NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
Directions
- Refer to the guidelines for specific details on how to complete this assignment.
- Type your answers directly into the worksheets below.
- Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
- Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
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| List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support):
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| What is the nursing practice issue you have identified related to the topic you have chosen?
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| Fully describe the scope of the practice issue:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1 |
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| What is the practice area?
___ Clinical ___ Education ___ Administration ___ Other (List): |
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| How was the practice issue identified? (check all that apply)
___ Safety/risk management concerns ___ Unsatisfactory patient outcomes ___ Wide variations in practice ___ Significant financial concerns
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___ Difference between hospital and community practice ___ Clinical practice issue is a concern ___ Procedure or process is a time waster ___ Clinical practice issue has no scientific base __ Other: |
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| Describe the rationale for your checked selections:
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| What evidence must be gathered? (check all that apply) | ||
| ___ Literature search
___ Guidelines ___ Expert Opinion ___ Patient Preferences |
___ Clinical Expertise
___ Financial Analysis ___ Standards (Regulatory, professional, community) ___ Other
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| Describe the rationale for your checked selections:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1 |
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Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet.
| Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
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| Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA reference for any additional optional supplemental scholarly source related to the review you wish to use.
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| Identify the objectives of the article:
Provide a statement of the questions being addressed in the work and how these relate to your practice issue:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1 |
| Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.
Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper. (If an optional supplemental source is also used, include a statement of relevance to it as well.)
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| Outline evidence-based solutions that you will consider for your project.
Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project.
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NR451 Capstone Project – List of Approved Systematic Reviews
Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
Obstetrics/Delivery
Muktabhant B, Lawrie TA, Lumbiganon P, Laopaiboon M. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database of Systematic Reviews 2015, Issue 6, Art. No.: CD007145. DOI: 10.1002/14651858.CD007145.pub3.
Chamberlain Library Permalink:
Health-Associated Infections (HAI)
Flodgren G, Conterno LO, Mayhew A, Omar O, Pereira CR, Shepperd S. Interventions to improve professional adherence to guidelines for prevention of device-related infections. Cochrane Database of Systematic Reviews 2013, Issue 3, Art., No.: CD006559. doi:10.1002/14651858.CD006559.pub2.
Chamberlain Library Permalink:
Cooper FPM, Alexander CE, Sinha S, Omar MI. Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database of Systematic Reviews 2016, Issue 7, Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2.
Chamberlain Library Permalink:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
Wound Care
Ramasubbu DA, Smith V, Hayden F, Cronin P. Systemic antibiotics for treating malignant wounds. Cochrane Database of Systematic Reviews 2017, Issue 8, Art. No.: CD011609. doi: 10.1002/14651858.CD011609.pub2.
Chamberlain Library Permalink:
Childhood/School Health
Kuethe MC, Vaessen-Verberne AAPH, Elbers RG, Van Aalderen WMC. Nurse versus physician-led care for the management of asthma. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD009296. DOI: 10.1002/14651858.CD009296.pub2.
Chamberlain Library Permalink:
Fleeman N, Bradley PM, Lindsay B. Care delivery and self management strategies for children with epilepsy. Cochrane Database of Systematic Reviews 2015, Issue 12, Art. No.: CD006245. doi: 10.1002/14651858.CD006245.pub3.
Chamberlain Library Permalink:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
Hospital Readmissions
Vloothuis JDM, Mulder M, Veerbeek JM, Konijnenbelt M, Visser-Meily JMA, Ket JCF, Kwakkel G, van Wegen EEH. Caregiver-mediated exercises for improving outcomes after stroke. Cochrane Database of Systematic Reviews 2016, Issue 12, Art. No.: CD011058. doi:10.1002/14651858.CD011058.pub2.
Chamberlain Library Permalink:
NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
For Use March 2018
Student Name: Date:
Directions
- Refer to the guidelines for specific details on how to complete this assignment.
- Type your answers directly into the worksheets below.
- Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
- Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.
Practice Issue Worksheet
| List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support):
Topic: Health-Associated Infection. Citation for the systematic review: Cooper, F., Alexander, C., Sinha, S. & Omar, M. (2016). Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database of Systematic Reviews, 2016(7), Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2 |
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| What is the nursing practice issue you have identified related to the topic you have chosen?
The practice issue is to determine whether implementing nursing patient care policy and procedure can reduce the risk of catheter associated urinary tract infection during hospital stay for adult patients using indwelling urinary catheters. As such, it intends to answer the question: In adults patients using indwelling urinary catheters, does the implementation of nursing patient care policy and procedure, compared to a no patient care policy, decrease the risk of catheter associated urinary tract infection during hospital stay? NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1. |
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| Fully describe the scope of the practice issue:
As routine practices and policies, it is not hard to expect that nurses would require evidence before emphasizing a practice change. This is particular so when the change entails putting in effort that would otherwise be spent on other patient-related activities. As such, the research intends to provide tangible evidence that will show whether or not implementing a nursing patient care policy and procedure can decrease the risk of catheter associated urinary tract infection during hospital stay for adult patients using indwelling urinary catheters. |
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| What is the practice area?
_X_ Clinical ___ Education ___ Administration ___ Other (List): |
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| How was the practice issue identified? (check all that apply)
___ Safety/risk management concerns _X_ Unsatisfactory patient outcomes _X_ Wide variations in practice ___ Significant financial concerns
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___ Difference between hospital and community practice _X_ Clinical practice issue is a concern _X_ Procedure or process is a time waster _X_ Clinical practice issue has no scientific base __ Other: |
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| Describe the rationale for your checked selections:
The research intends to improve patient outcomes by identifying an approach that decreases the risk of catheter associated urinary tract infection during hospital stay. Also, it intends to standardize nursing care. NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1. Additionally, it seeks to some of the nursing care loopholes that place patients at risk. Besides that, it intends to determine whether implementing nursing patient care policy and procedure is a waste of time. |
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| What evidence must be gathered? (check all that apply) | ||
| _X_ Literature search
___ Guidelines ___ Expert Opinion ___ Patient Preferences |
___ Clinical Expertise
___ Financial Analysis ___ Standards (Regulatory, professional, community) _X_ Other – Patients’ medical records and outcomes.
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| Describe the rationale for your checked selections:
The literature search will explore public literature that address the topic, condensing the existing themes even as they emerge. Additionally, the literature search will facilitate the results discussion by explaining and rationalizing why particular themes emerged. |
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Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet.
| Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
The practice problem is the need to identify strategies that would reduce the risk of catheter associated urinary tract infection during hospital stay for adult patients using indwelling urinary catheters. NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1. It is postulated that implementing nursing policies that identify the best practice will improve outcomes for patients. As such, there is a need to offer evidence to show that implementing the nursing policies is good for the patients. Besides that, it is prudent to evade avoidable problems, particularly when they could have serious implications for the patient. |
| Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA reference for any additional optional supplemental scholarly source related to the review you wish to use.
Cooper, F., Alexander, C., Sinha, S. & Omar, M. (2016). Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database of Systematic Reviews, 2016(7), Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2 |
| Identify the objectives of the article:
The objective was to determine the effectiveness of different policies for replacing long-term indwelling urinary catheters in adults. Provide a statement of the questions being addressed in the work and how these relate to your practice issue: Although the article does not make an explicit mention of the research question, it is implied that: What is the effectiveness of the different policies for replacing long-term indwelling urinary catheters in adults? This question relates to the practice issue for calling for standardized care to improve patient outcomes. |
| Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.
Although the research was unable to meet its objective, it identified some critical factors that should be considered. These include the patients’ satisfaction, quality of life, type of trauma on the urinary tract, and economics. Also, questions are raised on whether it is viable to replace catheters with other methods, environment-specific performance difference at home and hospital, catheter replacement strategy, and lubrication used. Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper. (If an optional supplemental source is also used, include a statement of relevance to it as well.) The article acknowledges that there was insufficient evidence to evaluate the different policies for replacing long-term catheter use. |
| Outline evidence-based solutions that you will consider for your project.
The project will consider the effect of how often catheters are replaced and how this effects the development of catheter associated urinary tract infection. Additionally, it will compare the effects of aseptic versus clear catheter replacement techniques. Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project. The major limitation is the presence of confounding variables. This will include the catheter brand and lubricant use. Different brands and lubricants will have different effects. NR451 RN – Practice Issue and Evidence Summary Worksheets – Capstone Project Milestone 1 |