Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified.

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Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement  

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS-433V-RS-Research-Critique-Guidelines.docx

Nurse Manager Skills Inventory

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Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Evaluation of Outcomes

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Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.

To prepare:

  • The course text, Translation of Evidence into      Nursing and Health Care Practice, provides a list of questions that should      be considered when planning for evaluation. See page 239 for this list of      questions.
  • Review the Learning Resources focusing on the      various evaluation frameworks presented. Select a framework and determine      how you would evaluate the outcomes you identified in the Week 9      Discussion (see week 9 discussion in the file area).
  • Based on the possible results of your      evaluation, envision new practice guidelines you would develop.
  • What new standards of care might this lead to?

By tomorrow Wednesday 10/30/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS (see attached files) below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion [see week 9 discussion in the file area]).

2) How would you evaluate the outcomes? Support your response with evidence from the literature.

3) What new practice guidelines would you create based on your evaluation of those outcomes?

4) Discuss any new standards of care that would be appropriate based on the new practice guidelines.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      17, “Data Management and Evaluation of Translation” (see attached file)

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Describe how you would use the data from the lesson learned for organizational improvement.

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Regulatory Requirements, Leadership, and Risk Management

The Deficit Reduction Act of 2005 and the institution of the  Inpatient Prospective Payment System of 2007 were sentinel events for  health care leaders with respect to quality management and regulatory  compliance. The creation of Present on Admission (POA) and “never  events” accountability required health care leaders to change processes  and to assess and manage potential risks. Additionally, these events  required leaders to effectively intervene for assurance of quality care  or risk denial of payment for services (Youngberg, 2011, pp. 70–71, 78).  The era of accountable care organizations was driven by policy change.

Review the Hospital Acquired Condition (HAC) list from Appendix 7-B on page 79 in your Principles of Risk Management and Patient Safety text.

Imagine that you are the risk manager of an accountable care  organization. Select one never event from the list on page 79 and  describe how you would institute proactive monitoring for POAs. For this  discussion:

  • Describe how you would intervene when an HAC occurred.
  • Identify departments or functional areas that would be involved in reporting to regulatory entities.
  • Describe problem resolution.
  • Describe how you would use the data from the lesson learned for organizational improvement.

An outline format is acceptable for this discussion as long as you  include in-text citations. Distinguished posts will describe, in 1–3  sentences, the role of a risk manager and briefly define an accountable  care organization, using a government or other credible industry source.  Additionally, distinguished posts will include a short 3–5 sentence  summary on how to create a culture to enhance voluntary, non-punitive  reporting of “never events.” Include a minimum of one peer-reviewed or  best practice resource.

Initial posts should be based upon peer-reviewed, evidence-based  literature. In your post, include at least one APA-formatted in-text  citation and accompanying, congruent APA-formatted reference. Your  source can be a course textbook, assigned reading, or other scholarly  source.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

Response Guidelines

Respond to the posts of other learners according to the Faculty  Expectations Response Guidelines. If possible, respond to one learner  who has a perspective, background, or goals that are similar to yours,  and to one learner whose perspective, background, or goals are  different. Peer responses should be substantive and need to include one  peer-reviewed source that aligns with the discussion thread. You may  feel free to add an additional source that is new or provides a  completely different perspective. “I agree” and “Thanks for sharing your  insights” are examples of responses that do not contribute content for  enhanced learning and are unacceptable. The goal is quality, substantive  feedback that demonstrates higher order critical thinking and  evaluation of peers’ initial posts.

Resources

  • Discussion Participation Scoring Guide.
  • APA Style and Format.
  • Capella Library.
  • How Do I Find Peer-Reviewed Articles?.
  • Interpretations of Integration in Early Accountable Care Organizations.
  • Sustainable Competitive Advantage for Accountable Care Organizations.

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Research and Resources

Being part of a close community of people who share your interests  can be a great advantage to your professional and intellectual  development.

This course requires you to discover and utilize peer-reviewed and  professional resources for discussions and assignments. For this  discussion’s initial post, please share the complete citation of an  article or resource you have discovered. It could be an interesting  source but one not yet used in the course. Provide a brief summary of  the content and what search terms or tactics you used to find this  resource. How useful was the resource? Will it be something you will  continue to refer to throughout the course or in your professional work?  If the resource was not what you needed for your research, would you  recommend it for someone else’s topic?

Response Guidelines

Respond to the posts of other learners according to the Faculty  Expectations Response Guidelines. If possible, respond to one learner  who has a perspective, background, or goals that are similar to yours,  and to one learner whose perspective, background, or goals are  different. In your responses, ask questions or share search terms. This  is a chance for you to discuss the scholarly research process and the  successes you have or obstacles you may encounter.

Resources

  • Discussion Participation Scoring Guide.
  • APA Style and Format.
  • Capella Library.
  • How Do I Find Peer-Reviewed Articles?.