Feb 23, 2024 EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550
EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550 Part 1: Medication errors in nursing as a result of staffing shortage The selected nursing issue for the evidence-based practice (EBP) project is medication errors in nursing that happen due to staffing shortage. Medication errors are a significant problem in healthcare sector, especially at this time when there is nursing shaortage and high nurse turnovers. With reduced number of nurses working in the healthcare sector, the susceptibility of patients to medication errors increases, particularly adverse drug events that can lead to death and prolonged stays in hospitals (Buerhaus et al., 2017). The project will focus on the effectiveness of implementation of health information technology compared to the conventional ways of medication management to mitigate medication errors in critically ill patients. The selection of critically ill patients as the population of interest emanates from their increased vulnerability to injuries that need high-risk medication and more use of intravenous infusions which rises the possibility of medication errors. Health information technology can play an essential role in enhancing efficiency of nurses to offer required care and reduce medication errors. While errors are inevitable and lead to detrimental effects on patients, healthcare providers can leverage technological tools to reduce their likelihood through establishing appropriate measures. Health systems and providers can reduce the problem through organization-wide processes and not just through medication administration component alone (Trimble et al., 2017). Due to the increased demand on healthcare services that has resulted in provider shortage, health information technology can offer solutions to the issue. The EBP project will delve into the issue using evidence-based practice intervention and translational research to provide possible solutions to the health systems and practitioners like nurses. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550 Struggling to Meet Your Deadline? Get your assignment on EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550 done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline Part II: PICOT Question PPopulationCritically ill patientsIInterventionIntegration of health information technology in the medication administration processCComparisonUse of conventional medication management processOOutcomeReduction of medication errorsTTimeframeDuration of hospital stayPICOTAmong the critically ill patients (P), does the integration of health information technology (I) compared to conventional methods in medication administration process (C), reduce medication error (O) during hospital stay (T)?Problem StatementMedication errors remain a critical health challenge which impacts not just the nursing staff but also patients under their care. Medication errors sometimes do not cause harm. However, in most instances, they can be devastating to the nurses and harmful to patients. Nurses play a critical roel in protection of patients against mistakes and errors in the medication administration as they are exclusively responsible for administration, dispensation and monitoring of medications to patients (Trimble et al., 2017). While the healthcare struggles with increased nurse shortage due to high turnover, providers can leverage health information technology to reduce these adverse events and enhance protection of patients under their care. In their study, Alotaibi et al. (2017) assert that health information technology (HIT) offers numerous chances for enhancing and transforming healthcafe that include reduction of human errors, facilitating effective coordination and improving practice efficiencies. Therefore, through levarging on health information technologies like barcode scanning, electronic medication administration record (eMAR) and patient data management systems, electronic incident reporting and E-prescribing among other interventions, health organizations and providers can reduce medication errors and enhance patient safety despite having nurse staffing shortage. The implication is that these technologies reduce the possibility of errors that are mainly human mistakes by providers during the medication administration process. EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550 References Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631 Buerhaus, P., Skinner, L., Aurhach, D. & Staiger, D. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. DOI:10.1016/S2155-8256(17)30097-2 Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726 Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem. Catheter-acquired urinary tract infections are one of the most common hospital-acquired infections, and they have been shown to lead to adverse impacts on the patient (Flores-Mireles et al.,2019). Even though these infections are preventable, recent statistics indicate that the rates continue to rise. Catheter-acquired urinary tract infections lead to unwanted outcomes such as patient mortality and morbidity, increased spending on health care, and longer hospital stays (Kranz et al.,2020). In addition, they form part of the threat to patient safety which ends up increasing costs for both the patients and hospitals. However, the problem is preventable through various nursing interventions. While many nursing interventions have been implemented, the problem still persists, implying that more effective methods should be used (Wanat et al.,2020). This topic is relevant to nursing practice because nursing interventions can be used to reduce it. Interventions such as the use of the CAUTI bundle have been implemented; hence it is important to evaluate how effective they are. Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.) PICOT QuestionPPopulationPatients using indwelling urinary cathetersIInterventionThe use of CAUTI bundleCComparison OOutcome TTimeframe PICOT Problem Statement EVIDENCE-BASED PRACTICE PROJECT PROPOSAL IDENTIFICATION OF NURSING PRACTICE PROBLEM NUR 550 References Flores-Mireles, A., Hreha, T. N., & Hunstad, D. A. (2019). Pathophysiology, treatment, and prevention of catheter-associated urinary tract infection. Topics in Spinal Cord Injury Rehabilitation, 25(3), 228-240. https://doi.org/10.1310/sci2503-228 Kranz, J., Schmidt, S., Wagenlehner, F., & Schneidewind, L. (2020). Catheter-associated urinary tract infections in adult patients: Preventive strategies and treatment options. Deutsches Ärzteblatt International, 117(6), 83. https://doi.org/10.3238%2Farztebl.2020.0083 Wanat, M., Borek, A. J., Atkins, L., Sallis, A., Ashiru-Oredope, D., Beech, E., … & Tonkin-Crine, S. (2020). Optimising interventions for catheter-associated urinary tract infections (CAUTI) in primary, secondary, and care home settings. Antibiotics, 9(7), 419. https://doi.org/10.3390%2Fantibiotics9070419 Description: Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The project will be completed in sections, beginning in NUR-550 and culminating in a final written paper detailing the evidence-based practice proposal in NUR-590. The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patientsupport, trauma prevention, recovery, health screenings, etc.). Use the “PICOT Draft” template to complete this assignment. Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT statement. Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments. You are required to cite one peer-reviewed source to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to LopesWrite. Topic 1 DQ 1 Description: Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management. It is true that translational research produce meaningful and applicable results that benefit human health. Therefore, translational research provides critical information on human health. This research is classified under the translational (T) spectrum with levels 0 to 4. Each level is important in transnational research. Translational research generates accurate information that improves decision-making process in healthcare environment (Laxton et al., 2021). The ability of the same research to provide intervention from scientific discoveries attract healthcare professionals. Evidence-based practice (EBP) also emphasizes on research as the reliable fact-finding approach. The implementation of EBP in healthcare organizations has impacted patient outcomes (Lane-Fall et al., 2019). Factual information from research has enabled accurate decision-making process in healthcare facilities. The pressure to provide quality healthcare services compels healthcare organizations to implement evidence-based practice. EBP also promotes patient safety. However, research has been a tedious work among some healthcare professionals. As a result, EBP has failed in other healthcare settings. However, research in healthcare practice informs critical decisions. References Lane-Fall, M. B., Curran, G. M., & Beidas, R. S. (2019). Scoping implementation science for the beginner: locating yourself on the “subway line” of translational research. BMC medical research methodology, 19(1), 1-5. Laxton, D., Cooper, L., & Younie, S. (2021). Translational research in action: The use of technology to disseminate information to parents during the COVID‐19 pandemic. British Journal of Educational Technology, 52(4), 1538-1553. https://doi.org/10.1111/bjet.13100 Topic 1 DQ 2 Description: Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best. Rubric Criteria Total10 points Criterion1. Unsatisfactory2. Insufficient3. Approaching4. Acceptable5. TargetNursing Practice ProblemNursing Practice Problem (relevant to nursing practice, appropriate for an evidence-based practice project proposal, supported by current research)0 pointsA problem was not submitted.2.8 pointsA proposed problem is presented but is not relevant to nursing practice. The nursing practice problem lacks support from current research. A new nursing practice problem must be selected.3.08 pointsA relevant nursing practice problem for an EBP project proposal is presented and is generally supported by a current research article. Some information or revision is required. The explanation for why the topic is selected and its relevance to advance nursing practice is somewhat unclear. The nursing practice problem is conditionally approved; final approval is contingent upon revision.3.22 pointsA relevant nursing practice problem for an EBP project proposal is presented and is adequately supported by a current research article. Minor revision is needed for the nursing practice problem. An explanation for why the topic is selected and its relevance to advance nursing practice is presented. The nursing practice problem is conditionally approved; final approval is contingent upon revision.3.5 pointsThe proposed problem is highly relevant to nursing practice, strongly supported by a current research article, and excellent for an evidence-based practice project. A clear explanation for why the topic is selected and relevant to advance nursing practice is presented. The nursing practice problem is approved. No revision is needed.PopulationPopulation0 pointsThe population is not described.2 pointsThe description for the population is incomplete, or the information for the population is inaccurate.2.2 pointsA summary of the population is presented. More information is needed. Revision is required.2.3 pointsThe population is described. Minor detail is needed for clarity or accuracy. Minor revision is needed.2.5 pointsThe population is thoroughly and accurately described. No revision is needed.InterventionIntervention0 pointsThe proposed intervention is not described.2 pointsThe proposed intervention is incomplete, or the proposed intervention is not relevant to the population or problem.2.2 pointsThe proposed intervention is generally described and adequate to the nursing practice problem and the population. More information needed. Revision is required.2.3 pointsThe proposed intervention is described and adequate to the nursing practice problem and the population. Minor detail is needed for clarity. Minor revision is needed.2.5 pointsThe proposed intervention is clearly described and relevant to the nursing practice problem and the population. No revision is needed.Required SourcesRequired Sources0 pointsSources are not included.0.4 pointsNumber of required sources is only partially met.0.44 pointsNumber of required sources is met, but sources are outdated or inappropriate.0.46 pointsNumber of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.0.5 pointsNumber of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.Mechanics of WritingMechanics of Writing (includes spelling, punctuation, grammar, and language use)0 pointsErrors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.0.4 pointsFrequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.0.44 pointsOccasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.0.46 pointsFew mechanical errors are present. Suitable language choice and sentence structure are used.0.5 pointsNo mechanical errors are present. Appropriate language choice and sentence structure are used throughout.Format/DocumentationUses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.0 pointsAppropriate format is not used. No documentation of sources is provided.0.4 pointsAppropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.0.44 pointsAppropriate format and documentation are used, although there are some obvious errors.0.46 pointsAppropriate format and documentation are used with only minor errors.0.5 pointsNo errors in formatting or documentation are present.
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