Tag Archive for: nursing

Introduction to Course Project

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Course Project: Introduction to Course Project

Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.

For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

Note: This Course Project will serve as the Portfolio Assignment for the course. In addition to submitting portions of this Project in Weeks 2 and 5, you will turn in all three deliverables in Week 10.

Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

 

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

1.     Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

2.     Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.

3.     Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

4.     Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

5.     Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

1.     A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

2.     The 5 questions you have generated and a description of how you analyzed them for feasibility

3.     Your preliminary PICOT question and a description of each PICOT variable relevant to your question

4.     At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

 

Submit your Project. It will also be a component of your Portfolio Assignment for this course, which is due by Day 7 of Week 10.

Reference:

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

 

Learning Resources

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice” (Review pages 14–31)

Chapter 5, “Literature Reviews: Finding and Critiquing Evidence”

In this chapter, you focus on conducting a literature review. Topics include how to identify the relevant literature on a given topic and then how to critique the strengths and weaknesses of the literature that you have found. Finally, the chapter examines how to synthesize the research findings into a written literature review.

 

Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy. Journal of Gerontological Nursing, 35(9), 9–12.

 

This article emphasizes the importance of systematic reviews of literature. The authors present an overview of resources that may assist in conducting systematic reviews.

 

Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. K. (2009). Evidence-based practice challenge: Teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195.

This article reviews the features of the TREAD Evidence-Based Practice Model. In particular, the authors of this article stress how the model emphasizes the use of standardized critical appraisal tools and Level I evidence.

 

Robeson, P., Dobbins, M., DeCorby, K., & Tirilis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health, 10, 95.

This article describes a hierarchy of pre-processed evidence and how it is adapted to the public health setting. The authors identify a range of resources with relevant public health content.

Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360

 

Barker, J. (n.d.) Basic search tips and advanced Boolean explained. Retrieved August 3, 2012, from http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Boolean.pdf

This resource provides a graphical representation of different approaches to research and gives examples of each.

 

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

This article reviews the frameworks commonly used to assist in generating answerable research questions. The author recommends considering the individual elements of the frameworks as interchangeable (depending upon the situation), rather than trying to fit a situation to a specific framework.

 

Walden University Library. (2012). Levels of evidence. Retrieved from http://academicguides.waldenu.edu/c.php?g=80240&p=523225

This guide provides a listing of evidence-based clinical resources, including systematic reviews and meta-analyses, critically appraised topics, background information and expert opinions, and unfiltered resources.

 

Indiana State University. (n.d.). Database search strategies. Retrieved July 6, 2012, from http://libguides.indstate.edu/content.php?pid=118904&sid=1065428

In this resource, the most common types of database searches are highlighted. It includes topics such as nesting searches, phrase searches, and using synonyms of key words in the search.

 

Library of Congress Online Catalog. (2008). Boolean searching. Retrieved from http://catalog.loc.gov/help/boolean.htm

This web page provides a basic overview of Boolean searches and provides simple examples of key search terms.

 

Walden University. (n.d.b.). Searching and retrieving materials in the research databases. Retrieved August 10, 2012, from http://academicguides.waldenu.edu/foundationscoursedocs/SearchingRetrieving

This resource provides tips for searching in the Walden Library. It includes a guide to keyword searches, an explanation of Boolean searches, and tips on locating specific journals or articles.

Document: Course Project Overview (Word document)

Note: You will use this document to complete the Project throughout this course.

Media

Laureate Education (Producer). (2012e). Finding resources for EBP. Baltimore, MD: Author.

In this video, Dr. Marianne Chulay identifies sources where nurses can find evidence to support their practices. She provides several examples of resources that provide specific information about best practices in health care.

 

Laureate Education (Producer). (2012f). Finding sources of evidence. Baltimore, MD: Author.

Dr. Kristen Mauk explains the process of performing a literature review in this video. She provides advice for nursing students in browsing databases and analyzing sources of evidence.

 

Laureate Education (Producer). (2012g). Hierarchy of evidence pyramid. Baltimore, MD: Author.

This multimedia piece explains the hierarchy of evidence pyramid. The piece offers definitions and key information for each level of the pyramid.

 

 

 

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Communicable Disease Selection

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guid

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Health Policy Group Project

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Health Policy Group Project

Work with your assigned group and assigned question. Identify the historical perspective, current issues/ problems (include regulations), and what is currently being done to change or improve.  Students will be graded as a group.

Please demonstrate engagement within group work.

  • Review the literature and address one of the following:
    • Nurse Informaticists:Your group has been assigned to determine the impact the role of the NI has on patient outcomes. Select a topic from Ch 24 ( Hamric). What law(s) was enacted to regulate health information? Please address questions below and the position on this regulation in a narrative format. 

For the above assignment,  use the following guide:

  • Describe the current policy/status, which organization regulates and determine if it needs to change; if opposed to change, state why.
  • Provide the process required to make the change with key players and parties of interest; identify the groups who are opposed
  • Explain how AP roles (which ones) could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
  • Demonstrate group cohesiveness

Submission Details:

  • Support your responses with examples.
  • Cite any sources in APA format.
  • Submit your document to the Submissions Area by the due date assigned.

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Implications of an Evidence-Based Project

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Implications of an Evidence-Based Project

Following the implementation and evaluation of an evidence-based project, it is critical to examine the overarching implications of the findings. In some instances, you may be surprised to discover an implication you had not anticipated. When that is the case, what do you do with the information?

Consider the following example: An intervention is implemented that, according to the evidence, should give critical care nurses greater access to relevant, high-quality patient data. The intervention uses newly developed monitors to provide an abundance of data on patients’ vital signs. The monitors perform the desired function, but the findings reveal that nurses are encountering a high number of false alarms and they feel stressed by various challenges related to the monitors. For the DNP-prepared nurse, this situation should attract careful attention and raise questions of what to do in response.

In this Discussion, you and your colleagues address the implications of evidence-based projects, including those implications that may have been unexpected. This form of deep analysis is essential for promoting practice changes that are beneficial and sustainable.

To prepare:

  • Consider      the outcomes of your DNP Project or other evidence-based projects with which      you have been involved. Were your findings as anticipated? What unexpected      outcomes, if any, arose?
  • Apply      the concepts you have studied in previous courses to the data you gathered      for your DNP Project or for other evidence-based projects. Consider social,      political, technological, and financial factors as well as factors related      to quality and your area of specialty.
  • How      does your analysis of the project outcomes inform the discussion and      implications of your DNP Project? What impact could your findings have as      they ripple out through multiple systems?
  • Have      you identified any ethical implications that require attention? If so,      what are they?

By tomorrow Wednesday 7/03/19 at 2 pm, write a minimum of 550 words in APA format with at least three references. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Discuss the implications of your DNP Project outcomes or the outcomes of other evidence-based practice projects.

2) Integrate concepts from previous courses to explain the significance of your findings and be sure to address ethical implications.

Required Readings

Dickerson, P. S. (2010). Continuing nursing education: Enhancing professional development. The Journal of Continuing Education in Nursing, 41(3), 100–101.

This article examines current frames of reference for continuing nursing education and the work that is guiding the future.

American Association of Colleges of Nursing. (2012). Career resource center. Retrieved from http://www.aacn.nche.edu/students/career-resource-center.

This website provides a battery of resources for nursing graduates seeking employment.

American Nurses Association. (2012). Career & credentialing. Retrieved from http://www.nursingworld.org/MainMenuCategories/CertificationandAccreditation

This website provides links to guides on careers and credentialing. The website also highlights special membership benefits for ANA members.

Robert Wood Johnson Foundation. (2010). Career tools and advice. Retrieved from http://www.newcareersinnursing.org/scholars/career-central/tools

This website supplies a variety of guides on applying for jobs.

Optional Resources

Bolles, R. N. (2012). What color is your parachute? 2012: A Practical Manual for Job-Hunters and Career-Changers. New York, NY: Ten Speed Press.

Isaacs, K. (2010). Surviving and thriving in the workplace: Resume tips for nurses. Ohio Nurses Review, 85(6), 5.

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Rough Draft of the Presentation

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Organizational Analysis: Rough Draft of the Presentation

This week, you need to submit the rough draft of your organizational analysis presentation.

Below is a reminder of the key tasks involved in the Organizational Analysis assignment:

  • Identify an organization (or unit within an organization) that you believe excels in high-quality relationships and enabling conditions for team performance. This organization can be from any industry.
  • Develop a scorecard for evaluating the organization or unit. At a minimum, you should include information on the mission and philosophy of the organization or unit, strategic projects, and analysis and implementation of findings. Building & Implementing a Balanced Scorecard.
  • Make your case based on available first-hand or second-hand data about how the organization scores in terms of relational capability and enabling conditions for team performance. You will need to submit your scorecard as well as the evidence you utilized to your instructor.
  • Based on your analysis, prepare a 8- to 10-page paper and a 20- to 30-slide presentation based on this paper.

The presentation should: (rough draft due this week)

  • Include a cover slide with your information.
  • Cover all salient points from the paper.
  • Describe the programs or processes that make the chosen organization or unit successful in team building and high-quality relationships.
  • Include an analysis of the programs or processes.
  • Include a summary explaining how lessons learned could be applied to another organization

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typical hospitalization

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Describe the processes that take place during a typical hospitalization, or emergency department visit for a consumer under the Affordable Care Act. From admission to discharge, including aftercare, rehab, and acquisition of medications; address the differences, with the same experience from before the ACA was passed into law?

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Applying Current Literature to Clinical Practice

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Assignment 1: Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other  areas of clinical practice. Generally, there are no clinical trials in  psychotherapy because it is often neither appropriate nor ethical to  have controls in psychotherapy research. This sometimes makes it more  difficult to translate research findings into practice. In your role,  however, you must be able to synthesize current literature and apply it  to your own clients. For this Assignment, you begin practicing this  skill by examining current literature on psychodynamic therapy and  considering how it might translate into your own clinical practice.

 

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.

Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review  current literature and share findings with your colleagues. Approach  this Assignment as though you were presenting the information to your  colleagues.
 

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected.

What population is under consideration?

What was the specific intervention that was used?

Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article.

Include  whether this will translate into practice with your own clients. If so,  how? If not, why?

Explain whether the limitations of the study might impact your  ability to use the findings/outcomes presented in the article.

Support  your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not  including the title and reference slides. Include presenter notes (no  more than ½ page per slide) and use tables and/or diagrams where  appropriate. Be sure to support your work with specific citations from  the article you selected. Support your approach with evidence-based  literature.

Check for plagiarism

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health disparities.

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1. Which of the following are not goals of meaningful use (MU)?

A. Improve quality, safety, and efficiency and reduce health disparities.

B. Maintain privacy and security of patient information.

C. Improve care coordination, and population and public health.

D. Disengage family members from patient care.

 

2. What’s the difference between EHR and EMR?

A. EMR contains only legal documents and forms filled out by the patient and the EHR is the provider progress notes, telephone encounters, lab results, and imaging.

B. EHR is an aggregate of all of the patient’s health record and EMR is an electronic patient record from each physician and hospital.

C. EMR is an aggregate of all of the patient’s health records and EHR is an electronic patient record from each physician and hospital.

D. EHR contains only legal documents and forms filled out by the patient and EMR is the provider progress notes, telephone encounters, lab results, and imaging.

 

3. Which of the following is an acceptable use of the internet at work?

A. Checking your bank account to ensure your pay check has been directly deposited.

B. Locating contact information for a local dental clinic for a patient.

C. Searching Amazon for a Boss’ Day gift.

D. Facebook messaging another employee on their day off for a patient related issue.

 

4. What nonprofit industry group and consumer reporting agency maintains a database of medical information exchanged by the life, health, and disability insurers that make up its membership?

A. CCHIT

B. Electronic Health Organization

C. Medical Systems Care

D. Medical Information Bureau

 

5. If a patient believes his or her rights have been violated, that patient may file a complaint with

A. HHS.

B. CMS.

C. AHIMA.

D. OCR.

 

6. How can a new patient be entered into SimChart for the Medical Office (SCMO)?

A. Searching the patient demographics

B. In the billing module

C. In the patient dashboard

D. Using the find patient link

 

7. Which of the following is not considered legal documents included in the EHR?

A. Do not resuscitate (DNR)

B. HIPAA forms

C. Medical Records Release

D. Superbills

 

8. Medical offices submitting claims electronically are called

A. HIPAA entities.

B. covered claims.

C. covered entities.

D. electronic carriers.

 

9. Ralph is having a colonoscopy and brings paperwork to excuse him from work with pay. Which of the following protects the information disclosed in this paperwork?

A. Safeguards

B. Authorization

C. Minimum necessary standard

D. Minimal disclosure

 

10. A patient that’s deceased would be considered

A. empty patient record.

B. inactive patient.

C. closed patient record.

D. deceased patient registry.

 

11. If a patient requests a log of disclosure of their PHI, each disclosure must include all of the following except

A. the description of enclosed PHI.

B. the name and address of who received the PHI.

C. the date of disclosure.

D. the name of who released the PHI.

 

12. Which of the following is a basic skill needed in order to operate an EHR?

A. Disorganization.

B. No prior computer skills.

C. Knowledge of basic medical terminology.

D. Minimal interpersonal skills.

 

13. When accompanying a patient to an exam room, the MA commonly documents the patient’s

A. chief complaint.

B. billing information.

C. diagnosis.

D. plan of treatment.

 

14. Which of the following is considered a third-party payer?

A. Healthcare Facility

B. Insurance company

C. Patient

D. Patient’s family

 

15. A/An _______ is the electronic trail that is tied to a username and password in an EHR.

A. authentication

B. security watch

C. network surveillance

D. audit trail

 

16. Which of the following is not considered advantages of EHR?

A. Decreased efficiency

B. Improved quality and continuity of care

C. Better security

D. Improved documentation

 

17. Amy signs a/an _______ form to allow test results to be discussed with her husband.

A. consent

B. authority

C. authorization

D. record release

 

18. A list of each employee’s access to the EHR is an example of _______ safeguards.

A. administrative

B. physical

C. technical

D. privacy

 

19. What does the doctrine of professional discretion protect?

A. Patients involved in child protective service cases.

B. Providers involved in malpractice lawsuits.

End of exam

C. Mentally or emotionally ill patients.

D. Elderly patients with dementia living in nursing home facilities.

 

20. Which of the following is a core objective added to stage two of meaningful use requirements?

A. Use of secure electronic messaging when communicating with patients

B. Provide clinical summaries for patients at each visit

C. Incorporating clinic lab test results into EHR as structure data

D. Documenting smoking and alcohol use

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The Connection Between Academic and Professional Integrity

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Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work.

To Prepare:

  • In support of academic style, integrity, and scholarly ethics.
  • Also reflect on the connection between academic and professional integrity.

Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Write a 2- 3-paragraph analysis that includes the following:

  • Clearly and accurately explains in detail the relationship between academic integrity and writing.
  • Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.
  • Accurately cite at least 3 resources that fully support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.y

Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

  • Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.
  • Include a clearly developed review of resources and approaches you propose to use as a student and a professional.

 Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph.

Assignment: Academic Success and Professional Development Plan
Part 3: Strategies to Promote Academic Integrity and Professional Ethic

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse.

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 Healthy People 2020 

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In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style enter.

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