NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Chamberlain University NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (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 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Whether one passes or fails an academic assignment such as the Chamberlain University NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (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 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
The introduction for the Chamberlain University NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (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.
Need a high-quality paper urgently?
We can deliver within hours.
How to Write the Body for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
After the introduction, move into the main part of the NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (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 439 Week 2 Discussion: Research, Practice Problems, and Questions (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 439 Week 2 Discussion: Research, Practice Problems, and Questions (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.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded) assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Nursing roles in ensuring that patients get satisfactory, efficient, and sufficient patient services are vital in healthcare settings. However, various nursing clinical issues have arisen in the past, at present, and may occur in the future. While some of the nursing clinical issues have effectively been sorted and managed on different scales, some continue to be a challenge, hence threatening the fundamental goal of offering patients the best healthcare services for improved patient outcomes. One of such issues that have been a challenge and continue to be a challenge is patient falls. Inpatient hospital falls occur in various admission wards and is associated with numerous adverse effects on the health of patients as well as the hospital’s reputation.
Description of The Problem
Inpatient hospital fall can be regarded as any event that leads to a patient finding himself/herself in the fall during the hospital stay. The fall can take the form of unintentional or unplanned taking of the patient to the ground, whether assisted or unassisted. An unassisted fall happens in the event that a patient is alone and falls in the absence of another person to witness and help the patient (Heng et al., 2020). On the other hand, assisted fall occurs when a staff member is present and eases the patient to the ground. In one of the recent studies conducted in the US, patients have a chance of twelve percent of falling whenever admitted into a healthcare facility. The rates of patient falls differ widely from hospital to hospital globally, with the range falling between three to eleven fall per every one thousand bed days. In all the patient fall events, close to twenty-five percent of the falls result in soft tissue injuries and fractures.
Effects and Common Causes of Patient Falls
Patient falls can have detrimental effects on the patient’s health, and especially on the health of older adults who are always at more risk of falling than fairly younger patients. Some of the effects of patient falls include both economic and physical burdens. When a patient falls, there get injured, mortality rates rise, and the quality of life is substantially decreased. Besides, inpatient falls lead to a higher length of hospital stay and higher medical costs (LeLaurin & Shorr, 2019). Inpatient falls can also lead to litigation as some patients, and their family members may have an opinion that the fall is the hospital’s fall. The cause of patient falls has been associated with several factors, For instance, medications administered to patients, muscle weakness, polypharmacy, pain, anesthetics, co-morbidities, and ill-health.
Due to the several negative effects of inpatient falls, various stakeholders such as healthcare facilities, researchers, healthcare professionals, and others have come up with various efforts to try and minimize the incidences of patient falls. Besides, most of the hospitals have puts in place different guidelines for preventing patient falls such identification of those patients at high falling risk, so that appropriate step is taken (LeLaurin & Shorr, 2019). The other method is applying clinical judgment to choose the best fall prevention strategies to use.
PICOT Question
The issue of inpatient falls important to me and worthy of looking at evidence about it. The use of an answerable clinical question is vital in getting the evidence needed to solve a clinical issue. Therefore, this research will look at the efficacy of using bed alarms to control patients. Among the patients admitted to the neurosurgery unit (P), what is the influence of using bed alarms (I) compared to communication (C) in reducing patient fall rates (O) after twelve months (T)
Conclusion
Many adverse effects of inpatient falls dictate that inventive and innovative strategies are applied in managing it. It is important to a literature search and identifies various strategies that have been applied for the same. Evaluation of the best strategy requires an answerable clinical question in a PICOT format
References
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital falls prevention with patient education: a scoping review. BMC geriatrics, 20, 1-12. Doi: 10.1186/s12877-020-01515-w LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273. Doi: 10.1016/j.cger.2019.01.007Links to an external site.
ALSO READ:
NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)
NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)
NR 439 Week 5 Discussion: Samples and Data Collection (graded)
NR 439 Week 5: Data Collection and Measurement
NR 439 Week 6: Data Results and Analysis
NR 439 Week 7: Applying and Sharing Evidence to Practice Discussion
NR 439 Week 8 Discussion: The Evidence-Nursing Practice Connection (graded)
NR 439 Week 8: Where Do You Go From Here?
Sample Answer 2 for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Catheter-associated urinary tract infections (CAUTIs) are the most prevalent hospital-associated infections. It accounts more than 30% of acute care hospital infection. More than 13,000 deaths are associated with Healthcare-associated infections each year. CAUTIs compromise patients’ condition, cause complications, and prolong patients’ ICU stay. CAUTIs could lead to sepsis and death. CAUTIs are one of the challenges to quality care in the ICU unit where I work.
My PIOCT question:
Among critically ill patients in ICU (P), will using alternative methods and strategies before placing the urinary catheters (I), reduce CAUTIs during hospital stay (O), compare to use indwelling catheter only (C), over a three-month period (T)?
My PIOCT elements are as following:
P: critically ill patients
I: use alternative methods and strategies before placing the indwelling catheter
C: use indwelling catheter only
O: reduce CAUTIs in ICU
T: over a three-months period
ICU patients have the highest risk of developing hospital-associated infection. They are usually severely ill and extremely vulnerable to experience adverse outcomes. CAUTIs are one of the major threats to ICU patients’ safety. More than 500,000 patients develop CAUTIs each year, leading to extended hospital stays, increasing patient morbidity and mortality. CAUTIs costs millions of dollars of healthcare. The Joint Commission has been addressing the goal of implementing evidence-based practices to reducing the healthcare-associated infection related to CAUTIs. CAUTI is preventable. Reducing CAUTIs is RNs’ priority. RNs are obligate to lead this action, use evidence-based practice, reduce CAUTIs, prevent harm and save life.
Reference:
ANA CAUTI Prevention Tool
Podkovik, S., Toor, H., …… & Wang, S. (2019). Prevalence of catheter-associated urinary tract infections in neurosurgical intensive care patients – the overdiagnosis of urinary tract infections.
Woten, M., & Mennella, H. (2018). National patient safety goals (The Joint Commission, 2018): Selecting evidence-based measures to monitor catheter-associated urinary tract infections (CAUTIs).
Woten, M. & Mennella, H. (2018). National patient safety goals (The Joint Commission, 2018): Monitoring compliance with evidence-based practices to prevent catheter-associated urinary tract infections.
Woten, M. & Mennella, H. (2019). National safety goals 2019: Goal 7E. Limiting use and duration of indwelling urinary catheters (NPSG.07.06.01).
Sample Answer 3 for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Clinical Issue: CLABSI (Central Line-Associated Bloodstream Infections)
I chose this topic because my brother is a recent dialysis patient who had to have a quinton cath placed in his right subclavian area for the next 3 months while his AV fistula matures. With all of his health issues (ESRD, DM, HTN, CHF), the last thing he needs is blood infection from the quinton cath. Showing him how to properly care for the line so that he doesn’t get an infection is of the utmost importance to me right now.
PICOT Question: (P) For dialysis patients with a quinton cath, (I) would daily cleansing care of central lines (C) compared to the standard weekly/as needed care for central lines (O) reduce the CLABSI rates over the 3 months it takes for an AV fistula to mature (T)?
PICOT Elements:
P: Dialysis patients with a Quinton Catheter and an immature AV fistula
I: Daily central line care
C: Weekly central line care
O: Reduced CLABSI rates
T: 3 months
Why I care about this nursing practice: As I stated earlier, this is a personal issue for me as my brother is a recent dialysis patient. Maturation of an AV fistula takes at least 3 months for it to be fully functional. Therefore, without a Quinton catheter, ESRD patients would die well before that maturation ever occurred. Even though dialysis patients receive their treatments 3 days a week (along with the cleaning of the lines, skin, and hubs during that time), it is those in-between days where infection can enter the body through the central line. Recommendations from the CDC are to have all central line dressings changed only once a week and daily use of a 2% CHG wash is recommended for routine skin cleansing (Schub & Heering, 2018). However, CHG washes are not provided to the patient when they are discharged home and patients are only told to monitor for signs and symptoms of infection (i.e. – fever, chills, redness/oozing at the site). The objective of this evidence-based practice research would be to determine if CLABSI rates for these types of patients would decline if daily cleaning and changing of the dressing site was done as opposed to weekly and/or only during treatment. Using applied research, conducting research to determine if this practical application can contribute to a modification of practice in how Quinton catheters are currently being maintained (Houser, 2018).
References:
Schub, T., Heering, H. (2018). Catheter-Related Bloodstream Infections (CRBSIs): Guidelines for Prevention. CINAHL Nursing Guide. EBSCO Publishing. https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=cbc34f40-baa9-454a-9b4f-8d981ef7465e%40sdc-v-sessmgr01Links to an external site.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.
Sample Answer 4 for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Catheter-associated urinary tract infections (CAUTIs) are the most prevalent hospital-associated infections. It accounts more than 30% of acute care hospital infection. More than 13,000 deaths are associated with Healthcare-associated infections each year. CAUTIs compromise patients’ condition, cause complications, and prolong patients’ ICU stay. CAUTIs could lead to sepsis and death. CAUTIs are one of the challenges to quality care in the ICU unit where I work.
My PIOCT question:
Among critically ill patients in ICU (P), will using alternative methods and strategies before placing the urinary catheters (I), reduce CAUTIs during hospital stay (O), compare to use indwelling catheter only (C), over a three-month period (T)?
My PIOCT elements are as following:
P: critically ill patients
I: use alternative methods and strategies before placing the indwelling catheter
C: use indwelling catheter only
O: reduce CAUTIs in ICU
T: over a three-months period
ICU patients have the highest risk of developing hospital-associated infection. They are usually severely ill and extremely vulnerable to experience adverse outcomes. CAUTIs are one of the major threats to ICU patients’ safety. More than 500,000 patients develop CAUTIs each year, leading to extended hospital stays, increasing patient morbidity and mortality. CAUTIs costs millions of dollars of healthcare. The Joint Commission has been addressing the goal of implementing evidence-based practices to reducing the healthcare-associated infection related to CAUTIs. CAUTI is preventable. Reducing CAUTIs is RNs’ priority. RNs are obligate to lead this action, use evidence-based practice, reduce CAUTIs, prevent harm and save life.
Reference:
ANA CAUTI Prevention Tool
Podkovik, S., Toor, H., …… & Wang, S. (2019). Prevalence of catheter-associated urinary tract infections in neurosurgical intensive care patients – the overdiagnosis of urinary tract infections.
Woten, M., & Mennella, H. (2018). National patient safety goals (The Joint Commission, 2018): Selecting evidence-based measures to monitor catheter-associated urinary tract infections (CAUTIs).
Woten, M. & Mennella, H. (2018). National patient safety goals (The Joint Commission, 2018): Monitoring compliance with evidence-based practices to prevent catheter-associated urinary tract infections.
Woten, M. & Mennella, H. (2019). National safety goals 2019: Goal 7E. Limiting use and duration of indwelling urinary catheters (NPSG.07.06.01).
Sample Answer 5 for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions (graded)
Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
For the assignment this I chose to look at using Incentive spirometers in post op patients. I chose this topic because as an ICU nurse our patients do not go to recovery after surgery they come right back to the unit and it is my job as an ICU RN to not only recover my patient but to educate them on their recovery as well. I have recovered many patients over the years from various types of surgeries and the one thing that they all have in common is using an incentive spirometer immediately post op. The incentive spirometer is such an important part of recovery because it can prevent an infection such as pneumonia. Post op infections can be very common in the hospital setting but there are so many ways that a nurse can help to prevent these infections and one of the big ways is having our patients start using their incentive spirometer quickly after surgery. As a nurse I never want to see my patients acquire an infection that could have been prevented. I always try to do everything in my power to get my patients up and walking (if possible) and I always educate my patients on the importance of opening the lungs and how the incentive spirometer works. I like to tell my patients to use their incentive spirometer while their watching tv, I encourage my patients to use it at every commercial and I have found that most of my patients will actually do this. Education is a major part of nursing and I find that it is important to find common ground with your patients when having them complete a task that they may not enjoy doing. Infection management is a major part of being a nurse and it is important that we do everything that we can to help prevent unnecessary infections in our post op patients, According to the CDC, “Each day, approximately one in 31 U.S. patients has at least one infection in association with his or her hospital care, underscoring the need for improvements in patient care practices in U.S.” (2020). It is important to play close attention to infection management when it come to all patients but especially our post op patients.
Write your clinical question in the PICO(T) format for your nursing practice problem
In the post-op patient (P), does the correct use of the Incentive Spirometer (I), compared to early ambulation (C), decrease the rate of post-op infection (O), over 72 hours (T)?
List each of your PICOT elements.”
P: Post op patient
I: Incentive Spirometers
C: Early Ambulation
O: Decrease the rate of post op infection
T: Over 72 hours.
Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence
This is an important nursing problem for me because I recover post op patients all of the time and sometimes I am their nurse until they are able to be discharged. Preventing a post op infection is a considered a nursing responsibility and it is important that our patients are receiving the tools such as an incentive spirometer and the proper education that goes along with it. I never want to see my patients get infections that could have been prevented, and I don’t want to see my patients have a longer hospital stay and recovery time. I believe that this problem would benefit from finding the best evidence because as nurses we do everything possible to keep our patients safe and helping to decrease post op infections will help us keep our patients safe.