As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.

• Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
• Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.
• I need about a half a page single space

 

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his file of NR 305 Week 6 Course Project Milestone 2 Nursing Diagnosis Care Plan Assignment comprises:

This activity will be a continuation of the Milestone 1: Health History that you submitted in Week 4. In this part of the assignment you will take the information you gathered, analyze the data, and develop a nursing care plan.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO #3: Utilize effective communication when performing a health assessment. (PO #3)CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2)CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6)PointsThis assignment is worth a total of 250 points.Directions1. Download the NR305_Milestone2_Form from Doc Sharing. You will type your answers directly into this Word document. Your paper does NOT need to follow APA formatting, however, you are expected to use correct grammar, spelling, syntax and write in complete sentences.2. Save the file by clicking Save as and adding your last name to the file name, e.g., NR305_Milestone2_Form_Smith3. Submit the completed form to the Dropbox

 

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Discuss the significance of national certification as a nurse practitioner. How does being certified affect your scope of practice? What is the purpose of being certified? Can you practice without being certified? Discuss the similarities and differences of a FNP certification versus AGNP certification. Describe the process and required documents, applications, payment and preparation for the exam.

APA format

5 references no older than 5 years

500 words at a minimum 

 

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1.       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)?

F.     Dissemination

The information obtained from the EBP research project can be disseminated via a variety of mechanisms, including:

1.  Internal:  ACS COP monthly meetings, staff meetings, INSPIRE News

2.  External:  American Nurses Association, American Academy of Ambulatory Care Nursing, peer –reviewed article published in the Journal of Ambulatory Care,  Management, podium/poster presentations, Clinical Inquiry Review Panel (CIRP) ** This information does not need revision

 

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