NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

Chamberlain University NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University  NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)                        

Whether one passes or fails an academic assignment such as the Chamberlain University  NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)       depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)                        

The introduction for the Chamberlain University  NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)      is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)                        

After the introduction, move into the main part of the NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)      assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)                        

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)                        

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

According to Rowlands, incorrect surgical counts are a common occurrence after surgery.  In reviewing incident reports from six hospitals during a three-year period, researchers found that incorrect surgical counts (25%) were the most frequently reported event.  Despite the availability of AORN standards and recommended practices and hospital policies, this type of error continues to occur (2012).

Rowlands also states, “the OR is a highly complex, error-prone environment characterized by nonstop activity, specialization, and intricate interdisciplinary processes.  The complexity is manifested not only in the patient and his or her condition but also in the sophistication of instrumentation and technology, which may increase the risk for error”.  “From the stories of preoperative personnel involved in incorrect surgical counts, three distinct themes emerged: bad behavior, general chaos, and communication difficulties”.

Working in the OR first hand I deal with the three themes mentioned.  I find it difficult to have everyone participate in the correct sequence as well as visualizing each item counted.  When I correct someone, I receive “looks”, hissing and a feeling that I am being too strict while I feel that other are too lax and do not take into consideration that policies dictate our process.  The patient and their safety, following policies and maintaining my licensure are the core of my practice.  Recently, I had a surgical technologist berate me for correcting a new surgical technologist in the way they were performing the count.  I received attitude from the new employee and was berated by the preceptor during the procedure.  I structure my counting based on the policy and so I know that I am performing my count according to AORN standards.  

Moving forward in my practice, I will continue my counts as outlined in our policy.  I will continue to correct others when necessary and I will hold others accountable to follow the policy.  I do not play into unprofessionalism in my OR and I will address each situation as it arises.  When others disrupt the OR with unprofessionalism, I simply explain that we can discuss the situation at a later time.   

Researching in the Chamberlain Library for information regarding surgical counts, I began my search in the CINAHL complete tab, entered surgical counts on the first line and extended my search further with “risk factors associated with incorrect surgical counts”. I found a great journal article and used it along with my experience to complete my week 5 assignment.   

References

Hood, L. J. Leddy and Pepper’s Professional Nursing (9th ed.).  Philadelphia, PA Wolters Kluwer 

Rowlands, A. (2012). Risk Factors Associated with Incorrect Surgical Counts.  

https://doi.org/10.1016/j.aorn.2012.06.012Links to an external site. 

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Sample Answer 2 for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

A nursing care issue I would like to research is the management of pain in patients receiving acute cancer treatment. Since “asking a searchable, answerable question is a basic step in the EBP process” (Fineout-Overholt & Johnston, 2005, p. 160), and “the PICO(T) system helps us formulate a searchable clinical question” (Chamberlain College of Nursing, 2016), I will start by identifying my population, (P), which is hospitalized cancer patients. My intervention, (I), is scheduled pain assessments based on the next as needed, or pro re nata (PRN), pain medication. I will contrast this with my control, (C), the practice of relying on patient notification of increased pain levels. My outcome, (O) is the adequate management of pain through scheduled pain assessments and regular administration of oral analgesics without the use of intravenous medications for breakthrough pain. The timeframe, (T), is the length of hospital stay. A further application of this would be the adequate management of pain, with this patient population, in the outpatient setting. Thus, my formal PICOT question is, “Will patients receiving acute cancer treatment in the hospital setting who’s pain assessments are done in conjunction with the timing of PRN pain medications, as opposed to those who are relied upon to express elevated pain levels, experience better controlled pain levels through oral analgesics without the use of intravenous medications for highly elevated pain during their hospital admission.”

After identifying the question, I will utilize the CINAHL database to conduct my research. Important keywords in my search will include “cancer treatment,” “pain assessment” and “management.” From there, I will narrow my results based on quality of evidence, with preference given to systematic reviews and meta-analysis because those, being the highest level of evidence, present themes common to multiple studies (Chamberlain College of Nursing, 2016). After identifying and reviewing relevant high-quality studies, I will decide if the information is pertinent to my practice and something I should share with my colleagues, because “dissemination is a critical element of scholarly practice” (American Association of Colleges of Nursing, 2008, p. 16).

References

American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. http://www.aacn.nche.edu/education-resources/baccessentials08.pdfLinks to an external site.

Chamberlain College of Nursing. (2016). NR351 Transitions in professional nursing: Week 5 lesson: Patient-centered care and evidence-based practice. Downers Grove, IL:Online Publication.

Fineout-Overholt, E., & Johnston, L. (2005). Teaching EBP: Asking searchable, answerable clinical questions. Worldviews on Evidence-Based Nursing 2(3), 157-160.

Sample Answer 3 for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

There are many challenging nursing care issues in the medical field today. There are also solutions to many of these problems that can be found through researching evidence-based practice. One of the nursing care issues I would like to see improvement in is the lack of patient education. Patient education is extremely important to the health care field for many reasons. According to DeMarco (2011), “Health care consumers educated about a health condition are more likely to adhere to the health professional’s guidelines for disease management, treatment plan, and care at home for themselves or a loved one after being discharged from the hospital” (p. 23).

To research different ways to improve patient education I would start with the PICOT process. According to Hood (2018), PICOT stands for population, intervention, comparison, outcome, and optional timing. In order to accomplish effective research, I would have to come up with a question that involved those areas. The question I would insert into CINAHL is; In patients 30 years and older, does patient education compared to no education influence positive outcomes in their care throughout their lifetime? PICOT questions need to be extremely specific, so I’d have to refine it a few times to find the best evidence-based practice (EBP). After finding enough EBP, I’d incorporate it into my own experiences and determine whether my intervention of patient education affects patient care the way I believe it does.

References:

Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer.

Nystrom, M., Demarco, J., & Salvatore, K. (2011). The importance of patient education throughout the continuum of health care. Journal of Consumer Health on the Internet, 15(1), 22-31. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1080/15398285.2011.547069

Sample Answer 4 for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

I really enjoyed your post. I was shocked to hear that the charting your hospital has doesn’t have anywhere for staff to chart catheter care/cleaning.  Prior to working the department I am in now, I works in our ICU unit and the majority of patients had foley catheters. We had multiple places to chart foley care in our charting system. Prior to our current charting system, we had a different EMR that also had catheter care charting available very readily after opening the chart. Prior to that, our paper charting also had a section for foley care. I can totally understand how frustrating it may be to not be able to just look in the chart and find something you should be able to find so easily. I think that is a great suggestion of making management and infection control aware of the facility’s stats of CAUTI and the lack of dedicated charting space for it. It’s tough because they always say “If you didn’t chart it, it didn’t happen” but that so wrong when they don’t provide you all with the place to show it was completed and done. I definitely feel your frustration.

Sample Answer 5 for NR 351 Week 5 Discussion: Using Evidence-Based Practice to Improve Patient Care (Graded)

I agree with DeMarco (2011) that stated that” “Health care consumers educated about a health condition are more likely to adhere to the health professional’s guidelines for disease management, treatment plan, and care at home for themselves or a loved one after being discharged from the hospital” (p. 23). These are critical for the patient to be able to continue taking care of themselves at home but what is not given to the patient at discharge most of the time are resources needed. 

Maybe because of some of the population I care for at my facility, I have seen patients coming back after a week of been discharged from the hospital because their insulin, medications finished and they could not afford to buy another one. I know we can not do everything for the patients but I believe we should be able to refer patients that are not financially stable to where they will get what they need to be able to follow the treatment plans we have for them at discharge.