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.

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.

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

Nursing as a profession firmly depends on the ethical principles of beneficence, respect for persons, and justice. These ethical principles are the standards for the conduct of nursing studies (Manton et al., 2014). The ethical study is primary for generating evidence for nursing practice. The complex ethical regulations and codes governing studies; and the different interpretations of these codes and regulations.

Johnstone (2016) states there is no Signiant difference between the terms of ethics and morality however, Atkins et al (2014, p26) disagree, believing ethics is different than morals stating that moral principles are beliefs that a person considers ethical. Ultimately, the main message for nurses to live, work and research ethically and to follow a “good life” from which all humans can flourish emotionally, physically, morally, interpersonally psychologically, and socially (Atkinset al, 2014, p24)

One of the controversial cases happened in 1932, the U.S. Public Health Service (U.S. PHS) initiated a study of syphilis in black men in Alabama (Brandt, 1978; Reverby, 2012; Rothman, 1982). 40 years old study, was conducted to determine the course of syphilis in black men. The research subjects divided into two groups: 1st group consisted of 400 men who had untreated syphilis and the other control group of 200 men without syphilis. Most of them neither consented to participate in the study nor informed about the purpose and procedures of the research. Some of the study participants were subjected to spinal tapping and told that the procedure was to treat “bad blood” (Reverby, 2012). Untreated syphilis has devastating effects on the brain, heart, and also for pregnant women. By 1936, research results indicated that the group of men with syphilis has more complications than the control group. 1o years after, the death rate of the group with the disease was double as that of the control group. These subjects examined periodically but were never administered penicillin, even after becoming the standard treatment for the disease in the 1940s (Brandt, 1978). Published reports of the Tuskegee syphilis study first started appearing in 1936, and more papers were published every 4- 6 years. In 1953, Nurse Eunice Rivers was the first author on a publication about the study procedures to retain subjects over time (Rivers, Schuman, Simpson, & Olansky, 1953).  Only then did the U.S. Department of Health, Education, and Welfare has to stop the study. An investigation of the Tuskegee syphilis study found it to be unethical. In 1997.

The HIPAA Privacy Rule established the category of protected health information (PHI), which allows covering entities, such as healthcare clearinghouses, health plans, and healthcare providers that transmit health information, to use or disclose PHI to others only in some certain conditions. It applies to studies conducted in a healthcare setting that accesses PHI and studies that involve the collection of PHI (U.S. DHHS, 2010). The patient or the subject of the research has to provide his authorization, signed authorization before the PHI can be disclosed for study purposes. Any research proposal with human subjects must comply with federal regulations whether it is funded or unfunded research.