Therapeutic intervention

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The clinical environment for the paper is a immunization clinic of a military hospital.The clinical problem should be from a scenario of vaccination error at the immunization clinic.(scenario should be stated in paper) Use The Joint commission, national patient safety goal to support the paper (this is not part of the required references). Please, this is a nursing class, writing must be professional, APA format, and grammar should be simple. Other instructions; guidelines, writing tips, and rubrics are attached. Please read carefully and follow instructions. Paper is maximum of 7 - 8 pages

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Therapeutic Nursing Interventions Paper practice research practice Purpose: The purpose of this paper is to define a clinical problem, review the literature for appropriate research supported nursing interventions, critique current practice and provide a plan for changing or adapting clinical practice. Role: You are an RN working in a clinical environment. Each unit has its own ‘way of doing things’. As an emerging leader, you are charged with questioning WHY things are done the way they are. Is there literature to support the way things are being done or should changes be made based on evidence? Audience: When writing this paper, your audience is your peers. Write in a way that utilizes professional terms, but also explains terms and concepts. Just as you are learning as you compose the paper, you will want to write in such a way that a peer could understand what you are presenting. Guidelines: 1. Introduction. Introduce the reader to the concepts being presented and the issue to be discussed. Describe the specific settings and the practices within the setting. (For example, ‘a 40 bed med-surg unit in an urban area’). 2. Present the Clinical Problem. Identify a clinical problem in your practice [i.e., pain, nausea, depression, anxiety, medication errors, delirium, sleep deprivation etc.] Note: This is not a professional health care issue such as staffing, entry level of education, etc. o Define the problem as it is found in your practice environment (do NOT use textbooks) o Describe why this is a clinical problem in your environment o Explain why you chose this problem to investigate o Be very specific with examples. 3. Current Clinical Practice. Describe the current clinical practice relating to this problem. o Summarize the formal mechanisms for dealing with this problem or the formal mechanisms that create the problem [i.e., policy manual, standard of practice, clinical path, etc.] o Summarize the informal mechanisms for dealing with the problem or that create the problem [What the actual current practice is]. o Analyze the rationale for any discrepancies between the formal and informal methods 4. Nursing Interventions. Identify three [3] nursing interventions from the literature, which address this clinical problem. The interventions should be based on current literature (literature should be no more than 5years). At least one intervention must be based on research. These are therapeutic interventions, which means that they are focused on improving patient care. Textbooks may be used as a citation source, but are not the best sources. o At minimum 6 sources of current literature are needed to support the interventions- At least two [2] sources of literature must be primary research or evidenced based practice studies. o In your paper analyze the relationship between the research, other literature and the clinical problem. o Develop a hypothesis for a nursing intervention you would like to test to handle the problem you chose. 5. Summary. Should conclude your assignment with a summation of the problem and your interventions. 6. APA format. It is expected that the principles of good writing will be used. Including grammar, punctuation, spelling and sentence structure. This paper must follow the guidelines of APA format (6th edition). The Therapeutic Nursing Interventions (TNI) paper is a significant paper in this course. Below are some tips to answer some frequently asked questions about this paper. • • • • • • • • • Review writing guidelines and watch the narrated powerpoint before beginning this paper. This will help you understand the components of this assignment. Select a problem that is a patient centered problem within your environment. If you are in administration “talk” with your mentor about your ideas. However, your issue should address a patient centered problem. Use headings and sub-headings for sections to correspond to the grading sections. This helps keep you focused and helps faculty evaluate the assignment. This paper requires specific examples. Included in the introduction is a requirement for “setting” and “practices within the setting”. Give specific information about the unit or environment the problem occurs within. Give specific examples of the practices within the setting related to the problem. The “Current Practice” section asks for formal and informal mechanisms. This asks for you to identify what is current policy [i.e.] What is in the procedure manual related to the problem.] also called a formal mechanism and what is informally done [i.e. What the nurses actually in practice do.] Sometimes the procedure manual for how something is done differs greatly from what is actually done by the nurse on a day-by-day practice. You are asked to provide a rationale for this difference or state no difference occurs. You are charged with identifying 3 nursing interventions to address the problem you identified. One of the interventions must be based upon research. Standard research or data behind best practices. The other two interventions can be from research, current literature or expert opinion. You are also asked to discuss any differences or identify similarities in interventional support of the problem. You are required to have 6 sources of professional literature to support your interventions. 2 of the 6 must be research. Don’t forget the very small section about “Identification of a Potential Research Study related to the problem you identified or to the interventions. This is your idea, not what is currently in the literature. The paper should be able to be completed in a maximum of 7-8 pages not including title page or reference page. APA format and good writing skills are a must! Be succinct and specific. Avoid the use of colloquialisms or regional ‘sayings’, this is a professional paper and should be written in such a manner. Therapeutic Nursing Intervention Grading Rubric Content Area Introduction • (15) Clinical Problem clearly defined • (15) Current Practice • (15) Includes clear discussion of practice setting. Nursing practice issue to be discussed is clearly defined including scope of problem (15) Clear discussion of - why it is a problem in this practice setting -why chosen for this discussion -Specific examples used to illustrate discussion (15) Includes clear discussion of practice setting. Nursing practice issue to be discussed identified. (10) Includes general identification of practice setting and nursing practice issue to be discussed (5) Introduction is missing clear discussion of practice setting and nursing practice issue to be discussed. (0) Discussion includes -why it is a problem in this practice setting -why chosen for this discussion Lacks specific discussion (10) Discussion includes unclear discussion of following OR only one of following -why it is a problem in this practice setting -why chosen for this discussion (5) Lacks -why it is a problem in this practice setting -why chosen for this discussion - No examples used (0) -Discussion of identified formal mechanisms (present or absent) - Discussion of informal mechanisms related to the problem (present or absent) Provides clear rationale for discrepancie -Discussion of formal mechanisms (present or absent) - Discussion of informal mechanisms related to the problem (present or absent) -Rationale for discrepancies between the formal and Missing any of the following components -Formal mechanisms (present or absent) -Informal mechanisms related to the problem (present or absent) -Rationale for discrepancies between the formal and informal method Missing or unclear discussion of 2 or more of the following -Formal mechanisms (present or absent) -Informal mechanisms related to the problem (present or absent) -Rationale for discrepancies between the s between the formal and informal method -Provides relevant and current literature to support formal and informal mechanisms (15) Nursing Interventions -Student identifies 3 • (15) interventions identified which are not currently in practice -At least one intervention is from a primary nursing research article, or evidence based practice literature -Consider an intervention that reflects an understandi ng of the culture. Intervention s are based on current literature and could be incorporated into your environment . This is not just a review informal method -Literature to support formal and informal mechanisms not current/applica ble (10) Literature to support formal and informal mechanisms has some missing elements (5) formal and informal method - Current Literature to support formal and informal mechanisms (0) Following components present but lacks some clarity/ thoroughness - Student identifies 3 Interventions identified which are not currently in practice -At least one intervention is from a primary nursingresearc h article, or evidence based practice literature -Consider an intervention that reflects an understanding of the culture. Interventions are based on current literature and could be incorporated into your environment. This is not just a review of literature, it is to be applied Missing some components of following or lacks clarity of more than one element. -3 Interventions identified which are not currently in practice -At least one intervention is from a primary nursing research article, or evidence based practice literature -Consider an intervention that reflects an understanding of the culture. -Interventions are based on current literature and could be incorporated into your environment. -This is not just a review of literature, it is to be applied to your practice setting. - A specific strategy to implement (5) Missing major components and/or lacks clear & organized discussion of the following-3 Interventions identified which are not currently in practice -At least one intervention is from a primary nursing research article, or evidence based practice literature -Consider an intervention that reflects an understanding of the culture. -Interventions are based on current literature and could be incorporated into your environment. -This is not just a review of literature, it is to be applied to your practice setting. - A specific strategy to implement (0) Use of literature support • (15) Summary (5) APA format (10) of literature, it is to be applied to your practice setting. - Includes a specific strategy to implement. (15) Student provides a total of 6 sources of professional literature -Includes at a minimum of 2 sources are primary nursing research, or evidenced based practice literature - Provides analysis of relationship between clinical problem, research support and other literature (15) Provides succinct summary of problem including hypothesis for needed research (5) Includes all aspects of APA including correct- to your practice setting. - A specific strategy to implement (10) -Student provides 5 or more sources of professional literature -At minimum 2 sources are primary nursing research, or evidenced based practice literature -Analysis of relationship between clinical problem, research support and other literature lacks clarity.(10) -Lacking total 6 sources of professional literature. (literature is not professional source or is not current) -At minimum 2 sources are primary nursing research, or evidenced based practice literature -Analysis of relationship between clinical problem, research support and other literature is missing or lacks clarity (5) -Lacks required 6 sources of professional literature, literature is outdated or not applicable -Does not provide a minimum 2 sources are primary nursing research, or evidenced based practice literature -Lacks analysis of relationship between clinical problem, research support and other literature (0) Provides clear summary of problem. (4) Summary is unclear. Lacks hypothesis for further research (2) Missing, disorganized or summary does not relate well to paper (0) 1-2-Missing or incorrect components of APA (7) 3-4 missing or incorrect components of APS (3) Lacks use of APA style or major mistakes in each of the 5 major areas (0) Grammar/Syntax (10) Grade -Running head -Cover page -Headings -Citations -References (10) 0-1 errors (10) 2-4 errors (7) 5-7 errors (4) More than 7 errors (0)
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