.

 

 

 

 

 

 

 

 

 

 

References

Graham R.(24 October 2014). What Are Nosocomial Infections? Retrieved from http://www.healthline.com/health/hospital-acquired-nosocomial-infections#overview1

HAI Data and Statistics.(26, July 2014). Retrieved from https://www.cdc.gov/hai/surveillance/index.html

Health care-associated infections FACT SHEET.(17, February 2015). Retrieved from http://www.who.int/gpsc/country_work/gpsc_ccisc_fact_sheet_en.pdf

Hassan A.K, Aftab A, RiffatM.(7, July 2015). Nosocomial infections and their control strategies. Retrieved from http://www.sciencedirect.com/science/article/pii/S2221169115000829

Indah K M, Trevor D, Sharon K, Andrew J D, YatiS.(9, August 2014). Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study. Retrieved from http://adc.bmj.com/content/archdischild/100/5/454.full.pdf

 

Michelle C, Shailendra P, Emma D, Alex E.(20, September 2015). Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals. Retrieved from http://www.flexmonitoring.org/wp-content/uploads/2015/09/HAI-Strategies.pdf

NATIONAL AND STATE HEALTHCARE ASSOCIATED INFECTIONS PROGRESS REPORT.(5 September 2016).Retrieved from https://www.cdc.gov/hai/pdfs/progress-report/hai-progress-report.pdf

Yatin M, Abhinav G, Subhash T, Myatr SN,  SamaddarD. P., Vijaya P, Pradip K B , Suresh R.(12, March 2014). Guidelines for prevention of hospital acquired infections. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963198/

 

 

 

 

NRS 490 Topic 4 DQ 1

 

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project.

 

 

When talking with my mentor, we discussed this idea based on the school district he worked  with prior.  Understanding the health needs of the community in which one serves is important in developing EBP based on the needs of the surrounding patient population. While EBPs may be understood in context of a generalized population, we can also focus those concepts towards to the needs of the people we are specifically serving.

For example, I will be focusing my project on the needs of high school seniors and educating them regarding self-assessment of injury/illness and how to access proper medical attention. By studying the Healthy People 2020 initiative along with current EBPs, I will be able to focus my teaching toward this specific group of people and their knowledge deficits. In this school district there is an education gap regarding self-help for illness and injury. While there is a “health” class in the high school curriculum, it does not cover how to self-assess injury/illness, nor does it provide information regarding how to seek proper treatment when needed.

My project will cover signs/symptoms of illness/injury most often experienced by the college aged student, and list which symptoms can be monitored, which need to be addressed in Urgent Care, and which should be seen in an Emergency Room. Many of our young adults heading off to college will be away from their parents for the first time, and navigating the health care system can be intimidating and confusing. Through this education, I hope to help students “listen” to their bodies as well as ease the burden of ER overuse.

 

NRS 490 Topic 5 DQ 1

 

Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?

 

 

Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.

Support of stakeholder is nevertheless essential in the successful implementation of change in proposal of project. However, the challenge of management and implementation of the project is being handled by many organizations through application of stakeholders and resistance theory.  It is because of the fact resistance towards change can be compensated through activities aiming to terminate intended change in the organization. Staff and management of healthcare setting can be considered as the internal stakeholders that can affect the successful implementation of change project proposal. Similarly, suppliers and financial community can be served as the external stakeholder in healthcare settings. The support of the two stakeholders is essential in the success of the project as they possess the control criteria and non-substitutable resources which are essential to make appropriate decisions for the successful implementation of change in proposal. However, the support of the stakeholders can be secured through negotiation and discussion about change in project proposal and the efficacy of those changes (Peltokorpi, et.al.,  2015).

 

References:

 

Peltokorpi,A., Alho,A. and Kujala,J. (2015). Stakeholder approach for evaluating organizational change. IJHCQA , 1-18.

Amis, J., Slack, T. and Hinings, C.R. (2004). The pace, sequence and linearity of radical change. Academy of Management Journal , pp. 15-39.

 

NRS 490 Topic 5 DQ 2

 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?

 

 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.

To improve the process of implementation and the overall outcome of evidence based project (EBP) health information technology is of particular importance. HIT (health information technology) has been recognized as a tool used for improvement in the health care provisions. It helps in the process of improvement in the quality of the healthcare efforts while focusing on the care system irrespective of focusing on individual components like physicians. It is nevertheless the need to define ways of appropriate implementation of HIT into system of care but the potential benefits of implementation of HIT cannot be ignored in the successful results of EBP. Healthcare organization can use the support of QUERI which is a multidisciplinary, data driven and quality improvement program aiming to translate research discoveries and innovations for the patient care and to bring improvement in the system. The overall process is an iterative process used for activities and development of methods and development of evidence (Overholt, and Johnston, 2007).

Sources

Overholt, and Johnston. (2007). Evaluation: An Essential Step to the EBP Process. Worldviews on Evidence-Based Nursing , 1-15.

 

 

 

 

 

GCU

HOSPITAL ACQUIRED INFECTION LITERATURE REVIEW

 

 

Hospital acquired infection literature review

Introduction

Hospitalized care is offered in amenities with highly set clinics plus technically advanced medical facilities to front-line hospitals with necessary facilities. In spite of advancement in community health as well as hospice care, infections persist to increase in hospitalized individuals plus staff. Several factors are linked to hospital infection that leads to rising medical costs and human suffering.  Hospital acquired infection stretch the limit of hospital resources such that critical services are likely to be offered due to the rising expenses associated with patient care. Hospital acquired infection was not previously recorded once the patient was booked at the hospital.  The paper discusses the hospital acquired infection literature review.

Comparison of research questions is as follows;

What is the rate of hospital acquired infection?

To gain knowledge on the prevalence of hospital acquired infection it is vital to understand the rate of infection in hospitals that are under study. Rate infection enables medical practitioners to understand the origin of infection once a particular infection has been identified. Rate infection will categorize different infections hence analysis will provide unique medication to patients hence offer a reprieve.  

What are the types of hospital acquired infection/

Infection commences on various parts of the body after exposure to pathogens in medical facilities. Clinicians are the first to make contact to patients in medical facilities hence it will be easier to trace the origin of infection.  Different wounds are present to patients who have hospitalized this present an opportunity to understand the various types of infections to come up with medication for future reference (Emonet, Lazarevic, Pugin, Schrenzel, &Ruppé, 2017). 

What is the relative treatment of a variety of hospital acquired infection?

Treatment might exist, but some challenges exist on the treatment commences. The research is expected to cover treatment that is offered to hospital acquired infection and the success rate that has been recorded. The effectiveness of medication provides a platform for advancement in offering treatments to hospital infection.  Treatments vary due to the type of infection, but there is an infection that might have mutated once a particular type of medication has been used severally. Types of treatments need to research for medical professionals to analyze on what best could apply to patients who have acquired hospital infection.

What is the effectiveness of intervention provided by nurses?

Medication is available and strategies to limit infections acquired in medical facilities, but the effectiveness needs to be critically evaluated. Hospital administrations direct towards developing quality care through taking nurses to seminars while buying quality equipment for medication but do the results coincide with invest? Strategies that have been put in place by medical teams are assessed critically to comprehend the pitfalls hence offering a better solution that is durable.     

 

 

Sample populations comparisons are as follows;

Number of infection

The number of patients infected per hospitals that the research is conducted provides information on the population sample. Patients are a core unit in a hospital set up and their well-being needs to be taken care of as per the clinician’s code of ethics.  Infection number recorded captures the population that has been infected with hospital acquired the infection. The medical practitioner is expected to analyze patients records while monitor any new infection that might be acquired during their stay in medical facilities (Le, Wertheim, Vu, Khu, Le, Hoang, & Thai, 2016).

Number of hospital days

Patients with severe ailments and require doctors supervision are advised to go the ward and take a bed rest for a specific duration depending on the type of ailment. Patients who surpass the number of hospital days are checked for any ailment that might have been caused by infection. The patient number that has exceeded hospitalization date as recommended by the medical practitioner is considered to have acquired an infection from the medical facilities. 

Hospital wide rates

Rates of hospital infection among hospitals are vital for the research to understand the population that has been affected by nosocomial.  A hospitals report provides different numbers due to the measures that have been instituted to prevent nosocomial infection. Hospital wide rate is calculated by dividing the number of patients admitted by nosocomial infection figure than a multiplication by a hundred to quantify into a percentage. 

Limitation of the study comparison is as follows;

A patient privacy is intruded through sharing medical information hence this creates a hurdle in researching hospital acquired infections.  Patients are reluctant to share medical records hence limiting the opportunity to research on nosocomial infections. Sample population might be too small to provide the bigger perspective of the rate of hospital acquired infection hence providing a wrong analysis of the current situation.  The research might be skewed towards a particular gender illustrating a narrow view of the challenge that affects medical institutions. Early recognition tools and measures for hospital acquired infections know how might be absent in hospitals hence limiting the research analysis (Phu, Wertheim, Larsson, Nadjm, Dinh, Nilsson & Tran, 2016). 

Conclusion

Nosocomial infections affect patients through increased medical costs and inhuman suffering.  Clinicians are to adhere to a standard of procedure instituted after research to improve quality of health care. A wider population sample needs to be studied to understand the magnitude of the illness in hospitals. Further research needs to be conducted on the types of hospital acquired infections as per gender to monitor the difference of infections.

 

 

References

Emonet, S., Lazarevic, V., Pugin, J., Schrenzel, J., &Ruppé, E. (2017). Clinical Metagenomics for the Diagnostic of Hospital-acquired Infections: Promises and Hurdles. American Journal of Respiratory and Critical Care Medicine, (ja).

Le, N. K., Wertheim, H. F., Vu, P. D., Khu, D. T. K., Le, H. T., Hoang, B. T. N., … & Thai, T. Q. (2016). High prevalence of hospital-acquired infections caused by gram-negative carbapenem resistant strains in Vietnamese pediatric ICUs: A multi-centre point prevalence survey. Medicine95(27).

Phu, V. D., Wertheim, H. F., Larsson, M., Nadjm, B., Dinh, Q. D., Nilsson, L. E., … & Tran, C. T. (2016). Burden of hospital acquired infections and antimicrobial use in Vietnamese adult intensive care units. PloS one11(1), e0147544.

 

 

 

 

NRS 490 Topic 6 DQ 1

 

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.

 

 

After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.

  • ·       Financing of healthcare technology

The proposal selected here can affect the activity of the organization in context to generating finance for the installation of new technologies. The proposed project is technology oriented and requires the installation of high tech equipments and can exceed the present limit of finance available for the organization.  It has been observed that in most of the organizations the budget allocated for innovative technologies is only 15% that may hinder the progress of effective implementation of the project. (Overholt, and Johnston, 2007)

  • ·       Effective patient care

Currently selected evidence based project is in support of providing patients with effective care while using effective tools and techniques. The current project can therefore improve the process of patient healthcare in the organization once after its effective implementation.

  • ·       Integration of clinical expertise

The sole objective of EBP is to improve patient care treatment through effective use of tools and techniques so it is highly important to integrate the clinical expertise. For this purpose it is required to upgrade the current clinical staff of the organization by providing proper training and improving their capabilities. (Overholt, and Johnston, 2007)

Sources

Overholt, and Johnston. (2007). Evaluation: An Essential Step to the EBP Process. Worldviews on Evidence-Based Nursing , 1-15.

 

NRS 490 Topic 6 DQ 2

 

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

 

 

For the successful and active planning of project and development stage the most impressive thing would be the effective involvement of management in the process of change. However, the likelihood of the change project process can be profoundly improved through procedures like detailed organizational performance analysis identification of alternative solutions to get improvement in the performance, assessment of project complexity, understanding of resistance generated by stakeholders for the acquisitions of alternative solutions of the problems and careful selection of convincing change project initiatives and implementation of the project (Overholt, and Johnston, 2007). The procedures suggested here would help the organization to better analyze the proposed change in the predefined and current perspectives of the project.

 

Reference:

Page, P. (2014). Beyond Statistical Significance: Clinical Interpretation Of Rehabilitation Research Literature. Int J Sports Phys Ther , 726–736.

Overholt, and Johnston. (2007). Evaluation: An Essential Step to the EBP Process. Worldviews on Evidence-Based Nursing , 1-15.

 

NRS 490 Topic 7 DQ 1

 

 

Max Points: 5.0

 

Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?

 

 

One of the most common causes of failure of the project is poor management in addition to poor decision making, less participation and support of stakeholders. Therefore, it is required to devise internal and external methods for the successful dissemination of EBP. Reporting to hospital board and to external sources like professional nursing organizations is considered important for the success of EBP (Overholt, and Johnston, 2007). Dissemination of information to these groups is essential in terms of bringing continuous improvement in the procedures of interventions and marginal growth of the organization in addition to analyzing the beneficial and harmful effects of the project. It is because of the fact the assessment of benefits and outcomes of the project can help in the identification of procedures for the effective implementation of projects. However, the dissemination of information to the two groups depends upon the need of providing appropriate and concerned information (Amis, J., et.al.,  2004).

References:

 

Overholt, and Johnston. (2007). Evaluation: An Essential Step to the EBP Process. Worldviews on Evidence-Based Nursing , 1-15.

Amis, J., Slack, T. and Hinings, C.R. (2004). The pace, sequence and linearity of radical change. Academy of Management Journal , pp. 15-39.

 

NRS 490 Topic 7 DQ 2

 

 

Max Points: 5.0

 

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

 

 

Project evaluation is a process of determining the differences between the current practices and the practices supposed to be implemented. The process should be documented fairly and capable of providing detailed information. Learning about EBP is the fundamental aspect of education of nurses and all healthcare professionals. The practice can be used to clear the working understanding of outcomes among the nursing and healthcare workers in addition to evaluating the outcome of the role of clinical staff in the quality of healthcare treatments and integration of practices. The focus of EBP evaluation is on process stages like critical appreciation irrespective of focusing on evaluation of given change in practices.  The project taken to be under consideration will provide the clinical workers with conceptual framework in context to acquiring quality patient outcomes and effective provision of services. Hence, structured care methodologies (SCM) can be used to better assist the clinical staff in providing standards healthcare services to patients while including evidence based guidelines and protocols (Overholt,E. and Johnston,L., 2007).

 

Reference:

Overholt,E. and Johnston,L. (2007). Evaluation: An Essential Step to the EBP Process. Worldviews on Evidence-Based Nursing , 1-15.

 

 

NRS 490 Topic 8 DQ 1

 

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

 

 

In evidence based practices the data collected for different dependent and independent variables. However, the independent variable that can be used in EBP can be the dose and dependent variable can be the frequency or intensity of the symptoms. To determine the statistical significance of the variables the confidence intervals can be used as the basic statistical analysis. The confidence interval can help students to use the mathematical aspect as well as descriptive aspect of the variables in addition to focusing on the cognition of statistical techniques. The prescriptive aspect of the method will enable the researchers to effectively use the statistical practices and statistical learning. The understanding and concept of the use of variables and the statistical analysis can be further enhanced through the use of diagrams and explanation. The graphical description and interpretation through CI can help in the successful communication of the results and their evaluation (MAROM,R., et.al., 2009).

 

Reference:

Marom,R., Fidler,F. And Cumming, G. (2009). Statistical Cognition: Towards Evidence-Based Practice In Statistics And Statistics Education. Statistics Education Research Journal , 20-39.

 

NRS 490 Topic 8 DQ 2

 

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

 

 

Clinical significance can be defined as the practical importance of a treatment effect irrespective of the fact it has a real genuine, palpable, noticeable impact on routine life. On the other hand statistical significance can be acquired when the observed p value of test statistics is lower than the defined significance level of the study. Clinical interpretation can be used in support of acquiring positive outcome of the project as it influenced the clinical decision making while including decisions about the safety and efficacy of the patient. However, publication about statistically significant differences between sets is incapable of relieving the true picture as in some cases it fails to presents appropriate outcome in clinical practices. Clinical significance can be used to get positive outcome as it helps the researchers to determine the validity of the research and its clinical applicability. Hence to get reliable results proper study design and statistical analysis are essential elements (Page,P., 2014).

 

Reference:

Page,P. (2014). Beyond Statistical Significance: Clinical Interpretation Of Rehabilitation Research Literature. Int J Sports Phys Ther , 726–736.

 

 

 

 

 

 

 

 

 

Hospital Acquired Infections

GCU

Professional Capstone

 

 

 

 

 

 

Hospital Acquired Infections

Background Information

Hospital Acquired Infections have been identified as the most hazardous events in the health care settings. Different factors trigger the transmission of the diseases. Environmental factors and exposure to the invasive structures have been identified as the contributing factors to nosocomial diseases (Arefian et al, 2016). Failure to take into consideration the personal cleanliness and hygiene among the health care employees can also result in the emergence of hospital acquired infections. Since the nosocomial infections have become a global issue, it is imperative to address the possible causes and the risk factors of the Hospital Acquired Infections. Since the lack of cleanliness is identified the primary cause of the hospital acquired infections, it is imperative to deploy the measure that will work towards enhancing cleanliness and personal hygiene among the patients, staff members, and the community.

Problem Statement

Hospital Acquired Infections has been identified as one of the adverse events in the health care settings (Arefian et al, 2016). As such, it is imperative to address the issue through the evaluation of the causative and risk factors associated with the challenge. Typically, the problem emerges as a result of inadequate cleanliness and proper hygiene in the health care settings.

Purpose of the Change Proposal

The primary goal of the proposed change proposal is to aid in reducing the rate at which the Hospital Acquired Infections are transmitted. The move also aims at promoting overall wellness of the patients and the health care workers by ensuring that they stay in a clean environment. Through the use of washing detergents and offering education to the stakeholders, the proposed change aims at promoting proper healthy.

Picot

PICOT statement stands for population, intervention, comparison, outcomes, and the time needed for the solution of the identified clinical problem. One of the examples of the clinical problem is the hospital acquired infections. There are several practices which lead to severe infections in the hospitals (Boswell & Cannon (Eds.), 2014). Failure to observe the proper hygiene and cleanliness among the workers can lead to the identified problem in the healthcare. However, the problem can be solved by intervention. This involves identifying the problem and solving it using the PICOT statement (Rios & Thabane, 2010). Herein, the hospital acquired infections can be addressed by analyzing the possible causes in the hospitals by the workforce.

The hospital acquired infections, being one of the identified problems is the problem which arises as a result of lack of proper hygiene and cleanliness in the hospitals. This aspect becomes a challenge because of its outcomes, as several clinical departments have addressed the issue as being the result of infections. The evidence-based solution for this problem is that the workforce for the clinics should observe the proper hygiene because cleanliness is the paramount aspect of the clinical environment (Thomas, Ciliska, Dobbins &Micucci, 2004).

 On the other hand, the nursing intervention which should be done is that the responsible clinical officers and nurses should introduce the detergents for washing in clinics. This will help in reducing the possible infections in the clinical environment. Moreover, the patient-care which should be provided to the patients are the strategies which explain how to reduce infections. Providing care to the patients is one of the significant approaches which can ensure that they are well maintained and prevented from other infections. Additionally, the healthcare agency is an intervention or the activity which should be done to prevent the infections (Shekelle, Ortiz, Rhodes, Morton, Eccles, Grimshaw& Woolf, 2001). Therefore, the healthcare agency which should be practiced is supplying the medical tools and drugs which will reduce the infections. This is the same as nursing practice because it involves providing the possible care for the patients. Nursing practices entail regular checking the infections in the patients and providing the drugs which will cure them.

Regarding the PICOT statement, this is a strategy which is followed to solve the problem identified. It involves the population, intervention, comparison, outcomes, and the time taken to resolve the issue. Herein, the problem identified is the acquired hospital infections due to the lack of cleanliness. The intervention which is required is to provide the strategies and approaches which should be followed to prevent infections. The comparison of the addressed issue entails the alternative solutions which should be practiced. The alternative solution includes providing lesson plans for the community regarding prevention of the infections. The outcomes of the issue addressed will be the full health of the patients when the proper strategies are followed. The time frame of the discussed issue will depend on the approaches which are provided and how soon the methods should take effect. The effectiveness of the problem and the solutions offered depends on the effort which the clinical officers will take in solving and preventing the acquired hospital infections.

Literature Search Strategy Employed

In the literature search, key words were used in a bid to identify the appropriate research for the topic under study. The terms, Hospital Acquired Infections, nursing theories, causes of nosocomial infections were deployed in a bid to find the relevant literature. The information provided in the sources met the information needs, and the authors of the sources had the authority and qualification of writing the materials.

Summary of Literature Evaluation

The sources that were used for information in the study are relevant since they center on the topic of Hospital Acquired Infections and the nursing theories. Besides, they are current since most of them were written between the year 2010 and 2017.

Literature Review

Hospital Acquired Infections are connoted as the diseases that are caused by fungal, bacterial and viral pathogens.Barrasa-Villar et al (2017) defines hospital acquired infections as the infection that develops after the patient has been admitted to the hospital. However, Barrasa-Villar et al (2017) points out that immunocompromised patients due to risk factors such as surgical treatment and Age are highly prone to nosocomial infections. The researcher also observes that the rate of hospital acquired infections is higher among the adults and pediatric Intensive Care Unit patients. Similarly, Haverstick (2017) portends that the rate of nosocomial infection depends on the infection site. For instance, antibiotics resistant pathogens cause infections especially in the ICU thus contributing to the increased incidence of the nosocomial infections.

            The prevalence of the nosocomial infection has risen sporadically especially in the developed hospitals. Various researchers have made attempts to explore on the how the rate of hospital Acquired infections can be reducedBarrasa-Villar et al (2017). Moreover, the scholars have researched on the risk factors associated with the increase in the hospital acquired infections. Drawing illustrations from the evidence based information, researchers have found out that hospital hygiene is imperative in preventing the spread of hospital acquired infectionsBarrasa-Villar et al (2017). For this reason, the nurses should come up with various interventions that are aimed at promoting hygiene within the health centers. One of the nursing intervention that should be embraced is the use of detergents in cleaning the health care setting and ensuring that are the structures remain clean.

The patients should also be given information on the strategies they should employ in a bid to control the spread of the infections. According to the study conducted byMargel et al,(2017), it was postulated that practicing hand hygiene can play a significant role in reducing the transmission of Hospital Acquired Infections. Studies have demonstrated that hand washing aids in decreasing the amount of methicillin resistant S. aureus (MRSA) pathogens (Nekkab et al, 2017). Hygienic hand disinfection on the part of the nurses and physicians before carrying out of the invasive procedure and before contacting patients with common risk factors such burn and Leukemia patients will aid in reducing the rate of Hospital Acquired Infections.

Applicable Change or Nursing Theory Utilized

The nursing theory used in this study is the system model nursing theory. According to the theoretical assumption, nurses should deploy the use of various interventions to promote the total wellness of the patients. This theory was postulated by Betty Neuman who further argues that the nurses should work towards maintaining the wellness of the patient (Neuman and Reed, 2007).The theorists also affirm that the nurses should try their level best to reduce the rate of stress invasion among the patients.

Moreover, the health providers should embrace the use of tertiary, secondary and primary prevention models in a bid to curb further infection on the side of the patients. Regarding primary prevention, the health care centers should be kept clean to reduce the risk factors that contribute to the spread of hospital infectious diseases. According to the theory, environment entails both the internal and external factors that surround the patient and in which people interact at any given time (Newman, 2005). Regarding the problem of evaluation, it is important to work in line with the theory in a bid to promote personal hygiene and cleanliness among the patients and the staff members. This strategy is aimed at reducing the rate of nosocomial infections.

Proposed Implementation Plan

Stating of the objectives

In a bid to solve the identified problem, it is imperative for the health care centers to establish the objectives that the proposed change should accomplish. As stated earlier, the change is targeted towards reducing the rate of hospital acquired infections. As such, the primary objective of the plan is to ensure personal hygiene and cleanliness among the patients and the staff members a factor that will contribute to the reduction of nosocomial infections.

Evaluating of the Current Situation

The health care managers should assess the standards of hygiene in the respective health care settings. In this case, the areas and departments that lack adequate personal cleanliness and hygiene should be critically evaluated. The health care managers should identify the congested areas and structure a way in which the congestion should be reduced. They will consider increasing the number of beds and rooms for the patients.

Identification and formation of the Committee that will address the change

After the evaluation of the current condition, a committee will be formed in which every member will be tasked with a particular responsibility. The risk assessor, case managers, head of various departments and community representatives are among the members who will be included in the committee.

Evaluation of the Costs and Benefits

The chosen committee will carry out an estimation of the expenses associated with the implementation of the proposed change. In this case, they will determine the expenses of purchasing the detergents and the costs of training the staff members and the patients on the use of detergent and hand disinfectants.

Purchase of the Detergents and Offering of Training to the Patients and the Staff Members and the Community

After assessing the costs and expenses, the detergents should be purchased, and the patients, staff, and community will receive training and education on the use of the detergents. Moreover, they will be taught the importance of proper personal sanitation and cleanliness and how it contributes in curbing hospital acquired infections.

Potential Barriers to Plan Implementation and How to Overcome Them

The Cost of Purchasing the Required Materials

One of the obstacles associated with the implementation of the proposed plan is that the health care center may lack enough funds to cater for the necessary materials. However, they will be required to seek additional funds from the government agencies in a bid to support the initiative.   

Lack of Cooperation from the Patients and the Community Members

The patients and the community members may fail to cooperate especially in the aspect of personal hygiene. Regular monitoring and providing of education to the patients and the community members will aid in curbing the challenge.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Arefian, H., Vogel, M., Kwetkat, A., & Hartmann, M. (2016). Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. Plos ONE, 11(1), 1-15. doi:10.1371/journal.pone.0146381

Barrasa-Villar, J. I., Aibar-Remón, C., Prieto-Andrés, P., Mareca-Doñate, R., &Moliner-Lahoz, J. (2017). Impact on Morbidity, Mortality, and Length of Stay of Hospital-Acquired Infections by Resistant Microorganisms. Clinical Infectious Diseases, 65(4), 644-652

Haverstick, S. (2017). Patients’ Hand Washing and Reducing Hospital-Acquired Infection. Critical Care Nurse, 37(3), e1-e8. Doi: 10.4037/ccn2017694

Margel, D., Mizrahi, M., Regev-Shoshani, G., KO, M., Moshe, M., Ozalvo, R., & … Av-Gay, Y. (2017). Nitric oxide charged catheters as a potential strategy for prevention of hospital acquired infections. Plos ONE, 12(4), 1-17. doi:10.1371/journal.pone.0174443

Nekkab, N., Astagneau, P., Temime, L., &Crépey, P. (2017). Spread of hospital-acquired infections: A comparison of healthcare networks. Plos Computational Biology, 13(8), 1-22. doi:10.1371/journal.pcbi.1005666

Neuman, B., & Reed, K. S. (2007). A Neuman Systems Model Perspective on Nursing in 2050. Nursing Science Quarterly, 20(2), 111-113. Doi: 10.1177/0894318407299847

Newman, D. L. (2005). A COMMUNITY NURSING CENTER for the HEALTH PROMOTION of Senior Citizens Based on the Neuman Systems Model. Nursing Education Perspectives (National League For Nursing), 26(4), 221-223.

Phu, V. D., Wertheim, H. L., Larsson, M., Nadjm, B., Dinh, Q., Nilsson, L. E., & … Dang, T. Q. (2016). Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units. Plos ONE, 11(1), 1-15. doi:10.1371/journal.pone.0147544

Boswell, C., & Cannon, S. (Eds.). (2014). Introduction to nursing research. Jones & Bartlett Publishers.

Rios, L. P., Ye, C., & Thabane, L. (2010). Association between the framing of the research question using the PICOT format and reporting quality of randomized controlled trials. BMC medical research methodology10(1), 11.

Thomas, B. H., Ciliska, D., Dobbins, M., &Micucci, S. (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews on EvidenceBased Nursing1(3), 176-184.

Shekelle, P. G., Ortiz, E., Rhodes, S., Morton, S. C., Eccles, M. P., Grimshaw, J. M., & Woolf, S. H. (2001). The validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated?. Jama286(12), 1461-1467.

 

 

 

NRS 490 Topic 9 DQ 1

 

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

 

 

A professional presentation is a combination of different elements comprising of good understanding about the need of the audience, good and interesting content and confidence of the presenter. I am confident enough to mention my strength of presenting the material with confidence in front of the audience. It is good for me to present the quality information to my particular audience but I am feeling that I am not good enough in engaging the audience. I can describe this as one my fundamental weakness in context to presenting information professionally. To overcome this method I am required to use different communication approaches to improve my professional presentational skills. The use of small question will help me in interacting with the audience and to overcome my nervousness of communicating the information.  Once it turns in to a group effort, it helps me finish presentation successfully.  The involvement of audience will help me in pumping my confidence more and will help me in turning jitters into focused enthusiasm. (Page, 2014)

 

Reference:

Page,P. (2014). Beyond Statistical Significance: Clinical Interpretation Of Rehabilitation Research Literature. Int J Sports Phys Ther , 726–736.

 

NRS 490 Topic 9 DQ 2

 

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

 

 

The sole objective of EBP change project is to facilitate the process while operating with the current best evidences. However, research can be applied for judiciously and conscientiously for the prevention, detection and care of health disorders. However, the potential barriers that can affect the ECP change proposal from continuing till the attainment of desired results are as follows:

  • ·       Complications in the development of evidence based policies
  • ·       Poor access to evidence based guidelines are also causing complications in the application of practices

The barriers are however be removed through the development of appropriate clinical guidelines and through the development of facilities and incentives while encouraging effective care and better disease management system. Moreover, improvement in the effectiveness of educational quality and improvement in practitioners can help to solve these issues in context to the effective implementation of effective EBP change program (Haynes,B., 2009).

 

Reference:

Haynes,B. (2009). Barriers and bridges to evidence based clinical practice. BMJ , 1-15.

 

Scholarly Activity Summary

 

           

 

 

I attended an all-day conference on Wednesday of last week, It was a conference based on preventing readmissions.  National readmission prevention conference focused on a lot of key topics hospitals are being challenged with.  ACO’s, Bundled payments and readmissions.  There were a lot of key speakers from the community hospitals discussing different topics.  Joining forces with different levels of care to provide healthcare services at affordable rates. 

            Hospitals are taking a major hit for readmissions, developing strategies focused around keeping patients in their home setting are key.  There are a lot of programs that I didn’t realize are out there as solutions to keeping patients at home and avoiding hospitalization at all cost.  There is telehealth remote monitoring which checks patient’s vitals and weights at home daily.  Care transitional coaches for patients to have a point of contact if there is an issue arise in the home, they also help and make sure all services patient needs at home they are getting.  They meet with patient’s before they are discharged from hospital to see what support they have at home and what is needed at home prior to discharge from hospital.    

            A huge need is helping patients to stay at home if possible.  Developing strategies to keep patients at home and safe are key.  I can be a part of this solution.  I see where great nursing care and teaching can really help prevent readmissions.  Patient’s need help managing everything at home.  They also need people to teach them and understand all the aspects to taking their meds.  Medication Management is a huge issue that causes readmissions.  I learned that there are a lot of interdisciplinary aspects to providing a safe discharge and being proactive. 

            I received CEU’s also for attending, I have those to go up for my renewal of licensure.  I learned a lot and can be a part of a great team.  

Weekly Reflective Journal

 

Week 1-

This week was a great week with my mentor, just getting started and developing relationship.  My mentor -Lora Lee Titza is super knowledgeable and I could listen to her talk all day.  We got a lot of work done, and I truly understand the challenges the nursing profession face daily.   I spent time familiarizing myself with EBP and how I will use it for my study.  EBP provides the facts needed to support necessary changes in nursing practice.  I discussed my goals with Lora and how we would communicate weekly throughout this course.

Week 2-

 

 This week I have chosen my topic that I will be focusing on thru this course.  I will be discussing hospital aquired infections.  I also utilized the GCU library to help me with my selections of articles.  I met with my mentor to discuss my topic.  She helped me with selecting articles and goals for this course.  We collaborated with all of the leadership team of the hospital to discuss these hospital aquired infections and what the issues have been related to them at this hospital. 

Week 3-

This week my mentor discussed the EBP project with the infection control practitioner about implementation of any new changes and process’s we find.  A few glitches regarding current process’s on how the hospital is checking the rooms after housekeeping cleans.  We spent time educating the housekeeping staff on what products were necessary on which isolations patient’s when they are discharged.  We discussed a standardized approach to following infection control guidelines.  I developed a simple easy to read chart based on what infections patients had and cleaning requirements.  The infection control practitioner expressed this was helpful.

Week 4

This week my mentor and I met again to discuss the EBP project.  She made a lot of helpful recommendations related to the system.  My mentor took me thru her day to day tasks so I could better understand what Directors of Nursing do daily.  It is a super challenging position.  I can see where it would be a little overwhelming. 

Week 5-

This week I made some great progress and positive changes to my EBP.  Time was spent with my mentor and the nurses involved in the patient care that impacts hospital aquired infections.  Education was provided to the nurses and aides regarding hospital aquired infections and lowering readmission rates based from this.  My mentor had a lot of exciting stuff going on I just wanted to follow her and retain as much knowledge as possible.   I learned a lot about meningitis as we had a patient coming from another hospital that was being treated for meningitis.  He also had shingles, so I could get a lot of great real-life scenarios. 

Week 6-

This week the hospital census went down and there were a lot of cancellations of staff.  It was stressful for my mentor because she oversees staffing this hospital and cancelling nurses.  They sometimes need the money and are cancelled.  We still had to complete all our EBP and did a lot of reading and analyzing articles.  It is all tied to patient satisfactions scores and hospital reimbursement.  My mentor and I discussed hospital policies being in line with healthcare policies.  We considered how nurses are the largest group in the healthcare field and we need to be engaged in health policy to make changes.  We discussed a lot of patients with different infections and how they are handled in the hospital setting. 

Week 7-

Worked a lot with mentor on my research.   We discussed all my articles and how to positively effect changes in healthcare.  We went to meetings that my mentor had to do, I learned a lot about hospital operations and nursing management.  Nursing expectations at the hospital level.  We discussed staffing, education, orientations of new nurses.  I am truly learning a lot from my mentor. 

Week 8-

 

 We went over competencies for leadership roles within a hospital organization.  Discussed key objectives and core measures that have to be obtained by hospital leadership teams.  I learned a lot from my mentor this week regarding hospital expectations of leadership staff.  I worked a lot on my final paper this week.  My mentor gave me her feedback on what I have so far. 

 

Week 9-

 

Wrapped up all content related to final paper and turned it in this week.  Super nervous about how I did.    My mentor gave me a lot of great feedback on my final paper.  We had a staff meeting that I could assist with for the nursing staff at the hospital.  I could discuss my findings from my EBP.  Everyone was super interested and asked a lot of questions. 

Week 10

 

Final week with my mentor.  She wanted to let me know How much I have helped her throughout this 10 weeks.  She was super appreciative and said I would make a great leader.  I could discuss with the staff that I was no longer going to be attending everything with my mentor.  I truly enjoyed my experiences this 10 weeks.  While time consuming, I am super grateful to my mentor for helping me. 

 

Soooo happy it is over!!!

Thanks so much Jen for all of your support and hard work thru this journey…

NRS 490 Topic 10 DQ 1

 

 

Max Points: 5.0

 

Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.

 

 

I will recommend J. Gen Intern Med as one of the professional journal for the publication of article and the presentation of project. I have suggested this journal because of its large number of reader lists and valid source for the dissemination of appropriate and up to date clinical information. Nursing Global would be appropriate conference forum to present the project presentation in the form of article. The selection of this source is because of validity of the source and capturing the right audience at the right time. Dissemination of precious information requires appropriate platform and I think for this project presentation the suggested are the right option for the management of the project to disseminate their project in front of the right audience and to get the appropriate response (Hynes, et.al., 2010). Communication cycle can be completed through the attainment of appropriate response from the targeted audience and these platforms will help a lot.

 

Reference:

Hynes,D., Weddle,T. and Smith, N. (2010). Use of Health Information Technology to Advance Evidence-Based Care: Lessons from the VA QUERI Program. J Gen Intern Med , 1-15.

 

NRS 490 Topic 10 DQ 2

 

 

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

 

 

RN-BSN programs are designed for the successful implementation of RN programs and therefore considered essential components of EBP. A five point semantic differential scale can be used for the collection of data about the perception of clinical healthcare workers towards the EBP change program. Similarly, statistical test can be performed to determine and investigate the relationship between the ability to undertake EBP activities and other related variables. The major problem that can be faced regarding the effective implementation of ECP action plan would be the non availability of clinical practices guidelines. Some of the steps can be used to minimize these challenges like starting of practitioner’s policies and strategies. Hence the effective application of EBP action plan can be done only through the devising of clinical policies and strategies (Majid,S., 2011). 

 

Reference:

Majid,S. (2011). Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc. , 1-14.