rounding up with school, credit  hours complete, studying for boards, now having scheduled reading for boards. beofre processing authorization to test. will study for 1 month after end of class. before taking test

Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.

• What have you done to prepare for your certification? 
• Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule?

Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

1. Competency
   Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

   Scenario
   Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

   Tony’s ABG results:
   pH 7.28
   PaCO2 – 55 mm Hg
   PaO2 – 70 mm Hg
   HCO3 – 30 mEq/L

   Instructions
   In a 1-2 page Word document:

   1. Determine Tony’s acid-base imbalance
   2. Describe possible causes of the imbalance
   3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
   4. List the multidimensional care strategies that are appropriate for the care of Tony
   5. Resources
      For assistance with citations, refer to the APA Guide.
      For assistance with research, refer to the Nursing Research Guide.
      Submit your completed assignment by following the directions below. Please check the Course Calendar for specific due dates.
      Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
      Jstudent_exampleproblem_101504

Directions for Preparing the Scholarly Worksheet

1. Read each of the instructions.
2. Download and complete the required Clarifying Research Worksheet under Templates below.
3. Review the Week 5 Assignment Tutorial below which reviews your Week 5 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same.
4. Two or more supporting scholarly sources are required. Textbooks are not allowed and should not be used as a scholarly source. Use the Chamberlain Library to locate relevant, scholarly sources.
5. No more than two direct quotes are allowed. You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment. Citations and references must be included.
6. Submit the completed assignment on the Week 5: Assignment.

Templates

Clarifying Research Worksheet (Links to an external site.)

Best Practices

• For questions about this assignment, please contact your instructor.
• Spell check for spelling and grammar errors prior to final submission. 
• Please see the grading criteria and rubrics.
• Please use your browser’s File setting to save or print this page.
• Integrity Matters: Review the syllabus and follow the Academic Integrity policy in the Student Handbook (Links to an external site.).

Scholarly Sources and Citations 

• Two or more supporting scholarly sources are required.
• No more than two direct quotes are allowed.
• Use APA format in citations and references.

Step 1 The scenario:

As a nurse educator, you will be giving an in-service workshop on the common alterations of cardiovascular functioning to a group of new ER nurses. To prepare for the workshop, you will review some more common alterations found in cardiovascular functioning.

Step 2 Select a cardiovascular disorder for this discussion and, if necessary, research the clinical manifestations of the disorder.

Step 3 In your post, describe the alterations in cardiovascular functioning associated with the disorder you have chosen. Be sure to cite all sources used and provide a reference using proper APA formatting.