D219 NURS 3610 Scholarship in Nursing Practice Paper Guide Example

D219 NURS 3610 Scholarship in Nursing Practice Paper Guide Example

D219 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.

2. 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.

3. 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.

4. 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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5. 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.

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. 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.

2. Type of Evidence

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

3. 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.

4. Quality Rating

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

5. 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.

2. 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.

3. Potential Barrier

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

4. Overcoming the Barrier

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

5. 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

2. 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.

4. Summarize how the researcher analyzed the data in the research-based article.
5. Summarize the ethical considerations of the research-based article. If none are present, explain why.
6. 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.

7. Analyze the results or conclusions of the research-based article.
8. Explain how the article helps answer your EBP question.
9. 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.

4. Identify the quality rating of the non-research-based article according to the JHNEBP model.
5. Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.
6. 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.
7. Explain how you would involve three key stakeholders in supporting the practice change recommendation.
8. Discuss one specific barrier you may encounter when implementing the practice change recommendation.
9. Identify one strategy that could be used to overcome the barrier discussed in part E2.
10. Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.
11. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
12. 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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