NR 451 Week 2: The Clinical Question

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Your capstone change project begins this week when you identify a practice issue that
you believe needs to change. The practice issue must pertain to a systematic review
that you must choose from a List of Approved Systematic Reviews (Links to an external
site.)Links to an external site. for the capstone project.
 Choose a systematic review from the list of approved reviews based on your interests
or your practice situation.
 Formulate a significant clinical question related to the topic of the systematic review
that will be the basis for your capstone change project.
 Relate how you developed the question.
 Describe the importance of this question to your clinical practice previously, currently,
or in the future.
 Describe what a research-practice gap is.

Wanda Jallow
Sep 5, 2017Sep 5, 2017 at 1:16pm
Manage Discussion Entry
Kristen, I haven't worked on a pediatric unit for
over 20 years now, I can't imagine how such a
rough start in life these little ones endures.
During the years I worked in neonatal care, we
were just learning how to treat these baby as they
when through withdrawal. The drug of choice
was "crack". The hospital allowed volunteers
mostly elderly ladies from the churches to visit the

unit and they would sit and hold the infants in a
quiet room to help soothe them. The tremors
were lesser and the babies were much calmer
while being held. However, most of these infants
went into foster care when they were stabilized
and therefore I can't tell what happened after they
left the hospitals.
Thanks for the post.
Wanda
o

Collapse SubdiscussionCandee Crane
Candee Crane
Sep 8, 2017Sep 8, 2017 at 7:50am
Manage Discussion Entry
Kristen,
I found your post to be interesting. When I initially
decided to go into the field of nursing, my plan
was to be a neonatal nurse. I thought that my love
for babies would make it the perfect career for
me. I would get paid to “play” with babies all day. I
soon found that I was not able to handle neonatal
nursing. I could not separate myself from the
children when I walked out of the doors of the
hospital. My heart bled for the children, especially
those who had no parental involvement.
I can’t imagine working with infants who have
Neonatal Abstinence Syndrome. “It is estimated
that 5% to 10% of pregnant women abuse drugs
during pregnancy, not including alcohol” (Maguire
& Passmore, 2012). These statistics are
astounding. One out of ten to one out of twenty
babies are born to women abusing drugs, with
most neonates beginning to showing withdrawal
symptoms within the first two to three days. It is
hard to imagine the ethical issues surrounding

sending these infants home to known drug
abusers.
Thank you for caring for these little ones.
~Candee Crane
Reference:
Maguire, D., & Passmore, D. (2012). NICU
Nurses’ Lived Experience Caring for Infants With
Neonatal Abstinence Syndrome. Retrieved
September 8, 2017, from https://wwwLinks to an
external
site..researchgate.net/profile/Denise_Maguire/pub
lication/230829215_NICU_Nurses%27_Lived_Ex
perience_Caring_for_Infants_With_Neonatal_Abs
tinence_Syndrome/links/00b49533479ca8d38c00
0000.pdfLinks to an external site.



Kirsten Crush
Kirsten Crush
Sep 10, 2017Sep 10, 2017 at 8:41pm
Manage Discussion Entry
We actually have a huge Methadone clinic here
due to the high abuse. It is extremely hard to get
into the program, but if you are pregnant you go
to the front of the line. After looking at a few
studies it looks like this is common practice.
"Women who sought out methadone
maintenance treatment when they were pregnant
had no difficulty enrolling in a clinic. Women who
were not pregnant when seeking treatment were
not so successful (Stone)." So essentially we
aren't necessarily willing to treat an addict but if
they are carrying a baby why not. I guess that a
huge part of me wants to believe that people can

be better and we should give them the benefit of
the doubt, which can be very hard when you're
watching an innocent baby seizing multiple times
a day. I just think that if we try to treat the moms
as moms and integrate them into the treatment of

their newborns we might have a better chance of
healing both of them.

Resource
Stone, R. (2015, February 12). Pregnant women
and substance use: fear, stigma, and barriers to
care. Retrieved September 10, 2017, from
https://healthandjusticejournal.springeropen.com/
articles/10.1186/s40352-015-0015-5

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Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

Also Read: NR 451 Week 2: Homework