...NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek5-Evidence-BasedPracticePresentation-HealthcareAssociatedInfections/2856 contact us at: help@mindblows.us NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections [12 Slides + Speaker Notes] This is a CLC assignment. Choose a nursing problem from your current practice setting, and identify a possible solution to that problem. Conduct a search of the literature related to this problem. Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review. Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications. Include the following components into the presentation: 1. Present the nursing practice problem with the PICOT question. 2. Discuss your appraisal of the literature that addresses the problem. 3. Present the proposed practice changes from an integration of the findings. While APA format is not required for the body of this assignment, solid...
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...NRS-433V All Weeks Discussions To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VAllWeeksDiscussions/2857 contact us at: help@mindblows.us NRS-433V All Weeks Discussions NRS-433V Module 1 DQ 1 Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. NRS-433V Module 1 DQ 2 What similarities and differences can you identify between the nursing process and the research process? NRS-433V Module 2 DQ 1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. NRS-433V Module 2 DQ 2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale. NRS-433V Module 3 DQ 1 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS-433V Module 3 DQ 2 Qualitative data has been described...
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...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...The Importance and Implications of Evidence Based Practice-Research Patricia Davis Immaculata University The Importance and Implications of Evidence Based Practice-Research Evidence based practice is a way of providing health care that is guided by incorporating current knowledge and clinical expertise. This research and resource information corrects clinical problems, application of quality interventions, and evaluates the outcomes for further improvements in the future. Evidence based practice is an approach that improves the impact of nursing, psychology and social work. It gives research the cause and effect that gives validity to the information. The purpose of evidence based practice is ensuring that patients receive the best quality care and keep nurses, nursing care, and knowledge up to date. The American Nurses Association (ANA) recognizes the importance of evidence based practice (EBP), and that it incorporates the registered nurse to integrate, participate in the formulation, and contribute to the knowledge of research to improve healthcare outcomes (ANA, 2010). Evidence based research results in favorable patient outcomes across various geographic locations. The impetus for evidence-based practice comes from decisions of efficacy, and healthcare facility pressures for cost containment. Evidence practice stresses changes in the education of students, more practice-relevant research, and closer working relationships between clinicians and researchers...
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...implementation of evidence-based practice in nursing, but one must first have a thorough understanding of the study process in order to benefit properly from the findings. The most important concept is to understand if the study is Quantitative or Qualitative in design. The purpose of this paper is to compare and contrast the differences in these two designs by using examples of each to describe. By evaluating each paper and including topics such as the strength of the research question, the strength of the methodology, correct or incorrect sample type and size, appropriate data analysis, complete discussion of findings, and implication for nursing practice and practability of implementation a pattern will appear revealing the likes and differences of the two types of studies. The findings indicate both quantitative and qualitative studies are crucial in the development of scientific research. By incorporating these in the scientific field of research, nursing will continue to grow and evolve. . Comparison Paper The advancement of nursing research has led to evidence-based practice in nursing which in turn leads to positive patient care outcome. Nursing research plays an integral role in nursing education. The 21st century has revolutionized nursing in theoretical and practical aspects of nursing. New innovative ideas are needed for the continuum of nursing. Therefore, the purpose of this paper is to compare and contrast a qualitative research study on the implications of missed...
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...Evolution of Nursing Theories Sandra Porazzo Perry Laboure Evolution of Nursing Theories The article introduction to Nursing Theory: Its significance and analysis (Alligood, n.d., p. 2) talks about the history of nursing and how nursing has evolved from just a skill /task based practice through the use of academic curriculum from theory development. I feel the author chose to write about the history of nursing theory secondary to the importance of these different era’s and that because of these evidence based practices had led to the standards of practice for the nurses of today. The Author is talking about how through the evolution of practice that is theory based nursing has moved from a task/skilled based practice to a recognized profession, and will continue to grow related to continued education and theory based evidence. This will allow nurse through system knowledge be able to better care for our patients. The implications for nurse is that we are better able to systematically analyze data and information critically which will be beneficial to society as a whole. For ne the most important aspects of this article are how nursing as moved from just a skills based practice to an evidence based profession has truly made for better outcomes for all patients as evidenced by longer, healthier lives we all live. In conclusion this article has made me realize how much theory enables us to systematically understand what is happening, and through this process we are...
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...Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through using research in order to provide the most effective health care. EVIDENCE BASED PRACTICE ...
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...Learner 2 ECS® Program for Nursing Curriculum Integration (PNCI®) Sepsis, Septic Shock and Multiple Organ Dysfunction Syndrome © 2008 METI, Sarasota, FL; Original Authors: Jami Nininger and Dawn Hughes, Mount Carmel College of Nursing, and Thomas J. Doyle, METI. Reviewer: Jami Nininger, Mount Carmel College of Nursing v.4 August 2008 References 1. Differentiate the following terms: • Systemic Infl ammatory Response Syndrome (SIRS) • Sepsis • Severe sepsis • Septic shock • Multiple Organ Dysfunction Syndrome (MODS) 2. Identify the nursing priorities in the care of the patient with sepsis and septic shock. 3. What class of bacteria is responsible for more than one half of the cases of septic shock? What are some common causes of this? 4. Explain why myocardial depression is almost always present in a patient with septic shock despite an initial rise in cardiac output. 5. Discuss the cascade of host infl ammatory responses that produce the major detrimental effects seen in sepsis due to gram-negative bacteria. 6. What is early goal directed therapy in the management of sepsis? 7. Identify the treatment guidelines currently recommended for the management of sepsis and septic shock. 8. Discuss how the drug dobutamine affects cardiac output. Identify the nursing implications with the administration of this drug. 9. Discuss how norepinephrine works and its indications for use. Identify the nursing implications with the administration of this drug. 10. Discuss...
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...Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities, Veterans...
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...Translational Research for Practice and Populations Linda Parson Western Governors University February 20, 2016 Translational Research for Practice and Populations A. Identify a current nursing practice within your healthcare setting that requires change. Patients having procedures considered invasive require interaction with a medical device and a patient's mucous membranes. One major hazard of these procedures is the induction of pathogenic microorganisms that could lead to infection. Malfunction of utilizing the correct processes in accurately reprocessing or sterilizing reusable medical devices bears a risk connected with break of the host barriers. Spaulding’s classification is utilized to determine the stage of reprocessing/disinfection a medical device should be exposed to (CDC, 2008). Also, Spaulding’s classification also determines the level of sterilization for a medical device. The classification is as follows (CDC, 2008) • Critical items (such as surgical instruments, which contact sterile tissue • Semicritical items (such as endoscopes, which contact mucous membranes), • Noncritical items (such as stethoscopes, which contact only intact skin) Based on the classification of the device determines whether the device requires sterilization, high-level disinfection, or low-level disinfection, correspondingly. Pre-cleaning must be the most important thing to perform prior to high-level disinfection and sterilization (FDA, 2009) ...
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...The “In” Credible Web: Evaluating the Credibility of MedlinePlus Cecelia Chamberlain College of Nursing Course Number: NR 500 September 2012 The “In” Credible Web: Evaluating the Credibility of MedlinePlus Accessing health information via the Web has become the “In” thing. According to a 2010 survey conducted by the Pew Internet & American Life Project, 74% of all U.S. adults are using the Internet, and of those accessing the Web 80% are looking for health information (Fox, 2011). This paper will evaluate the credibility of MedlinePlus at http://www.nlm.nih.gov/medlineplus/. This website was located using the search engine Google and was chosen for its .gov domain. According to Brenner (2005), Web addresses ending in .gov, .edu or .org offer greater authority and are more reliable sources. MedlinePlus is a health information website produced by the U.S. National Library of Medicine (NLM). This site provides a wide variety of health and wellness topics as well as interactive tools designed to educate, inform, and guide consumers and medical professionals on health related issues (NLM, 2012). The following criteria; authority, information, and objectivity, ease of navigation, and privacy and security policies will be used to evaluate and identify MedlinePlus as a credible health information resource. Furthermore, implications to nursing practice will be discussed. Authority Authority is consistently identified in the literature as being of the upmost importance....
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...NUR 159 Class Information and Procedures B-1 NUR 159 Class Information and Procedures NUR159ClassInformation 3/10/2014 NUR 159 Class Information and Procedures B-2 CLASSROOM BEHAVIOR Refer to Classroom Behavior in Student Nurses Handbook TESTING INFORMATION AND PROCEDURES 1. Silent Test Reviews: Silent test reviews will be conducted after each test. Refer to Test Security in Student Nurses Handbook for further information on test reviews. Students may also schedule individual test reviews with their seminar leader. 2. Test Make-up Policy: Refer to Test Security in Student Nurses Handbook for further information on test make-up. 3. Make-up of Final Exams: In the event that a student misses the final exam for the nursing course, the student will receive a grade of incomplete or “I” for the course. Refer to the Course Grades policy found in Student Nurses Handbook. 4. Collaborative or Group testing activity: An opportunity to add a maximum of two points to individual test scores may be earned through a group testing activity. Two points will be added to individual student scores if the group activity score is 91 and above. One point will be added to individual student scores if the group activity score is 81 through 90. No points will be added to individual student score if the group activity score is 80 and less. Group testing will be conducted as follows. a. After taking the exam, individual test scantrons will be collected. The students will keep the test booklet...
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...• National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed using the best possible evidence, and using information and feedback provided by nurses in a variety of settings. Included also ...
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...Nursing Research Nursing is often incorrectly regarded as a subset of the medical profession; in reality, the profession of Nursing is a unique, distinct science with its own knowledge base and skillset. In accordance with the requirements of a scientific profession, there is a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is...
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...Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of...
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