5 DQ 2

I believe that most healthcare institutions, not just mine, take evidence-based practice extremely seriously. It has been clearly shown that implementing evidence-based practice generally leads to an improvement in patientcare outcomes across the board in more instances than not (Black et al., 2016). Same thing is heavily stressed upon in my workplace as well. We are constantly encouraged to remain vigilant and informed about all the various research studies that are being conducted involving the healthcare industry, particularly if it involves nursing. The leadership is constantly on the lookout on how to apply the new findings in improving the overall healthcare provided in the institution. It is very important for nurses because so much of the patientcare rely on the nurse. Even a slight improvement in the nursing standards can lead to a significant improvement in the overall quality of care, which is important (Karaca & Durna, 2019). We often participate in group discussions where there are presentations on something new or different in the healthcare industry that we should try to implement in our own. In addition to that, nurses are constantly encouraged to self-reflect and identify if the change has brought about positive results or not. Evaluation is a critical component of research-based practice. Just because a study result might be appropriate and useful in one place, there is no guarantee it would be effective everywhere, and evaluation will ensure only processes which are effective in the necessary setting will be implemented. That is why it is critical for nurses to continuously aim for self-improvement and not just be content with the current standards.

Using 200-300 words APA format with at least two references to support this discussion.

 

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace?

Week 7: Discussion Question – Case Study

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Points: 25 | Due Date: Week 7, Day 3 & 7 | CLO: 1-7 | Grade Category: Discussions

Discussion Prompt

Ms. Whitley is a 26 year old female. She has a history of asthma since grade school, for the last 3 months she has had to use her Albuterol inhaler 3-4 times per week, sometimes at night. She states she has chronic knee pain from playing soccer in high school, no surgeries, and takes Acetaminophen as needed. She also asks about starting a birth control method, currently using condoms. She asks what you think about medication to help with weight loss since she would like to drop the 20 lbs she gained in college.

>What medication recommendations will you make? Include the drug class, generic and trade name and starting dose range. Provide rationale for your choices.

>Discuss any potential side effects and drug interactions for this patient.

>What non-pharmacological interventions would you suggest?

>What patient education would you provide?

Expectations

Initial Post:

• Due: Thursday, 11:59 pm PT
• Length: A minimum of 500 words, not including references
• Citations: At least two high-level scholarly reference in APA from within the last 5 years

Instructions

Overview/Description:

The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This project is to be developed in APA format/style using the required template and not to exceed 8-10 pages (excluding title page/references/appendices).

Criteria:
Introduction

• Background and Significance of Problem
• Statement of the Problem and Purpose of the Study

Literature Review

• Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

• Overview and Guiding Propositions(s) Described in Theory
• Application of Theory to Your Study’s/Project’s Focus

Methodology

• Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
• Sampling Strategy
• Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection. 
• Extraneous Variables (and plan for how controlled).
• Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
• Description of the Intervention
• Data Collection Procedures
• Data Analysis Plans
  • Describe plan for data analysis for demographic variables (descriptive statistical tests).
  • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

• Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study
Implications for Practice
References
Appendices

• Informed Consent Letter
  • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

Privacy breaches are serious offenses that negatively affect the trust between nurses and patients. To maintain this trust, nurses must maintain the privacy and security of patient information. Read the scenarios below related to the protection of health information.

Scenario 1

 A nurse posted the following comment on her social media page: “Can this shift be any longer? It started out with a waiting room full of nagging people that don’t seem to know what “emergency” means. Then I had to deal with the drama of trying to transfer a 400 lbs. (no joke) intubated COPD patient down the hall to the ICU, those ICU nurses are such divas and I wasn’t in the mood for their whining. Someone help!

• Describe the privacy and security issues related to this social media posting.

Scenario 2

 A nurse educator is preparing a presentation poster for an infectious disease conference. She includes pictures of varying stages of a client’s lesions in the poster.

• Describe the privacy and security issues related to the inclusion of patient information on the poster.

Scenario 3

• Marcus was admitted to the hospital from a long-term care facility. He was diagnosed with dehydration and delirium. He is expected to return to the facility. The charge nurse at the facility calls for an update regarding his status.
• Describe the privacy and security issues related to sharing this information with the long-term care facility.