Tag: Clinical-Nursing

Nursing Evidence Based Practice Research Paper

Details:

Throughout this course you will be developing a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed, but they should be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word count.

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Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.

This Nursing Evidence Based Practice Research Paper project contains six formal sections:

Section A: Problem Description

Section B: Literature Support

Section C: Solution Description

Section D: Change Model

Section E: Implementation Plan

Section F: Evaluation of Process

Each section (A-F, to be completed in Topics 1-5) will be submitted as separate assignments so your instructor can provide feedback for revision (refer to each Topic for specific assignments).

The final nursing evidence based practice research paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Refer to the “EBP Implementation Plan Guide, the “Evidence-Based Practice Project Proposal Format,” and the “Evidence-Based Practice Project Student Example” as tools for developing your proposal.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required for the final paper.

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

 

EBP Implementation Plan Guide

PICOT Question

Topic 1

Preliminary Checkpoint

·            Identify a health care issue you want to see change.

·            Understand the culture of the organization in its readiness for EBP implementation.

·            Develop PICOT question.

·            Build EBP knowledge and skills.

Notes:

Topic 2

Checkpoint 1

·            Define project purpose.

·            Who are the stakeholders for your project?

·            Identify active (on the implementation team) and supportive (not on the team, but essential to success) roles.

·            Identify project team roles and leadership.

·            Begin acquisition of any necessary approvals for project implementation and dissemination (e.g., system leadership, unit leadership, ethics board [IRB]).

·            Feasibility:Briefly integrate the evidence with stakeholder influence to inform evidence-based recommendations.

·            Hone PICOT question.

Notes:

Topic 3

Checkpoint 2

·            Conduct literature search and retain studies that meet criteria for inclusion.

·            Connect with librarian.

·            Critically appraise literature.

·            Summarize evidence with focus on implications for practice.

Notes:

Topic 4

Checkpoint 3

·            Begin formulating a detailed plan for implementation of evidence.

·            Include who must know about the project, when they will know, how they will know.

·            Connect the evidence and the project.

·            Identify and address known barriers and facilitators of project.

·            Define post-project outcome indicators of a successful project.

Notes:

Topic 5

Checkpoint 4

·            Define baseline data collection source(s) (e.g., existing data set, electronic health record), methods, and measures.

·            Identify resources (human, fiscal, and other) necessary to complete project.

·            Gather outcome measures.

·            Write data collection protocol.

·            Write the project protocol (data collection fits in this document).

·            Finalize any necessary approvals for project implementation and dissemination (e.g., system leadership, unit leadership, IRB).

Notes:

Topic 6

Checkpoint 5

·            Finalize protocol for implementation of evidence.

·            Complete final data collection for project evaluation.

·            Include specific plan for how the evaluation will take place: who, what, when, where and how, and communication mechanisms to stakeholders.

Notes:

Topic 7

Checkpoint 6

·            Complete proposal.

·            Develop proposal presentation.

Notes:

Topic 8

Checkpoint 7

·            Present proposal.

·            Review proposals, addressing new questions generated from process of the peer review.

Notes:

 

Nursing Evidence Based Practice Research Paper Proposal Format

Use the following format and headings when constructing your final Nursing Evidence Based Practice Research Paper

Title page

Abstract (Minimum of 350 words)

Contains project title, project director’s name, and affiliation.

Presents a complete concise overview of all phases of the proposed project.

Section A: Problem Description

Section B: Literature Support

Section C: Solution Description

Section D: Change Model

Section E: Implementation Plan

Section F: Evaluation

Appendices

Critical Appraisal Checklists

Evaluation Table

Conceptual Models

Timeline

Resource List

Proposal Instruments

Data Collection Tool

Budget

Optional

Approval Forms

Handouts

Evaluation Tools

Obesity is increasingly becoming a matter of great medical concern in modern health facilities. Tackling obesity should be prioritized in many health care facilities since it’s on the raise as the many researches carried out have shown. The specific impact of obesity is difficult to assess but its effect to general morbidity and premature death are known.

Body mass index (BMI) method is what is used to measure and determine if a person is obese as described by World Health Organization. This formulae is used in both male and female and gives the most vital indicator of overweight (BMI of 25 or above) and obesity. The BMI is only used as a guide as it does not put into account for muscle mass or for fat distribution which differ between individuals. In the United States the Obesity rates continues to rise at epic proportions. In order to tackle the menace, nurses and other medical professional should be in a position to handle and understand obesity.

The nurses need to know all aspects of obesity which include screening, predispositions, pathophysiology and management of the disease in order to help patients. The knowledge the nurses get will be important in lowering the number of cases of obesity in the country and in long run stop this growing epidemic. The number of obesity cases in children is raising rapidly and hence nurses who have knowledge on its management will be in a better position to help. By educating the nurses about obesity, the risk factors and co-morbidities that manifest due to obesity, will be handled in a professional manner and lead the Country to live in healthier ways.

Nurses will be taught on various causes of obesity in children which include lack of doing enough physical activities and prolonged immobility. Other causes factors leading to obesity include overeating in excess and combined with limited physical activities which will be well inculcated in their learning process. The learning about obesity will help nurses understand the pathophysiology of this life style disease, which is simply taking more calories than required.  Nurses will be introduced to the theory about child metabolism and hormone irregularities, which contributes to dysfunction of hormones and energy storage for a long period of time.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Mulherin, K., Miller, Y. D., Barlow, F. K., Diedrichs, P. C., & Thompson, R. (2013). Weight stigma in maternity care: women’s experiences and care providers’ attitudes. 
BMC pregnancy and childbirth
, 
13
(1), 19.

Swift, J. A., Hanlon, S., El‐Redy, L., Puhl, R. M., &Glazebrook, C. (2013). Weight bias among UK trainee dietitians, doctors, nurses and nutritionists. 
Journal of human nutrition and dietetics
, 
26
(4), 395-402.

Post
 a 
description of an adverse event
 in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by the student from their local community.

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

 

1. Perform a heritage assessment on three families. One of these families should be from your own culture.

2. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

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.

Peace in a personal or health crisis

What are you able to do that promotes, or would promote, peace in a personal or health crisis? How willing are you to use this skill? What would make you more willing to do this?

Spirituality in health situations

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Recognizing being a health care provider as a ministry of service, what are ways a health care provider can prepare to address spirituality in health situations for each of the following groups? 1. Oneself 2. One’s patient 3. The patient’s family 4. One’s colleagues

Different cultures, customs, beliefs, values and attitudes

Part I You are planning to expand your fast-food hamburger franchise internationally and have decided to open in the United Arab Emeritus, Israel, Mexico and China. Knowing that all of these countries and its people have different cultures, customs, beliefs, values and attitudes that are unique to their country and different from that of the United States, consider how this would impact your fast-food business. What are some of the considerations to keep in mind concerning how these different social and religious values and cultures have on food preparation and eating, the social behaviors to be sensitive to regarding employees and customers, the type of trainings that will be required, the work attitudes and behaviors, and any ethical standards that you may need to develop? Are the attitudes in these countries individualistic or collective?

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Part II If you were to send your top managers to these countries, what type of cultural shock should they expect? How would you help them alleviate this stress? Provide a few examples from each country.

Part III In many countries, “expeditors” can help you cut through layers of bureaucracy so that you can get your business done or done faster. Expeditors are normally paid for what they do, and they may ask you to help finance other expeditors within these countries that will help move your business request through the system faster. The methods that are being used could ultimately be unethical, illegal, or maybe not at all. How would you go about making sure the practice of an expeditor is legal? Would you approve a paid transaction requested by an expeditor if it was acceptable in the country, but unethical back in the United States? (defend your position) What business ethics are involved in your decision making process? What factors should you consider and who should you consult with and why?

Egyptian and Filipino cultural health customs influence on community health care delivery

Describe the cultural health customs of the Egyptian and Filipino cultures and how they influence the delivery community health care.

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As you can see I’m giving you one question to elaborate.  As stated in the syllabus present your assignment in an APA format on an Arial 12 font word document attached to th threat in the discussion tab of the blackboard. A minimum of 2 evidence based practice references are required and 2 replies to one of your peers sustained with the proper references are required.  A minimum of 500 words are required.

Qualitative and Quantitative Research Design Summary

Write a summary of each of the articles identified

Address the following:

Write one research summary that uses a quantitative research design.

Write one research summary that uses a qualitative research design.

Each summary should be 250-500 words and should follow the template provided in “Summarize Research Articles.”

Use APA Level Heading 2 to separate the distinct parts of the study in the Qualitative and Quantitative Research Design Summary.

This is topic two and also after that is the template, please follow closely, please provide references at least 3, APA format

 

Qualitative Research
–
 
Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives

The above-mentioned article is a classified as a qualitative research study due to the following qualifying factors
;

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It gives an insight into the problem being studied through the development of a hypotheses. This is seen in the paper from the background information that clearly introduces the issue of residents in nursing homes being sent to hospitals for treatment on pneumonia issues.

The study helps to uncover trends in thought and opinions by diving deeper into the problem- In the article, several interviews (about 14) were conducted to find out the number of times in that the residents were sent to the hospitals.

Common methods include focus groups (group discussions), individual interviews- As mentioned earlier on, the study was conducted through individual interviews that were carried out on some of the patients suggested by the nurses. Only those who could remember their visits to the hospitals and what had caused it were selected.

Rationale for choosing the journal(s) in which the articles were published.

The article qualifies as the best selection for the assignment since it one that is detailed in the steps that were taken to carry out the study. The article begins all the way from the abstract section and ends with a concrete conclusion. The article goes as far as providing tables that outline the data that was collected form the study

Quantitative research
– 
A Quantitative Study on the Condom-Use Behaviors of Eighteen- to Twenty-Four-Year-Old Urban African American Males

Qualities that qualify the study as a quantitative study include;

The method generalizes results from a larger sample population. -In this case, about 364 males were chosen to represent the population that was being studied. The results that were gotten from them were then analyzed and used for the analysis.

Quantitative data collection methods are much more structured than Qualitative data collection methods-In the research done on the condom use behaviors, structured methods were used in that there were collection surveys used; they were coded with unique identifiers and that were administered to the enrolled participants. This was done based on appropriate schedules in a secured office space at one selected community centers

To add on to the selection of the sample, the data analyses methods used in the study are complex in nature to ensure that the generalizations that were made were correct.

The above article is suitable for use in
this paper
because of the intensive work that has been done. A systematic analyses of how the study was conducted has been clearly outline making it reliable.

References

Stephen K, Sherry N, Jeffrey A et al(2007) A Quantitative Study on the Condom-Use Behaviors of Eighteen- to Twenty-Four-Year-Old Urban African American Males retrieved from 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950730/
 on 28th Sep 2017

Soo C, Mark L. & Lynne L., (2006) Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives retrieved from 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1379645/
 on 28th Sep 2017

Patten, M. L., & Newhart, M. (2017). 
Understanding research methods: An overview of the essentials
. Taylor & Francis.

These article summaries will form the basis of the Critique of Research Studies Parts 1-3 assignments in Topics 4, 6, and 8.

Summarize Research Articles

Direction
s: Use the templates below when summarizing your research articles. Include a cover page, and start a new page for each article summary. Use level 1 and 2 headings when composing the summaries to separate distinct parts.

Title of Quantitative Article

(Example of text: This article was authored by Watson and James and published in the 
Journal of Nursing Research
 in 2008. This article was selected as an example of a quasi-experimental design. The model summary selected for this paper is found in the
 Nursing Research: Generating and Assessing Evidence for Nursing Practice
 textbook.
This
is a summary of a quasi-experimental study in which though there is a comparison group; subjects were not randomly assigned to groups. The research article being summarized also is an experiment that used a comparison group without randomization.)

Problem Statement

Statement of Purpose

Research Question(s)/Hypothesis

Study Methods

Key Findings

Citation

Title of Qualitative Article

(Example of text: Ramirez (2008) studied adolescent depression and the influence of significant adults on the course of the depression. The model summary utilized is found in the 
Nursing Research: Generating and Assessing Evidence for Nursing Practice
 textbook. It was selected because it is an example of a grounded theory study, as is the article selected.)

Problem Statement

Statement of Purpose

Research Question(s)

Method

Key Findings

Citation

Describe the qualitative design (or methodology) of the article you selected. Present the strengths and limitations of this type of design according to the textbook, and explain how these strengths and limitations are reflected in your study.  APA Format, 300 words, 2 references