Discussion: Identify a Practice Problem

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research
January 4, 2020
NURS 4100 Quality and Safety Through Evidence-Based Practice
January 8, 2020

Discussion: Identify a Practice Problem

Discussion: Identify a Practice Problem

 

Learning Resources

Required Readings

Brown, S. J. (2018). Evidence-based nursing: The research-practice connection (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 1, “The Research-Practice Connection” (pp. 1–15)
  • Part II, “The Evidence-Based Practice Impact Model” (pp. 245-247)
  • Chapter 11, “Asking Clinical Questions” (pp. 249-257)

Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 13, “Outcomes Research”
  • “Nurse Sensitive Patient Outcomes” (pp. 296-299)

National Database of Nursing Quality Indicators. (n.d.). National database of nursing quality indicators (NDNQI). Retrieved from http://nursingandndnqi.weebly.com/ndnqi-indicators.html

 

Press Ganey Associates, Inc. (2014). Press Ganey acquires National Database of Nursing Quality Indicators (NDNQI). Retrieved from https://www.pressganey.com/resources/reports/press-ganey-acquires-national-database-of-nursing-quality-indicators-(ndnqi-)

Document: Evidence-Based Practice Paper Guide (Word document)

Document: Week 1 Assignment Template (Word document)

 

Required Media

Laureate Education, Inc. (Producer). (2009d). Research and scholarship for evidence-based practice: Introduction [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 7 minutes.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Laureate Education (Producer). (2015f). Educational technology defined [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 16 minutes.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Writing Resources and Program Success Tools

Document: AWE Checklist, (4000). (Word document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Document: 4000 AWE Level Template with Instructions (Word document)

Document: BSN Program TOP TEN Citations and References (Word document)

 

Discussion: Identify a Practice Problem

Writing a clear evidence-based practice (EBP) question using the PICO format is the first step in developing a change in practice. In this Discussion, you will explore the steps involved in EBP and develop a researchable EBP question in the PICO format that addresses a patient quality and safety issue.

To prepare for this Discussion,

Review the following from this week’s resources:

  • AWE Checklist (Level 4000)
  • Discussion Rubric, provided in the Course Information area
  • This week’s Writing Resources and Program Success Tools (link to e-guide)
  • This week’s articles and media

By Day 3

Post the following:

In this Discussion you will identify three clinical practice problems in your current (or past) practice as a nurse that risk compromise to quality of care and patient safety. You will select one of these problems to clearly define the risk and ask a question using the PICO format. Asking the question and selecting the problem is the first step of the Impact Model that is discussed in the textbook. Evidence-based practice questions are asked and written in the PICO format and you will use this process as you develop an evidence-based practice project that will be completed in steps during the course.

Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphraseto incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)

By Day 7

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.

Post a Discussion entry on 3 different days of the week. See the Discussion Rubric found in the Course Information area.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

 

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 1 Discussion

 

Assignment: Evidence-Based Problem and Question

To begin your EBP project for the course, you will develop your PICO statement and practice question using the Evidence-Based Problem and Question template in this week’s resources. The template covers all three parts of this assignment:

  1. Identify one nurse sensitive indicator that you think is a problem in your workplace. Focus on everyday nursing practice issues such as, falls, pressure ulcers, unsafe work environment, pain assessment, peripheral intravenous, physical restraints, healthcare associated infections, or education.
  2. Use the four PICO categories to describe this clinical problem. For the purposes of this class it is not recommended students attempt to select the topics of staff ratios/mix or turnover, job satisfaction, nursing care hours provided per patient day, or insurance issues.
  3. Develop an answerable EBP question.

A “PICO Advice” discussion forum has been added to the Contact the Instructor section of the course to assist in development of the PICO related information. This forum is to provide students a centralized place to ask the instructor questions related to formation and revision of their PICO. All students are encouraged to review the discussion board as a way to learn from each other as PICO questions are explored and developed.

By Day 7

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment Template to review all three parts for the Assignment.
  • Click the Week 1 Assignment 
  • Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submitbutton to complete your submission.

Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment draft, and review the originality report.

 

Submit Your Assignment by Day 7

To submit your Assignment:

Week 1 Assignment