Training Intern Nurses Discussion

NURS3313 1 NURS3313 – Guidelines for Research Proposal Draft Project Description and Purpose: The Research Proposal Draft Project provides an opportunity for students to incorporate learning into practice. Students work individually to identify and research a problem or relevant issue they have encountered in the clinical setting. Students perform a literature review, Needs Assessment, Comparison of Findings Table (COFT), Research Proposal draft and Research Proposal presentation. Research Proposal Draft Project Part 1: Selection of Research Proposal topic approved by instructor Part 2: Needs Assessment Part 3: Comparison of Findings Table (COFT) Part 4: Research Proposal Draft Part 5: Research Presentation Summary of Steps in Completing the Assignment: 1. Select a topic and submit it to course instructor for approval by end of first class session. 2. Complete a literature search for at least 5 primary peer-reviewed research articles. 3. Complete a Needs Assessment for the topic, using the articles, in order to develop a research question or objective. See course schedule for due date/time. 4. Complete a Comparison of Findings Table (COFT) for the articles. See course schedule for due date/time. 5. Write a 6 page Research Proposal draft synthesizing the findings from the research articles, Needs Assessment, and COFT. Submit both a hard copy of the paper at the beginning of class and post a copy to Moodle. See course schedule for due date/time. 6. Develop a 15-20 minutes Research Proposal presentation highlighting the main points of the research proposal draft to be presented during the last class session. Needs Assessment: A needs assessment is a systematic process for determining and addressing needs, or “gaps”, between current conditions (current research and clinical practice) and desired conditions or “wants” (research proposal). 1. Identify current research and clinical practice related to the chosen topic. Describe elements of the problem as it currently exists. Be detailed enough so the problem is understood, but make sure to maintain confidentiality. Be as objective as possible – state the problem without assigning judgment to a person or organization. 2. State the desired outcome for the research proposal. 3. Specify the gap between the current and desired situations. 4. Select a solution that can close the gap. The needs assessment should be 1-2 pages long (not counting cover sheet and references), and must be formatted according to APA 6th edition standards. The needs assessment should be submitted using Moodle email. See course schedule for due date/time. NURS3313 2 Comparison of Findings Table (COFT): The COFT makes it possible to summarize and organize findings from research articles. It allows easy identification of important points in articles and determination of similarities and differences among the articles. After completing a literature search, choose at least 5 pertinent research articles, dated within the last 5 years, and complete the COFT using the provided template. Information in the table must be paraphrased, rather than quoted. Copying and pasting from the articles is not permitted. Copies of the articles saved as PDF files must be submitted through Moodle email by the due date. Research Proposal Draft: This paper demonstrates synthesis (not just a summary) of findings from the literature review, Needs Assessment, and COFT to define a research question or research objective and create a research proposal draft that could help to fill in the gaps in research on the chosen topic. Training Intern Nurses Discussion

The paper should be formatted according to the guideline sheet attached. The paper should be at least 6 pages long, with proper spelling and grammar, and be formatted according to correct APA style. The reference list must include at least 5 peer-reviewed research articles dated within the past 5 years. Copies of any articles used in the research proposal not contained in the COFT must be submitted by the due date using email on Moodle. See course schedule for due date/time. (See more detailed instructions on next page.) Presentation Requirements: The presentation provides a forum for disseminating the findings of the project. The presentation should be professional. It should include the title of the research project, the topic, background or significance of the project, a summary of research findings, identified gaps, and a summary of proposed solutions. A Reference page, which includes all resources cited in the paper and presentation, should be included with the presentation. Presenters are expected to be knowledgeable and prepared to answer questions from viewers about the topic. Presentations are done during the Week 5 class in a 15-20 minute presentation. NURS3313 3 NURS3313 Evidence for Nursing Practice Research Proposal Draft Guidelines Sheet Description The proposal is the plan for a nursing research-based project to address a problem in the clinical setting. Although proposals vary in length, depending on the problem or issue addressed, they must be at least 6 double-spaced pages long. The cover sheet, reference page, and appendices are not included in the 6 pages. Correct APA headings are required for each section. Evaluation of the proposal is based on the extent to which the depth of content reflects undergraduate-level critical thinking skills. Content evaluation criteria (These sections are good headings for the proposal.) Section A: Problem Identification Identify a problem in the clinical setting. 1) Describe the problem or issue that needs a solution. 2) Provide support that the problem or issue is an important one to solve. 3) State at least one research question or objective that is specific, realistic, and measurable. Section B: Research Support 1) 2) Provide sufficient and compelling research evidence for the proposed solution. Summarize all research reports used in a concise manner and provide acceptable internal and external validity. Essential components of each study must be described, so readers can evaluate its scientific merit. Training Intern Nurses Discussion

Section C: Proposed Research Methodology Describe how the research would be carried out. 1) What type of data collection would be used? 2) Would there be research participants, or would data be collected from existing records, or other sources of data? Section D: Solution Description Develop a description of the proposed solution. 1) Describe the proposed solution. 2) Describe the way(s) in which the proposed solution is consistent with current research knowledge. NURS3313 3) 4 Discuss the feasibility of implementing the proposed solution in the clinical setting. Section E: Implementation Plan Present a description of methods to be used to implement the proposed solution. 1) 2) 3) 4) Describe the overall plan for implementing the proposed solution. Identify resources needed for the proposed solution’s implementation. Identify potential barriers to implementation and how those might be overcome. Describe the methods for monitoring solution implementation. Section F: Evaluation Plan Present a description of the methods that could be used to evaluate the solution. NURS3313 5 NURS3313 Evidence for Nursing Practice Rubric for Needs Assessment Content References Format Excellent Assessment complete: current conditions, desired result, gap, and solution all discussed. All components discussed are defended with research. 30 points Good Assessment complete, but contains very little discussion of gathered information. Not all components discussed are defended with research. 26 points Fair Assessment complete, but contains no discussion of gathered information. No components discussed are defended with research. 23 points Poor Assessment incomplete. Contains 5 primary research articles dated within the past 5 years. Articles from peer reviewed journals and relevant to topic. Articles mainly from professional nursing journals. Contains 5 articles from peer reviewed journals. All articles relevant to topic. One article not a primary research article, or not dated within past 5 years. Contains 3 or fewer articles. Many articles irrelevant, not primary research articles, or not dated within past 5 years. 10 points 9 points Contains only 4 articles.

Articles from peer-reviewed journals. One article irrelevant to topic. Two to three articles not primary research articles, or not dated within past 5 years. 6 points Contains 3-5 errors in APA format and/or spelling and grammar. Contains greater than 5 errors in APA format and/or grammar. Poorly written and difficult to read. All of paper and references in Contains 2 or fewer errors in correct APA format. APA format and/or grammar. Information clear and easy to Information clear and easy to understand. understand. 1-2 pages long. 10 points Total Points ______________ Final Grade ______________ Comments: 8 points 7 points 15 points 3 points 5 points NURS3313 Article Citation 6 Research Question or Hypothesis NURS3313 Evidence for Nursing Comparison of Findings Table Sample, Setting, and Outcomes to be Design Measured Findings Strengths and Limitations NURS3313 7 NURS3313 Evidence for Nursing Practice Rubric for Comparison of Findings (COFT) Table Content Excellent Table is complete. All components discussed are accurately interpreted. 30 points Good Table is complete, but contains a few (2-3) errors in the discussion of article components. 26 points Fair Table is complete, but contains several (4-6) errors in discussion of article components. 23 points Poor Table is incomplete. Majority of article components summarized incorrectly. 15 points Contains at least 5 primary research articles that are dated within the past 5 years. Articles are from peer-reviewed journals and are relevant to the topic. Articles are mainly from nursing journals. Contains at least 5 articles from peer-reviewed journals. All articles are relevant to the topic. One article is not a primary research article or is not dated within the past 5 years. Contains only 4 articles. Articles are from peer reviewed journals. One article is irrelevant to the topic. Two to three articles are not primary research articles or are not dated within the past 5 years. 6 points Contains 3-5 errors in APA format and/or spelling and grammar. Contains 3 or fewer articles. Many articles are irrelevant, not primary research articles, or are not dated within the past 5 years. References 10 points Format All references in correct APA format. Training Intern Nurses Discussion

Summaries clear and easy to understand. 9 points Contains 2 or fewer errors in APA format and/or grammar. Summaries clear and easy to understand. 10 points Total Points ______________ Final Grade ______________ Comments: 8 points 7 points 3 points Contains greater than 5 errors in APA format and/or grammar. Poorly written summaries. Difficult to understand. 5 points NURS3313 8 NURS3313 Evidence for Nursing Practice Rubric for Proposal Draft Criteria Problem Identification Solution Description Excellent Describes problem or issue needing a solution. Provides support that the problem or issue is an important one to solve. States specific, realistic, measurable project objective or research question. Briefly describes proposed solution and way in which it can solve problem or issue. 20 points Describes proposed solution. Describes how proposed solution consistent with current research evidence. Discusses feasibility of implementing proposed solution in clinical setting. . 20 points Research Support Develops research base for proposed solution sufficient to support use. Provides sufficient and compelling research base for proposed solution. Summarizes all research reports in a concise manner and provides acceptable internal and external validity. Essential components of each study described, so readers can evaluate scientific merit. 15 points Implementation Plan Evaluation Plan Describes overall plan for implementing proposed solution. Identifies resources needed for proposed solution’s implementation. Training Intern Nurses Discussion

Describes methods for monitoring solution implementation. Discusses feasibility of implementation plan. Good Describes problem or issue needing solution. Missing 1-2 items for Excellent classification. 15 points 10 points Describes proposed solution. Missing Describes proposed solution. 1-2 items for Excellent classification. Missing 3 or more items for Excellent classification. 15 points 10 points Develops research base for proposed Minimum research base solution sufficient to support use. provided for proposed solution. Missing 1-2 items listed in the Missing 3 or more items for Excellent classification. Excellent classification. 10 points Describes overall plan for implementing proposed solution. Missing 1-2 items for Excellent classification. 10 points 15 points Identifies an outcome measure that could be used to evaluate whether Missing 1-2 items for Excellent project objective or research question achieved. classification. Describes methods for collecting outcome measure data and rationale for using those methods. Identifies potential barriers to implementation and ways to overcome. 10 points Fair Describes problem or issue needing solution. Missing 3 or more items for Excellent classification. 8 points 8 points Describes overall plan for implementation of proposed solution. Missing 3 or more items for Excellent classification. 8 points Missing 3 or more items for Excellent classification. 5 points NURS3313 Format 9 Style consistent with that expected of a formal project proposal. Formatted according to APA (6th ed.) guidelines. APA headings used for each section of the proposal. Grammar, punctuation, and formal word usage consistent with undergraduate-level expectations. 10 points Total Points _____________________ Final Grade _____________ Comments: Missing 1-2 items for Excellent classification. 8 points Missing 3 or more items for Excellent classification. 5 points NURS3313 10 NURS3313 Evidence for Nursing Practice Rubric for Research Proposal Presentation Content Flow Summary Documentation Professionalism Excellent Contains key points related to topic. Summarizes information to highlight main points. Content accurate and supported by evidence. 35 points Good Content accurate and contains key points, but summarized poorly. Content supported by evidence. Presentation well-organized and creative. 30 points Organization could be improved. 26 points Summarizes main points of presentation. 10 points Contains complete reference list in APA format. Summarizes main points of presentation. 9 points Submits complete reference list, but contains errors in APA format. 9 points Student demonstrates thorough knowledge of subject, but tentative when discussing proposal Exhibits professionalism. 10 points Student demonstrates thorough knowledge of subject when interacting with class. Exhibits professionalism. 15 points 31 points 13 points Total Points: ______________ Final Grade _______________ Comments: Fair Content missing a few key points. Poor Content not supported by evidence. Contains a large amount of inaccurate evidence. 28 points Poorly organized. 23 points Presentation difficult to follow 17 points 22 points Information poorly summarized. 7 points Reference list incomplete. Key points of presentation missing from summary. 5 points Many APA errors or incomplete reference list. 8 points Student interacts awkwardly with audience. Does not demonstrate knowledge of subject. Does not exhibit professionalism. 11 points 6 points Student avoids questions from audience. Lacks evidence of professionalism in presentation. 8 points 1 Angela R. Van Order MVNU 3313 Evidence for Nursing Practice Dr. Carol Dorough September 15, 2020 2 Needs for Extended Learning of New Nurses Introduction Newly licensed Registered Nurses make up the highest number of nurses in the medical and surgical field. They also contribute to a higher number of nurses leaving the nursing profession than retirees. The rate of turnover in new nurses within the first two years of employment is at twelve percent. The high turnover rate is a big issue to the medical institutions because it causes understaffing in hospitals. The cost of replacing each nurse who leaves is thirty percent higher than that of retaining the nurse (Blegen et al., 2017). Consequently, there is a necessity to emphasize improving the retention rates of nurses; since the solution is in improving the specific extended learning and the training of novice nurses. Transitional Stress According to researchers, new nurses have a very high level of stress due to the nature of the work. The transition from academia to the professional practicing environment is very stressful. The adaptation to a new working environment and integration into the workforce is especially hard on the new nurses. The medical and surgical units are high-pressure fields because of the high stakes involved in the treatment of patients. The new nurses also have to quickly get accustomed to death and learn how to deal with it (Johan et al., 2017). This inability to cope with this stress is the main reason for the burnout of new nurses. Research of the expectations of new graduate nurses from the nursing residency programs revealed that most expected better guidance and support from their supervisors than they received (Hajihosseini, 2018). Hospitals need to develop structured transition programs for new nurses that provide better-extended training in the provision of sufficient time for each intern nurse and their supervisor for better assessment. 3 Competency and Practical Readiness According to Kavanagh and Szweda (2017), only twenty-three percent of new graduate nurses have entry-level competency and already have practical skills. They are not prepared to work in the complex medical and surgical fields. These fields require a higher level of precision than the nurse has been prepared to handle. This leads to a higher number of medical errors and poor patient care. The incorporation of evidence-based practices into the learning process helps the novice nurses to be familiar with the medical equipment. The additional training on safety practices and specialized training is very effective in improving the competence of new nurses (Spector, 2015). Clinical Judgment Skills The just out of school nurses lack the required knowledge to make clinical judgments when handling patients. These are the skills that inform the medical decisions made by nurses over patient care. Training Intern Nurses Discussion

The inexperienced nurses make numerous patent care errors because they do not have clinical intuition (Ibrahim & Aly, 2018). There is a need for nursing residency programs to embark upon the development of a clinical reasoning model to help novice nurses develop these essential skills. The skills of clinical perception are also developed through teaching creative thinking and gaining practical experience. Conclusion This research proposal aims to examine the gap between the current practices in training intern nurses and the proper techniques. The objective is to find solutions that narrow the rift and, as a result, improve the job satisfaction and retention rate of new nurses while providing the best quality of health care to patients. The precise resolution to this challenge is to establish structured training programs for new nurses that include specialty training of specific areas of medicine. Good 4 communication and teamwork are also critical factors in ensuring the seamless transition of inexperienced nurses to the profession increasing job satisfaction. 5 References Blegen, M. A., Spector, N., Lynn, M. R., Barnsteiner, J., & Ulrich, B. T. (2017). Newly Licensed RN Retention: Hospital and Nurse Characteristics. Journal of Nursing Administration, 47(10), 508–514. Haji-Hosseini, F., Tafreshi, M. Z., Hosseini, M., & Baghestani, A. R. (2018). Postgraduat …Training Intern Nurses Discussion