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NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay

Course Project: Part 1- Identifying a Researchable Problem

Prescription drug abuse can affect an individual during any stage of their life.  Some of the populations that are most at-risk for prescription drug abuse are adolescents, the elderly, and women.  One population in particular, patients with chronic pain, are at an exceptionally high risk to abuse or misuse prescription medications (Manchikanti, 2006).  NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay. Many times, chronic pain goes unrecognized and untreated in patients of racial and ethnic minorities, women, the elderly, patients with cognitive impairments, and those with cancer and at the end of life (CDC, 2016).  The purpose of this paper is to develop feasible research questions in order to explore the issue pain management poses to nursing practice.

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Area of Interest

Chronic pain is defined as pain that lasts longer than six months.  The American Academy of Pain Medicine (2016) estimates that approximately 100 millions Americans suffer from chronic pain.  There are four common types of chronic pain- back pain, migraine pain, neck pain, and facial pain.  Approximately 26 million Americans between the ages of 20-64 experience back pain (The American Academy of Pain Medicine, 2016) NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

The American Academy of Pain Medicine (2016) believes that prescription painkillers are a major contributor to the total number of drug deaths in America.  Approximately 28,000 Americans died from unintentional drug poisoning in 2007 and nearly 12,000 of these deaths involved prescription pain relievers.  From 1998 to 2008, the proportion of all substance abuse treatment admissions that reported any pain reliever abuse increased more than fourfold (The American Academy of Pain Medicine, 2016).   According to the CDC (2016), 20% of patients presenting to physician offices receive an opioid prescription.  In 2012, health care providers wrote 259 million prescriptions for opioid pain medication (CDC, 2016). NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

Generated Questions and Their Feasibility

For this assignment, we were asked to formulate five research questions based on our topic of interest and then evaluate them to decide which questions are the most feasible.  The following are the five research questions that I have developed:

In patients with chronic pain, what is the effect of utilizing a combination of pharmacological and non-pharmacological methods to manage their pain?

In patients with chronic pain, does pharmacologic use only influence their dependence on narcotics?

In patients with chronic pain, what are the common complaints of pain that these patients seek treatment for? NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

In patients with chronic pain, what are the patient’s expectations regarding pain control and pain management?

In patients with chronic pain, what percentages of physicians are utilizing other methods of pain management besides medications?

Sufficient research questions are utilized to establish a foreground for Evidence-Based Practice, or EBP, inquiry.  Research questions should identify key variables of the study, the relationships among the variables, and the population in which the study is researching.  With these requirements in mind, all of my questions identify key variables of the study I am proposing- pharmacological and non-pharmacological pain management.  The questions also focus on the population the study is examining- patients with chronic pain.  Finally, the questions also aim to explore the relationship between pain management using pharmacological and non-pharmacological methods (Polit & Beck, 2017) NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

PICOT Question

The PICOT question I have developed is as follows:  In patients with chronic pain, what is the effect of a multi-modal pain management system compared to pharmacological use only on pain management over a year? (Walden Student Center for Success, 2012)

In my PICOT question, the population (P) is patients with chronic pain.  The intervention (I) is a multi-modal pain management system.  The comparison (C) is the use of only a pharmacological method of treating pain.  The outcome (O) is pain management, and the time frame (T) is over a year. (Walden Student Center for Success, 2012)

Keyword Searches

According to the Walden Student Center for Success (2012), once you develop your PICOT and research questions, it is time to brainstorm key search terms that will help you to find research relevant to your topic.  The Walden Student Center for Success (2012) gives us three distinct tips for developing key search words: brainstorm synonyms, expand acronyms, and look at subjects.  In order to brainstorm synonyms, you will need to think of other words or phrases that have similar meaning to your research topic.  NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay. Next, to expand out acronyms, you will need to search both the acronym and the actual phrase of the topic.  Finally, you will need to look at subjects.  In order to do this, you will need to search the main topics that the database you are researching through uses to categorize your research topic (Walden Student Center for Success, 2012).

By keeping these guidelines in mind, I developed the following research terms for my topic: “non-pharmacological methods for controlling chronic pain,”  “pain management without narcotics,” “non-pharmacologic pain management,” “chronic pain,” “chronic pain management,” “pain management,” “ending chronic pain,” “long-term pain management,” “narcotic pain management,” and “controlling pain.”

Summary

           
Throughout this paper we have discuss various methods of establishing a research topic, developing research questions, and focusing research terms in order to find the most relevant information for your research topic.  By utilizing feasible research questions, establishing a PICOT question, and creating key research terms, I will now be able to focus my evidence-based practice research on information that is significant to my research topic. NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

References

Centers for Disease Control and Prevention.  (2016).  CDC Guideline for Prescribing Opioids for Chronic Pain.  Retrieved from dhttp://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm

Manchikanti, Laxmaiah.  (2006).  Prescription Drug Abuse: What is Being Done to Address this New Drug Epidemic?
Pain Physician. 
Retrieved from https://www.asipp.org/documents/PrescriptiondrugabuseWhatisbeing.pdf

Polit, D. F., & Beck, C. T. (2017).
Nursing research: Generating and assessing evidence for nursing practice
(10th ed.). Philadelphia, PA: Wolters Kluwer. NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

The American Academy of Pain Medicine.  (2016).  AAPM Facts and Figures on Pain.  Retrieved from http://www.painmed.org/patientcenter/facts_on_pain.aspx

Walden Student Center for Success. (2012).
Clinical Question Anatomy
. Retrieved from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360 NURS 6052 – Essentials of Evidence-Based Practice – Identifying a Researchable Problem Sample Essay.

Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients

Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?

Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not.

Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain. Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.

If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.

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Please include a brief introduction with the purpose

Conclusion

The references should be most recent (2-3years)

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed? Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

Voluntary and Involuntary Commitment Regarding Pediatric Psychiatric Patients

Concerning psychiatric patients, voluntary commitment means the patient chooses to be admitted for treatment. On the other hand, involuntary commitment is a legal process through which the patient is ordered to go for treatment by the court (Rayesteijn et al. 2017). In either case, the care is done through an inpatient facility and sometimes through an outpatient basis. For the instance of those who cannot make decisions for themselves like children, the admission to a medical facility will be voluntary when the parents or guardians accept the voluntary (Shields, Borba, & Trinh, 2017). Most entries are often voluntary: involuntary admission is rare. This paper discusses voluntary and involuntary commitment from a scenario where I am a PMHNP.

I strongly oppose voluntary commitment of the client due to the selected reasons herein. First, the patient is overwhelmed by suicidal thoughts hence he cannot voluntarily opt for pediatric psychiatric admission. According to Pfiffner et al., admission to healthcare for suicidal thinking is the last resort and most often treating people in the community is better for such clients (2014). However, the chances of the patient being safe in the community setting are low. Additionally, the client’s parents have conflicts of interest over their son’s assistance. Notably, the mother uses threats to demand that the client be discharged while the father requires that the child be hospitalized because of the suicide. In search of a scenario, the voluntary commitment will fail thus involuntary commitment should be advocated for. Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

However, in the United States, only forty-five states have laws which authorize the use of court-ordered treatment which is in the Mental Health Care Act. In my state, the client is eligible for involuntary commitment. The criteria for one to be involuntarily committed, the client should have a mental illness, the client’s disease and the problem should be requiring instant treatment. Also, the anticipated treatment should be accessible at the accredited mental healthcare institution and that there is a looming risks that the patient may source injury to him or herself (Masood et al. 2017). In my scenario, the patient wants to commit suicide which is the mental illness. Also, his problem needs immediate attention since if left alone, he will continue taking diphenhydramine hydrochloride. Conversely, the client can cause harm since he is overwhelmed by thoughts of suicide. Not to mention, our medical facility is in a position to offer necessary treatment. Having said all these, the client qualifies for involuntary commitment Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

Accordingly, my understanding of the state laws confirms my recommendation about involuntary committing the patient. Following the client’s stunt actions, I was unable to engage voluntarily commit him having a well understanding of the factors seen from the patient. Furthermore, the patient was at imminent risk of taking away his life in which he had already taken Benadryl which suggests that when discharged from the hospital, he will continue taking the tablets. Although the mother is using her clerical staff for the state board of nursing’s position, however, she is not concerned with what the son is capable of doing with her life. Following the nursing policies, ethics and the state laws, I could not bow to pressure to discharge the son before ailment is complete.

Nonetheless, if the client were not eligible for involuntary treatment, I would suggest and take the following course of actions to support voluntary commitment. First, I would recommend a psychotherapist who will be checking on the client’s health progress as well as offering guidance and counseling while at home. When the client-therapist relationship exists, care is provided to the client at the time of the alleged wrongdoing hence reducing chances of harmful actions (Townsend & Morgan, 2017). Also, I will work with the client minimize his risk of feeling shameful and also recommend care which is in line with the principles of cultural safety and competence. Additionally, I will provide hope for the father who thinks that the son will be at risk if discharged as well as encouraging the client that I will take an initiative of talking to the parents of the girlfriend to allow him to date the girl. Doing all these gives the client hope as well as his parents Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

Conversely, my initial actions to begin treatment would be assessing the client’s mental status which includes mood and the effect along with other signs of depression. I will also determine the patient’s feeling of hopelessness as well as obtaining the suicidal behavior history which include threats and ideation, earlier attempts and lethality of these events. For instance, the patient may be experiencing impulsivity symptoms like acting and reacting to situations without putting into account the possible consequences (Davison, Mackay, & McGivern, 2017). Considering all these risk factors will aid me in accurately determining if the patients with romance relationship issues are at risk of suicide thus I can give the right medication.

In conclusion, from the scenario, the client qualifies for involuntary commitment. The client is capable of doing anything to take his life away. However, offering therapy to him is likely to improve the situation. Furthermore, the patient needs to be given hope that his parents or clinicians will take the initiative to talk to the parents of his girlfriend to sort out issues thus he should not commit suicide Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

 

References

Davison, J., Mackay, B., & McGivern, M. J. (2017). The Potential of Simulation to Enhance Nursing Students’ Preparation for Suicide Risk Assessment: A Review. 
Open Journal of Nursing
, 
7
(02), 129.

Masood, B., O’Ceallaigh, S., Thekiso, T., Nichol, M., Kowalska-Beda, P., Murphy, M., … & Kennedy, N. (2017). Clinical predictors of involuntary detention among voluntary inpatients in St Patrick’s University Hospital (SPUH). 
Irish Journal of Psychological Medicine
, 
34
(1), 13-18.

Pfiffner, C., Steinert, T., Kilian, R., Becker, T., Frasch, K., Eschweiler, G., & Jaeger, S. (2015). Rehospitalization risk of former voluntary and involuntary patients with schizophrenia. 
Social psychiatry and psychiatric epidemiology
, 
49
(11), 1719-1727 Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

Ravesteijn, B., Schachar, E. B., Beekman, A. T., Janssen, R. T., & Jeurissen, P. P. (2017). Association of cost sharing with mental health care use, involuntary commitment, and acute care. 
JAMA Psychiatry
, 
74
(9), 932-939.

Shields, M. C., Borba, C. P., & Trinh, N. H. T. (2017). Quality of Inpatient Psychiatric Care and Consumers’ Trust in the Mental Health Care System. 
Psychiatric Services
, 
68
(6), 642-643.

Townsend, M. C., & Morgan, K. I. (2017). 
Psychiatric mental health nursing: Concepts of care in evidence-based practice
. FA Davis Voluntary and Involuntary Commitment Essay – pediatric psychiatric patients.

Week 5 Social Movements Assignment

A grassroots way to facilitate change in society is through a social movement. Often these movements are created after an injustice to change the way a society thinks and acts towards a sect of people.  Your assignment this week focuses on using social psychology concepts to explain the development of a social movement and the change in society that has occurred from the social movement.

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Some examples of social movements you may want to research are:

Black Lives Matter                  Blue Lives Matter                   Pro-Choice

Defend Science                       LGBTQ                                     Human Rights

Environment                           Animal Rights                          Anti-Bullying

 

 

Your assignment for this week is to find two articles that discuss one social movement. Social Movements Assignment. To help guide your analysis, complete the following steps:

 

– Summarize each article, focusing on main ideas and primary examples (2-4 Paragraphs)

– Discuss the relationship between the articles and key terms and ideas in social psychology (2-3 Paragraphs)

– Describe social change that has come about from the movement and utilize social psychology ideas to support your recommendation (1-2 paragraphs)

– Provide APA citations for both articles and additional references.

 

Grading:

50 points – summarizes two articles related to a specific social movement Social Movements Assignment.

20 points – discusses the issues the topics of the articles in relation to social psychology terminology

15 points – conclusion using social psychology ideals on changes that have come about due to the social movement discussed

15 points – for orderly presentation in subsections, freedom from spelling and grammar errors, and use of APA style citations and reference page.

 

Expectation

Points Possible

Summaries

Summaries are included for two articles and provide specific details about main arguments, key claims, and examples.

50

Social Psychology Terminology and Use

The analysis includes a strong use of social psychology terminology and thoughtful applies concepts to current events.

20

Conclusion

Conclusion includes recommendations for social change and provides a specific plan of action to support a culture of change.

15

APA Format and Style

Paper uses APA format and utilizes style and grammar to promote clarity. Social Movements Assignment.

15

Evidence summary

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes Evidence summary. The evidence summary will be conducted through the ’breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

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This assignment enables the student to meet the following course outcomes:

CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)

CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets. Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary) Evidence summary.

You are required to use the linked article and Worksheets or you will earn a ”0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required Worksheet or article will be evaluated for evidence of an academic integrity violation.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Practice Issue Worksheet Directions

A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.)Links to an external site. (both worksheets appear in ONE file) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

Your practice issue will be the same for all three Milestone assignments in this course.

Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.

Document this on the evidence summary portion of the worksheet.

You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

Please type your answers directly into the worksheet.

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

For Use March 2018

Student Name: Date:

Directions

1. Refer to the guidelines for specific details on how to complete this assignment.

2. Type your answers directly into the worksheets below.

3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4. 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): Evidence summary.

What is the nursing practice issue you have identified related to the topic you have chosen?

Fully describe the scope of the practice issue:

What is the practice area?

___ Clinical

___ Education

___ Administration

___ Other (List):

How was the practice issue identified? (check all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and community practice

___ Clinical practice issue is a concern

___ Procedure or process is a time waster Evidence summary

___ Clinical practice issue has no scientific base

__ Other:

Describe the rationale for your checked selections:

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

Describe the rationale for your checked selections:

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: Evidence summary.

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.

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:

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes Evidence summary.

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.)

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 Evidence summary.

For the Week 3 discussion on parent guides, we are going to handle it differently than the instructions indicate. You will not be assigned to a group.

Construct a tri-fold brochure, two-page pamphlet, or a short power-point presentation on the topic of your choice. Focus more on the idea that this is meant for parents. Remember that lay materials are usually at the 6th-8th grade reading level. Instead of academic references, include some links that are appropriate for parents. Respond to one other colleague and give them feedback on their product.

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Thanks for your patience in this very challenging situation. I appreciate that you are adult learners and will be counting on you to function at a higher level with less feedback than usual due to the numbers of students in all psych courses.

Collaboration is essential to accurate diagnosis of the conditions under consideration in this week. For this week’s Discussion, you practice collaboration by working in a group on developing a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices.

Learning Objectives

Students will:

• Analyze signs and symptoms of neurodevelopmental disorders

• Analyze the pathophysiology of neurodevelopmental disorders Parent Guide.

• Analyze diagnosis and treatment methods for neurodevelopmental disorders

• Evaluate Parent Guides

To Prepare for this Discussion:

Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

• Signs and symptoms

• Pathophysiology

• How the disorder is diagnosed

• Treatment options

Provide a minimum of three academic references.

By Day 5

One designated group member should post the completed Parent Guide to the Discussion.

By Day 7

Respond to at least two other groups’ wikis by providing at least two contributions for improving or including in their Parent Guide and at least two things that you like about their Parent Guide.

Gender in the Workplace Assignment

Week 3 Gender in the Workplace Assignment. Often times it appears that genders are equal in the workplace. While we like to think this, research will prove that is not the case. Women are still paid less and do not hold as many higher level positions. This week you will research current events to help understand and deconstruct this issue. Some examples of topics you may want to research regarding gender and:Pay Gap Academics Research Leadership Promotions Small Business Careers Technology Glass Ceiling Your Gender in the Workplace assignment for this week is to find two articles that discuss the issue of gender in the workplace. To help guide your analysis, complete the following steps: – Summarize each article, focusing on main ideas and primary examples (2-4 Paragraphs)- Discuss the relationship between the articles and key terms and ideas in social psychology (2-3 Paragraphs) – Provide recommendations with ideas on how to change the issue and utilize social psychology ideas to support your recommendation (1-2 paragraphs) – Provide APA citations for both articles and additional references.

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Gender in the Workplace

Summarize each article, focusing on main ideas and primary examples

Verniers and Vala (2018) discusses the gender discrimination that working women are subjected to. It notes that although there have been many policies to improve gender equalities in the workplace, inequality still exists particular in recruitment, salary and promotion that is skewed against the female gender. Using structural equation modelling, the authors note that discrimination against women is justified that women must balance between their family and work life thereby reducing their productivity Gender in the Workplace Assignment. The article concludes that gender inequality has been justified by motherhood myths.

Danielsson et al. (2015) applies a gender perspective in understanding workplace conflict. The study applied a multivariate analysis stratified for gender in which it was noted that noise had a greater impact on women and cause them to engage in more workplace conflict when compared to their male counterparts. The authors conclude that offices employing women should focus on reducing noise pollution to preempt the possibility of conflicts occurring.

Discuss the relationship between the articles and key terms and ideas in social psychology

Verniers and Vala (2018) and Danielsson et al. (2015) present some ideas on gender equality that are explained by social psychology theories. Firstly, social learning and symbolic interactionist theories explore the concept of socialization, showing how gendered expectation and norms interrelate Gender in the Workplace Assignment. This is seen in the biased expectations of women, particularly the assumption that women must balance between home and the workplace. In fact, these theories explain how the gender differentiated selves are sustained in the workplace. Secondly, affect control theory show how females have adopted self-sentiments that allowed them to adopt a gendered identity that is supported by differentiation whereby males are considered to be the dominant gender. Finally, identity control theory can be seen whereby gendered identity allows males to behave in a dominant manner and even ignore noise when their female counterparts are effected (McLeod, Lawler & Schwalbe, 2014). Gender in the Workplace Assignment.

Provide recommendations with ideas on how to change the issue and utilize social psychology ideas to support your recommendation

Gender equality in the workplace is best achieved by changing the prevailing mentality. Firstly, there is a need to change the biased expectations of women by showing that they can perform as well as their male counterparts. This recommendation relies on the social learning and symbolic interactionist theories. Secondly, there is a need to change the prevailing notion that males are the dominant gender. In essence, there should not be gendered identity. Rather, people should be viewed as individuals and evaluated in terms of workplace output and not in terms of gender. This recommendation relies on the affect control theory. Applying the two recommendations should go some way in reducing gender inequality in the workplace Gender in the Workplace Assignment.

References

Danielsson, C., Bodin, L., Wulff, C. & Theorell, T. (2015). The relation between office type and workplace conflict: A gender and noise perspective.
Journal of Environmental Psychology
, 42, 161-171. doi: 10.1016/j.jenvp.2015.04.004

McLeod, J., Lawler, E. & Schwalbe, M. (2014).
Handbook of the Social Psychology of Inequality: The social psychology of gender inequality
. New York, NY: Springer. Gender in the Workplace Assignment.

Verniers, C. & Vala, J. (2018). Justifying gender discrimination in the workplace: The mediating role of motherhood myths.
PLoS ONE
, 13(1), e0190657. doi: 10.1371/journal.pone.0190657 Gender in the Workplace Assignment.

Standardized Procedure Pediatrics Essay

Standardized Procedure for Nurse Practitioners: General Policy

I           Purpose

To establish a standardized procedure, in compliance with the California Board of Registered Nursing (BRN) and the 11 components of the BRN’s guidelines for Nurse Practitioners (NPs) to perform specified functions without the immediate supervision of a Physician.

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II         Development and Review

All standardized procedures are developed through the collaborative efforts of the members of the organization’s established interdisciplinary committee (IDC). The IDC will consist of physicians, nurse practitioners, registered nurses and administrative representatives of the organization.

All standardized procedures will be approved through the IDC made readily available and contain signed and dated approval sheets of all professionals covered by the procedures.

All standardized procedures will be reviewed every 3 years or more often as necessary by the IDC. Standardized Procedure Pediatrics Essay.

All NPs and their supervising physicians will signify agreement to the standardized procedures upon hire, annually and with changes as needed as evidenced by a signed and dated approval sheet.

Signature on the statement of approval and agreement implies the following: Approval of all procedures in the document, intent to abide by the procedures and willingness to maintain a collegial and collaborative relationship with all parties.  The signed statement of approval and agreement form will serve as the record of those NPs who have been authorized to perform the procedures.  The signature page will be kept on file and readily available together with Standardized Procedures.

III        Scope and Setting

A         NPs may manage those functions outlined in the standardized procedures, within their trained area of specialty and consistent with their experience and credentialing.  Such functions include assessment, management and treatment of acute and chronic illness, contraception, health promotion and overall evaluation of health status.  Additional functions include the ordering of diagnostic procedures, physical, occupational, speech therapies, diet and referral to specialty care as needed Standardized Procedure Pediatrics Essay.

B         NPs are authorized to practice standardized procedures in the organization’s Outpatient Clinics.

IV        Education and Training/Qualifications

A         NPs must have the following

1          Current California registered nurse (RN) license

2          Certification by the State of California, BRN as an NP

3          Board certification from the American Nurses Credentialing    Center

4          NP furnishing number

5          DEA registration number

6          Current Health Care Provider Card from the American Heart Association

7          Credentialed by the organization’s medical staff

B         In addition to the required education and training all NPs will be required to complete competency validation upon hire and annually.  The supervising physician is charged with observing the NP and documenting competency validation.  The competency validation checklist is managed, maintained and made available by the Office of Medical Staff as a component of the privilege process.   Checklist will be reviewed and updated annually by the IDC. Standardized Procedure Pediatrics Essay.

V         Supervision and Evaluation

A NP is authorized to implement the approved standardized procedures without the direct or immediate observation or supervision of a physician unless otherwise specified within a particular procedure.

B         Supervising physicians will conduct a weekly case review of a minimum of 10% of each NPs cases for the week.  The review will be documented within the electronic medical record and must be completed within 30 days of the visit selected for review. Cases will be selected randomly unless a request for review is received by a medical professional.

C         No single physician will supervise more than 4 NPs at any one time.

VI        Consultations

A         Physician consultation is to be obtained as specified in individual procedures or when deemed appropriate.

VII      Patient Records

A         NPs will be responsible for the documentation of a complete electronic medical record for each patient contact/encounter in accordance with existing clinic and medical staff policies.

Protocol:

Croup initial visit in the outpatient clinic setting

I           Rationale

To assist Nurse Practitioners in the outpatient clinic setting in the differentiation between

croup and other upper airway conditions and to establish guidelines for the management   of croup in this setting.

II         Definition

Swelling and erythema of the upper airway resulting in narrowing of these airways, usually as a result of viral infection and in some instances bacterial.  Most cases are usually mild and self-limiting however, children can be seriously ill or at risk for rapid progression of disease leading to further narrowing of the airways and respiratory compromise Standardized Procedure Pediatrics Essay.

III        Epidemiology

A         Typically occurs in children between the ages of 6 months to 6 years, with a peak

incidence between 6 and 36 months.

B         Most often occurs in the fall and is usually but not limited to parainfluenza type 1 viral infection.

C         Cases occurring in winter are usually but not limited to influenza A and B viruses

D         Risk factors include familiar history, parental smoking and male gender.

 

IV        History

A         Symptoms of upper respiratory infection for several days.

B         Rhinorrhea

C         Cough

D         Low grade fever

E          Symptoms occurring most often at night

F          Sore throat

G         Stridor

H         Intermittent barking, seal like cough

V         Physical Exam

A         Barking seal like cough, stridor

B         Tachypnea

C         Use of accessory muscles for respiration

D         Tachycardia

E          Wheezing

F          Low grade fever however, can be elevated to 104F

G         Visualization of mouth and epiglottis normal

VI        Diagnostic tests

A         Diagnosis typically made based on clinical presentation

B         Plain imaging of soft tissue of the neck may display classic pattern of subglottic narrowing (steeple sign) on posteroanterior view. Standardized Procedure Pediatrics Essay.

C         Pulse oximetry

D         Laboratory tests are not necessary for the diagnosis of croup however, may be used to assist with differential diagnosis.

1          CBC

2          Viral Serology

3          Tissue culture

VII      Differential Diagnosis

A         Epiglottitis

B         Foreign body aspiration

C         Retropharyngeal or peritonsillar abscess

D         Compression due to tumors, trauma or congenital malformations

E          Angioedema

F          Asthma exacerbation

G         Bacterial traceitis

VIII     Management – According to severity of disease by means of the Westley Croup Score based on the presence or absence of stridor at rest, degree of chest wall retractions, air entry, the presence or absence of pallor or cyanosis and the mental status.

A        
Mild croup (Westley croup score of ≤2)

No stridor at rest (although stridor may be present when upset or crying), a barking cough, hoarse cry, and either no, or only mild, chest wall/subcostal retractions.

B        
Moderate croup (Westley croup score of 3 to 7)

Stridor at rest, has at least mild retractions, and may have other symptoms or signs of respiratory distress, but little or no agitation Standardized Procedure Pediatrics Essay.

C        
Severe croup (Westley croup score of ≥8)

Significant stridor at rest, although the loudness of the stridor may decrease with worsening upper airway obstruction and decreased air entry. Retractions are severe (including indrawing of the sternum) and the child may appear anxious, agitated, or pale and fatigued.

D
         Impending respiratory failure (Westley croup score of ≥12)

Fatigue and listlessness

Marked retractions (although retractions may decrease with increased obstruction and decreased air entry)

Decreased or absent breath sounds

Depressed level of consciousness

Tachycardia out of proportion to fever

Cyanosis or pallor

E         
Treatment

Mild Croup:

1          Single dose of
dexamethasone
0.15 to 0.6 mg/kg orally or parentally to a max dose of 10mg.

2          Disposition home with the following instructions:

a          Fever management with acetaminophen 15mg/kg po every 4-6hrs as needed not to exceed 75mg/kg/day.

b          Anticipatory guidance of potential worsening and instructions on when to seek care.

c          Use of humidified air, cool mist or hot stream

d          Return for follow-up next day.

Moderate Croup

Follow mild croup guidelines

Observe patient for up to 4 hours

If improved

Disposition home following instructions for mild croup

If no improvement

a          Consult with supervising physician and prepare to administer

b         Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

c          If pulse oximetry is <92% provide supplemental oxygen at a rate to maintain 02 Sat < 92% d          Refer or disposition child via emergency transport to emergency department Severe croup and impending respiratory failure   a          Activate 911 and provide the following until emergency transport arrives: b          Ensure open airway c          Administer supplemental 02 to maintain 0s sat 92% d          Single dose of dexamethasone 0.15 to 0.6 mg/kg parentally. e          Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer. f           Notify supervising physician of need for emergency transport IX        Development and Approval of the Standardized Procedure This standardized procedure was developed and approved through the organization’s Interdisciplinary Committee and will be reviewed and approved every 3 years or more often as needed. Standardized Procedure Pediatrics Essay. Revision Date_____________                       Review Date______________ X         Standardized procedure was approved by the following members of the Interdisciplinary Committee. _______________________________                      Date_______________________ Pediatric Department Chair _______________________________                      Date_______________________ Supervising Physician _______________________________                      Date_______________________ Director of Nursing Practice _______________________________                      Date_______________________ Administration XI        Practitioners authorized to function under this standardized procedure: This list of Nurse Practitioners will be maintained on file in  the department in which Nurse Practitioners practice and hospital administration. References An explanation of standardized procedure requirements for nurse practitioner practice. (1998). Retrieved from http://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf Bjornson, C., & Johnson, D. (2015). Croup. Retrieved from https://online.epocrates.com/diseases/68111/Croup/Key-Highlights Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric Primary Care (5th ed.). Philadelphia, PA: Elsevier. Ferri, F. F. (2016). Ferri’s Clinical Advisor . Philadelphia, PA: Elsevier. Woods, C. R. (2015). Croup. Retrieved from https://www.uptodate.com/contents/croup-approach-to-management?source=see_link&sectionName=Respiratory+care&anchor=H91700#H1 Zoorob, R., Sidani, M., & Murray, J. (2011). Croup: An overview. Retrieved from http://www.aafp.org/afp/2011/0501/p1067.html Standardized Procedure Pediatrics Essay.

Katherine Harris iHuman Case Study – HEENT and Respiratory Infections

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For the iHuman Case Study – HEENT and Respiratory Infections assignment, make sure you post your initial response to the Discussion Area by Saturday, August 19, 2017.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

BUY A PLAGIARISM-FREE PAPER HERE

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for the iHuman Case Study – HEENT and Respiratory Infections assignment by Wednesday, August 23.

For the iHuman Case Study – HEENT and Respiratory Infections assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice. Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

iHuman Case Study – HEENT and Respiratory Infections

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Katherine Harris.”

Apply information from the iHuman Case Study to answer the following questions:

Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case? Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

iHuman Case Study – HEENT and Respiratory Infections Sample

Case study i-human- Katherine Harris

Chief Complaint:  Cough and Difficulty in breathing

History:

Miss Katherine Harris is 16 years of age is an understudy who presents with dynamic shortness of breath for a few days now. Her concern started four days prior when she got a bug. Her “cold” comprised of a sore throat, rhinorrhea and myalgia. Her tutoring compels her to go to classes even in the harsh elements and moist air. At first, she just felt tired yet later she built up a cough* and shortness of breath. At first, the cough was dry yet within 24 hours of beginning, it delivered plentiful yellow-green sputum. She states, “I cough up a measure of this stuff each day”. She didn’t think much about a cough since she consistently coughs amid the winter of every year. Her mom expresses that she “hacks and spits up” each morning when she gets up from the bed.

The shortness of breath has compounded so she can scarcely talk now. She likewise has torment in the left half of her chest when she coughs. She turns out to be exceptionally worn out subsequent to strolling up a flight of stairs amid a coughing spell. She denies hemoptysis, night sweats, chills, and paroxysmal nighttime dyspnea Katherine Harris iHuman Case Study – HEENT and Respiratory Infections. Nonetheless, she complains of swelling of her lower legs: “I’ve had this for over a year.”

Ms. Katherine has been dealt with for hypertension, pneumonia and diseases of her hands. She has been dealt with for comparable scenes of coughing and shortness of breath amid the previous two years. When she was hospitalized because “I was drinking excessively and my pancreas misbehaved.” A past specialist gave her nitroglycerin.

Physical Examination:

The patient seems considerably older than her expressed age of 16 years. She is a stocky fellow who seems rough, worn out and on edge. She talks about trouble, rapidly getting to be winded. There is cyanosis which heightened amid coughing spells. Pulse is 146/82 mmHg. Apical heart rate is 96 moment and customary. Respiratory rate is 28/minute. Temperature is 100.2o F.

Examination of the head and neck uncovers the utilization of extra muscles amid breath. Jugular veins are enlarged to 5 cm. with a conspicuous “a” wave Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

Examination of the chest uncovers utilization of extra respiratory muscles. The front-back measurement of the chest is expanded. Breath rate is expanded; respiratory is standard and longer in termination. Fremitus is diminished and the lung fields are hyper-resounding (diffusely) with percussion. Percussion additionally uncovers diminished outing of the stomach (reciprocal). Breath sounds are reduced respectively. Coarse crackles, rhonchi and expiratory wheezes are heard reciprocally. A large portion of these sounds clear with coughing.

Examination of the cardiovascular system uncovers soft heart sounds: S2 is part and louder than S1. The P2 segment appears loader than A2 and is heard best at the base of the heart. An S4 is heard best along the left lower sternal fringe. A mumble isn’t recognized.

The stomach area is round however soft. Inside sounds are not heard. The liver edge is round, somewhat delicate and discernable 2 cm. underneath the privilege costar edge in the mid-clavian line. The prostate is developed and nodular on rectal exam.

Both feet show hallux valgus. There is pitting edema of the ankles Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

Laboratory Tests:

The patient is first found in the emergency room. The accompanying information reflects the underlying tests.

CBC:

Leukocytes check is 12,500/mm3, 58% neutrophils, 7% groups, 28% lymphocytes, 6% monocytes, 1% eosinophils. Hemoglobin = 19.8 g/dL; Hematocrit = 60%; Platelet check = 320,000/mm3.

Chem:

Glucose 112 mg/dL (non-fasting); BUN 16 mg/dL, Creatinine 1 mg/dL; Cholesterol 240 mg/dL; Aspartate aminotransferase (AST) 18 U/L, Alanine aminotransferase (ALT) 32 U/L, Creatine kinase 72 U/L; Sodium 130 mEq/L, Potassium 4.8 mEq/L; Chloride 90 mE1/L, Bicarbonate 33 mEq/L.

ABGs*:

PH 7.38, Pa 02 44 mmHg, PaC02 58 mmHg, HCO3 31 mEq/L.

Electrocardiogram:

Chest x-ray PA and parallel perspectives

Sputum culture results are pending.

The patient is hospitalized. Spirometry is performed. The stream volume circle and results are as per the following:

FEV1 = 0.5L, Predicted = 2.9L, Percent of Predicted = 17%

FVC = 1.7L, Predicted = 3.9L, Percent of Predicted = 43%

FEV1/FVC = 29%

iHuman Case Study – HEENT and Respiratory Infections

NSG 6435 Week 4 
 Assignment 4

Assignment 4: SOAP Note

Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

Submission Details:

enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Discussion: iHuman Case Study – HEENT and Respiratory Infections

iHuman Case Study – HEENT and Respiratory Infections

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment, make sure you post your initial response to the Discussion Area.

To support your work, use your course textbook readings and the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible.Respond to at least two of your classmates’ initial postings.Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.Cite sources in your responses to other classmates.Complete your participation for this assignment.

For this iHuman Case Study – HEENT and Respiratory Infections assignment, you will complete an iHuman case study based on the course objectives and weekly content.iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum.Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning.Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Katherine Harris.”

Apply information from the iHuman Case Study to answer the following questions:

Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?

NSG 6435 Week 4 
 Assignment 4

Assignment 4: SOAP Note

Each week, you are required to enter your patient encounters into eMedley.Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience.You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template.The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox.When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG6435_W4_A4_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document. Katherine Harris iHuman Case Study – HEENT and Respiratory Infections.

Discussion: Data Analysis

As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. You will develop a study sheet on their chapter that will be shared with the other groups.

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Review the information in your assigned chapter.

As a group, develop a 1-page study sheet that includes the following:

The key concepts of the chapter 24: Focus on the basic concepts that are important for nurses to understand as they review research studies.

A description of the statistical methods covered in the chapter 24, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies. Discussion: Data Analysis.

An explanation of the key statistical tests and how they measure significance (if applicable).

Note: This should be a collaborative effort, with each member of the group making contributions to the design and content of the study sheet. Use the Groups link on the left navigation bar to collaborate with your group. When you have developed your 1-page study sheet, select one member to post it to the Week 9 Discussion Forum so that the rest of your colleagues can access it. Discussion: Data Analysis.

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 24, “Qualitative Data Analysis”

The focus of this chapter is qualitative data analysis, which is more difficult in some ways than quantitative analysis, because there are not specific tests that can be used. Instead, much of the analysis is based on the researcher’s ability to identify patterns of behavior or similarities in events. Suggestions are provided for analysis of each of the major types of qualitative studies and how to document findings. Discussion: Data Analysis.

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

PET

Your Plan – How Would You Meet this Step in your Project Plan?

Practice Question

 

Step 1
: Recruit interprofessional team

 

Step 2
: Define the problem

 

Step 3
: Develop and refine the EBP question

In
Adolescents with substance abuse
(
P
), how
does cognitive behavioral therapy
(
I
) compared
to no cognitive behavioral therapy
(
C
) affect
reduction of substance use behavior
(
O)

within 6- months post intervention
(
T
)?

Step 4
: Identify stakeholders

 

Step 5
: Determine responsibility for project leadership

 

Step 6
: Schedule team meetings

 

Evidence

 

Step 7
: Conduct internal and external search for evidence

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 8
: Appraise the level and quality of each piece of evidence

 

Step 9
: Summarize the individual evidence

 

Step 10
: Synthesize overall strength and quality of evidence

 

Step 11
: Develop recommendations for change based on evidence synthesis

·      Strong, compelling evidence, consistent results

·      Good evidence, consistent results

·      Good evidence, conflicting results

·      Insufficient or absent evidence

BUY A PLAGIARISM-FREE PAPER HERE

Translation

 

Step 12
: Determine fit, feasibility, and appropriateness of recommendation(s) for translation path

 

Step 13
: Create action plan

 

Step 14
: Secure support and resources to implement action plan

 

Step 15
: Implement action plan

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 16
: Evaluate outcomes

 

Step 17
: Report outcomes to stakeholders

 

Step 18
: Identify next steps

 

Step 19: 
Disseminate findings

John_Hopkins_PET_Worksheet

 

 

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

The John Hopkins Hospital/John Hopkins University School of Nursing (2017)

The value of the PET worksheet is to help you practice implementation of an evidencebased practice (EBP) project using an EBP implementation model. The PET Worksheet begins

with planning and goes through dissemination (compare to Melnyk’s EBP Process Step 0 – Step

6 that we have been working with). To answer the questions, you can use your textbook as a

guide as the concepts are discussed, but you are developing an individualized plan. The website

for the John Hopkins model is also valuable: https://www.hopkinsmedicine.org/evidence-basedpractice/ijhn_2017_ebp.html

You want to think about how you would implement your proposed intervention at an

organization using the implementation model. This should not be a lengthy document as it is a

plan/outline. You can bullet or write a few sentences/short paragraph if needed. Question 13

may require more detail.

PET Your Plan – How Would You Meet this

Step in your Project Plan?

Practice Question

Step 1: Recruit interprofessional team List other professionals that will be involved

in your project implementation.

Step 2: Define the problem Discuss your problem – if you give specifics

from the literature you will need to cite and

reference.

Step 3: Develop and refine the EBP question List your PICOT.

Step 4: Identify stakeholders Who are the stakeholders in the project – who

has a stake in the problem, intervention, and

outcome? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

See p. 536 in Melnyk for discussion on

stakeholders.

Step 5: Determine responsibility for project

leadership

Who is the leader of the project? Will other

professionals have assigned roles?

Step 6: Schedule team meetings How often will the team meet?

Evidence

Step 7: Conduct internal and external search

for evidence

Discuss your literature search. Is there

internal data that should also be considered?

Step 8: Appraise the level and quality of each

piece of evidence

List the levels of evidence used to support the

intervention.

Step 9: Summarize the individual evidence What is the synthesis of the evidence? If you

give specifics from the literature you will

need to cite and reference.

Step 10: Synthesize overall strength and

quality of evidence

Is the supporting evidence strong? See Step

11 below.

Step 11: Develop recommendations for

change based on evidence synthesis

 Strong, compelling evidence, consistent results

 Good evidence, consistent results

 Good evidence, conflicting results

 Insufficient or absent evidence

Would you recommend a change based on the

evidence? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

The John Hopkins Hospital/John Hopkins University School of Nursing (2017)

Translation

Step 12: Determine fit, feasibility, and

appropriateness of recommendation(s) for

translation path

Consider fit of intervention, appropriateness

of intervention, and feasibility of intervention

for patient and organization

Step 13: Create action plan List or bullet a step by step plan for project

implementation beginning with

identification/recruitment of patient through

measurement of outcomes.

Step 14: Secure support and resources to

implement action plan

What resources will be needed? Consider

cost of staff and supplies.

Step 15: Implement action plan Consider timeline.

Step 16: Evaluate outcomes How/when will you measure outcomes?

Step 17: Report outcomes to stakeholders How/when will you report outcomes to

stakeholders? NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet

Step 18: Identify next steps Consider sustainability of project.

Step 19: Disseminate findings How will you disseminate findings of project

so that others may benefit?
John_Hopkins_PET_Worksheet_Guide_2019

NSC 892 John Hopkins Evidence-Based Practice Model PET Worksheet