Reasoning in a Specialty Area

Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?

Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?

In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.

To prepare:

• Consider the definition of clinical      reasoning and how it is distinguished from other terms in the      Simmons article. (see attached file)
• Bring to mind key characteristics of your      specialty area. Is the concept of clinical reasoning relevant and      sufficient to describe the process you utilize as you      make decisions and solve problems in your area of specialization? Why or      why not? If not, what terminology would be more useful for defining or      characterizing this process?
• Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s). (see PIICOT Question below      at the end of the page)
• Reflect on your EBP Project      question(s) (see PIICOT Question below at the end of the page).      Reexamine your project question(s) through this lens of clinical, or      alternately termed, reasoning.

By Day tomorrow 09/04/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 references from the list of required resources below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.

2) How can you apply reasoning strategies to the refinement of your EBP Project question(s)? (see PIICOT Question below at the end of the page)

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter      1, “The Importance of Research in the Doctor of Nursing Practice Degree”
       Read pages 12-18 beginning with “The DNP Graduate with an Aggregate Focus”      (see attached File)

       In this section of Chapter 1, the author explains relationship between the      DNP clinician, the research process, and developing an effective      evidence-based practice. The author also discusses facilitating change in      practice based on critically appraised and validated evidence. In      addition, Carper’s four essential patterns of “knowing” in nursing and      Rosswurm and Larrabee’s six-phase model for reviewing research are      highlighted.

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43. 

Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

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 completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

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

Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (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 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. (The textbook describes each element of the epidemiologic     triangle). 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     collecting, data analysis, and follow-up).
5. Identify at     least one national agency or organization that addresses the     communicable disease chosen and describe how the organization(s)     contributes 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 Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion. 

You are required to submit this assignment to Turnitin. Please refer   to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc