NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

First, I encourage you to post your discussion answer ASAP because this is a tough concept and the earlier you post, the more you will benefit from my feedback.

Second, This week’s discussion is FOUR questions:

The first is :  “Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.”

First of all, it has to be a NURSING issue.  Not only a nursing issue, but something that a staff nurse can do independently.  Staffing issues require administration involvement, so those would not be appropriate.  The efficacy of one drug vs. another is not appropriate because the nurse does not order the medication.  Using an order bundle is not appropriate because the nurse doesn’t write the orders.

Second, I STRONGLY urge you to review the Week 3 PICOT assignment before you post in this discussion.  That assignment requires you to pick a topic related to quality or safety, and it gives several examples.  If you use one of those topics for your Week 2 discussion, you can use it again for the Week 3 assignment.  Why re-invent the wheel?  However, be aware – the topic you choose can be from the list, but the intervention within that topic needs to be an independent nursing function.  For instance, the topic of SSI’s is fine, but an intervention of administering pre-op antibiotics is not appropriate because it is the physician who orders them, not the nurse.

The second question is:

“Write your clinical question in the PICO(T) format for your nursing practice problem.”

This means that you have to write the question out in question format.  Make sure you follow the  NR439_Guide for writing PICOT Questions and Examples.  You actually have to put the PICOT letter into the question!

The third question is:

“List each of your PICOT elements.”  This means to write them like this:

P:

I:

C:

O:

T:

Again, make sure you follow the  NR439_Guide for writing PICOT Questions and Examples.  Also, remember that outcomes have to be specific and measurable.  “Fewer patient problems” is neither specific nor measurable.

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Finally, the fourth question asks you to:

“Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.”

This may seem very similar to the first question, and part of it seems redundant.  However, while the first question asks to describe why you chose it on a personal level, this question asks you to describe why you care about this nursing practice problem in general.  For instance, you might say that you chose a particular issue because it seems like the problem has increased on your unit (personal).  Why you care about this issue might include morbidity and mortality issues, financial reimbursement, research that has been proven to improve outcomes that you are not currently using, etc.  Don’t forget to say why you believe the problem would benefit from finding the best evidence.  How might that evidence improve the outcomes?

I hope this helps to clarify not only this discussion but also the Week 3 assignment!

This week’s graded topics relate to the following Course Outcome (CO).

CO 2:Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. *For the below questions, medical/doctor/physicion problems will not be used, for example, treatments such as medications or diagnostics such as cardiac catherizations. Also, broad practice problems such as staffing issues, workforce issues, or patient ratios will not… os this is an organizational/system/politicol/administrative/multi-stokeholder problem which nursing cannot solve independently.

• Reflect on nursing practice and describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

• Develop a searchable, clinical question in the PICO(T) format for your nursing practice problem. *To format your clinical question using PICO(T), use the AAACN oolkit: Template for Asking PICOT Questions found in your required reading or access the following link.

https:/mww.aaacn.org/sites/default/files/documents/misc-docs/l e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site.

• List each of your PICOT elements.

• Share why you care about this nursing practice problem. Why you believe the problem would benefit from finding the best evidence.

5. Grading Rubric

Discussion Criteria	 A (100%) Outstanding or highest level of performance 	B (87%) Very good or high level of performance	C (76%) Competent or satisfactory level of performance	F (0) Poor or failing or unsatisfactory level of performance
Answers the initial graded threaded discussion question(s)/topic(s), demonstrating knowledge and understanding of concepts for the week. 16 points	Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding regarding all weekly concepts.16 points	Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of most of the weekly concepts.14 points	Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of some of the weekly concepts.12 points	Minimally addresses the initial discussion question(s) or does not address the initial question(s).0 points
Integrates evidence to support discussion. Sources are credited.* ( APA format not required) 12 points	Integrates evidence to support your discussion from:assigned readings** OR online lessons, ANDat least one outside scholarly source.***Sources are credited.*12 points	Integrates evidence to support discussion from:assigned readings OR online lesson.Sources are credited.*10 points	Integrates evidence to support discussion only from an outside source with no mention of assigned reading or lesson.Sources are credited.*9 points	Does not integrate any evidence.0 points
Engages in meaningful dialogue with classmates or instructor before the end of the week. 14 points	Responds to a classmate and/or instructor’s post furthering the dialogue by providing more information and clarification, thereby adding much depth to the discussion.14 points	Responds to a classmate and/or instructor furthering the dialogue by adding some depth to the discussion.12 points	Responds to a classmate and/or instructor but does not further the discussion.10 points	No response post to another student or instructor.0 points
Communicates in a professional manner. 8 points	Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).8 points	Presents information in an organized manner (few errors in English grammar, spelling, syntax, and punctuation).7 points	Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).6 points	Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).0 points
PARTICIPATION: Response to initial question: Responds to initial discussion question(s) by Wednesday, 11:59 p.m. M.T.	0 points lostStudent posts an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.		-5 pointsStudent does not post an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.
PARTICIPATION Total posts: Participates in the discussion thread at least three times on at least two different days.	0 points lostPosts in the discussion at least three times AND on two different days.		-5 pointsPosts fewer than three times OR does not participate on at least two different days.
NOTES: * Credited means stating where the information came from (specific article, text, or lesson). Examples: Our text discusses…. The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 17, 2011)…. APA formatting is not required.
** Assigned readings are those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.
*** Scholarly source – per the APA Guidelines in Course Resources, only scholarly sources should be used in assignments. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com website or blogs should not be used as anyone can add to these. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.