Practice Scenario for Evidence Based practice

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  1. Read over each of the following directions.
  2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
  3. Download and use the required PPE Worksheet (Links to an external site.).
  4. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
  5. Be sure to use the PPE grading rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
  6. Use correct grammar, spelling, punctuation, and in-text APA formatting.
  7. Submit the completed PPE Worksheet on the Week 3 Assignment page.

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).

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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 only 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. Examples include:

  • Medication
  • Patient identification
  • Communication
  • Readmissions
  • Length of stay
  • Costs
Healthcare Associated Infections (HAIs).
Examples include:

  • Central Line Associated Blood Stream Infections (CLABSI)
  • Catheter Associated Urinary Tract Infections (CAUTI)
  • Ventilator Associated Pneumonia (VAP)
  • Surgical Site Infections (SSI)
  • Sepsis (Screening or Prevention)
  • Discharge Teaching/Coaching
  • Transitions of Care/Level of Care
  • Pressure Ulcers
  • Skin Integrity

Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. 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/AAC…

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/

Rubric

NR439 PPE Worksheet Rubric

NR439 PPE Worksheet Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemSelect and identify only one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.

50.0 pts

Selects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issueis the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details.

46.0 pts

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

40.0 pts

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

19.0 pts

Criteria from the first column are poorly summarized.

0.0 pts

Criteria are not discussed.

50.0 pts

This criterion is linked to a Learning OutcomeClinical Nursing PICOT QuestionClinical Nursing PICOT Question

Using the NR439 Guide for writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include each letter of the PICOT in your question.

15.0 pts

PICOT question has 5 elements correct. Question is nursing related.

13.0 pts

PICOT question has 4 elements correct or question is not nursing related.

12.0 pts

PICOT question has 3 elements correct.

6.0 pts

PICOT has 1-2 elements correct.

0.0 pts

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

15.0 pts

This criterion is linked to a Learning OutcomeDefine PICOT ElementsDefine each of the elements from your above clinical PICOT question.

15.0 pts

5 PICOT elements are correctly defined.

13.0 pts

4 PICOT elements are correctly defined.

12.0 pts

3 PICOT elements are correctly defined.

6.0 pts

1-2 PICOT elements are correctly defined.

0.0 pts

PICOT elements are not correctly defined or elements are not present.

15.0 pts

This criterion is linked to a Learning OutcomeEvidence Retrieval Process and SummaryUsing only the Chamberlain College of Nursing library:
(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explain why you chose the evidence.
(3) Provide a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource).
(4) Evidence must be published within the last 10 years.
(5) Provide the permalink.

20.0 pts

All of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permalink.

18.0 pts

Missing 1 criteria or 1 criteria lacks details.

16.0 pts

Missing 2 criteria or 2 of the criteria lacks details.

8.0 pts

Missing 3-4 of the criteria.

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 OutcomeImplications of the EvidenceSummarize what you learned from the evidence.
Summarize why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

40.0 pts

Thoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

35.0 pts

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

32.0 pts

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

15.0 pts

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

0.0 pts

Criteria are not summarized or is missing.

40.0 pts

This criterion is linked to a Learning OutcomeEvidence Search TermsIdentifies 4 (or more) relevant searchable terms you used for your search for evidence.

10.0 pts

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

9.0 pts

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

8.0 pts

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

5.0 pts

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

0.0 pts

No terms identified or terms are not present.

10.0 pts

This criterion is linked to a Learning OutcomeEvidence Search StrategiesIdentifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.

10.0 pts

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

9.0 pts

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

8.0 pts

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

4.0 pts

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

0.0 pts

No strategies identified or strategies are not present.

10.0 pts

This criterion is linked to a Learning OutcomeScholarly 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 OutcomeAPA 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 OutcomeAssigned PPE Worksheet Used

0.0 pts

0 points deducted

Assigned PPE Worksheet used for this assignment.

0.0 pts

17.5 points deducted (10%)

Assigned PPE Worksheet NOT used for this assignment results in deduction.

0.0 pts

This criterion is linked to a Learning OutcomeLate deduction

0.0 pts

0 points deducted

Submitted on time

0.0 pts

Not submitted on time – Points deducted

1 day late=8.75 deduction; 2 day late =17.5 deduction; 3 day late=26.25 deduction; 4 day=35 deduction; 5 day=43.75 deduction; 6 day =52.5 deduction; 7 day =61.25 deduction; Score of 0 if more than 7 days late

0.0 pts

Total Points: 175.0

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