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C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Paper Guide Example

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C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Paper Guide Example

C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Paper Guide ExampleC922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education

C922 NURS 6005: Emerging Trends and Challenges in 21st Century Nursing Education Assignment Brief

Assignment Instructions Overview

This assignment requires students to propose the integration of emerging technology into the curriculum of “The Role of the BSN Nurse in Promoting Community Health.” The objective is to identify an educational technology that enhances nursing education and aligns with professional recommendations. The proposal must be supported by a literature review using five peer-reviewed articles, an assessment of the current technology gap, stakeholder collaboration strategies, and a force field analysis for implementation. Students will also apply a change theory to justify their proposed curricular update and discuss potential barriers and facilitators of change.

Understanding Assignment Objectives

This task is designed to develop critical competencies in recognizing emerging educational trends, proposing effective nursing education strategies, and initiating organizational change within academic settings. The assignment emphasizes evidence-based decision-making and strategic implementation of technology to enhance nursing education outcomes.

The Student’s Role

Students will assume the role of an academic nurse educator, responsible for evaluating current technological challenges in nursing education, conducting a literature review, performing a needs-gap analysis, and collaborating with key stakeholders. The proposal should include a clear rationale for technology integration, an analysis of implementation factors, and strategies to overcome resistance. Additionally, students must use a structured, well-referenced format to ensure clarity and academic rigor.

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C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Paper Guide Example

Emerging Trends in Nursing Education – C922Emerging Trends and Challenges in 21st Century Nursing Education

Executive Summary

The landscape of nursing education has undergone a significant transformation in the 21st century, driven by the integration of technology to enhance educational delivery, learning experiences, and student success. One of the most effective curricular technologies proposed for the Community Health course is the Lippincott Solutions platform. This platform fosters evidence-based learning, enhances institutional reputation, and strengthens the overall nursing education infrastructure. Compared to other technologies like Zoom for Education, Lippincott Solutions enables learners to interact with a standardized and research-driven curriculum, equipping them with the necessary skills for contemporary nursing practice.

However, despite its numerous advantages, challenges exist. Students with limited financial resources may struggle to access the platform, creating disparities in educational benefits. Additionally, institutional stakeholders, including administrators, educators, learners, and IT specialists, must align efforts for successful implementation. The adoption of Lippincott Solutions follows Lewin’s Change Theory, which involves the stages of unfreezing, change, and refreezing. This structured approach ensures a smooth transition and effective integration into the curriculum. Beyond improving learning outcomes, the implementation of Lippincott Solutions prepares nursing students for technologically advanced healthcare environments, ensuring seamless adaptation to digital tools in clinical settings.

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Literature Review

Research Findings and Support for Proposal

Nursing education is experiencing a paradigm shift where traditional classroom settings are increasingly replaced with blended learning models. According to Delungahawatta et al. (2022), integrating technology into nursing education enhances instructional quality, accessibility, and engagement. Additionally, McCutcheon et al. (2018) emphasizes that digital learning facilitates e-learning by leveraging handheld devices, reducing geographical barriers, and promoting flexible learning opportunities.

Further research by Santo et al. (2022) indicates that institutions implementing online learning models reduce commute-related costs for students and ensure uninterrupted access to educational materials. While some institutions fully transition to online learning, others adopt a blended approach to maintain an interactive educational environment. Similarly, Rouleau et al. (2017) and Delungahawatta et al. (2022) highlight that integrating mobile applications into nursing curricula enhances cognitive development and learning efficiency compared to traditional lecture-based methods.

Additionally, Ongor and Uslusoy (2023) emphasize that digital learning platforms promote inclusive education by catering to diverse student needs. Advanced technologies allow educators to modify learning objectives, develop course content, and implement visual aids, simulations, and multimedia resources. This technological evolution in nursing education ultimately strengthens the profession and improves patient care quality.

Need for Further Research and Development

While technological advancements enhance nursing education, they also introduce challenges related to pedagogical adaptation. According to Rouleau et al. (2017), the rapid evolution of digital tools may lead to gaps in instructional methodologies, requiring ongoing faculty development and curriculum revision. Moreover, McCutcheon et al. (2018) points out that mobile learning tools are underutilized in community health courses, limiting students’ ability to access critical public health resources. To address these gaps, institutions must train educators on innovative teaching modalities to optimize technology integration.

Another prevalent issue is the generational divide in digital literacy. Younger nursing students, accustomed to technology, adapt easily, whereas older students may struggle with e-learning platforms. Institutions must implement comprehensive digital literacy training programs to bridge this gap and ensure equitable access to technological resources.

Needs Assessment

A systematic needs assessment is essential to ensure the effective integration of curricular technology into nursing education. This process involves analyzing current educational challenges, evaluating technology gaps, and aligning implementation strategies with institutional goals.

Need-Gap Analysis

As the nursing curriculum evolves, there is a growing need for standardized technological solutions to support educational delivery. Many institutions struggle with an overloaded undergraduate curriculum and require streamlined digital resources to facilitate efficient learning transitions. Conducting stakeholder surveys and evaluating prior learning methodologies will help identify the specific needs of the Community Health course and address existing curriculum gaps (Penuel et al., 2020). Stakeholder engagement is crucial in determining the current state of nursing education and the optimal technology required for improvement.

Collaboration with Stakeholders

Successful implementation of curricular technology requires collaboration among key stakeholders, including institutional administrators, nurse educators, learners, and IT specialists.

Institution Administration

Administrators play a vital role in budget allocation, resource management, and policy implementation to support technological advancements in nursing education.

Nurse Educators

Nurse educators help identify gaps in the current curriculum and facilitate technology integration to enhance student learning experiences.

Learners

Students are primary beneficiaries of curricular technology. Their diverse learning needs, digital literacy levels, and engagement with technology must be assessed to ensure successful adoption.

Information Technology Personnel

IT specialists oversee the technical implementation, system maintenance, and user support necessary for effective technology integration.

Collaboration Methods

A combination of effective communication and task-oriented collaboration is essential for project success. According to Penuel et al. (2020), structured communication plans, including weekly meetings, email updates, and stakeholder feedback sessions, enhance engagement and project efficiency. Additionally, employing a transformational leadership approach fosters inclusivity and encourages stakeholder commitment.

Current Technology Challenges

Current and Emerging Technologies

The primary technologies used in nursing education include Zoom for Education and Lippincott Solutions (Table 1).

Technology Advantages Disadvantages
Zoom for Education Enhances remote learning, fosters student engagement, and supports hybrid learning models Requires stable internet access; may present learning curve for new users
Lippincott Solutions Provides standardized, evidence-based nursing curriculum; supports critical thinking development Requires financial investment; periodic maintenance may limit access

 

Current State of Technology Challenges

  1. Accessibility and Infrastructure

Many institutions lack the necessary technical infrastructure, leading to digital disparities among students. Limited internet access, lack of technical support, and outdated digital tools create barriers to equal learning opportunities.

  1. High Cost of Textbooks and Journals

The financial burden of nursing education is a significant challenge, with many students struggling to afford costly textbooks and research materials (Santo et al., 2022).

  1. Textbook Bulkiness and Information Overload

Physical textbooks are cumbersome and limit students’ ability to access real-time, updated research. Digital platforms like Lippincott Solutions address this issue by streamlining content and integrating interactive learning materials.

Overcoming Challenges

Implementing Lippincott Solutions can address these challenges by standardizing nursing education, reducing costs, and enhancing accessibility (Nettina, 2019). The platform provides affordable access to digital learning materials, encourages evidence-based research, and supports student competency development.

Summary of Curricular Technology Needs Assessment

Integrating Lippincott Solutions into the nursing curriculum will significantly enhance student learning experiences, competency, and critical thinking skills. This platform fosters an evidence-based, student-centered learning environment, supporting both theoretical knowledge and clinical application. By implementing structured digital learning strategies, nursing institutions can ensure students acquire the essential skills needed for modern healthcare practice, thereby improving patient safety and overall healthcare quality (Rouleau et al., 2017).

Stakeholder Consensus

The project team collaborated with the main stakeholders to agree on implementing Lippincott Solutions programs. As a result, the project team met with these stakeholders, where they brainstormed on their respective disciplines’ readiness to embrace change in the new curricular proposal (Penuel et al., 2020). Also, through the stakeholders, it was easy to assess the prior and current learning activities to provide accurate and relevant data to showcase the current nursing curriculum’s existing capabilities and point out the gaps or needs that the current modality offers compared to the desired modality.

Additionally, stakeholder engagement ensured the inclusion of diverse perspectives, enhancing the feasibility and acceptance of the proposed integration. Regular meetings, surveys, and workshops were conducted to facilitate a participatory approach, ensuring that faculty members, administrators, and students had an opportunity to express concerns and provide insights into optimizing the implementation process.

Literature Review Summary

Table 1 presents a summary of key studies that support the integration of e-learning and blended learning technologies in nursing education.

Table 1: Literature Review Summary

First Author (Pub. Year) Title Purpose Context Findings Relevance Strength of Evidence
McCutcheon (2018) Online learning versus blended learning of clinical supervisee skills with pre-registration nursing students: A randomized controlled trial. Assess learning outcomes for nursing students using blended learning versus online learning. Nurse learners in Ireland’s higher learning institutions. Blended learning was more effective than online learning due to its ability to cater to individual needs. Demonstrates the importance of both online and traditional learning to meet diverse learning needs. Level II
Ongor (2023) The effect of multimedia-based education in e-learning on nursing students’ academic success and motivation: A randomized controlled study. Assess the impact of multimedia teaching materials on students’ motivation and achievement. Nursing students. Multimedia enhances nursing education by integrating practical learning more effectively than traditional methods. Shows that multimedia-based e-learning improves academic success. Level II
Rouleau (2017) Effects of e-learning in a continuing education context on nursing care: a review of systematic qualitative, quantitative, and mixed studies reviews (protocol). Evaluate how e-learning affects continuing nursing students. Nurses in continuing education. E-learning influences knowledge, reactions, and skills, particularly in the first two levels of the Kirkpatrick model. Helps identify factors influencing continuing students’ acceptance of e-learning. Level I
Santo (2022) The emotional side of e-learning among nursing students: The role of affective correlates on e-learning satisfaction. Assess the role of emotions in e-learning satisfaction. Italian undergraduate nursing students. Learners’ emotions significantly impact e-learning satisfaction. Provides insights into how emotions shape the e-learning experience. Level IV
Delungahawatta (2022) Advances in e-learning in undergraduate clinical medicine: A systematic review. Explore the effectiveness of active e-learning in nursing education. Undergraduate nursing students. Integrating e-learning programs in nursing academic settings enhances learners’ success. Highlights the importance of evidence-based active learning strategies in e-learning. Level I

 

Curriculum Technology Need-Gap Analysis

Table 2 highlights the gap between the current and desired technologies in nursing education and the necessary action steps.

Table 2: Curriculum Technology Need-Gap Analysis

Current Curriculum Technology Desired Curriculum Technology Need-Gap Action Steps to Meet the Need-Gap
Printed journals and articles Lippincott Solutions program to support blended learning and evidence-based research. Lack of an interactive, digital knowledge repository that promotes cognition and critical thinking. Purchase Lippincott Solutions, hire IT personnel for training, train all users, and conduct annual training.
Textbooks Zoom for educators (supports messaging, webinars, virtual conferences, and meetings). Need for real-time collaboration and engagement. Order Zoom for Educators, hire IT personnel for training, train users, and conduct annual training.

 

Force Field Analysis

Table 3 outlines the driving and restraining forces affecting the integration of Lippincott Solutions.

Table 3: Force Field Analysis

Forces for Curriculum Proposal Curriculum Proposal Forces Against Curriculum Proposal
Offers an evidence-based practice platform Lippincott Solutions implementation proposal Implementation cost
Provides a standardized curriculum High expenses for resources and training
Supports training for learners, educators, and the nursing school Resistance from faculty and students

 

Organizational Factors and Forces to Consider

The organization factors will include internal and external factors.

Internal Factors

The main internal factors that may affect the implementation of Lippincott Solutions are budgetary limitations, inadequate resources, and inadequate nurse educators. For instance, the budgetary and resource limitations may affect training, software upgrades, installation, and the money needed to purchase backup computers (Table 3). For inadequate nurse educators, the factor may limit how the institution trains the learners on better usage of Lippincott Solutions technology.

Additionally, resistance to technology adoption within the institution may pose a challenge. Some educators and staff members may feel overwhelmed by the transition, particularly if they are unfamiliar with e-learning technologies. To mitigate this, comprehensive training sessions, mentorship programs, and a phased implementation strategy will be employed to ensure a smooth transition.

External Factors

The main external factors that may impact the project include competition, vendor-related issues, and accrediting bodies. According to Penuel et al. (2020), competition may affect how the nursing school operates; thus, there is a need to assess better means to enhance the institution’s competitiveness and sustainability. Vendor-related issues include late delivery of the Lippincott Solutions software or provision of software that does not meet the HIPAA rule, thus delaying the project. Additionally, accrediting bodies like the Commission on Collegiate Nursing Education (CCNE) may affect the institution’s sustainability since learners and nursing employers prefer dealing with accredited institutions.

Further, government policies and evolving healthcare regulations may influence the adoption process. Compliance with legal and ethical standards, such as data privacy laws and educational accreditation requirements, must be ensured to maintain the credibility and acceptance of the Lippincott Solutions platform.

References

Delungahawatta, T. (2022). Advances in e-learning in undergraduate clinical medicine: A systematic review.

McCutcheon, K. (2018). Online learning versus blended learning of clinical supervisee skills with pre-registration nursing students: A randomized controlled trial.

Ongor, H. (2023). The effect of multimedia-based education in e-learning on nursing students’ academic success and motivation: A randomized controlled study.

Penuel, W. R., Fishman, B. J., Cheng, B. H., & Sabelli, N. (2020). Organizing research and development at the intersection of learning, implementation, and design.

Rouleau, G. (2017). Effects of e-learning in a continuing education context on nursing care: A review of systematic qualitative, quantitative, and mixed studies reviews (protocol).

Santo, L. (2022). The emotional side of e-learning among nursing students: The role of affective correlates on e-learning satisfaction.

Detailed Assessment Instructions for the C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Assignment

WGU Performance Assessment

MKP3 MKP3 TASK 1: EMERGING TECHNOLOGY AND NURSING EDUCATION

EMERGING TRENDS AND CHALLENGES IN 21ST CENTURY NURSING EDUCATION – C922

PRFA- MKP3

TASK OVERVIEW

SUBMISSIONS

EVALUATION REPORT

COMPETENCIES

7057.1.1: Recognize Educational Developments

The learner recognizes the impact of trends, significant challenges, and developments in educational technology in higher education in the 21st century.

7057.1.2: Propose Nursing Education Strategies

The learner proposes strategies for academic nursing education programs to address the current and future challenges faced by nursing practice.

7057.1.3: Initiate Change

The learner collaborates with nursing leaders in diverse healthcare settings to initiate change through policy efficacy that strengthens nursing practice and advances the future of healthcare.

INTRODUCTION

Academic nurse educators serve an important role as leaders and agents of change within an organization, often a school of nursing. Many of the challenges in nursing education are the result of trends, clinical demands, and developments in educational technology in higher education in the 21st century. Within nursing education, there are also evolving technologies in healthcare, an expanding scope of practice, and legal-ethical issues, which all affect the quality and safety of patient care. Nursing program curricula must be continually revised to reflect these changes and ensure graduates from nursing programs are able to successfully enter the job market. I

For this task, you will propose the integration of technology into curriculum to benefit an academic nursing education program. The change will be implemented in the course “The Role of the BSN Nurse in Promoting Community Health,” which was created in the previous MSNEDU courses. You will use five peer-reviewed articles published within the last five years to review current and emerging educational technologies recommended by professional organizations. Then you will use this information to identify and propose the new technology integration to support the curricular change. An analysis of organizational readiness for change to “The Role of the BSN Nurse in Promoting Community Health” should also be included.

Note: You must submit and pass C921 before submitting the task in C922.

REQUIREMENTS

https://tasks.wgu.edu/student/009271544/course/29340012/task/3728/overview

DHA

1/11

2/6/24, 1:43 PM

WGU Performance Assessment

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. The similarity report that is provided when you submit your task can be used as a guide.

Sources used to support this assessment must be published within the previous 10 years, with the exception of legacy and seminal sources. Please carefully review the rubric for any exceptions.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. 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.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

Develop a formal proposal using the attached “C922 Curriculum Technology Proposal Template” that integrates the chosen emerging technology for a curricular change into the previously developed course, “The Role of the BSN Nurse in Promoting Community Health.”

  1. Write an executive summary (suggested length of 1 page) that includes a synopsis of the key points of your proposal.

Note: The executive summary is written after you have completed your proposal.

  1. Complete a literature review of your curriculum technology proposal on the use of technology in education by doing the following:
  2. Complete the literature review summary table in the attached “C922 Curriculum Technology Proposal Template” using five peer-reviewed articles published within the last five years that support your curriculum technology proposal. Include your literature review summary table as Table 1, and reference Table 1 in the narrative where the literature review findings are discussed.
  3. Synthesize your literature review findings, including all five peer-reviewed articles you reviewed in part B1 and how the articles support your specific technology proposal. Draw connections between similar articles, and highlight any dissimilar or contradictory findings, if applicable.
  4. Based on your literature review, discuss the need for further research or development relative to the proposed technology.
  5. Complete a needs assessment and examine the current technology challenges by doing the following:
  6. Describe the process used to conduct a curricular technology needs assessment using a gap analysis as outlined in Table 2 in the attached “C922 Curriculum Technology Proposal Template.”.
  7. Identify three academic stakeholders (e.g., faculty, students, preceptors, IT personnel) and their roles in the gap analysis.
  8. Explain methods of collaboration with stakeholders in interprofessional teams and why the methods would be effective.
  9. Compare two current or emerging technologies by describing the advantages and disadvantages of each as they apply to “The Role of the BSN Nurse in Promoting Community Health.”
  10. Discuss three challenges with the current state of technology in the course “The Role of the BSN Nurse in Promoting Community Health,” including examples for each challenge.
  11. Explain how you will overcome the three challenges from part C3.
  12. Summarize your findings of the curricular technology needs assessment. https://tasks.wgu.edu/student/009271544/course/29340012/task/3728/overview
  13. Describe the collaboration with your stakeholders to reach a consensus on one technology from part C2.
  14. Identify the emerging technology and complete a force field analysis to identify forces for and against your curriculum technology proposal using Table 3 in the attached “C922 Curriculum Technology Proposal Template.”
  15. Collaborate with your preceptor and stakeholders to identify factors that could affect the adoption of your proposal by doing the following:
  16. Analyze two internal and two external organizational factors that may facilitate or impede implementation.
  17. Describe three forces that will facilitate integration of the identified emerging technology in the course “The Role of the BSN Nurse in Promoting Community Health.”
  18. Describe three forces that will impede integration of the identified emerging technology in the course “The Role of the BSN Nurse in Promoting Community Health.”
  19. Identify a change theory appropriate for your technology integration and adoption.
  20. Justify the selected change theory from part D2.
  21. Describe potential resistance and barriers to the technology change.
  22. Discuss how you plan to implement the change theory identified in part D2.
  23. Write a conclusion focusing on the impact and significance of your proposal by doing the following:
  24. Discuss the purpose and rationale of your proposal.
  25. Explain how your proposal fills the identified curriculum needs gap.
  26. Discuss why implementing this proposal is significant and the impact it will have on the broader field of nursing.
  27. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
  28. Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! -_.'()

File size limit: 200 MB

 

 

  1. The task is hypothetical, use your creativity and imagination.  You do not have to really meet with a preceptor and stakeholders.  Yes, you are making this up.
  2. We encourage students to start with section C and complete section A-Executive summary last.
  3. There are a ton of readings in the course so pace it out over time.  Unit 5 is about the change theory which is important for this course and the Field Experience/CapStone
  4. Pick a change theory to use in section D. You can use a change theory that you may have used in a previous course, like Lewin’s Theory. Get familiar with that theory and use it again for your FE/CS.
  5. For C discuss the actual steps taken to determine the gap.  This is the discussion of the information placed in Table 2.  Insert the Table into this section of the paper.  Table 2 includes the current technology, desired technology, the needs gap (what you want), and the Action Steps to get there (the plan of action).C1a identify the internal stakeholders and discuss the role they will have in implementing the curriculum/technology change.  C1b- least two methods of collaboration that could be used with the interprofessional team, how each method could be used, and why each method would be effective. C2, I encourage students to compare the current and desired technology that you put in your needs gap table.  It can be 2 current or 2 emerging, or 1 current and 1 emerging.  C2 is a discussion and separate from Table 2.    For section C3, discuss the current/old state of the technology and challenges.  For example, if the current state of technology is using an online learning management system (Canvas, Blackboard) a student may not feel comfortable with online quizzing because they are used to paper and pencil-based exams. That would be an issue related to the student learning style.  
  6. Section B is the literature review.  B1 says to provide five credible sources published in the last five years that are “relevant to your curriculum proposal project”.  That means your specific technology- not in general. Make sure all 5 articles are discussed.  You want to synthesize and look for common themes using all 5 articles.  
  7. For section D, note there is a difference between forces and factors. 11.  You will find a discussion of internal and external organizational factors.  As for the forces in D1b and D1c these are the forces that you have identified in your force field analysis. Discuss three that will facilitate change and three that may impede the proposed change.

C922 NURS 6005 Emerging Trends and Challenges in 21st Century Nursing Education Outline

[Title of Your Curriculum Technology Proposal]

Literature Review

Research Findings and Support of Proposal

Need for Further Research or Development

Needs Assessment

Need-Gap Analysis

Collaboration with Stakeholders

Current Technology Challenges

Current or Emerging Technologies

Technology Challenges

Overcoming Challenges

Summary of Curricular Technology Needs Assessment

Stakeholder Consensus

Factors and Forces to Consider

Organizational Factors

Forces for Integration

Challenges to Integration

Change Theory

Justification of Change Theory

Potential Resistance to the Technology

Plans to Implement Change Theory

Conclusion

References

 

Table 1
Literature Review Summary Table
First Author (Pub.Year) Title Purpose Context Findings Relevance Strength of Evidence
Level of evidence:

 

Strengths:

 

Weaknesses:
Level of evidence:

 

Strengths:

 

Weaknesses:
Level of evidence:

 

Strengths:

 

Weaknesses:
Level of evidence:

 

Strengths:

 

Weaknesses:
Level of evidence:

 

Strengths:

 

Weaknesses:

 

 

 

Table 2

Curriculum Technology Need-Gap Analysis

Current CurriculumTechnology Desired CurriculumTechnology Need-Gap Action Steps to Meet the Need-Gap

 

 

 

Table 3

ForceField Analysis

Forces for

curriculum proposal

 Curriculum proposal Forces againstcurriculum proposal
 

 

 

 

 

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Nurses Role in Medication Management Nursing Essay

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Nurses Role in Medication Management Nursing Essay

Introduction

Nurses Role in Medication Management Essay PaperNurses play a vital and diverse role when it comes to managing medications. This involves a broad spectrum of duties that directly impact patient safety and the overall quality of healthcare delivery. Indeed, the role of nurses in medication management is multifaceted, encompassing both legal and ethical considerations. Nurses bear a dual responsibility anchored in a framework of legal regulations and ethical principles that guide their practice, particularly when it comes to the intricate task of managing medications. These responsibilities extend beyond the confines of their duty hours, requiring unwavering commitment to adhering to specific guidelines defining their scope of practice, as delineated by the American Nurses Association in 2021. This comprehensive scope meticulously outlines what nurses can and cannot do, specifying their competencies, responsibilities, and qualifications.

The content of this paper delves into the multifaceted responsibilities of nurses in medication management, addressing legal and ethical considerations, the importance of medication safety, mathematical calculations, the application of the nursing process, the influence of regulatory bodies, and the transformative impact of Quality and Safety Education for Nurses (QSEN).

Legal and Ethical Considerations

In the world of healthcare, nurses have a dual responsibility: one that is anchored in both the legal framework and ethical principles that guide their profession, particularly when it comes to managing medications. These obligations extend to all moments, whether they’re on duty or off duty. It’s all about adhering closely to the specific guidelines that define their scope of practice, as outlined by the American Nurses Association in 2021. This scope sets out what nurses can and cannot do, specifying their competencies, responsibilities, and qualifications.

One significant facet of a nurse’s role in medication management is administering Over the Counter (OTC) medications. This often demands an in-depth understanding of these non-prescription drugs, as explained by Hood in 2018. Let’s take Nurofen, for example, a commonly used OTC pain reliever containing ibuprofen as its active ingredient, as described by Moore et al., (2015). Handling such medications brings up various legal and ethical issues, particularly when caring for vulnerable patient groups.

Elderly patients, for instance, deserve special attention due to their heightened vulnerability to the side effects of medications like ibuprofen, as highlighted by Moore et al., (2015). When dealing with this demographic, nurses need to be extra cautious and consider the potential for adverse events. Similarly, patients with kidney or liver problems add another layer of complexity, demanding careful assessment and monitoring to prevent any harm, as discussed by Hood in 2018.

Additionally, nurses must be acutely aware of possible drug interactions, especially when giving ibuprofen to patients who are also taking other non-steroidal anti-inflammatory drugs or medications that might worsen underlying conditions. Such interactions can lead to unwanted consequences like worsened asthma, rhinitis, or urticaria. This underscores the importance of a comprehensive understanding of the patient’s medication history and potential contraindications.

Furthermore, nurses are bound by ethical principles that shape their practice, such as autonomy, beneficence, and non-maleficence, as laid out by the American Nurses Association in 2021. Autonomy means respecting a patient’s right to make decisions about their medications and ensuring they are well-informed about the potential risks and benefits. Beneficence urges nurses to act in the best interests of their patients, striving to achieve positive outcomes. Conversely, non-maleficence emphasizes the importance of precise medication administration to prevent adverse effects and errors, aligning with the fundamental principle of “do no harm.”

The Role of Nurses in Medication Safety

Nurses play a crucial role in ensuring medication safety within healthcare settings. The significance of this role cannot be overstated, given the widespread impact of medication errors on patient well-being and healthcare costs. Medication errors have been recognized as a global concern, leading to substantial harm and financial burdens on healthcare systems (Hensher & McGain, 2020). In the United States, in particular, these errors have been associated with a significant number of patient deaths, with a majority of these errors occurring during the prescription-to-administration phase (Institute of Medicine, 2006).

One of the fundamental strategies for mitigating the risks associated with medication administration is the adherence to the “seven rights” of medication administration (Partin, 2006). These seven rights encompass ensuring the right dose, right route, right time, right individual, right medication, right expiration date/effect, and right documentation (Di Simone et al., 2020). Each of these rights plays a crucial role in preventing medication errors and their potential consequences. Neglecting any one of these rights can lead to severe adverse outcomes, including overdose and the administration of incorrect drugs.

To further underscore the importance of these rights, consider a scenario where a nurse overlooks the right route of administration and administers a medication intravenously that was meant to be given orally. Such an error could result in rapid drug absorption, potentially leading to life-threatening consequences. Therefore, it is paramount that nurses remain vigilant and meticulous in adhering to the seven rights at all times.

In addition to the seven rights, nurses must also take steps to verify the identity of the patient, heed safety alerts, and employ the correct administration routes and techniques. Patient identification is a critical step in preventing medication errors, as administering medication to the wrong individual can have severe consequences. Safety alerts, often provided by electronic health record systems or medication administration software, offer valuable information about potential drug interactions, allergies, or contraindications that must be considered before medication administration. Furthermore, the choice of administration route and technique must align with the medication’s prescribed guidelines to ensure efficacy and safety.

Math and Calculations in Drug Safety

Accurate medication dosage calculations are paramount in ensuring patient safety within healthcare settings. Nurses must possess the proficiency to calculate dosages with precision using various mathematical techniques, with dimensional analysis being a fundamental approach (Elonen, et al., 2021). Dimensional analysis is particularly useful for calculating dosages in various forms, including flow rates, oral dosages, and timed calculations.

Dimensional analysis involves breaking down the dosage calculation into its fundamental units and then systematically converting these units to the desired form. For example, when determining the flow rate for an intravenous (IV) infusion, nurses must consider factors such as the volume of medication to be administered, the time it should be infused over, and the calibration of the IV tubing. Accurate calculations are essential to avoid over-infusion or under-infusion, which can lead to adverse effects or therapeutic failure.

In addition to dimensional analysis, nurses must also be adept at handling unit conversions, such as converting grams to milligrams or milliliters to liters. This skill is crucial when dealing with medications provided in different units from those prescribed. Mistakes in unit conversions can result in incorrect dosages and jeopardize patient safety.

Furthermore, nurses should be proficient in working with ratios and fractions as they pertain to medication calculations. Medication orders often require dosage adjustments based on patient-specific factors like age, weight, and condition. Pediatric patients, in particular, demand individualized dosing based on their weight, emphasizing the importance of these mathematical skills (Willihnganz et al., 2019).

Application of the Nursing Process for Safety

The nursing process is a fundamental framework in nursing practice, consisting of five key phases: patient assessment, nursing diagnosis, planning, intervention, and evaluation (Willihnganz et al., 2019). This systematic approach forms the bedrock of patient care and is instrumental in ensuring patient safety, particularly in the context of medication administration.

Patient assessment is the initial and crucial step in the nursing process. It involves gathering comprehensive information about the patient’s health status, including past medication history and allergies (Elonen, et al., 2021). This information is essential to ensure proper medication therapy and to prevent potential complications. Patients may have allergies or sensitivities to specific medications, and overlooking this critical detail can lead to severe allergic reactions or adverse drug events. Moreover, understanding the patient’s medication history, including prior treatments and their outcomes, is vital for making informed decisions about the current medication plan.

Nursing diagnoses, the second phase of the nursing process, play a pivotal role in identifying safety risks related to medication administration. Nurses use their clinical judgment to assess drug interactions, evaluate the potential for adverse effects, and determine the need for antidotes if adverse reactions occur. For instance, recognizing potential interactions between multiple medications a patient is taking is essential in preventing harmful drug-drug interactions. Identifying high-risk patients or populations prone to medication-related complications, such as the elderly or those with specific comorbidities, is also part of nursing diagnosis.

Planning and intervention phases involve developing and implementing a comprehensive care plan based on the information gathered during the assessment and nursing diagnosis phases. This includes setting specific goals for medication therapy, designing strategies to minimize risks, and educating patients about their medications, including potential side effects and adverse reactions. The nursing process provides a structured framework for ensuring that medication administration aligns with best practices and safety protocols.

Finally, the evaluation phase allows nurses to assess the effectiveness of their interventions and the patient’s response to medication therapy. If there are adverse effects or inadequate therapeutic responses, adjustments can be made promptly to ensure patient safety and optimal treatment outcomes.

Regulatory and Governing Bodies’ Role in Patient Safety

Ensuring patient safety in healthcare is not solely the responsibility of healthcare providers but is also overseen and regulated by various governing bodies and agencies. These entities play a pivotal role in setting standards, guidelines, and regulations to safeguard patients from potential harm related to medication errors and other healthcare-related risks.

One of the most prominent regulatory bodies in the United States is the Food and Drug Administration (FDA). The FDA is responsible for approving and monitoring medications, ensuring their safety, efficacy, and quality. The agency’s rigorous review process evaluates the benefits and potential risks of medications before they are available for use in clinical practice. The agency also monitors post-marketing safety data and takes action when adverse events or safety concerns arise (FDA, 2023).

The Centers for Medicare & Medicaid Services (CMS) is another critical player in patient safety, overseeing healthcare facilities participating in these federal programs. CMS evaluates hospital performance, including medication safety practices, and implements various programs and regulations to incentivize healthcare providers to enhance patient safety outcomes (CMS, 2023).

At the state level, State Boards of Nursing are responsible for regulating nursing practice. These boards establish scope of practice guidelines, including the administration of medications, and monitor nursing licenses to ensure that nurses adhere to safe and ethical practices (National Council of State Boards of Nursing, 2023).

International organizations like the World Health Organization (WHO) also contribute significantly to patient safety efforts. WHO develops global patient safety initiatives, guidelines, and campaigns that promote best practices in medication safety, infection control, and other critical areas (WHO, 2018).

These regulatory and governing bodies serve as critical pillars of patient safety by setting standards, conducting oversight, and enforcing regulations. Their efforts are aimed at promoting the safe and effective use of medications, reducing medication errors, and ultimately improving the overall quality of healthcare.

Quality and Safety Education for Nurses (QSEN)

Quality and Safety Education for Nurses (QSEN) is an initiative that has significantly impacted the nursing profession by promoting and enhancing patient safety and the delivery of high-quality healthcare. Developed by the American Association of Colleges of Nursing (AACN) and the Robert Wood Johnson Foundation (RWJF), QSEN focuses on integrating essential knowledge, skills, and attitudes related to quality and safety into nursing education and practice (AACN, 2023).

One of the primary goals of QSEN is to equip nursing students and practicing nurses with the competencies required to deliver safe and effective care in a rapidly evolving healthcare environment. These competencies are organized into six domains:

  • Patient-Centered Care: Nurses are trained to recognize and respect each patient’s unique values, preferences, and needs. This includes effective communication, cultural competence, and shared decision-making to ensure that care aligns with the individual patient’s goals (QSEN Institute, 2022).
  • Teamwork and Collaboration: Collaboration is fundamental in healthcare, and QSEN emphasizes the importance of interprofessional teamwork. Nurses learn to work effectively with other healthcare professionals to provide coordinated and patient-centered care (QSEN Institute, 2022).
  • Evidence-Based Practice (EBP): EBP is a cornerstone of QSEN. Nurses are encouraged to integrate the best available evidence, clinical expertise, and patient preferences into their decision-making processes to improve patient outcomes (QSEN Institute, 2022).
  • Quality Improvement (QI): QSEN equips nurses with the skills to actively participate in quality improvement initiatives. Nurses are taught to identify opportunities for improvement, implement evidence-based interventions, and monitor outcomes to enhance the quality of care (QSEN Institute, 2022).
  • Safety: Patient safety is at the forefront of QSEN. Nurses learn to identify and mitigate risks, prevent errors, and create a culture of safety in healthcare settings (QSEN Institute, 2022).
  • Informatics: In the digital age of healthcare, informatics is crucial. Nurses are trained to use information and technology effectively to support patient care, make informed decisions, and communicate data accurately (QSEN Institute, 2022).

QSEN has influenced nursing education curricula across the United States and beyond, emphasizing the importance of preparing nurses to be safe and effective practitioners. It has been integrated into nursing programs, shaping the way nursing students are educated and evaluated. Additionally, practicing nurses have benefited from QSEN’s principles through continuing education and professional development opportunities.

Conclusion

In conclusion, nurses are the cornerstone of patient medication safety, tasked with preventing potentially life-threatening errors and ensuring optimal therapeutic outcomes. Their multifaceted role encompasses adherence to legal and ethical frameworks, adherence to the “seven rights” of medication administration, meticulous mathematical calculations, and a commitment to the nursing process.

By upholding these high standards and diligently following best practices, nurses make a profound and lasting impact on safeguarding the well-being of patients in healthcare settings. Their unwavering dedication to patient medication safety is fundamental in preventing errors and ensuring that healthcare remains a trusted and reliable source of healing and care. As the healthcare landscape continues to evolve, nurses will continue to play a pivotal role in shaping a safer, more patient-centered, and higher quality healthcare system.

References

American Association of Colleges of Nursing (AACN). (2023). Quality and Safety Education for Nurses (QSEN). https://www.aacnnursing.org/Quality-Resources/QSEN

American Nurses Association. (2021). Code of Ethics for Nurses with Interpretive Statements. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/

Centers for Medicare & Medicaid Services (CMS). (2023, September 6). Quality measures. Centers for Medicare & Medicaid Services | CMS. https://www.cms.gov/medicare/quality/measures

Di Simone E, Fabbian F, Giannetta N, Dionisi S, Renzi E, Cappadona R, Di Muzio M, Manfredini R. Risk of medication errors and nurses’ quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020 Jun;24(12):7058-7062. doi: 10.26355/eurrev_202006_21699. PMID: 32633400.

Elonen, I., Salminen, L., Brasaitė‐Abromė, I., Fuster, P., Kukkonen, P., Leino‐Kilpi, H., Löyttyniemi, E., Noonan, B., Stubner, J., Svavarsdóttir, M. H., Thorsteinsson, H., & Koskinen, S. (2021). Medication calculation skills of graduating nursing students within European context. Journal of Clinical Nursing, 31(5-6), 548-558. https://doi.org/10.1111/jocn.15908

Food and Drug Administration (FDA). (2023). About FDA. https://www.fda.gov/about-fda

Hensher, M., & McGain, F. (2020). Health care sustainability metrics: Building a safer, low-carbon health system. Health Affairs, 39(12), 2080-2087. https://doi.org/10.1377/hlthaff.2020.01103

Hood, L. (2018). Leddy & Pepper’s Professional Nursing (9th ed.). Lippincott Williams & Wilkins.

Institute of Medicine. (2006). Preventing Medication Errors: Quality Chasm Series. National Academies Press.

Moore, R. A., Wiffen, P. J., Derry, S., Maguire, T., Roy, Y. M., & Tyrrell, L. (2015). Non-prescription (OTC) oral analgesics for acute pain – an overview of Cochrane reviews. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd010794.pub2

National Council of State Boards of Nursing. (2023). About NCSBN. https://www.ncsbn.org/About.htm

Partin, B. (2006). Preventing medication errors. The Nurse Practitioner, 31(12), 8. https://doi.org/10.1097/01.npr.0000393076.25047.72.

Quality and Safety Education for Nurses (QSEN). (2022). QSEN competencies. QSEN. https://www.qsen.org/competencies-pre-licensure-ksas

Willihnganz, M., Gurevitz, S. L., & Clayton, B. D. (2019). Clayton’s basic pharmacology for nurses – E-book. Elsevier Health Sciences.

World Health Organization (WHO). (2018, August 27). Patient safety in the western Pacific. https://www.who.int/westernpacific/health-topics/patient-safety

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D219 NURS 3610 Scholarship in Nursing Practice Paper Guide Example

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D219 NURS 3610 Scholarship in Nursing Practice Paper Guide Example

D219 NURS 3610 Scholarship in Nursing Practice Paper Guide ExampleD219 NURS 3610 Scholarship in Nursing Practice

D219 NURS 3610 Scholarship in Nursing Practice Assignment Brief

  1. Assignment Instructions Overview

This assignment requires students to critically appraise evidence-based literature and apply research findings to clinical practice. The focus is on evaluating a healthcare problem, formulating an evidence-based practice (EBP) question using the PICO framework, and reviewing both research-based and non-research-based literature to determine best practices.

  1. Understanding Assignment Objectives

The primary objective of this assignment is to develop students’ ability to:

  • Identify a relevant clinical practice problem and analyze its impact on patients and healthcare organizations.
  • Construct a well-defined EBP question using the PICO framework.
  • Critically appraise research-based and non-research-based articles using structured appraisal tools.
  • Apply research findings to recommend evidence-based practice changes.
  • Consider ethical implications in research and practice change implementation.
  • Evaluate barriers to implementation and propose solutions.
  • Communicate findings in a professional, structured format using APA citations.

  1. The Student’s Role

Students are expected to engage in a rigorous literature review, critically appraise research evidence, and synthesize findings into a coherent practice recommendation. They should:

  • Demonstrate critical thinking by assessing the quality and applicability of selected studies.
  • Ensure ethical considerations are acknowledged in the research.
  • Collaborate with key stakeholders in proposing a practice change.
  • Provide well-supported recommendations backed by credible evidence.

  1. Competencies Measured

This assignment assesses key competencies that are essential for nursing research and practice improvement:

  • Foundations of Inquiry: Differentiating between quality improvement, evidence-based practice, and research.
  • Literature Review and Analysis: Conducting a structured review and appraisal of scholarly articles.
  • Ethics and Research: Understanding ethical considerations, including human subject protection and informed consent.
  • Patient Outcomes: Comparing evidence-based standards with conventional practices to enhance patient care.

Data Collection, Analysis, and Documentation: Understanding data-driven decision-making in interprofessional healthcare settings.

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  1. Assignment Components

A. CITI Certification

Students must submit proof of completion of Collaborative Institutional Training Initiative (CITI) certification.

B. Clinical Practice Problem & PICO Components

Students will identify a healthcare problem, analyze its impact, and construct a PICO-based EBP question.

PICO Breakdown:

P (Population): Define the target patient group.

I (Intervention): Specify the intervention or strategy being assessed.

C (Comparison): Identify the control or alternative intervention.

O (Outcome): Determine the expected improvement or change.

C. Research-Based Evidence Appraisal

Students will select a research-based article (published within the last five years) that addresses their EBP question. They will provide:

Background and purpose of the study.

Research methodology used.

Level of evidence (Johns Hopkins Nursing Evidence-Based Practice Model).

Data analysis summary.

Ethical considerations.

Quality rating of the study.

Results and conclusion, including relevance to the EBP question.

D. Non-Research-Based Evidence Appraisal

Students will select a non-research-based article that provides expert recommendations on the practice change. The appraisal includes:

Background and purpose of the article.

Type of evidence (clinical guideline, expert opinion, etc.).

Level of evidence and quality rating.

Contribution to answering the EBP question.

E. Practice Change Recommendation

Based on findings, students will recommend a practice change and discuss:

Stakeholder involvement (e.g., clinicians, administrators, infection control teams).

Potential barriers to implementation.

Strategies to overcome identified barriers.

Outcome measurement to assess effectiveness.

F. References & Citations

Students must adhere to APA formatting for in-text citations and the reference list.

G. Professional Communication

Submissions should be clear, well-organized, and free from grammatical errors, demonstrating professional academic writing skills.

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D219 NURS 3610 Scholarship in Nursing Practice Paper Guide Example

Scholarship in Nursing Practice Paper

Collaborative Institutional Training Initiative (CITI) Certification

[Attach a copy of the CITI certification as required.]

Clinical Practice Problem and PICO Components

Impact of Surgical Site Infections (SSI) on Patients and Organizations

Surgical site infections (SSI) are a significant complication that affects post-surgical patients, leading to extended hospital stays, increased medical costs, and higher morbidity rates. SSI occurs when harmful microorganisms infect the surgical site, affecting either the skin, soft tissues, or implanted materials. These infections can delay the healing process, require additional medical interventions, and significantly impact a patient’s recovery.

From an institutional perspective, SSIs contribute to higher operational costs, as affected patients often require prolonged hospitalization, additional antibiotic therapy, and sometimes secondary surgeries. Furthermore, healthcare institutions may face financial penalties due to hospital-acquired infection rates, affecting overall efficiency and profitability. Implementing evidence-based preventive strategies, such as preoperative decolonization with povidone-iodine nasal swabs, can play a vital role in reducing SSI incidence and improving patient outcomes.

PICO Components

P (Patient/Population): Surgical patients undergoing elective or emergency procedures.

I (Intervention): Preoperative decolonization using povidone-iodine nasal swabs.

C (Comparison): Patients who do not receive povidone-iodine nasal swabs before surgery.

O (Outcome): Reduction in surgical site infections.

Evidence-Based Practice (EBP) Question

For surgical patients undergoing surgery, does perioperative decolonization with nasal povidone-iodine swabs reduce surgical site infections compared to patients who do not undergo nasal decolonization?

Research-Based Evidence Appraisal

Selected Research-Based Article

Martin, V. T., et al. (2020). Preoperative Intranasal Decolonization with Topical Povidone-Iodine Antiseptic and the Incidence of Surgical Site Infection: A Review. Medical Science Monitor, 26, e927052.

  1. Background and Purpose

The study by Martin et al. (2020) investigates the efficacy of preoperative nasal decolonization using povidone-iodine antiseptic in reducing SSIs. The primary aim is to assess whether preoperative antiseptic intervention can lower infection rates, particularly those caused by antibiotic-resistant bacteria such as Staphylococcus aureus.

  1. Research Methodology

This research employs a systematic review approach, analyzing multiple studies that evaluate the effectiveness of povidone-iodine nasal decolonization in preventing SSIs. The review includes both retrospective and prospective cohort studies, ensuring a comprehensive evaluation of existing evidence.

  1. Level of Evidence

Using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, this research article is classified as Level I evidence since it synthesizes data from multiple randomized controlled trials (RCTs) and systematic reviews.

  1. Data Analysis Summary

The study’s data analysis involved comparing SSI rates between surgical patients who underwent nasal povidone-iodine decolonization and those who did not. Statistical methods such as meta-analysis and relative risk calculations were utilized to quantify the impact of the intervention.

  1. Ethical Considerations

Ethical considerations included obtaining informed consent for participation in individual studies and ensuring patient safety by evaluating adverse effects of povidone-iodine usage. Since this was a systematic review, the ethical focus remained on accurately synthesizing previous research while maintaining data integrity.

  1. Quality Rating

According to the JHNEBP model, the quality rating of this study is high (A) due to its strong methodological rigor, comprehensive literature analysis, and clear recommendations for clinical practice.

  1. Results and Conclusion

The study concludes that preoperative intranasal povidone-iodine decolonization significantly reduces SSIs, particularly infections caused by Staphylococcus aureus.

Relevance to the EBP Question

This article directly addresses the EBP question by providing evidence supporting the effectiveness of povidone-iodine nasal swabs in reducing SSIs, thereby justifying their integration into surgical infection prevention protocols.

Non-Research-Based Evidence Appraisal

Selected Non-Research-Based Article

Zhu, X., et al. (2020). Can nasal Staphylococcus aureus screening and decolonization prior to elective total joint arthroplasty reduce surgical site and prosthesis-related infections? A systematic review and meta-analysis. Journal of Orthopaedic Surgery & Research, 15(1), 1–11.

  1. Background and Purpose

This non-research-based article discusses clinical practice guidelines for SSI prevention and the role of nasal decolonization protocols. It provides recommendations based on expert opinions and previous clinical experiences.

  1. Type of Evidence

The article presents a clinical practice guideline, summarizing best practices and recommendations for perioperative nasal decolonization.

  1. Level of Evidence

Based on the JHNEBP model, this article is classified as Level IV evidence, as it is derived from expert consensus rather than experimental research.

  1. Quality Rating

The article is rated moderate (B) in quality, as it synthesizes multiple expert opinions but lacks direct experimental validation.

  1. Contribution to EBP Question

The article supports the use of povidone-iodine nasal swabs as part of a broader infection prevention strategy, reinforcing the findings of the research-based article.

Practice Change Recommendation

  1. Recommended Practice Change

Based on the findings from both articles, it is recommended that preoperative nasal decolonization with povidone-iodine be integrated into standard pre-surgical protocols to reduce SSIs.

  1. Key Stakeholders
  • Surgeons: Will implement the decolonization protocol and assess its effectiveness.
  • Infection Control Teams: Will monitor SSI rates and ensure compliance.
  • Hospital Administrators: Will allocate resources and support policy adoption.
  1. Potential Barrier

Resistance from surgical teams due to concerns about additional workload and procedural changes.

  1. Overcoming the Barrier

Providing training sessions and demonstrating the cost-effectiveness and patient outcome benefits of the intervention can encourage adoption.

  1. Outcome Measurement

A reduction in the rate of SSIs in surgical patients following the implementation of nasal decolonization protocols.

References

Martin, V. T., et al. (2020). Preoperative Intranasal Decolonization with Topical Povidone-Iodine Antiseptic and the Incidence of Surgical Site Infection: A Review. Medical Science Monitor, 26, e927052. https://doi.org/10.12659/MSM.927052

Zhu, X., et al. (2020). Can nasal Staphylococcus aureus screening and decolonization prior to elective total joint arthroplasty reduce surgical site and prosthesis-related infections? A systematic review and meta-analysis. Journal of Orthopaedic Surgery & Research, 15(1), 1–11. https://doi.org/10.1186/s13018-020-01601-0

Detailed Assessment Instructions for the D219 NURS 3610 Scholarship in Nursing Practice Assignment

Description

COMPETENCIES

738.2.1 : Foundations of Inquiry

The learner differentiates between quality improvement processes, evidence-based practice, and research.

738.2.2 : Literature Review and Analysis

The learner demonstrates knowledge of the process and outcomes of conducting a literature review.

738.2.3 : Ethics and Research

The learner demonstrates an understanding of the ethics of nursing research particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences.

738.2.4 : Patient Outcomes

The learner discriminates between evidence-based standards of practice and conventional practices to improve patient outcomes.

738.2.5 : Data Collection, Analysis, and Documentation

The learner describes the process of data collection, analysis, and implementation of evidence that can improve clinical practice from an interprofessional perspective.

INTRODUCTION

Evidence-based literature comes from many sources. The discipline of nursing has an abundance of research data and resources to guide clinical decisions. Therefore, it is of pivotal importance to understand the basic tenets of critical appraisal of such evidence for its use in interprofessional healthcare practices.

In this task, you will identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research-based and non-research-based evidence to find answers to that question.

Note that while you will be analyzing only one research-based and one non-research-based article in this task, an actual evidence-based practice change would require the support of many high-quality research studies.

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. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. 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.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

  1.  Submit a copy of your Collaborative Institutional Training Initiative (CITI) certification in either a .jpeg, .png, .bmp, .gif, or .pdf file.

https://doi.org/10.12659/MSM.927052 https://doi.org/10.1186/s13018-020-01601-0 

  1. Discuss the impact of the problem on the patient and organization

Surgical site infections (SSI) have been a serious problem that hinders the recovery process of surgical patients. It can involve the skin, soft tissues, or implanted materials in the body. Many different techniques have been utilized to reduce infections to postoperative patients. One method that has been discussed is the use of nasal Staphylococcus aureus screening and decolonization prior to surgery. To decolonize the nasal passages, povidone-iodine nasal swabs have been researched and used for potentially decreasing harmful bacteria including antibiotic resistant strains of bacteria. For the patients that are suffering from an SSI, this could potentially increase their hospital stay due to incisional complications. As for the healthcare system, surgical patients with an SSI could need a higher level of care and monitoring. This could result in more money spent on each individual patient and a financial loss to the healthcare institution. SSI is a complex issue that can potentially be avoided if proper measures are done preoperatively such as instituted it as core surgical site infection prevention strategy.

Identify the PICO components

P – Surgical patients

I – The use of Povidone-iodine nasal swab decolonization preoperatively

C – Patients not using Povidone-iodine nasal swabs prior to surgery

O – Decrease in surgical site infections

Evidence-Based Practice Question

For surgical patients having surgery, does perioperative decolonization with nasal povidone-iodine swabs reduce surgical site infections?

Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

  1. Identify each of the following PICO components of the clinical practice problem:
  • P: patient, population, or problem
  • I: intervention
  • C: comparison
  • O: outcome
  1. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

(START HERE)

C.Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

  1. Discuss the background or introduction (i.e., the purpose) of the research-based article.
  2. Describe the research methodology used in the research-based article.
  3. Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

  1. Summarize how the researcher analyzed the data in the research-based article.
  2. Summarize the ethical considerations of the research-based article. If none are present, explain why.
  3. Identify the quality rating of the research-based article according to the JHNEBP model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

  1. Analyze the results or conclusions of the research-based article.
  2. Explain how the article helps answer your EBP question.
  3. Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

  1. Discuss the background or introduction (i.e., the purpose) of the non-research-based article.
  2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.
  3. Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.

  1. Identify the quality rating of the non-research-based article according to the JHNEBP model.
  2. Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.
  3. Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.
  4. Explain how you would involve three key stakeholders in supporting the practice change recommendation.
  5. Discuss one specific barrier you may encounter when implementing the practice change recommendation.
  6. Identify one strategy that could be used to overcome the barrier discussed in part E2.
  7. Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.
  8. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
  9. Demonstrate professional communication in the content and presentation of your submission.

References

Martin, V. T., Abdullahi Abdi, M., Li, J., Li, D., Wang, Z., Zhang, X., Elodie, W. H., & Yu, B. (2020). Preoperative Intranasal Decolonization with Topical Povidone-Iodine Antiseptic and the Incidence of Surgical Site Infection: A Review. Medical Science Monitor?: International Medical Journal of Experimental and Clinical Research, 26, e927052. https://doi.org/10.12659/MSM.927052

Zhu, X., Sun, X., Zeng, Y., Feng, W., Li, J., Zeng, J., & Zeng, Y. (2020). Can nasal Staphylococcus aureus screening and decolonization prior to elective total joint arthroplasty reduce surgical site and prosthesis-related infections? A systematic review and meta-analysis. Journal of Orthopaedic Surgery & Research, 15(1), 1–11. https://doi.org/10.1186/s13018-020-01601-0

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Making Nursing Assignments a Breeze

Whether you’re tackling complex topics, facing tight deadlines, or dealing with specific instructions, we’ve got you covered. From creating custom nursing research papers to assisting with nursing assignments, our professionals are here to support you.

How We Can Help

Our pro nursing writers excel at crafting outstanding nursing essay papers from scratch, addressing any topic, meeting any deadline, and following your specific instructions. At ReliablePapers.com, we recognize the significance of your academic success.

Why Choose Us?

  • Affordable Prices: Our online nursing papers are affordably priced, making them accessible to all college students.
  • Expert Writers: Let our skilled writers perfect your paper, providing the expertise needed for exceptional results.
  • Originality Guaranteed: Bid farewell to plagiarized papers. Our nursing experts create original and customized nursing essays for your academic success.
  • Easy Ordering Process: Ready to place your order? It’s hassle-free! Visit our “Place Order” page, provide paper details, proceed to checkout, and your order will be assigned to a suitable expert.

Why Trust Our Professionals?

Our experts at ReliablePapers.com stay updated with the latest nursing trends, ensuring your nursing research paper stands out. Trust us for the best nursing writing services that meet your desires and ensure timely submissions.

Save Time and Secure Top Grades

Ready to save time and secure the grades you deserve? Visit our “Place Order” page, fill in your paper details, proceed to checkout, and trust us to make your nursing papers perfect. Don’t wait until the last minute; fill in your requirements and let our experts deliver your work ASAP.

Hire an Expert Paper Writer on Any Subject, Any Topic, Any Deadline! Submit your paper instructions by placing your order here to get started!

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