Evidence Based Practice

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.

2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet.

3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..

4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..

5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..

6. You are required to complete the worksheet using the productivity tools required by University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365,

7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:

American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf  (Links to an external site.)Links to an external site.

8. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet.

9. Use correct grammar, spelling, punctuation, and in-text APA formatting.

10. Submit the completed PPL Worksheet on the Week 3 Assignment page.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

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Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality

Safety

Patient satisfaction
Patient education

Falls

Non-pharmacological pain management

Errors (any). Examples include:

·  Medication

·  Patient identification

·  Communication

Readmissions
Length of stay
Costs

Healthcare Associated Infections (HAIs). (Any type)
Examples include:

·  Central Line Associated Blood Stream Infections (CLABSI)

·  Catheter Associated Urinary Tract Infections (CAUTI)

·  Ventilator Associated Pneumonia (VAP)

·  Surgical Site Infections (SSI)

Sepsis

Discharge Teaching/Coaching
Transitions of Care/Level of Care

Pressure Ulcers
Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

NR439 PPL Worksheet Rubric

NR439 PPL Worksheet Rubric

Criteria  RatingsPts

This criterion is linked to a Learning Outcome Clinical Nursing Practice Problem

Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.

25.0 pts

Clearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen.

22.0 pts

Criteria from the first column are mostly summarized or one criteria lacks details or is missing.

20.0 pts

Criteria from the first column are minimally summarized or two criteria lack details or are not present.

10.0 pts

Criteria from the first column are poorly summarized.

0.0 pts

Criteria are not discussed.

25.0 pts

This criterion is linked to a Learning Outcome Clinical PICOT Question

Using the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.

20.0 pts

PICOT question with all 5 elements correct.

18.0 pts

PICOT question with 4 elements correct.

16.0 pts

PICOT question with 3 elements correct.

8.0 pts

PICOT question with 1-2 elements correct.

0.0 pts

PICOT question with no elements correct or no PICOT question present.

20.0 pts

This criterion is linked to a Learning Outcome PICOT Elements

Identify each of the elements for your PICOT.

20.0 pts

All 5 PICOT elements are correctly identified.

18.0 pts

4 PICOT elements are correctly identified.

16.0 pts

3 PICOT elements are correctly identified.

8.0 pts

1-2 PICOT elements are correctly identified.

0.0 pts

No PICOT elements are correctly identified or are not present.

20.0 pts

This criterion is linked to a Learning Outcome Evidence Retrieval Process

Using the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

20.0 pts

All of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

18.0 pts

Missing two criteria from the A column.

16.0 pts

Missing three criteria from the A column

8.0 pts

Missing four criteria from the A column.

0.0 pts

Missing all five criteria from the A column or none of the criteria are present.

20.0 pts

This criterion is linked to a Learning Outcome Implications of Literature Evidence

Summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

25.0 pts

Thoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

22.0 pts

Mostly summarizes the criteria in the first column or one criteria lacks details.

20.0 pts

Fairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.

10.0 pts

Poorly summarizes the criteria in the first column. Poor details are provided.

0.0 pts

Criteria are not summarized or is missing.

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Terms

Identifies 4 (or more) relevant searchable terms you used for your search for literature.

25.0 pts

Identifies 4 (or more) relevant searchable terms used for the search for literature.

22.0 pts

Identifies 3 relevant searchable terms used for the search for literature.

20.0 pts

Identifies 2 relevant searchable terms used for the search for literature.

10.0 pts

Identifies 1 relevant searchable term used for the search for literature.

0.0 pts

No Marks

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Strategies

Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature.

25.0 pts

Identifies 4 (or more) relevant strategies used to narrow/limit the search for literature.

22.0 pts

Identifies 3 relevant strategies used to narrow/limit the search for literature.

20.0 pts

Identifies 2 relevant strategies used to narrow/limit the search for literature.

10.0 pts

Identifies 1 relevant strategy used to narrow/limit the search for literature.

0.0 pts

No strategies identified or strategies are not present.

25.0 pts

This criterion is linked to a Learning Outcome Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar

8.0 pts

Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.

6.0 pts

Good writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.

3.0 pts

Fair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.

2.0 pts

Poor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.

0.0 pts

Very poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.

8.0 pts

This criterion is linked to a Learning Outcome APA In-Text Formatting for Cited Sentences

7.0 pts

Excellent APA formatting. Uses APA in-text citation formatting with no errors.

6.0 pts

Good APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.

4.0 pts

Fair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.

3.0 pts

Poor APA formatting with many errors noted.

0.0 pts

Very poor APA with errors noted throughout.

7.0 pts

This criterion is linked to a Learning Outcome Assigned PPL Worksheet Used

0.0 pts

Assigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted

0.0 pts

Assigned PICOT Worksheet form used for this assignment. 0 points deducted

0.0 pts

Total Points: 175.0

 
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