Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

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

Evidence-Based Practice Paper

Topic: Development of an Evidence-Based Nursing Practice Guideline

1. PROBLEM –
   • Discussion of the problem and why it is significant to nursing practice and healthcare.
   • The PICO question is presented in this section.
2. EVIDENCE –
   • What databases did you use to find your evidence? What were your search terms for the evidence?
   • Summarize the evidence you found on the topic that answers the PICO question.
   • Include the appendices to your paper per APA guidelines for formatting. Be sure to reference the Appendices in your paper text.
   • What are your specific recommendations for a practice change?
3. TRANSLATION –
   • What is the feasibility, fit and appropriateness of your recommendations, including potential barriers? Costs, resources, personnel?  Barriers to implementation?
   • Develop an action plan which will include support and resources needed for implementation.
   • What method will you evaluate if the change proposed is effective?
   • Specific measurable goals and a timeline for implementation and evaluation.
   • How could you disseminate the findings of your proposed change in nursing practice?
4. CONCLUSION – brief summary of your paper
5. APA Formatting as per 7th edition
   • Page numbers and title page
   • Section headings correct per APA
   • Reference page includes articles from Evidence Appendix plus 4 additional ones to support your content in other sections of the paper.
   • Appendices placed and formatted per APA guidelines.
     1. Guidelines for EVIDENCE-BASED PRACTICE PAPER
     2. Topic: Development of an Evidence-Based Nursing Practice Guideline Scholarly paper about your suggested guideline.   Your topic is a nursing focused topic of interest to you that is relevant to your practice setting.   Your paper will include sections on
6. You will:

• Research and appraise the relevant evidence related to the question for the guideline. You will need additional articles to support your proposed change in additions to the articles you will utilize in developing the APPENDICES.  See rubric for more information. Note: You develop the individual Evidence Appendix which requires 2 references for each level of evidence (Dang & Dearholt model).
• Synthesize and discuss the readings and your research findings related to the nursing practice question and the resulting guideline.
• You must address the topics in the grade rubric including the required tables and barriers to implementation in practice. Evidence of synthesis of knowledge gained is expected in the paper.
• Follow APA 7th edition guidelines for paper, citations, references, and appendices.

Needs to be at least 300 words with at least 1 scholarly article.  No plagiarism.

Select one leading National Practice Problem that is prevalent in your patient population or is prevalent in your healthcare setting and address the following:

• Describe an issue related to the National Practice Problem you selected that is impacting quality, safety, or financial outcomes in your practice setting.
• Elaborate how technology such as the electronic medical record might assist in implementing, evaluating, or sustaining an evidence-based intervention to address the identified problem.

 
Please upload and submit your completed Excel spread sheet and Record sheet for your unknown project here. Complete excel sheet by highlighting all your results for each unknown bacteria and every test to show your work process. Complete the Record sheet word document by filling in the “obeservation” and “intepretation” sections of each test outlined in the Record sheet, then fill in your name, unknown bacteria at the bottom of the sheet. For example, if the Urease Test is positive because it changed color from “white” to “black”, you would document your observation column for urease test, as “white to black color change” and intepretation column as “positive”. Samples of these 2 documents are attached below and can also be found in blackboard under the link “Unknown project materials”.  

“Use the second sheet the Gram Negative”

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.(Florida)
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)