NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Sample Answer for NUR 590 Examine the role of the advanced registered nursing in evidence-based practice Included After Question

Topic 1 DQ 1

Assessment Description

Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and your role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.

Objectives:

1. Present a PICOT for the evidence-based practice project proposal.
2. Examine the role of the advanced registered nursing in evidence-based practice.
Assessments
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Class Introductions
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Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

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Assessment Description
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment.
You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Week 1 Participation
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There is no description for this assessment.
Resources
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Advanced Nursing Research: From Theory to Practice
Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice.
View Resource
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Evidence Based Medicine Toolkit
Explore the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta w
… Read More
http://www.ebm.med.ualberta.ca/
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Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study
Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas
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http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817
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Evidence-Based Practice Tutorial
Read the Evidence-Based Practice tutorial, located on the Duke University website.
http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002
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Centre for Evidence Based Medicine: Resources
Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/category/ebm-resources/
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Evidence Based Medicine
Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a reso
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http://researchguides.uic.edu/ebm
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Centre for Evidence Based Medicine: About Us
Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/about
________________________________________
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
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Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice
Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,” by Ne
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https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft
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A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety
Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel
… Read More
https://link.gale.com/apps/doc/A616904277/AONE?u=canyonuniv&sid=AONE&xid=f2d66c7c
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Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting
Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,” by Au
… Read More
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=01741002-900000000-99523&PDF=y

A Sample Answer For the Assignment: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Title: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

My proposed change initiative is a fitness program for faith-based organizations. In this context, fifty houses of worship in my area of choosing will conduct fitness classes once every week. The intervention will target African-Americans in the city, who are more vulnerable to diabetes, a chronic lifestyle disease. The program will work with fifty volunteers drawn from each of the fifty houses of worship, who will be trained and certified to train community members and congregants. The fitness program will provide free equipment, including barbells, exercise balls, treadmills, and stationary bikes. It will run for twelve months and provide 30 fitness classes in the twelve months. Since the developed PICOT necessitates the involvement of the federal government, the initiative will seek funding from the Department of Health and Human Services, which will cater for the training fee. The initiative aims to reach people in social places that they trust.

The change initiative supports the population of focus by encouraging members of the community to engage in regular exercise, which will make it easy for them to control diabetes. Physical activity reduces blood glucose levels of people with no enough insulin to process glucose or if their body is resistant to insulin (Colberg et al., 2016). It helps the human body use up excess glucose. The change initiative will support my setting in that it will reach the community members in one of their most preferred social environments. It will help my role as a prospective Nurse Educator because it involves empowering the population through a fitness program with lessons that aim to accomplish better health outcomes in the future. This will enable me to address disparities in health care provision as recommended by Mabhala (2015).

Nursing educators help nurse students hone their EBP skills and knowledge (Pashaeypoor, Ashktorab, Rassouli, & Alavi_Majd, 2017). The problem of diabetes among African-Americans is amenable to a research-based intervention using the PICOT format because it identifies a community in need and the problem, the intervention involving faith-based organizations, comparison that entails community members who are not part of the program, and the outcome, which is reduced incidence of diabetes.

 

References

Colberg, S., Sigal, R., Yardley, J., Riddell, M., Dunstan, D., & Dempsey, P. et al. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39(11), 2065-2079. doi: 10.2337/dc16-1728

Mabhala, M. (2015). Public health nurse educators’ conceptualisation of public health as a strategy to reduce health inequalities: a qualitative study. International Journal for Equity in Health, 14(1). doi: 10.1186/s12939-015-0146-2

Pashaeypoor, S., Ashktorab, T., Rassouli, M., & Alavi_Majd, Hamid. (2017). Experiences of nursing students of evidence-based practice education according to Rogers’ diffusion of innovation model: a directed content analysis. Journal of advances in medical education & professionalism, 5(4), 203.

A Sample Answer 2 For the Assignment: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Title: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

PICOT:

Among healthcare staff in the clinical and acute care setting who are victims of workplace violence (WPV), will implementing violence prevention tactics and policies, reduce healthcare staff abuse? By using this intervention, the hope is to reduce the outcome of staff bullying and violence by patient’s, family members and among each other in a timeframe of approximately a year.

My hope is to reduce WPV in healthcare and have nurse want to show to work and not feel overwhelmed by the sheer lack of support from management and the system alike. By implementing higher security, violence prevention as well as place policies in to protect staff instead of condemning them. Verbal and physical abuse at the workplace have been sweeps under the rug too many times and it keeps being an issue that has gone long enough. The way to aid nurses is not by assuming they “signed up for this” and ” understand it comes with the territory” the way to support nurses is by standing with them and prevent the abuse that has become commonplace among the healthcare setting. Limit the amount of visitors that can come to the patients side, have a zero tolerance for verbal and/or physical abuse from visitors or patients, as well as prepare nurses to de-escalate violent behavior. The workplace is a setting where nurses spend most of their waking moment in, and becoming victims in this environment is grounds for having tired, overworked and staff that will quit without interventions in place to prevent WPV. The toll that this exerts in nurses’s physical, mental, and professional lives negatively impacts not just their work but also has a significant impact at home (Hassankhani et al., 2018). Thus, exerting a substantial burden in nurses affecting direct patient care.

Hassankhani, H., Parizad, N., Gacki-Smith, J., Rahmani, A., & Mohammadi, E. (2018). The consequences of violence against nurses working in the Emergency Department: A qualitative study. International Emergency Nursing, 39, 20–25. https://doi.org/10.1016/j.ienj.2017.07.007 

A Sample Answer 3 For the Assignment: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Title: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

“A life threatening, life-altering emergency, sepsis can have catastrophic effects. When the condition progresses undetected, it can lead to multiple organ dysfunction syndrome and death. Mortality ranges from 9% to 35% and rises sharply with each passing hour that sepsis goes unidentified” (Cordona; 2017). Therefore my PICOT is In adult or pediatric patients who meet Systematic Inflammatory Response Syndrome (SIRS) criteria and/or Hospital Acquired Infection (P), does early detection and intervention (I), When compared to late detection and intervention (C) can lead to improve mortality rate and patient outcomes (O) in 6 months (T)

My target population is adult and pediatric patients in the hospital or inpatient setting, and primary intervention is education. Sepsis protocols with weight based fluids and antibiotics are standard healthcare practice for most facilities, but without proper education on what sepsis looks like and its severity for healthcare workers regardless of specialty can delay care and increase mortality.”Sepsis can develop in both the community and the hospital. So all nurses—not just those working in emergency departments, intensive care units, and transport teams— must know how to assess for and identify early warning signs of sepsis” Education in the form of interactive learning, mock drills, and team exercices have shown to be beneficial in retaining knowledge in adult learning. Quite often a patient has unidentified sepsis or develops sepsis from an Hospital Acquired Infection (HAI) and complicates the initial issue or comorbidity they are being treated for. Early detection with proper education can decrease mortality and improve patient outcomes

Cardona ML. How to recognize and intervene for pediatric sepsis: learn how prompt action can save patient’s lives. American Nurse Today. 2017;12(3):6. Accessed June 18, 2023. https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.491329272&site=eds-live&scope=site

NUR 590 Examine the role of the advanced registered nursing in evidence-based practice 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.

A Sample Answer For the Assignment: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Title: NUR 590 Examine the role of the advanced registered nursing in evidence-based practice

Faith-Based Change Initiative to reduce Incidence of Diabetes 

My proposed change initiative is a fitness program for faith-based organizations. In this context, fifty houses of worship in my area of choosing will conduct fitness classes once every week. The intervention will target African-Americans in the city, who are more vulnerable to diabetes, a chronic lifestyle disease. The program will work with fifty volunteers drawn from each of the fifty houses of worship, who will be trained and certified to train community members and congregants. The fitness program will provide free equipment, including barbells, exercise balls, treadmills, and stationary bikes. It will run for twelve months and provide 30 fitness classes in the twelve months. Since the developed PICOT necessitates the involvement of the federal government, the initiative will seek funding from the Department of Health and Human Services, which will cater for the training fee. The initiative aims to reach people in social places that they trust.  

The change initiative supports the population of focus by encouraging members of the community to engage in regular exercise, which will make it easy for them to control diabetes. Physical activity reduces blood glucose levels of people with no enough insulin to process glucose or if their body is resistant to insulin (Colberg et al., 2016). It helps the human body use up excess glucose. The change initiative will support my setting in that it will reach the community members in one of their most preferred social environments. It will help my role as a prospective Nurse Educator because it involves empowering the population through a fitness program with lessons that aim to accomplish better health outcomes in the future. This will enable me to address disparities in health care provision as recommended by Mabhala (2015). 

Nursing educators help nurse students hone their EBP skills and knowledge (Pashaeypoor, Ashktorab, Rassouli, & Alavi_Majd, 2017). The problem of diabetes among African-Americans is amenable to a research-based intervention using the PICOT format because it identifies a community in need and the problem, the intervention involving faith-based organizations, comparison that entails community members who are not part of the program, and the outcome, which is reduced incidence of diabetes.  

References 

Colberg, S., Sigal, R., Yardley, J., Riddell, M., Dunstan, D., & Dempsey, P. et al. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39(11), 2065-2079. doi: 10.2337/dc16-1728 

Mabhala, M. (2015). Public health nurse educators’ conceptualisation of public health as a strategy to reduce health inequalities: a qualitative study. International Journal for Equity in Health, 14(1). doi: 10.1186/s12939-015-0146-2 

Pashaeypoor, S., Ashktorab, T., Rassouli, M., & Alavi_Majd, Hamid. (2017). Experiences of nursing students of evidence-based practice education according to Rogers’ diffusion of innovation model: a directed content analysis. Journal of advances in medical education & professionalism, 5(4), 203.