Evidence Based Project Proposal
The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal.
This formal paper will include and expand upon work completed thus far in prior assignments.
Essential Components of the Final Project Proposal will include:
Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
Overview of the Problem – Discuss the problem, why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.
Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
Develop an EBP Standard – Describe two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.
Expectations
Due: 10/22/2020
Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
Format: Formal scholarly paper in APA 6th ed format
Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 6th ed format.
Hypertension in Pregnancy
Kita Brown is a 36-year-old black female presenting to her local urgent care with headache and stating her mother took her blood pressure and it was a “little higher than it should be”. Kita has had an unremarkable pregnancy, which was conceived thru IVF. She is currently 30 weeks and 5/7 days pregnant and relates she has had no problem with her pregnancy. She only takes prenatal vitamins, and relates she was on hctz prior to pregnancy for borderline BP but stopped it when she underwent IVF and her BP has remained “pretty normal”. Sher relates she was prescribed labetalol but did not take it regularly as she didn’t want to take anything that might hurt the baby.
Her initial prenatal screening, including initial labs, and third trimester CBC and glucose testing have been normal. She additionally at her 1st prenatal visit had baseline PIH (pregnancy induced hypertension/pre-eclampsia) due to her history of hypertension which were normal including a protein to creatine ratio.
Upon intake at the urgent care the notes relate she appears in no apparent distress, and she has reported fetal movement within the past hour. She denies, any other symptoms including epigastric pain, vision changes or nausea. She states fetal movement has been normal, and denies leaking fluid, vaginal bleeding, or contractions. She relates slight swelling and her weight gain to-date has been 17 lbs. Current BMI is 25.1, BP is 162/90, pulse 82, respirations 16 and unlabored, temperature 98.2 orally. Kita was transferred to the emergency room due to her complaints and her gestational age.
Upon arrival to the emergency room 30 minutes later her repeat BP was 166/ 88. It was retaken 15 minutes later and was 162/92. All blood pressures were confirmed with a manual cuff. She had no additional complaints.
QUESTIONS:
1. What are your 3 differential diagnosis? (place primary diagnosis as first)
2. What treatments would you implement?
3. What further information would you need?
4. What is the first priority in conducting your assessment?
5. What diagnostic tools/tests would you use? And why?
Patient Preferences and Decision Making
Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.
What has your experience been with patient involvement in treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.
To Prepare:
Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.
By Day 3 of Week 8
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
The Role of the RN/APRN in Policy Evaluation
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?
Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and policies than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
To Prepare:
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
Review the Resources and reflect on the role of professional nurses in policy evaluation.
Write an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in the policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.
Cognitive Behavioral Therapy vs Existential-Humanistic Therapy
Post a summary of the psychotherapy that you selected (Cognitive Behavioral Therapy) and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.
** No Plagiarism
** Three references required
Thank you so much.
Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies
55-year-old Asian female living in a high-density poverty housing complex.
Pre-school aged white female living in a rural community.
Answer the following questions:
What are the barriers to interpersonal communication?
What are the procedures and examination techniques that will be used during the physical exam of your patient?
Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.
*Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic source"
Nursing Discussion
Cognitive Behavioral Therapy: Group Settings Versus Family Settings
As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.
Learning Objectives
Students will:
Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
Analyze challenges of using cognitive behavioral therapy for groups
Recommend effective strategies in cognitive behavioral therapy for groups
To prepare:
Reflect on your practicum experiences with CBT in group and family settings.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media
Reflect on the need to improve outcomes in healthcare
Reflect on the need to improve outcomes in healthcare and consider the following.
How might a large cadre of nursing practice and research scholars' impact change?
How might the work of this cadre translate evidence to change practice?
How might this cadre lead clinical innovation?
In influencing improvement outcomes at your workplace, what strategies can you implement to inspire others to embrace change?
Instructions:
Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.
• Textbooks are not considered scholarly sources.
• Wikipedia, Wikis, .com website or blogs should not be used.
Worldview Analysis and Personal Inventory
Based on the required topic study materials, write a reflection about worldview and respond to following:
In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
In 250-300 words, explain what scientism is and describe two of the main arguments against it.
In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
What is ultimate reality?
What is the nature of the universe?
What is a human being?
What is knowledge?
What is your basis of ethics?
What is the purpose of your existence?
Remember to support your reflection with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Community Nursing
This is another student post to which i have to react adding some extra information related this post.
short answers.
As nurses, we need to elaborate a care plan every time we receive a patient or have a particular situation that requires medical intervention. On a patient that is planning on hurt himself the first step will be to correctly diagnose the condition. Usually, patients who are at risk for self-harm are suffering of depression, anxiety and other secondary conditions such as bipolar disorder etc.
The outcome will be that the patient will remain free from any self-harm during the time that patient remains in the hospital. It is also important to involve the patient in the plan of care, like encouraging him to talk about his feelings, any suicidal ideation and thoughts. In addition, the patient will verbalize different solutions or ideas to cope with the current situation.
Some of the interventions will be not to leave the patient alone as a first step and stablish a one to one supervision or a backeract order in some states of USA like Florida. Always explaining to patient every step of the intervention and removing every object that the patient can use to harm himself such as curtains, needles, and cords. The second step will be to schedule a consultation with a psychiatric physician. It is important to evaluate every step of the interventions to make sure that patient can be discharge home safely.
(Nursing Care Plan and Diagnosis for Risk for Self Harm Related to | Suicide Depression Nanda Nursing Interventions and Outcomes, 2013).
References
Benzodiazepine Toxicity. (n.d.). Retrieved July 29, 2016, from
http://emedicine.medscape.com/article/813255-overview
Lithium toxicity: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved July 29, 2016, from
https://medlineplus.gov/ency/article/002667.html
Nursing Care Plan and Diagnosis for Risk for Self Harm Related to | Suicide Depression Nanda
Nursing Interventions and Outcomes. (2013). Retrieved July 29, 2016, from http://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-risk-for-self-harm-related-to-suicide-depression-nanda-nursing-interventions-and-outcomes/
Valproate Toxicity. (n.d.). Retrieved July 29, 2016, from
http://emedicine.medscape.com/article/819315-overview
Varcarolis, E. M. (2013). Essentials of psychiatric mental health nursing. S.l.: Saunders.
