Applying and Sharing Evidence, health & medical homework help

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timer Asked: Jun 12th, 2017
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Question Description

THIS IS FOR WEEK 7 NR-439 RN-BSN EVIDENCE BASED PRACTICE AT CHAMBERLAIN

Applying and Sharing Evidence to Practice (graded)

  • After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.
  • Choose one of the articles from the RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.
    • Translating research into practice is the final and most important step in the research process. Review information you found in your Week 3 Assignment, and explain ways in which you would share the research-based evidence with your peers.

This is the instructions I used for the week 3 assignment.

I am going to upload the week 3 assignment I did I had 46/50 points.

Week 3 Assignment

The PICOT/Evidence Appraisal Assignment is due by Sunday, 11:59 p.m. MT. The guidelines and grading rubric, as well as the form to be filled in, may be found in Course Resources under Course Home. Please post any questions about the assignment to the Q & A Forum.

Submit the assignment to the Dropbox located at the top of this page. For instructions on how to use the Dropbox, read these step-by-step instructions.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.



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Chamberlain College of Nursing NR 439 PICOT Worksheet PICOT Worksheet – Week 3 PART 1: PICOT QUESTION Name: Jean Jerome Date: 5/20/2017 Your Instructor’s Name: Candice Phillips Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project. Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet. Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles. Step 2: Identify the problem. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question) Step 3: How was the practice issues identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply. Step 4: What evidence must be gathered? What sources of reliable information will be helpful for your particular question? Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed? NR439 PICOT Worksheet 4/19/17 jw 1 Chamberlain College of Nursing NR 439 PICOT Worksheet PICOT Question What is the PICOT questions? In post-op patients, what is the effect of aseptic technique during the insertion of urinary catheter compared with non-aseptic technique or a contamination of the sterile field? Define each element of the question below: P- (Patient, population, or problem): Post-op patient with Foley catheter I- (Intervention): Aseptic technique during insertion C- (Comparison with other treatment/current practice): Compared to proper aseptic technique prior to insertion O- (Desired outcome): Number of patient with post-op CAUTI T- (Time Frame): 24 hours’ post-op to minimize risk What is the practice issue/problem? What is the scope of the issue? What is the need for change? According to Monina Gesmundo, RN, BSN in her article: Enhancing Nurses’ Knowledge on Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. “The life cycle of a catheter begins with the doctor’s decision to insert it. Nurses insert a catheter and keep it in place. Nurses are also responsible for catheter assessment and for making the doctor aware of its presence. Once reminded of the catheter’s existence, the doctor is then expected to recognize that the catheter is not necessary and order its removal. The last step involves the nurse, who responds to the doctor’s order by removing the catheter (Meddings & Saint, 2011)” (Gesmundo, 2016). The scope of the issue has become so significant it has become one of the huddle during shift change. I order to reduce the risk of infection related to the presence of a urinary catheter there must regular in-service/workshop to educate the nurse on how to properly care for the urinary catheter once inserted. Gesmundo explains it very well on her evidence based practice article mentioned on the previous paragraph. NR439 PICOT Worksheet 4/19/17 jw 2 Chamberlain College of Nursing NR 439 PICOT Worksheet The recommendations from this research are: • Health-care workers involved in catheter care should receive regular in-service education. • Catheter care policies should be aligned with evidence-based guidelines. • Workflow reminders should be developed and distributed. • Procurement of catheter care products should be standardized. • A CAUTI surveillance program should be run. • A comprehensive quality improvement program using a CAUTI prevention bundle should be implemented. (Gesmundo, 2016) What is the practice area? __X_ Clinical ___ Administration _X_ Education ___ Other How was the practice issue identified? (check all that apply) _X__ Difference between hospital and community _X__ Safety/risk management concerns practice _X _ Unsatisfactory patient outcomes __X_ Clinical practice issue is a concern ___ Wide variations in practice ___ Procedure or process is a time waster ___ Significant financial concerns ___ Clinical practice issue has no scientific base ___ Other: What evidence must be gathered? (check all that apply) I would look through medical library data base for EBP article or studies that have been done on the field or related to the subject in question. _X__ Literature search _X__ Clinical Expertise _X__ Guidelines ___ Financial Analysis __X_ Expert Opinion ___ Standards (Regulatory, professional, community) __X_ Patient Preferences ___ Other NR439 PICOT Worksheet 4/19/17 jw 3 Chamberlain College of Nursing NR 439 PICOT Worksheet Search terms/How to narrow the search? To narrow the search, I would create a list of key words with direct relationship with the topic, and look through medical library data base for EBP article or studies that have been done on the field or related to the subject in question. CAUTI, indwelling Foley catheter, catheter insertion, infection, UTI, post-op infection, urinary infection. NR439 PICOT Worksheet 4/19/17 jw 4 ...

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