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Nursing Evidence based practice/ Nursing Science

Please see attached documents:
I included the cost of 2 pages, to complete the 2 charts that go with the paper.

NURSING SCIENCE

Competencies:
724.8.5: Foundations of Inquiry – The graduate differentiates between quality improvement processes, evidence based practice and research.
724.8.6 Literature Review and Analysis – The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.
724.8.7: Ethics and Research – The graduate demonstrates understanding of the ethics of nursing research particularly human subjects’ protections, informed consent and alignment with patient and family values and preferences.
724.8.8: Patient Outcomes – The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory.
724.8.9: Data Collection, Analysis, and Dissemination – The graduate describes the process of data collection, analysis and implementation of evidence that can improve clinical practice from an interprofessional perspective.
________________________________________
Introduction:
The influence of evidence-based practice (EBP) has reached across nursing practice, education, and science. Forward-thinking healthcare systems empower their frontline staff with the autonomy to effect change by identifying research that supports best practices through the performance improvement process. This is done with an aim of improving patient outcomes. In order to complete such a task, EBP combines continuous quality improvement, research, performance improvement, and change theory. In this task, you will identify a healthcare problem and develop a question that can be informed by research evidence.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.
2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background.

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers discussed in F2.
4. Identify one indicator to measure the outcome related to the recommendation.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
File Attachments:

Evidence Matrix
Authors Journal Name/ WGU Library Year of Publication Research Design Sample Size Outcome Variables Measured Level (I–III) Quality (A, B, C) Results/Author’s Suggested
Conclusions

PICO Table Example

Example:
P (patient/problem) hospital acquired infection
I (intervention/indicator) hand washing
C (comparison) no hand washing; other solution; masks
O (outcome) reduced infection

Rubric
Export to Word link opens in new window
Not Evident Approaching Competence Competent Score/Level
Articulation of Response (clarity, organization, mechanics) The candidate provides unsatisfactory articulation of response. The candidate provides weak articulation of response. The candidate provides adequate articulation of response.
A1. Healthcare Problem Description is not evident or reflects a basic misunderstanding of a healthcare problem. Description is vague, illogical, or it reflects a superficial understanding of a healthcare problem. Description is clear, logical, and reflects an authentic healthcare problem.
A2. Significance of Problem Explanation is not evident or reflects a basic misunderstanding of the significance of the problem. Explanation is vague or does not reflect an understanding of the significance of the problem. Explanation reflects a clear and logical understanding of the significance of the problem.
A3. Current Practice Description is not evident or reflects a basic misunderstanding of the current practice related to the problem. Description is vague or is not relevant to the current practice related to the problem. Description is clear, accurate, and reflects the current practice related to the problem.
A4. Impact on Background Discussion is not evident or reflects a basic misunderstanding of the impact on either types of background. Discussion is vague or is not relevant to the impact on the types of cultural background (patient and/or organizations). Discussion is clear, logical, and reflects the impact on at least one type of cultural background (patient and/or organizations).
B. PICO Table PICO table is not evident or elements provided reflect a basic misunderstanding of the PICO. PICO table is incomplete or does not correctly describe all elements of the PICO. PICO table is complete and correctly describes all the elements of the PICO.
B1. PICO Question Question is not evident or reflects a basic misunderstanding of the PICO. Question is incomplete (includes some elements) or is not relevant to the PICO. Question is complete (includes all elements) and relevant to the PICO.
C1. Keywords Keywords are not evident or are not relevant to the search. Keywords do not reflect a comprehensive approach to finding related literature. Keywords reflect a comprehensive approach to finding related literature
.
C2. Number and Types of Articles Description is not evident or reflects a basic misunderstanding of the literature search topic. Description is incomplete (does not include number or types) or is not relevant to the literature search topic. Description is complete (includes number and types) and is relevant to the literature search topic.
C2a. Research and Non-Research Evidence Discussion is not evident or reflects a basic misunderstanding of research and non-research evidence sources. Discussion is irrelevant or incomplete (does not include 2 research and/or 2 non-research evidence sources). Discussion is relevant and complete (includes 2 research and 2 non-research evidence sources).
D. Evidence Matrix Attachment is not evident, or sources are basically unacceptable (are not from scholarly journals). Attachment is incomplete (does not include 5 sources), or the sources are from scholarly journals but not located in major medical databases. Attachment is complete (includes 5 sources), and the scholarly journal sources are located in major medical databases.
E. Recommended Practice Change Explanation is not evident or reflects a basic misunderstanding of the practice change. Explanation is vague or does not inform a practice change that addresses the PICO question, or the explanation is not supported by the evidence. Explanation is clear, informs a practice change that addresses the PICO question, and is supported by the evidence.
F1. Key Stakeholders Explanation is not evident or reflects a basic misunderstanding of how to involve the 3 stakeholders. Explanation is vague or does not address how to involve the 3 stakeholders in the decision. Explanation is congruent, logical, and addresses how to involve the 3 stakeholders in the decision.
F2. Barriers Description is not evident or reflects a basic misunderstanding of specific barriers and applying evidence. Description is not relevant, includes general barriers, or vaguely applies the evidence. Description is relevant, includes specific barriers, and clearly applies the evidence.
F3. Strategies for Barriers Identification is not evident or reflects a basic misunderstanding of the strategies and the barriers. Identification is incomplete (includes only 1 strategy) or is not relevant to the barriers. Identification is complete (includes 2 strategies) and is relevant to the barriers.
F4. Indicator to Measure Outcome Indicator is not evident or reflects a basic misunderstanding of the outcome. Indicator is irrelevant or does not measure the outcome. Indicator is relevant and measures the outcome.
G. Sources The submission does not include in-text citations and references according to APA style. The submission includes in-text citations and references but does not demonstrate a consistent application of APA style. The submission includes in-text citations and references and demonstrates a consistent application of APA style.

Category: Essays

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