Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

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A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.

Note: A healthcare problem can be broad in nature or focused.

2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

Note: Be sure to upload a copy of the full text of the articles with your submission.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers discussed in F2.
4. Identify one indicator to measure the outcome related to the recommendation.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Energy Systems in the body are used by both conventional and integrative medicine.

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True or False: Energy Systems in the body are used by both conventional and integrative medicine.
2. Select the most effective method that nurses can use to gain power over their practice.
3. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
4. What is the purpose of spiritual modes of healing?
5. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health.
6. Which best describes The Leapfrog Group and its recommendations?
7. A client’s blood pressure of 180/110 mmHg is an example of which of the following?
8. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching?
9. What is the definition of the ethical principle of nonmaleficence?
10. These characteristics are difficult to identify, but have an even more profound effect on an individual’s cultural identity.
11. Which of the following is a key element to effective education of nursing students?
12. Which of the following would NOT be considered an invasion of privacy:
13. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
14. Which of the following is not a characteristic of Integrative medicine?
15. When reviewing the term spirituality, which of the following would not be included in its definition?
16. This is the single most obvious barrier to providing culturally competent care.
17. Which situation is the nurse allowed to breech a client’s right of confidentiality?
18. Which of the following best describes conventional and integrative medicine?
19. Which characteristic is required in a person to be able to resolve difficult crises?
20. Where would a nurse look to find their scope of practice as defined by state law?
21. Identify an important aspect of the role of forensic psychiatric nurses
22.
The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?
23.
What is the first step in the delegation process?
24.
What is the most important element for the nurse navigator to include in the planning of care for a client?
25.
Identify a secured setting for the practice of forensic nursing.
26.
What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
27.
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
28.
When do most health-care expenditures occur in a person’s life?
29.
Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic?
30.
What is the primary goal of the nurse navigator role?

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

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2. Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce
Read “Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce,” located on the American Association of College of Nursing website.
Electronic Resource
3. Nursing and Health Reform
Read “Nursing and Health Reform,” located on the Wound Ostomy and Continence Nurses Society website.
Electronic Resource
4. The Affordable Care Act (ACA)
Read “The Affordable Care Act,” located at the HealthCare.gov website.
Website
19. Health Resources and Services Administration
Explore the Health Resources and Services Administration (HRSA) website.
Other
20. The Evolving Practice of Nursing
Read “The Evolving Practice of Nursing,” by Dickerson (2012). (Reprinted with permission)
Electronic Resource
21. New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients
Read “New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients,” by Haney (2010), located on the American Nurses Association website.
Gradable Items Details Points Possible
Assignment Evolving Practice of Nursing and Patient Care Delivery Models As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.