NR 505NP Week 1: Area of Interest in NP

Sample Answer for NR 505NP Week 1: Area of Interest in NP Included After Question

Week 1: Area of Interest in NP

Discussion

Purpose

Over the course of the next eight weeks, we will be examining concepts related to nursing research and the translation of evidence to practice. To help you better understand the process, you will be identifying a practice issue for nurse practitioners. You will develop a PICOT question associated with the issue, find evidence to support a change in practice, and present your recommendations for change to your peers. This week, we will work on helping you refine your area of interest so that you will be able to develop a concise question for next week’s assignment. You are encouraged to use the area of interest you chose for the project in NR500NP and/or NR501NP; however, you may choose a different area if you wish.

Select an issue in nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic. In 1-2 paragraphs, describe the scope and relevance of the issue and your recommended change. Provide reference support from at least two outside scholarly sources to support your ideas. Please pick something you can do as a NP in your practice that is patient focused. Your intervention needs to relate to a measurable patient health outcome. Please avoid anything that would require a policy or law change, such as full-practice authority. Burnout and satisfaction surveys also are not appropriate topics as they are not patient centered. 

Review this 4-minute video to gain a better understanding of the requirements of a PICOT question. The PICOT question is not a research question, but a quality improvement issue that requires a practice change. 

Due Date

A Sample Answer For the Assignment: NR 505NP Week 1: Area of Interest in NP

Title: NR 505NP Week 1: Area of Interest in NP

A 5% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0 for any portion of the discussion not posted by that time).

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Saturday.

A zero is the lowest score that a student can be assigned.

Faculty may submit any collaborative discussion posting to Turnitin in order to verify originality.

Total Points Possible: 50

Preparing the Assignment

Discussion Criteria

Application of Course Knowledge: The student’s initial post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question. Initial post must be posted by Wednesday at 11:59pm MT. Two resources must be used in your initial post. One from the weekly reading or lesson and one outside source.

Engagement in Meaningful Dialogue: The student responds to a student peer and course faculty to further dialogue.

Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.

A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
The peer response must occur on a separate day from the initial posting.
The peer response must occur before Sunday, 11:59 p.m. MT.

The peer response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.

Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.

A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
The faculty response must occur on a separate day from the initial posting.
Responses to the faculty member must occur by Sunday, 11:59 p.m. MT.

This response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.

Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week. Two resources total and to count must be an in-text citation in your initial post.

What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).

Contains references for sources cited
Written by a professional or scholar in the field and indicates credentials of the author(s)

Is no more than 5 years old for clinical or research article

What is not considered a scholarly resource?

Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
Information from Wikipedia or any wiki
Textbooks

Website homepages
The weekly lesson
Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)

Can the lesson for the week be used as a scholarly source?

Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.

Are resources provided from CU acceptable sources (e.g., the readings for the week)?

Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.

Are websites acceptable as scholarly resources for discussions?

Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources

Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Wednesday Participation Requirement: The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

Discussion Rubric

Category	Points	Description
Application of Course Knowledge	15	Answers the initial discussion question(s)/topic(s), demonstrating knowledge and understanding of the concepts for the week by Wednesday at 11:59pm MT.
Engagement in Meaningful Dialogue With Peers and Faculty	10	Responds to a student peer AND course faculty furthering the dialogue by providing more information and clarification, adding depth to the conversation
Integration of Evidence	15	Assigned readings OR online lesson AND at least one outside scholarly source are included. The scholarly source is: 1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years
	Total content points = 40 points
Grammar and Communication	5	Presents information using clear and concise language in an organized manner
Reference Citation	5	References have complete information as required by APA In-text citations included for all references AND references included for all in-text citation
	Total format points = 10 points
Discussion total points = 50 points

**To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.

We will start this week by discussing a practice issue in an area of interest as an NP. Please focus on an area of interest that is a practice change issue you would like to implement as an NP.

You will want to avoid anything requiring a policy or law change, such as full-practice authority. Focus on what you see as a need for change in practice that would improve patient outcomes.

I am looking forward to reading your work!

If you haven’t already, please join the NP Cafe! It has many resources to help your journey in this course succeed! 

This café is designed to create a community of support and friends. Get to know your fellow students and share some information, ask questions, and answer questions. It will also contain vital information to help your educational journey here at Chamberlain.

Please join the café by joining the following link. You must be logged into Canvas before you click on the link:

https://chamberlain.instructure.com/enroll/NFEETE

Remember, I am available to you by text with urgent questions or concerns! 

I have included a template that demonstrates how to write PICOT Questions. This is written by Stillwell et al. (2010).

It is a classic piece of literature. It remains as current today as when it was written! 

I hope it helps you as you compose your PICOT question!

With care, 

Dr. Carter 

                                                                  Question Templates for Asking PICO Questions

THERAPY/INTERVENTION-which intervention leads to the best outcome?

In (P) _______________________________, how does (I) _____________________ as compared with (C)___________________________________ affect (O)________________________

within (T) ____________________________________?

ETIOLOGY – to determine the most significant risk factors or causes of a condition.

Are (P)_________________________ who have (I)_________________________  as compared with those without (C)______________________________at (O)___________risk for _________________________ over (T) ___________________________?

DIAGNOSIS OR DIAGNOSTIC TEST – to determine which test is more accurate and precise in diagnosing a condition.

In (P) _________________________________ are/is (I)________________________compared with (C)_________________________________________ more accurate in diagnosing

(O) ____________________________________________________?

PROGNOSIS/PREDICTION – to determine the clinical course over time and likely complications of a condition.

In (P) _____________________________________how does (I) _________________________

Compared with (C)______________________________________ influence (O)_____________________ ____________________ over (T) ________________?

MEANING – to understand the importance of an experience for a particular individual, group, or community.

How do (P)______________________ with (I)________________________

perceive (O)_________________ during (T)__________________________?

                                                                                             Reference

Stillwell, S., B., Fineout-Overholt, E., Melnyk, B., M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing 110(3), 58-61                                                   

We will be using the 7th Edition APA Edition.

You may need to be made aware of this change in formatting!

Please refer to this student guide for your citations and references! 

APA is an expectation in a graduate program! 

Please reach out to me if you have any questions!

                                                  7th Edition APA Tips for RNBSN Students for Assignments
                                                                                        APA Tips
Note: Yellow highlight below is to draw your attention to the relevant content in the example. Do not highlight your assignment.
                                                                                   7th Edition APA 
                                                                                   Manual Support
                                       Please use spell check, grammar check, and proofread your work before submission. 
APA Edition Tip: Student papers no longer need “Running head” or SHORT TITLE on the page header. The only element in the page header should be the page number right aligned. Page 44 and Page 61, for example
APA Edition Tip: The title should be in Title Case, bold, centered, and positioned in the upper half of the title page. 
Page 32
APA Tip: The date on the title page should be the submission date, not the session date. Page 32
APA Tip: Level 1 headings should be centered, bold, and use Title Case. Page 47-48
APA Tip: Spell out an abbreviation the first time it is used, then put the acronym in 
parentheses following it. You may then use the abbreviation throughout your 
assignment.
Example: registered nurse (RN) Page 173
APA Tip: Only use the first person in a scholarly paper if you express your views if directed to do so in assignment directions.
Page 120
APA Tip: Spell out contractions. Example: do not instead of don’t Page 116
APA Tip: If a sentence begins with a number, it must be spelled out. Illustration: Ten years ago…..Page 179
APA Tip: Spell out numbers under 10. Example: There are seven continents…..Page 179
APA Tip: Always cite any statements of fact that originated from another source. Page 253
APA Tip: For work with more than two authors, citations should be written: with more than two authors, use the first author’s last name, et al., Example: Siu et al. (2018) suggest nursing managers…..Page 266
APA Tip: Only authors’ last names are included in the citation.
Example: According to Finkelman (2016),…..
Example: Conflicts can’t be eliminated, although with guidance and leadership can be 
managed (Finkelman, 2016). Page 262
APA Tip: When the citation is outside parentheses, use “and” to connect the authors. 
Example: According to McCauley and Christiansen (2019)……Page 266
APA Tip: When the citation is inside of parentheses, use an ampersand (&) to connect the authors.
Example: …rate the pain (McCauley & Christiansen, 2019).Page 266

Reference Page APA Tips 7th Edition APA 
Manual Support
APA Tip: The title “References” should be capitalized, bold, and centered.

DO NOT USE “Retrieved from” in your references! Page 40
APA Tip: Italicize the title of the journal and volume.
Peters, T. (2018). Pain management: Do nonpharmaceutical methods work? Pain Management, 
20(6), 55-65. https://doi.org/10.1095/1167-9225/20.2.12Links to an external site. Page 294
APA Tip: For a journal article, capitalize the first word and the first word after a colon and proper nouns.
Peters, T. (2018). Pain management: Do nonpharmaceutical methods work? Pain Management, 
20(6), 55-65. https://doi.org/10.1095/1167-9225/20.2.12Links to an external site. Page 291
APA Tip: For a webpage, italicize the title of the webpage.
Centers for Disease Control and Prevention. (2018, August 22). Preventing HPV-associated cancers.
 https://www.cdc.gov/cancer/hpv/basic_info/prevention.htm/Page 291
APA Tip: For a book title, capitalize the first word and the first word after a colon and proper nouns. Italicize the book title.
Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of 
Populations (7th ed.). Elsevier.
Page 168
APA Tip: The publisher’s location (city and state) is not included in the reference.
Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of 
populations (7th ed.). Elsevier.
Page 295
APA Tip: Do not use “Retrieved from” in a reference for a website, but the URL should be used. 
For sources with a DOI, it should be written as https://doi.org/xxxxxxxxxx
Ahmann, E., Tuttle, L. J., Saviet, M., & Wright, S. D. (2018). A descriptive review of ADHD coaching 
research: Implications for college students. Journal of Postsecondary Education and 
Disability, 31(1), 17–39. https://www.ahead.org/professionalresources/publications/jped/archived-jped/jped-volume-31
McCauley, S. M., & Christiansen, M. H. (2019). Language learning as language use: A cross-linguistic 
model of child language development. Psychological Review, 126(1), 1–51. 
https://doi.org/10.1037/rev0000126Links to an external site.

APA Tip: All authors should be listed up to TWENTY in a reference. 

Hi Class! 

You must familiarize yourself with the expectation for an NP scholarly source.

There is a hyperlink in the Collaborative Café and the NP resources.

I will also attach the PDF for your success.

An NP scholarly source is a journal article from a peer-reviewed US-based journal published in the last five years geared toward clinicians. Meaning providers who are MDs, DOs, NPs, and PAs.

Some clinical practice guidelines are older than five years.

Please save the NP expectations for scholarly sources so you may have them for your review when researching your articles to support your work.

This is a gradable expectation within the rubric.

Please reach out to me with any questions or concerns!

I want you to be successful as a future NP provider supporting your practice with reliable, peer-reviewed evidence! 

Nurse practitioners are uniquely positioned to empower their patients to engage in activities that prevent disease and promote optimal health through a shared decision-making process (Parks, 2018). Colorectal cancer screening is one of the many health strategies an NP can utilize to reduce colon cancer incidence and death rates. According to the Centers for Disease Control and Prevention (2020), colorectal is ranked as the fourth leading cause of cancer in the United States.

Colonoscopy is the gold standard for colon cancer screening and the only screening measure that prevents cancer by removing precursor lesions (Niederreiter et al., 2019). A successful colonoscopy requires a good bowel cleansing (Hernández et al., 2019). Therefore, poor bowel preparation leads to poor outcomes. Patients should have a clear understanding of the bowel instructions. During a health encounter, nurse practitioners, with their knowledge and communication skills, can initiate prep instructions to promote adherence. Patients are then referred to gastroenterologists to schedule their screening colonoscopies, or eligible patients can get a schedule through Open Access Colonoscopy (where they can fill out a form and schedule at their convenience). NR 505NP Week 1: Area of Interest in NP

However, a problem arises if a procedure is scheduled a few months out; therefore, retention of bowel prep information can be a challenge. This is evident at an outpatient endoscopy center where I currently work. Preoperative calls are done before the procedure, and staff will remind the patients about the procedure’s date and time, confirm the appointment, and give verbal instructions regarding bowel preparation and dietary requirements. However, there is no standard timeframe for when reminder calls should be done and, at times, completed as early as ten days before the procedure.

With the time-lapse between the call and colonoscopy, some patients have forgotten the instructions, resulting in poor bowel preparation and poor colon visualization. Suppose it was determined in the preoperative area that patients did not correctly follow colonoscopy instructions, procedure is canceled. The procedure is aborted in the intraoperative area if the colon is poorly visualized. NR 505NP Week 1: Area of Interest in NP

When patients are dissatisfied with the process, they may find fault in the practice, leave it, and choose a new healthcare provider. Nurse practitioners have an educational background and leadership qualities to implement new practice guidelines in their organizations. They can share their interest in improving patient outcomes in their working environments.

Preoperative phone calls completed 1-3 days before the procedure that includes bowel prep education improve compliance, resulting in better bowel cleansing and patient satisfaction. High-quality bowel visualization leads to higher detection of adenomas. The timing of preoperative phone calls is a significant influence. Incorporating standardized preoperative phone calls may improve patient satisfaction and quality (Berardinelli & Koteles, 2021).

  References

Berardinelli, T., & Koteles, T. (2021). Breakin’ up is hard to do! – standardized pre-operative phone call. Journal of PeriAnesthesia Nursing, 36(4), e16. https://doi.org/10.1016/j.jopan.2021.06.050

Centers for Disease Control and Prevention. (2020). Uscs data visualizations. https://gis.cdc.gov/Cancer/USCS/?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcancer%2Fdataviz%2Findex.htm#/AtAGlance/

Hernández, G., Gimeno-García, A. Z., & Quintero, E. (2019). Strategies to improve inadequate bowel preparation for colonoscopy. Frontiers in Medicine, 6. https://doi.org/10.3389/fmed.2019.00245 NR 505NP Week 1: Area of Interest in NP

Niederreiter, M., Niederreiter, L., Schmiderer, A., Tilg, H., & Djanani, A. (2019). Colorectal cancer screening and prevention—pros and cons. memo – Magazine of European Medical Oncology, 12(3), 239–243. https://doi.org/10.1007/s12254-019-00520-z

Parks, P. (2018, October 16). Nurse practitioners can lead the way in affecting colorectal cancer screening. AJMC. https://www.ajmc.com/view/nurse-practitioners-can-lead-the-way-in-affecting-colorectal-cancer-screening

I found your post discussing proper bowel preparation for patients scheduled for colonoscopies interesting. I work on an inpatient unit and, at times, help patients with their bowel preparation before their colonoscopy. Although these colonoscopies are not for colon cancer screening, the process and need for adequate bowel preparation pre-op is still essential. Proper education on the importance of bowel preparation before colonoscopies is crucial for any patient going for this procedure. If not done correctly, the preparation before and during the procedure will have been useless and will have to be rescheduled, further angering the patient and potentially even the provider NR 505NP Week 1: Area of Interest in NP

As future nurse practitioners, we have the ability to advocate for the education and health promotion of these patients. Through your suggestion of pre-operative phone calls a few days prior to the colonoscopy, along with other forms of education given during the scheduling process to help remind patients as well, this can help improve patient satisfaction and outcomes through successful colonoscopies. We are in a special position to advocate for our patients, and with our background in nursing and communication skills have the potential to decrease the rate of poor colonoscopy preparation, thereby increasing health promotion through the detection of cancers or other illnesses.

Colorectal cancer screening needs to be done sooner than waiting for a colonoscopy. It is most common after age of 50 but young adults can also get it (ACS, 2023). There are many modifiable risk factors such as being obese and certain diets (ACS,2023). Having a family history of colorectal cancer increases the risk for it (ACS,2023). Early screening is necessary for detection and treatment. I have seen patients in their mid 30s-40s being diagnosed with colorectal cancer. In my opinion, the age for colonoscopy screening needs to be reevaluated especially if risk factors are high. This a great topic regarding a positive change in NP practice. NR 505NP Week 1: Area of Interest in NP

The early screening will help improve patients outcomes with early treatment. Bowel preparation is very important prior to colonoscopy. The preparation instructions should be given to the patient prior to the procedure and clear understanding should be noted. My grandmother was scheduled for a colonoscopy and did not receive clear instructions therefore the doctor could not clearly assess the colon. This resulted in rescheduling the procedure and can also delay treatment. Preoperative calls are important to clarify procedure instructions and answer any questions or concerns. 

  American Cancer Society. (2023) What is Colorectal Cancer? https://amp.cancer.org/cancer/types/colon-rectal-cancer/about/what-is-colorectal-cancer.htmlLinks to an external site.