Explain what went well, what were the challenges, and the amount of time needed to complete the search.

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What are the different types of evidence and how does one evaluate a source’s reliability in nursing?

What are the different types of evidence and how does one evaluate a source’s reliability in nursing?

Understanding the different levels, or hierarchy, of research evidence and how they relate to your research question will help you in determining the appropriate levels of support when engaged in the research process. To that end, you must consider how primary and secondary sources contribute to research as well as the meaningfulness of peer-reviewed articles and meta-analyses for promoting future research.

To prepare for this Discussion,

By Day 3

Post the following:

Explain the challenges of performing a literature search. Then, describe the search engines and the search terms that you used in your online search related to your specific clinical problem for your EBP Project. Explain what went well, what were the challenges, and the amount of time needed to complete the search. In the responses to classmates’ posts please discuss what recommendations that you would give your classmates to improve their searches.

 

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A. Description of Clinical Problem/Situation: Nursing Turnover within the Ambulatory Care (ACS) Setting

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REPOST/QUICK TURN AROUND NEEDED – 2-3 page research paper on Nursing Turnover within the Ambulatory Care Setting

Evidence-Based Practice  [provide definitions for a) evidence-based practice, b) quality improvement, and c) research.  Please include references using APA format.]

Describe how you would use each process (e.g. EBP, QI, and research) to address the selected quality indicator in Ambulatory Care. 

A.     Description of Clinical Problem/Situation: Nursing Turnover within the Ambulatory Care (ACS) Setting

B.     PICO Question

The following PICO question has been devised to guide this exploration of the scientific literature and other essential forms of evidence.

PICO Question Components:

      P:  [patient, population, or problem] Nurse Retention within the Ambulatory Care Setting

      I: [intervention or treatment] Factors that may positively influence retention rate

      C:  [comparison with other treatments, when warranted] Factors that may negatively influence retention rate

      O:  [outcome]  ?

Question:  What factors may positively (I) or negatively (C) impact nursing retention within the Ambulatory Care Nursing setting (P), (O)?

C.     Sources of Evidence & References [types of evidence – published, expert opions, patient preferences, etc.]

Article 1 –

Article 2 –

D.     Critical Appraisal of the Evidence [briefly describe how this was done – used the Johns Hopkins Nursing EBP criteria, provider an evidence rating for each article/evidence source used [e.g. 1A, 3C etc.]

[ex:  Each article was critically appraised using the Johns Hopkins Nursing Evidenced-based Practice Research criteria.  As an example, the article ……

Questions to consider – should we implement the practice recommendations? Would this change improve nurse retention outcomes? Would it improve overall unit/pavilion operations e.g. costs, workload, culture? Can the evidence be translated inn other ways e.g. policy/procedure development?

E.     Translation [would you put the evidence you appraised into practice? How would that be done? Should we implement the practice recommendations? Would this change improve our nurse retention outcomes? Would it improve overall unit/pavilion operations (e.g. costs, workload, and culture)? Can the evidence be translated in other ways (e.g. policy/procedure development)?

 

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Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

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elect a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

  1. A brief overview of the nursing conceptual model selected.
  2. Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.
  3. Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
  4. Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

  1. 10 slides for content.
  2. 1 slide for references.
  3. 1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date
  4. Accompanying speaker notes elaborating on the information contained in each slide.
  5. One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

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What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes?

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Nursing Clinical Problem—-  cical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge availabl

Nursing Clinical Problem—- 

cical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations? Refe

 

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Nursing Change Agents

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part 1 Nursing Change AgentsThe involvement of the community in determining the nursing and health requirements of the residents is critical. This is because the people help provide solutions to prob

part 1 

Nursing Change Agents

The involvement of the community in determining the nursing and health requirements of the residents is critical. This is because the people help provide solutions to problems that directly affect them like the case of health problems due to less or lack of exercise infrastructure within a community (Kelly & Symonds, 2017). If the community team identified that the construction of pedestrian walkways would help bring the community to a higher level of health consciousness and healthy lifestyles, the team must be prepared for the barriers. This paper addresses factors that would promote the construction and those that would hinder as well as recommendations for the barriers.

The community would save as the primary promoters for the construction of the walkways. This means that there would be a lot of resources directed at the project. This is because the initiative is from the direct recipients of the health issue and concern. Residents and members of the community would want to participate or encourage the completion of the project considering that it would benefit them all. Another factor that would promote the construction of the walkways is accountability and integrity. The release of funds or the construction period has several checks and balances from the entire community (Kelly & Symonds, 2017).

The lack of funds can be a problem for the construction of the walkways. It is important to note that construction of such walkways is expensive in several ways; firstly some public land and private land might be used. Secondly, the funds to put up the structure might not be readily available (Clark, 2015). However, the team can invite investors, seek donations from charity organizations or urge the members to contribute reasonably .this would raise the required funds. The second factor that would hinder the construction is inadequate to support from the community. Considering that it is a community initiative, unity is critical to ensure that the project achieves the desired objective. Issues such as demonstrations from unsatisfied residents can be common. To curb such issues a sensitization forum can be help or advocacy groups from the team to inform the entire community (Clark, 2015).

part 2

 Thank you for sharing your thoughts on the community project.  How would you determine what community initiatives are already underway upon which you can build? 

 

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C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

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The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will

The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.

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. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

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. 

A.  Identify a nursing theory that has influenced your values and goals.

1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2.  Discuss how the identified theory from part A fits your professional practice. 

B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.  Compare the differences in contributions of the two historical figures identified in part B.

2.  Describe how the contributions of the two historical figures influence your professional nursing practice. 

C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.  Define the roles of these two organizations.

2.  Explain how these two organizations influence your nursing practice.

3.  Explain the requirements for professional license renewal in your state.

a.  Discuss the consequences of failure to maintain license requirements in your state.

4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state. 

D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1.  Discuss how the two regulatory agencies influence your professional nursing practice.

a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy. 

E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1.  Discuss the scope of practice for a RN in your state.

2.  Discuss how your state defines delegation for the RN. 

F.  Apply each of the following roles to your professional practice:

•   a scientist

•   a detective

•   a manager of the healing environment 

G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1.  Analyze how the two provisions identified in part G influence your professional nursing practice.

2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2. 

H.  Identify four leadership qualities or traits that represent excellence in nursing.

1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

•   a leader at the bedside

•   within a nursing team or interdisciplinary team

2.  Identify how your work environment impacts the following:

•   nursing leadership

•   decision making

•   professional development 

I.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. 

J.  Demonstrate professional communication in the content and presentation of your submission.

RUBRIC:       

A. https://lrps.wgu.edu/provision/124909813

A nursing theory that has influenced the candidate’s values and goals   is identified.

A1. https://lrps.wgu.edu/provision/124909813

The explanation of how nurses apply the selected theory in part A to   plan excellent nursing practices is logical.

A2. https://lrps.wgu.edu/provision/124909813

The discussion of how the theory from part A fits the candidate’s   professional practice is relevant, and it accurately addresses the identified   theory.

B. https://lrps.wgu.edu/provision/124909185

The contributions of 2 historical nursing figures in the nineteenth or   twentieth century is identified.

B1. https://lrps.wgu.edu/provision/124909185

The comparison accurately addresses the differences in the   contributions of the 2 historical figures identified in part B and is logical   and well supported.

B2. https://lrps.wgu.edu/provision/124909269

The description of how the contributions of the 2 historical nursing   figures have influenced the candidate’s nursing practice is accurate.

C. https://lrps.wgu.edu/provision/124909391

The explanation of the functional differences between the State Board   of Nursing and the ANA is accurate and well supported.

C1. https://lrps.wgu.edu/provision/124909391

The definition of the roles of the State Board of Nursing and the ANA   is provided and supported.

C2. https://lrps.wgu.edu/provision/124910128

The explanation of how the State Board of Nursing and the ANA   influence the candidate’s nursing practice is accurate and relevant.

C3. https://lrps.wgu.edu/provision/124910128

The explanation of the requirements for professional license renewal   in the candidate’s state is accurate and well supported.

C3a. https://lrps.wgu.edu/provision/124910128

The discussion of the consequences of failure to maintain license in   the candidate’s state is accurate.

C4. https://lrps.wgu.edu/provision/124909391

The comparison accurately addresses the differences between registered   nursing license requirements in a compact state versus a non-compact state   and is well supported.

D. https://lrps.wgu.edu/provision/124914320

The discussion of the functional differences between the given   agencies is accurate and well supported.

D1. https://lrps.wgu.edu/provision/124914320

The discussion of how the regulatory agencies influence the   candidate’s professional nursing practice is relevant.

D1a. https://lrps.wgu.edu/provision/124914320

The discussion of the candidate’s role as a patient advocate in   promoting safety when the patient has selected an alternative treatment is   relevant.

E. https://lrps.wgu.edu/provision/124909391

The discussion of the purposes of the Nurse Practice Act and its   influence on the candidate’s professional practice is accurate and well   supported.

E1. https://lrps.wgu.edu/provision/124909391

The discussion of the scope of practice for an RN in the candidate’s   state is logical and well supported.

E2. https://lrps.wgu.edu/provision/124909391

The discussion of how the candidate’s state defines delegation for the   RN is logical and well supported.

F. https://drive.google.com/file/d/0B2zUu4WEvTZ4eWsxa0Zia1JMeDg/edit

The discussion of the application of each nursing role to the candidate’s professional practice is   relevant.

G. https://lrps.wgu.edu/provision/124910272

2 provisions from the American Nurses Association (ANA) Code of Ethics   are accurately identified.

G1. https://lrps.wgu.edu/provision/124910272

The analysis accurately addresses how the 2 provisions identified in   part G influence the candidate’s professional nursing practice and the   analysis is reasoned.

G2. https://lrps.wgu.edu/provision/124910530

The description of a nursing error in a clinical practice example is   relevant.

G2a. https://lrps.wgu.edu/provision/124910272

The explanation of how the ANA provisions in part G can be applied to   the error from part G2 is relevant.

H. https://lrps.wgu.edu/provision/124913469

4 leadership qualities or traits that represent excellence in nursing   are identified, and are appropriate for a nursing practice.

H1. https://lrps.wgu.edu/provision/124913469

The discussion of how the nurse uses the identified leadership   qualities or traits in part H includes each   of the 4 traits, includes each of   the given roles, and it is relevant.

H2. https://lrps.wgu.edu/provision/124913469

The submission identifies of how the work environment is impacted, and   provides relevant details and examples of how each given point is impacted.

I. https://lrps.wgu.edu/provision/71484321

The submission includes in-text citations and references for content   that is quoted, paraphrased, or summarized and demonstrates a consistent   application of APA style.

J. https://lrps.wgu.edu/provision/27641407

Content reflects attention to detail, is organized, and focuses on the   main ideas as prescribed in the task or chosen by the candidate. Terminology   is pertinent, is used correctly, and effectively conveys the intended   meaning. Mechanics, usage, and grammar promote accurate interpretation and   understanding.

 

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What, if anything, should Sue have done differently in completing her assignment?

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Sue T. is a nurse manager for medical-surgical units at a hospital. She is enrolled in a nursing master’s degree program at the local university. As part of the requirements for a Nursing Management c

Sue T. is a nurse manager for medical-surgical units at a hospital. She is enrolled in a nursing master’s degree program at the local university. As part of the requirements for a Nursing Management course, Sue proposes to conduct a study linking nursing interventions with nursing outcomes. She returns to her unit at night for two weeks to audit patient charts and collect the data she needs. She makes copies of the records that are particularly helpful and takes them home to write the final paper. As Sue is developing her paper, she realizes that the information she has collected may be helpful in completing her nursing staff performance evaluations. She decides to collect further patient outcome data for individual nurses to monitor their performance.

  1. Has Sue violated ethical principles by collecting data for a college assignment? Why or why not?
  2. Has she violated ethical principles by collecting patient data for employee performance evaluations? why or why not?
  3. What, if anything, should Sue have done differently in completing her assignment?
  4. What, if anything, should Sue have done differently in completing her employee performance evaluations?
 

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b.what legal implications apply to this situation

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.Discuss how your personal value relate to your choice of nursing as a profession,discuss how you think this will relate to your nursing practice in future2.as you come on duty you check your client

1.Discuss how your personal value relate to your choice of nursing as a profession,discuss how you think this will relate to your nursing practice in future

2.as you come on duty you check your client chart and notice that he received an injection of demerol 100mg at 2pm and again 3.30pm today, 2 different nurse administered this injection, administration of  medication is ordered every 4 hours

a.what action would you take and why?

b.what legal implications apply to this situation

c.discuss this situation in relationship to the importance of documentation

d.has a crime been committed?why or why not?

3.you see a licensed nurse at the facility where you work take some money out of a coworkers backpack.what action would you take and why? how does the scenario affect your coworker nursing license? how could it affect your nursing license?.

4.you are working part-time in a hospital while you attend school.a patient there is being discharged tomorrow and ask you on a date next Saturday

(assume that you are attractive to your patient)

a.what is your response? why?

b.what are the legal implication of dating a client?      

 

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Provide examples from your clinical practice that demonstrate how the scientific method influences nursing knowledge, and in turn, practice?

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Why is a philosophy of science important to nursing? Provide examples from your clinical practice that demonstrate how the scientific method influences nursing knowledge, and in turn, practice? (Essen

Why is a philosophy of science important to nursing? Provide examples from your clinical practice that demonstrate how the scientific method influences nursing knowledge, and in turn, practice? (Essentials I, III, VI, VIII and IX)

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style. Peer posts will be a minimum of 75-100 words, otherwise will be counted as 0. There will be a total of 8 discussion posts worth 1.25 points each or 10 points of your grade. In order to obtain full credit students must follow the above requirements. Each discussion will be allocated to a specific Master’s Essential.

Criteria

1.25 Point

1 Point

0.75 Point

0

Participation

Weight 25.00%

100 %

3 Posts

80 %

2 Posts

60 %

1 Posts

0 %

0 Posts

Quality of informtaion

Weight 25.00%

100 %

Information is clear and relates to topic

80 %

Information is somewhat clear and might relate to topic

60 %

Information has little relation to topic and is not clearly displayed

0 %

Information is not clear and it does not relate to topic

Resources

Weight 25.00%

100 %

Provides relevant resources using APA guidelines

80 %

Provides relevant resources without APA guidelines

60 %

Limited on the resources provided with major errors in APA

0 %

Does not provide any resources

Critical Thinking

Weight 25.00%

100 %

Enhances the critical thinking process through premise reflection

80 %

Enhances the critical thinking process without premise reflection

60 %

Does enhance the critical thinking process in a very limited manner

0 %

Does not enhance the critical thinking process

 

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