NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem
Part 1:.
The selected nursing practice problem for the evidence-based practice project is patient falls. I selected this topic because patient falls is a crucial public health problem in most of the hospitals in America. According to statistics by the Centers for disease Control and Prevention, one in four adults aged 65 years and above experience a fall annually. The annual rate of falls in America is estimated to be 36 million (CDC, 2020). The risk of falls increase with age among the hospitalized patients. Falls result in adverse outcomes such as injuries, prolonged hospitalizations, poor quality of life, and premature mortalities (Rastogi & Singh, 2021). The issue of patient falls is relevant to advanced nursing practice because nurses are largely involved in the promotion of safety, quality, and efficiency in the patient care processes. Advance practice nurses also investigate issues such as patient falls and implement change initiatives to address them in their practice.
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Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
| PICOT Question | ||
| P | Population | Hospitalized patients aged 65 years and above at risk of falls |
| I | Intervention | Automated fall detectors |
| C | Comparison | Usual care |
| O | Outcome | Reduction in fall rates by 50% |
| T | Timeframe | Six months |
| PICOT | Among hospitalized patients aged 65 year and above at risk of falls (P), does the use of automated fall detectors (I), as compared to usual care (C), reduce the rates of falls by 50% (O) within six months (T)? | |
| Problem Statement | Falls among hospitalized patients is a crucial problem in healthcare. Falls predisposes patients to unintended consequences such as injuries and premature mortalities. Falls also increase healthcare costs due to prolonged hospitalization and costs incurred in managing its associated complications. Health information technologies have proven effective in reducing and preventing fall rates in healthcare. An example is automated fall detection systems (Coahran et al., 2018). However, the practice site has not considered its use for fall prevention, hence, the focus of this evidence-based practice project. | |
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NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem References
CDC. (2020, October 8). Older Adult Falls Reported by State | Fall Prevention | Injury Center | CDC. https://www.cdc.gov/falls/data/falls-by-state.html
Coahran, M., Hillier, L. M., Bussel, L. V., Black, E., Churchyard, R., Gutmanis, I., Ioannou, Y., Michael, K., Ross, T., & Mihailidis, A. (2018). Automated fall detection technology in inpatient geriatric psychiatry: Nurses’ perceptions and lessons learned. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 37(3), 245–260. https://doi.org/10.1017/S0714980818000181
Rastogi, S., & Singh, J. (2021). A systematic review on machine learning for fall detection system. Computational Intelligence, 37(2), 951–974. https://doi.org/10.1111/coin.12441
Description:
Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The project will be completed in sections, beginning in NUR-550 and culminating in a final written paper detailing the evidence-based practice proposal in NUR-590.
The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patient
support, trauma prevention, recovery, health screenings, etc.). Use the “PICOT Draft” template to complete this assignment.
Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT statement.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite one peer-reviewed source to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Topic 1 DQ 1
Description:
Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management.
Topic 1 DQ 2
Description:
Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best.
Topic 1 Participation
Description:
NA
Topic 1: Quality Research and Theoretical Frameworks
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Description
Objectives:
- Identify the different levels of translational research.
2. Differentiate translational research from evidence-based practice.
3. Discuss the application of translational research to population health management.
4. Evaluate sources of translational research.
5. Select a valid nursing practice problem for an evidence-based practice project proposal.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapters 22 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Evidence-Based Practice in Nursing and Healthcare
Description:
Read Chapter 1 in Evidence-Based Practice in Nursing and Healthcare.
World Health Organization (WHO)
Description:
Explore the World Health Organization (WHO) website.
Centers for Disease Control and Prevention (CDC)
Description:
Explore the Centers for Disease Control and Prevention (CDC) website.
State and County Departments of Health
Description:
Explore the websites of your state and county departments of health and access mortality and morbidity data. The link to the Arizona Department of Health Services website is provided, but students living in other states should access their county and state departments.
Non-Communicable Diseases (NCD) Burden of Disease
Description:
Read “Non-Communicable Diseases (NCD) Burden of Disease,” by the U.S. Department of Health and Human Services, located on the Centers for Disease Control and Prevention website.
GCU Library: Nursing and Health Sciences Research Guide
Description:
Review the “Nursing and Health Sciences” research guide, located on the GCU Library website.
The Electronic Health Record: A Friend or Foe of Translational Research and Evidence-Based Practice?
Description:
Read “The Electronic Health Record: A Friend or Foe of Translational Research and Evidence-Based Practice?” by Chipps et al., from Worldviews on Evidence-Based Nursing (2019).
Evidence-Based Practice
Description:
Read “Evidence-Based Practice” by Melnyk and Fineout-Overholt, from Encyclopedia of Nursing Research (2017).
Translation Research in Practice: An Introduction
Description:
Read “Translation Research in Practice: An Introduction,” by Titler, from Online Journal of Issues in Nursing (2018).
On Biostatistics and Clinical Trials: PICO, PICOTS, PICOTT Framework for Clinical Questions as a Way to Design Clinical Trials
Description:
Read “PICO, PICOTS, PICOTT Framework for Clinical Questions as a Way to Design Clinical Trials,” by Deng, from
On Biostatistics and Clinical Trials (2020).
Course Description
In this course learners examine the process of scientific inquiry, knowledge generation, utilization, and dissemination of evidence into advanced nursing practice in order to propose quality-improvement initiatives that advance the delivery of safe, high-quality care for patient populations. Learners critically evaluate evidence, including scientific findings from the biopsychosocial fields, epidemiology, biostatistics, genetics, and genomics, and apply levels of evidence and theoretical frameworks to design culturally appropriate clinical prevention interventions and population-based care that reduces risks, prevents disease, and promotes health and well-being. Learners also consider strategies to evaluate health policy and advocacy issues, the state of health care delivery, patient-centered care, and ethical principles related to health beliefs, health promotion, and risk reduction for diverse populations. Learners apply these strategies to work towards recognizing gaps in nursing and health care knowledge, identifying potential solutions or innovations for those gaps, planning and implementing practice changes, and evaluating the outcomes in order to improve practice. Prerequisite: NUR-513.
Pre-Requisites
NUR-513.
Co-Requisites
None
NUR-550
Course Materials
Description:
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L., & Horowitz, M. R. (2019). Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284047929
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Description:
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13: 9781496384539
APA Writing Style
Description:
APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the in the Student Success Center.
You may want to consider purchasing a copy of the APA style guide, as this will be a useful resource throughout your program
The Writing Process Access
Description:
View “The Writing Process” media presentation for information on how to strengthen your writing for future assignments.
University Policy Handbook
Description:
Read the Code of Conduct and Academic Standards section of the University Policy Handbook.
Library Walk Through Tutorial
Description:
View the “Library Walk Through Tutorial.”
Academic Integrity
Description:
Read the “About LopesWrite” and “Plagiarism” sections of the Academic Integrity page of the GCU website.
GCU Library: General Research Guide
Description:
Review the “General Research” guide, located on the GCU Library website.
GCU Library: Persistent Links
Description:
Review “Persistent Links,” located on the GCU Library website, to learn how to locate persistent links for library articles, videos, etc.
RefWorks and EndNote: RefWorks and EndNote Login
Description:
Manage your citations with the RefWorks tool, located on the GCU Library website. RefWorks automates the creation of your reference lists in the format of your choice (APA, MLA, etc.).
GCU Library Research Guides: Citing Sources
Description:
Reference the “GCU Library Research Guides: Citing Sources” resource for information on how to cite sources properly.
Writing Center
Description:
Refer to the resources located in the Writing Center for PowerPoint guidelines, APA style, writing and library tutorials, and research and writing assistance.
Statement on the Integration of Faith and Work
Description:
“Grand Canyon University prepares learners to become global citizens, critical thinkers, effective communicators, and responsible leaders by providing an academically-challenging, values-based curriculum from the context of our Christian heritage” (GCU Mission Statement). Review the “Statement on the Integration of Faith and Work” to become familiar with many fundamental Christian worldviews and consider how they may apply in the context of this course.
LopesWrite
Description:
Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.
APA Writing Checklist
Description:
Use the “APA Writing Checklist” to act as a checklist for each paper you will write throughout your GCU graduate program.
Discussion Forum Guidelines and Example
Description:
Review the “Discussion Forum Guidelines and Example” document for your weekly discussion forum participation.
Evidence-Based Practice Project Proposal –Assignment Overview
Description:
Learners are required to develop an evidence-based practice project proposal. The project begins in NUR-550 and culminates in NUR-590. The project will be completed in sections throughout both courses and culminate in NUR-590, during which the project elements are synthesized into a final written paper that details the evidence-based practice project proposal.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments. This document serves only to provide context for the overall project and how the assignments interact. Refer to each assignment in the classroom for the assignment criteria and rubric information.
Optional: ThinkingStorm
Description:
For additional information, the following is recommended:
ThinkingStorm is an online tutoring resource that provides flexible support to supplement traditional educational environments. The tutoring center is remotely accessible to GCU learners with a computer and an Internet connection and offers convenient hours for learners with busy schedules. ThinkingStorm tutoring includes a writing center that offers 24/7 submission-based writing support, as well as live writing support across the curriculum.
If you are interested in utilizing ThinkingStorm’s writing support, submit your documents chapter by chapter, rather than as a full manuscript.
To assist learners with their success at the university, GCU will pay for the first 10 hours of a learner’s annual ThinkingStorm activity. Learners are responsible for usage charges after the first 10 hours.
To access ThinkingStorm, click on the link provided and select the yellow “Go to ThinkingStorm” button.
Optional: Grammarly
Description:
For additional information, the following is recommended:
Grammarly is an online writing assistance application that reviews written submissions and suggests context-specific corrections for grammar, spelling, word usage, wordiness, style, punctuation, and plagiarism. The reasoning for each suggested correction is provided, allowing users to make informed decisions about how to correct writing issues.
Grammarly can be installed as free browser extension, though Grammarly Premium requires an annual subscription. This subscription is not a GCU-required purchase.
NUR-550 Course Objectives
Description:
In this course, the student will:
- Explore research articles, nursing and related theories, applying levels of evidence, and theoretical frameworks to identify quality research studies.
2. Demonstrate understanding of scientific inquiry, knowledge generation, utilization, and dissemination in advanced nursing practice.
3. Evaluate the evidence for potential solutions/innovations that can potentially solve a health care issue and improve patient outcomes.
4. Identify gaps in nursing knowledge and evidence-based practice that can potentially be resolved by planning and implementing a practice change project.
5. Formulate a clinically researchable question amenable to an innovative evidence-based practice change proposal.
6. Write a scholarly literature review that supports a clinically researchable question amenable to an innovative evidence-based practice change proposal.
7. Evaluate health policy and advocacy issues for the purpose of improving health care outcomes.
8. Engage in scientific inquiry into the state of health care delivery, patient-centered care, and ethical principles related to health beliefs, health promotion, and risk reduction of diverse populations.
9. Propose quality improvement initiatives that advance the delivery of safe, high-quality health care.
10. Use principles from epidemiology, biostatistics, genetics, genomics, and cultural competence to guide comparisons of various patient populations.
Part 1:
Nurses are professionally and ethically mandated to promote safe workplaces for optimal patient care. In the current nursing practice, nursing professionals achieve this objective by addressing nursing problems through evidence-based interventions. Nursing burnout is widespread in clinical care, considering that approximately 35%-45% of nurses are burned out in the United States (Schlak et al., 2021). The problem is multifaceted and stems from multiple factors, including a high workload, high job turnover rates, inadequate sleep, and stressful work environments. Research shows that the rate of nurse burnout increases proportionately with an increase in nurses’ psychological stress (Al Sabei et al., 2022). To underline the significance of nurse burnout as a practice problem, it is crucial to explore its profound impacts. The article by Schlak et al. (2021) demonstrates the importance of addressing nurse burnout by underlining that the risk of patient adverse events and patient mortality is about 8% when being attended to by nurses experiencing burnout. Length of stay is also high in environments with a high prevalence of nurse burnout. As a result, evidence-based interventions for reducing workplace stress can cushion nurses against burnout and improve patient care outcomes.
Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
| PICOT Question | ||
| P | Population | Nurses experiencing burnoutNurses with burnout pose a significant risk to patient care and hardly meet the desired health outcomes. According to Babapour et al. (2022), stressful environments that intensify burnout decrease nurses’ energy and work efficiency, hampering their capacity to provide proper patient care. Other adverse outcomes associated with such a workforce include low job satisfaction, a lack of teamwork, and increased intention to leave (Monroe et al., 2021). Since these outcomes affect patient care and work relationships adversely, evidence-based interventions to reduce nurse burnout should be a priority for nurses and nurse leaders. |
| I | Intervention | Guided mindfulness meditationMindfulness meditation enhances coping and could be an effective intervention for nurse burnout. Mindfulness-based interventions are associated with positive benefits among nurses, such as stress and anxiety reduction, improved coping, and strong mental health and well-being (Fadzil et al., 2021; Huberty et al., 2019). Besides, mindfulness improves nurses’ self-awareness and judgment, enabling them to make better health decisions. |
| C | Comparison | |
| O | Outcome | |
| T | Timeframe | |
| PICOT | ||
| Problem Statement | ||
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem References
Al Sabei, S. D., Al‐Rawajfah, O., AbuAlRub, R., Labrague, L. J., & Burney, I. A. (2022). Nurses’ job burnout and its association with work environment, empowerment and psychological stress during COVID‐19 pandemic. International Journal of Nursing Practice, 28(5), e13077. https://doi.org/10.1111/ijn.13077
Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1), 1-10. https://doi.org/10.1186/s12912-022-00852-y
Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The effect of a mindfulness-based intervention on nurses in Kelantan, Malaysia. The Malaysian Journal of Medical Sciences: MJMS, 28(6), 121–128. https://doi.org/10.21315/mjms2021.28.6.12
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “calm” to reduce stress among college students: Randomized controlled trial. JMIR mHealth and uHealth, 7(6), e14273. https://doi.org/10.2196/14273
Monroe, C., Loresto, F., Horton-Deutsch, S., Kleiner, C., Eron, K., Varney, R., & Grimm, S. (2021). The value of intentional self-care practices: the effects of mindfulness on improving job satisfaction, teamwork, and workplace environments. Archives of Psychiatric Nursing, 35(2), 189-194. https://doi.org/10.1016%2Fj.apnu.2020.10.003
Schlak, A. E., Aiken, L. H., Chittams, J., Poghosyan, L., & McHugh, M. (2021). Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. International Journal of Environmental Research and Public Health, 18(2), 610. https://doi.org/10.3390/ijerph
Rubric Criteria
|
Criterion |
1. Unsatisfactory |
2. Insufficient |
3. Approaching |
4. Acceptable |
5. Target |
|---|---|---|---|---|---|
|
Nursing Practice Problem Nursing Practice Problem (relevant to nursing practice, appropriate for an evidence-based practice project proposal, supported by current research) |
0 points A problem was not submitted. |
2.8 points A proposed problem is presented but is not relevant to nursing practice. The nursing practice problem lacks support from current research. A new nursing practice problem must be selected. |
3.08 points A relevant nursing practice problem for an EBP project proposal is presented and is generally supported by a current research article. Some information or revision is required. The explanation for why the topic is selected and its relevance to advance nursing practice is somewhat u |