Baccalaureate Nursing discussion

ORDER CUSTOM, PLAGIARISM-FREE PAPERS ON Baccalaureate Nursing discussion

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

DEMONSTRATION OF PROFICIENCY

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
- Explain why the sources selected should provide the best evidence for the chosen diagnosis.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- Describe the best places to complete research and what types of resources one would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
Competency 4: Plan care based on the best available evidence.
- Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
- Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

PROFESSIONAL CONTEXT

As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.

SCENARIO

You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

PREPARATION

To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.

Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.

You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.

INSTRUCTIONS

The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis. Baccalaureate Nursing discussion
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did. Baccalaureate Nursing discussion

SUBMISSION REQUIREMENTS

Your assessment should meet the following requirements:

Length of submission: 1–2 pages (not including the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to current APA style.

attachment_1

attachment_2

Unformatted Attachment Preview

Baccalaureate Nurse in Research Carissa Bellore Capella University August 1, 2020 Baccalaureate Nurse in Research The sector dealing with human health is rapidly changing, and the adjustments are requiring nurses to incorporate new roles and responsibilities out of the traditional normalcy. The roles of nurses have transformed and changed, owing to the changing roles and escalated opportunities (Anbari, 2015). On top of taking up an important role in providing the services, nurses also are responsible for the coordination and running of the organization as a whole. A baccalaureate nurse in layman is a research nurse. They study the various facets of health, sicknesses, and healthcare at large. Such nurses actively play a research role, creating a guideline, and directing nurses on what resources best suit their needs (Potera, 2015). In selecting a research source, one should pick a database that saves time through narrowing down resources by use of keywords, making it faster to filter through vast information sources. As one, the best research websites to use in order of ranking are: 1. Nursing Reference Center Plus 2. Scopus 3. Web of Science 4. PsycINFO 5. SAGE Research Methods Of the five, I would advise a nurse to use the Nursing Reference Center Plus, since it works to complement the CINAHL, which is a favorite for many. It helps narrow down to a particular subject, offering a link to other related issues. More so, it is updated with the latest developments in the medical world. Inter-professional collaboration acts to the favor of nurses and patients alike, and it helps foster trust and respect across different health providers, improving overall quality care (Schmidt, 2016). Communication strategies that would ensure nurses have access to resources as well as carry out accurate diagnosis entirely lies in the collaboration between nurses and a baccalaureate nurse (Thomson, Outram, Gilligan & Levett-Jones, 2015). In doing so, a nurse would feel free to approach one, asking without fear what they require, and feeling free to voice their concerns and opinions over a matter. References Anbari, A. (2015). The RN to BSN Transition. Global Qualitative Nursing Research, 2, 233339361561430. doi: 10.1177/2333393615614306 Potera, C. (2015). Bachelor’s Degrees Not Only Save Lives, They Save Hospitals Money. AJN, American Journal of Nursing, 115(2), 14. doi: 10.1097/01.naj.0000460668.95532.82 Schmidt, B. (2016). Core professional nursing values of baccalaureate nursing students who are men. Nursing Ethics, 23(6), 674-684. doi: 10.1177/0969733015579310 Thomson, K., Outram, S., Gilligan, C., & Levett-Jones, T. (2015). Interprofessional experiences of recent healthcare graduates: A social psychology perspective on the barriers to effective communication, teamwork, and patient-centered care. Journal of Interprofessional Care, 29(6), 634-640. doi: Baccalaureate Nursing discussion 10.3109/13561820.2015.1040873 . Running head: PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH PICO(T) Questions and an Evidence-Based Approach Sarah Santore Capella University Making Evidenced-Based Decisions July, 2019 1 PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 2 Abstract Patient safety is the most critical aspect of patient care in any healthcare facility. When patient safety is comprised, patients are at greater risk for illness or injury and positive outcomes are diminished. PICO(T) is a method used by practitioners and nurses to describe the elements of a good clinical question. For example, many nurses and practitioners use PICO(T) to identify critical concerns or differences of opinion in their practice. By utilizing the PICO(T) framework, which expands to population/problem, intervention, comparison, outcome, and timeframe, a plan for improved patient safety outcomes in reference to patient falls in nursing homes can be developed. Issue that Would Benefit from the PICO(T) Approach The issue that would benefit from the PICO(T) approach is the number of patient falls that occur among the elderly population in rehabilitation facilities. As a registered nurse in a rehabilitation facility, patient falls are seen as a chronic problem that needs intervention to ensure patient safety and improved patient outcomes. The question that is being explored is: Can patient falls in rehabilitation facilities be prevented with increased staffing personnel? Using the PICO(T) approach can help format a plan to find a solution to the problem of patient falls. The population and/or problem is the increased number of elderly falls in rehabilitation facilities. The intervention is to implement a fall safety team. The comparison will be the difference in the number of falls with the use of a fall safety team and without the use of a fall safety team. The outcome will be that the number of patient falls within rehabilitation facilities is decreased. Baccalaureate Nursing discussion

The timeframe, while important, is not crucial for use in this approach. Identification of Sources of Evidence TRIP Intervention Model PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 3 The TRIP (Translate Research Into Practice) Intervention Model involves a process of incorporating evidence-based practices into healthcare settings by testing implementation interventions to improve uptake and use of evidence to improve patient outcomes and population health. It also helps clarify what implementation strategies work for whom, in what settings, and why (Titler 2018). The model focuses on locating evidence-based practices, incorporating them into healthcare settings, and analyzing improvements. The TRIP Intervention Model can be used in response to the PICO(T) question by analyzing best evidence-based practice that determine if patient falls are reduced with increased staffing personnel. According to a study that utilized the TRIP intervention model to decrease patient falls, increased collaboration strategies among healthcare professionals helped to solidify the success of the implementation strategies to decrease patient falls (Wilson et al 2016). FOCUS-PDCA Model The FOCUS-PDCA (find a process to improve, organize a team, clarify current process, understand variations, select process improvement, plan the improvement, do the improvement, check for results, act to hold the gain) model is commonly used in health care as a systematic method to analyze and improve processes (Godlock et al 2016). This model was used as a guide in an implementation study in which a fall safety team was implemented in a healthcare facility to decrease the number of patient falls. Findings from Articles Utilizing successful evidence-based research is imperative to the success of clinical trials. Falls are a patient safety priority among hospital inpatients. A publication from Medsurg Nursing explains the success of a fall prevention program by initiating a fall safety team. The study was conducted by utilizing the FOCUS-PDCA Model to analyze and improve processes of the fall PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 4 safety team. A fall safety team would consist of registered nurses, licensed vocational nurses, and nursing assistants who would have a roster of high-risk fall patients within the facility. Assignments would be dispersed and consistent observation of these patients would follow. If a patient was to fall, the fall safety team would appropriately respond and implement a plan of care to prevent future falls in the specific patient (Godlock et al. 2016). The next study, a publication from Western Journal of Nursing Research, utilized the TRIP Intervention Model to discover methods to decrease patient falls within a facility. The study found that the use of fall prevention interventions that target patient-specific fall risks meant a more critical assessment by nurses of why patients specifically fall (Wilson et al 2016). Reasons for patient falls include: elimination needs, decreased mobility and medication use. The study also provides methods on fall prevention, such as staffing education, increased collaboration between staff and patients, and implementing transformative practices. The final study, a publication from the AORN Jorunal, expresses how falls and fallrelated injuries increase with age and patients in long-term facilities are at the greatest risk (Soncrant et al. 2019). The study provides statistics on why patients fall, what can be initiated to prevent patient falls, and recommendations for fall prevention for facilities to implement. All sources can be considered credible because they are peer-reviewed and published from reputable sources within the last 5 years. Relevance of the Findings The findings from the articles are relevant in response to the PICO(T) question. In relation to the problem of patient falls in rehabilitation facilities, all sources represent statistics of patient falls and why they happen. Although the amount of patient falls continue to rise in these scenarios, there are evidence-based strategies that could prevent them from happening. Each PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 5 resource also provide example of a plan to implement to prevent further patient falls from occurring. The study published by Medsurg Nursing suggests the implementation of a fall safety team to decrease patient falls. When compared to not using a fall safety team, the study found that the creation of a fall safety team engaged frontline staff in patient safety and falls prevention. This intervention decreased the fall rate from 1.90 to 0.69 falls per 1,000 occupied bed days (Godlock et al. 2016). The outcome shows that fall safety teams are an effective way to decrease the number of patient falls in rehabilitation facilities. When analyzing the publication by the Western Journal of Nursing Research, the study provided both the problem discussed and solutions to patient falls: toilet patients more frequently, increase mobility in patients with weakness, and avoid certain sleep medications in high-risk patients. The study findings revealed that with the use of the targeted risk factor fall prevention bundle and the TRIP implementation intervention, nurses reported increased engagement in fall prevention. Furthermore, the study increased mindfulness about falls and inter-disciplinary collaboration (Wilson et al. 2016). Baccalaureate Nursing discussion

The findings of the studies are relevant to the PICO(T) question, answering the question by implementing a solution to the problem, comparing the plan to results prior, and verifying the outcome. Conclusion Patient safety should be the most crucial concern in any healthcare facility. Utilizing a PICO(T) approach to analyze and implement a plan to decrease patient falls in rehabilitation allows for evidence-based practices to be in effect. Analyzing best recourses for evidence-based practices will allow for healthcare professionals to increase patient safety and patient outcomes. PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 6 References Godlock, G., Christiansen, M., & Feider, L. (2016). Implementation of an evidence-based patient safety team to prevent falls in inpatient medical units. Medsurg Nursing, 25(1), 17-23. Retrieved from http://library.capella.edu/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocvie w%2F1765639165%3Faccountid%3D27965 PICO(T) QUESTIONS AND EVIDENCED-BASED APPROACH 7 Soncrant, C. M., M.P.H., Warner, Lisa J, MHA,R.N., C.N.O.R., Neily, Julia, MS,M.P.H., R.N., Paull, Douglas E,M.D., M.S., Mazzia, L., M.D., Mills, P. D., PhD., . . . Hemphill, Robin R,M.D., M.P.H. (2018). Root cause analysis of reported patient falls in ORs in the veterans health administration: The official voice of perioperative nursing the official voice of perioperative nursing. AORN Journal, 108(4), 386-397. doi:http://dx.doi.org.library.capella.edu/10.1002/aom.12372 Titler, M.G., (May 31, 2018) “Translation Research in Practice: An Introduction” OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 2, Manuscript 1. doi:10.3912/OJIN.Vol23No02Man01 Wilson, D. S., Montie, M., Conlon, P., Reynolds, M., Ripley, R., & Titler, M. G. (2016). Nurses’ Perceptions of Implementing Fall Prevention Interventions to Mitigate Patient-Specific Fall Risk Factors. Western Journal of Nursing Research, 38(8), 1012–1034. doi:10.1177/0193945916644995 …Baccalaureate Nursing discussion