Tag: Clinical-Nursing

Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

Use this document to complete
Part 2
of the Module 2 Assessment,
Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

 

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

 

 

 

 

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Brief
description of the aims
of the research of each peer-reviewed article

 

 

 

 

Brief description of the
research methodology
used Be sure to identify if the methodology used was
qualitative
,
quantitative
, or a
mixed-methods
approach. Be specific.

 

 

 

 

 

 

 

 

 

 

A brief description of the
strengths
of each of the research methodologies used, including
reliability
and
validity
of how the methodology was applied in each of the peer-reviewed articles you selected.

 

 

General Notes/Comments

 

 

 

 

 

 

 

NURS_6052_wk_3_assignment_Matrix_Worksheet_Template_replaced

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

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Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? Assignment: Evidence-Based Project

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

 

References

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334–337. https://doi-org.ezp.waldenulibrary.org/10.4037/ajcc2018727

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382–388.
https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2018.27.7.382

Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American Journal of Infection Control
, 
46
(11), 1218–1223.
https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.05.002

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … Cruickshank, M. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
Lancet Infectious Diseases
, 
18
(11), 1269–1277.
https://doi-org.ezp.waldenulibrary.org/10.1016/S1473-3099(18)30491-2

Loftus, R. W., Dexter, F., & Robinson, A. D. M. (2018). High-risk Staphylococcus aureus transmission in the operating room: A call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American Journal of Infection Control
, 
46
(10), 1134–1141. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.04.211 Assignment: Evidence-Based Project

Matrix Worksheet Template

 

Use this document to complete
Part 2
of the Module 2 Assessment,
Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

 

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

 

 

 

 

ORDER A PLAGIARISM-FREE PAPER HERE

Brief
description of the aims
of the research of each peer-reviewed article

 

 

 

 

Brief description of the
research methodology
used Be sure to identify if the methodology used was
qualitative
,
quantitative
, or a
mixed-methods
approach. Be specific.

 

 

 

 

 

 

 

 

 

 

A brief description of the
strengths
of each of the research methodologies used, including
reliability
and
validity
of how the methodology was applied in each of the peer-reviewed articles you selected.

 

 

General Notes/Comments

 

 

 

 

 

 

 

Assignment: Evidence-Based Project

NURS_6052_wk_3_assignment_Matrix_Worksheet_Template

 

Use this document to complete
Part 2
of the Module 2 Assessment,
Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

 

ORDER A PLAGIARISM-FREE PAPER HERE

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

 

 

 

 

Brief
description of the aims
of the research of each peer-reviewed article

 

 

 

 

Brief description of the
research methodology
used Be sure to identify if the methodology used was
qualitative
,
quantitative
, or a
mixed-methods
approach. Be specific.

 

 

 

 

 

 

 

 

 

 

A brief description of the
strengths
of each of the research methodologies used, including
reliability
and
validity
of how the methodology was applied in each of the peer-reviewed articles you selected.

 

 

General Notes/Comments

 

 

 

 

 

 

 

NURS_6052_wk_3_assignment_Matrix_Worksheet_Template

NURS_6052_wk_3_assignment_Matrix_Worksheet_Template

Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

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More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between
EBP and the Quadruple Aim
.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience

• Population health

• Costs

• Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Resources

https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608

https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608

https://insights-ovid-com.ezp.waldenulibrary.org/crossref?an=00006216-201807000-00009

https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S1541461219300941?via%3Dihub

http://acc.aacnjournals.org/content/30/2/185

https://journals.stfm.org/familymedicine/2019/february/marker-2018-0276/ Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608

https://insights-ovid-com.ezp.waldenulibrary.org/crossref?an=00006216-201904000-00008

 

Relation between EBP and the Quadruple Aim

Evidence-based practice heavily relies on the use of available scientific evidence for decision making in the clinical setting. Ever since its formal introduction in the 1990s, evidence-based practices have continued to gain ground in management, the formation of public policies, education and nursing practice. As one of the most effective problem-solving approach in clinical settings, evidence-based practice integrates the best available evidence from well-designed scientific studies, the preferences, and values of patients and the expertise of clinicians to make decisions regarding patient care (Crabtree et al., 2016). Assignment: Evidence-Based Practice and the Quadruple Aim sample essay As a result, the main aim of evidence-based providers is to ensure that patients are provided with high quality and safe healthcare services. For high chances of success, EBP embraces an interprofessional model where shared decision making is greatly emphasized. Similarly, different actors at the state, federal and local levels are essential for the adoption and implementation of evidence-based practice. According to Crabtree et al., (2016), nurses have widely embraced a positive attitude towards evidence-based practice and its providers and the majority are ready to acquire the necessary skills and knowledge for its adoption into clinical practice.

The quadruple aim has four major goals mainly: improving patient experience, population health, the work-life of healthcare providers and reducing healthcare-associated costs (Sakallaris et al., 2016). The quadruple aim purposes to achieve the aforementioned goals through the redesigning of healthcare facilities. However, a major setback in achieving these goals in the wider health sector is improving population health while at the same time containing/reducing healthcare-related costs, which requires a high level of efficiency and effectiveness (Bodenheimer & Sinsky, 2014).  A highly productive health workforce is mandatory for an effective healthcare system. This is what promoted the translation of the triple aim to the quadruple aim through the addition of a fourth goal which is improving healthcare providers’ work-life. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

The Impact That EBP May Have On Factors Influencing These Quadruple Aim Elements.

The development and adoption of evidence-based practice is mainly to improve the quality of healthcare services that patients receive and places a lot of value inpatient care in clinical settings. Similarly, evidence-based practice has a direct impact on the work-life of healthcare providers since, to receive high quality and safe healthcare services, staff needs to be very productive. The purpose of every healthcare institution is to ensure that the life of patients, as well as that of healthcare staff providing healthcare services, is improved.

 Patient experience

All strategies used in evidence-based practice permit healthcare providers to translate the findings of research into clinical practice. By utilizing efficient searching skills of literature and formally applying the rules that guide evidence to evaluate the findings of research, nurses and other healthcare providers can efficiently apply existent scientific knowledge to clinical practice based on individual patient needs (Jacobs et al., 2018). As a result, this improves the quality of healthcare services that patients receive. In recent times, most healthcare institutions are embracing evidence-based practice to solve clinical issues that directly impact patient care and this is what has led to improved patient experiences Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

Population health

Evidence-based practices purpose to educate populations on the individual health determinants, the benefits, and limitations of specific treatments, cultural and healthcare practices.  Those integrating evidence-based practices in various population settings also purpose to ensure the equitable distribution of resources to achieve specific aims (Sakallaris et al., 2016). Populations can be classified based on its needs as identified by socioeconomic status, the support received from family and individual health status, and this promotes equity and efficiency in the allocation and distribution of resources for health promotion. All evidence-based processes involved in care have been specifically designed to address individual patient needs as opposed to shaping healthcare patterns based on subgroups.

Costs

           
A major challenge for most healthcare facilities is directly related to the measure of per capita costs of healthcare as it needs all healthcare expenditures to be captured, measurement of actual costs and indexing the costs to the healthcare market. According to Sakallaris et al., (2016), the most common method used to measure actual costs is discounts and pricing. Therefore, for most healthcare institutions, it is a huge challenge to provide safe and quality healthcare services at lower healthcare costs. When an institution embraces the use of the latest technology to improve efficiency and most recent treatment methods as revealed through evidence-based practice, the quality of care, as well as the costs, automatically increases.

The work-life of healthcare providers

The key components of a conducive healthcare environment should support interprofessional collaboration. Interprofessional collaboration has been evidenced to improve patient health outcomes and the satisfaction of healthcare providers. It also reduces provider burnout and turnover rates, which promotes staff productivity (William et al., 2016). The three major components of such an environment include the structural and policy elements and actively engaging the workforce in shared decision making. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

References

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider.
The Annals of Family Medicine
,
12
(6), 573-576.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence‐Based Practice.
Worldviews on Evidence
‐
Based Nursing
,
13
(2), 172-175.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim.
Nursing administration quarterly
,
42
(3), 231-245 Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare.
Global advances in health and medicine
,
5
(1), 51-60.

William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims.
The Journal of medical practice management: MPM
,
31
(6), 359. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

Population & Community Health Promotion Sample Essay

What are specific actions that health professionals can take regardless of their practice area and site to promote population and community health?

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Population and Community Health Promotion

Specific actions that health professionals can take regardless of their practice area and site to promote population and community health

Planning and implementation Health education programs

Health education is a major approach for implementation of disease prevention and health promotion programs.  Health professionals can plan and implement health education programs to offer education to populations and communities on how they can become responsible for their development and protection of their health all their lives. Population & Community Health Promotion Sample Essay According to Kabasakal and Kublay (2017), health education, which provides structured learning opportunities, partly includes communication approaches projected at promoting health literacy practices, like the increase in the levels of knowledge along with the advancement of life skills to assist improve community and individual health.

Health care education can be offered through sharing of information, as well as motivating and encouraging trust and certain skills, which are influential in bringing improvement to the health of people Population & Community Health Promotion Sample Essay. Kabasakal and Kublay (2017) state that if health care professionals working in institutions that offer primary health care have the necessary skills, experience and knowledge to promote health, they can inform communities by counselling them about appropriate lifestyle behaviors that promote health.

Getting involved assessment of community needs and health planning  

Community health planning starts with health professional diagnoses. Health professionals design goals aimed at resolving potential or existing health concerns.  Recognition of potential or specific health issues with premeditated action to attain anticipated outcomes offers the data and framework for community needs assessment.  As Edelman, et al (2017) indicate, community involvement in health planning enables effectual assignment of priorities. As recipients of health services, community members endeavor for services that are high-quality and reasonably priced. Residents intend to attain suitable benefits for the concerns and needs of the populations. Health planning highlights the promotion and protection of population health and thus the definition of problems, actions, and solutions occur at the group level. Population & Community Health Promotion Sample Essay.

Planned change is as a result of efforts by groups and individuals and entails fundamental changes in behavior. Individuals function as agents of their personal health conditions and community health goals usually relay on dynamic decisions to alter their lifestyles. Endeavors to impact and reinforce transformations in community health behavior is the emphasis of effectual risk reduction programs. According to Edelman et al (2017), promotion of community health via risk reduction programs entails community members become more responsible of their personal health, becoming more active in the adoption of healthy lifestyles, and monitoring resources within the community to accomplish healthy behaviors Population & Community Health Promotion Sample Essay.

Advocating for social change

Health professionals can advocate for policies that can improve social conditions which influence the health of disadvantaged and poor populations.   Economically and socially disadvantaged populations have a less likelihood of being in good health, less likelihood to access quality healthcare services and a high likelihood of dying prematurely compared to economically and socially advantaged populations. According to Williams et al (2018), economically and socially disadvantaged populations are greatly affected by public policy and can thus gain from policies intended at improving social conditions that influence health. Nurses, physicians, and other health professionals can advocate for the proper social policies to promote fairness, justice and health parity and adequately, addresses social determinants of health.

Health professionals have an influential voice and can s articulate on the health effects of social challenges to inspire wider policy responses and impact what goes onto the local agenda. As Andermann (2016) alleges, health professionals can participate in activism through supporting political parties and social movements that lobby for affordable childcare, progressive taxation, basic income, along with other measures to lessen health disparities. they can undertake locally pertinent research and utilize data on social determinants intercede in their personal context in a better way and produce evidence as a pedal for advocacy. Williams et al (2018) claim that the appropriate policies and right interventions can interpose the cycle of disadvantage, poor health, and poverty. Evidence-based, effectual policies can result in healthier communities and tackle inability to access material and social resources that act as the source of health inequities Population & Community Health Promotion Sample Essay.

 

 

References

Andermann, A. (2016). Taking action on the social determinants of health in clinical practice: a framework for health professionals.
Canadian Medical Association Journal
, 188(17-18): E474-E483.

Edelman, C., Mandle, C., & Kudzma, E. (2017).
Health Promotion Throughout Life Span – E-Book
.  New York:  Elsevier Health Sciences.

Kabasakal, E., & Kublay, G. (2017). Health Education and Health Promotion Skills of Health Care Professionals Working in Family Health Centers.
International Journal of Medical Research   & Health Sciences,
6(3): 22-28.

Williams, S., Phillips, J., & Koyama, K. (2018). Nurse Advocacy: Adopting a Health in All Policies Approach.
The Online Journal of Issues in Nursing
, 23(3): 1. Population & Community Health Promotion Sample Essay

NU420M2 Change Agent to Diverse Populations Sample Essay

Characteristics of a Change Agent

Effective leadership results to successful changes in an organization. Change leaders have the ability to enthuse and influence others through drive, vision, advocacy and access of resources to develop a platform for change (Sayers et al., 2015). As such, a good leader should be flexible enough to adapt to the unpredictable external and internal factors affecting the performance of the institution. Flexibility supports agility in change adaptation. Another characteristic of change agents is diversified knowledge. This means that they are knowledgeable and seeks to identify what is workable to increase productivity and quality of care in the healthcare settings. They identify new approaches to problem resolution and spot new growth opportunities. NU420M2 Change Agent to Diverse Populations Sample Essay

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Moreover, they are responsible which makes them accountable and trustworthy as well as have effective communication and listening skills. This enables them to pass messages, listen to suggestions and allow informed decision making through collaboration with interdisciplinary and interprofessional teams (Sayers et al., 2015). A change agent is also visionary in that they see the potential for the existence of the organization and the world and set realistic goals to achieve the vision.

Develop a Strategy to Employ Change

As a new unit manager for the medical surgical unit, I intend to employ an effective change strategy to resolve the resolve the issue of high incidence of new onset diabetes in the Latino population. The strategy will entail recruitment for new roles and skills necessary for the successful implementation of the intended changes. This will be followed by the training of the staff on the effective skills to educate the patients on prevention considering that the department has a little documentation of education by staff. Furthermore, I will implement the new performance goals focused on the wellbeing of the Latino population and application of evidence-based prevention practices to better reduce the new diabetes incidences. NU420M2 Change Agent to Diverse Populations Sample Essay. Consequently, I will optimize the process across all entitles  including the reevaluation and standardization of the management process across the department for consistency followed by sustainability of the employee engagement in the times of change through recognition, communication, stress management, promotion of opportunities, quality care and executive actions as the core drivers of change (Lewallen, 2015). In order to ensure that the change is long-term and effective, I will train project leaders to ensure sustainability of the change in the future.

Outcome

The main anticipated outcome for the change is the reduction of new diabetic cases among the Latino population within six months. This is because, the increase in the new on-set cases has become a challenge to manage the medical cases associated with diabetes and also increased the cost of healthcare. Patient education by staff thus seeks to create awareness and promote healthy practices among the Latino population. Education on prevention will thus reduce the occurrence of diabetes through awareness of healthy lifestyles, exercise and feeding habits.  The evaluation of the success of this change will entail the outcome evaluation. This will obtain the descriptive data and document short-term findings. This will provide the immediate impacts of patient education on the change of the new diabetes on-set cases. In this case, I will obtain the percentage of the target audience demonstrating increased awareness on diabetes prevention and the number of public enquiries, behavioral changes, attitude and knowledge shifts, expressed target audience intentions and initiated policies (Oermann & Gaberson, 2016). NU420M2 Change Agent to Diverse Populations Sample Essay

References

Lewallen, L. P. (2015). Practical strategies for nursing education program evaluation. 
Journal of Professional Nursing
, 
31
(2), 133-140.

Oermann, M. H., & Gaberson, K. B. (2016). 
Evaluation and testing in nursing education
. Springer Publishing Company.

Sayers, J., Lopez, V., Howard, P. B., Escott, P., & Cleary, M. (2015). The leadership role of nurse educators in mental health nursing. 
Issues in mental health nursing
, 
36
(9), 718-724. NU420M2 Change Agent to Diverse Populations Sample Essay

Florida State APRN Scope of Practice

This week’s content-addressed professional and legal issues, state boards of nursing, advanced practice licensure, regulations, scope of practice, and national certification as an advanced practice nurse. It is your responsibility to look at your individual board of nursing and remain up to date with the changes that are carried out in your state.

For this week’s discussion review your state’s scope of practice and address 3 areas that you were not aware you can do as a licensed provider in your state. ***FLORIDA***

Florida Scope of Practice Policy – State Profile

scopeofpracticepolicy.org › states › fl

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Florida State Scope of Practice

Nurses’ scope of practice in Florida State is regulated by the state Board of Nursing that hold nurses to a minimum standard to ensure that they deliver competent and safe care within different settings. Florida State APRN Scope of Practice. These regulatory responsibilities revolve around ensuring that individual nurses are qualified to practice within the state in several vital ways that include rehabilitates, monitors, educates, disciplines and licenses (Toney-Butler & Martin, 2019). A review of the state scope of practice identifies the specific duties that advanced practice registered nurses (APRN) are authorized to perform. In fact, they are authorized to perform a range of duties with three of these duties discussed as identified and approved by the joint committee appointed by the Board of Nursing. Firstly, they are authorized to perform diagnostic services in response to potential or actual health issues. Diagnosis has traditionally been the domain physicians, but APRN are authorized to perform this function. Secondly, they are authorized to plan for therapeutic interventions, disease prevention and health promotion in collaboration with other health stakeholders. Thirdly, they are authorized to implement therapeutic interventions based on nursing practice specialty (expertise) as indicated in the certification. This includes, but is not limited to, delegating responsibilities to unlicensed assistive personnel, collaborating with other medical personnel, teaching, counseling and direct nursing care. Finally, they are authorized to coordinate health care where appropriate and necessary, and evaluate the patient for the care effectiveness Florida State APRN Scope of Practice. The identified duties are unique to APRN and not performed by other nurse personnel. This is in recognition of the fact that APRN have advanced education, experience, skills and knowledge that uniquely positions them to competently and safely complete the duties (ATrain Education, 2019). Still, it is important to note that nurses file a petition for declaratory statement pursuant to section 120.565 of Florida Statutes when seeking to add new duties to a license (Florida Health, 2019).

References

ATrain Education (2019).
Florida laws and rules of nursing: chapters 456 and 464, Florida statutes
. Retrieved from https://www.atrainceu.com/course-module-short-view/2011919-110_florida-laws-and-rules-module-03

Florida Health (2019).
Declaratory statements
. Retrieved from http://www.floridahealth.gov/licensing-and-regulation/public-records/declaratory/index.html

Toney-Butler, T. & Martin, R. (2019).
Florida nursing laws and rules
. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK532859/ Florida State APRN Scope of Practice

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her…

Week 2 Assignment: Reflective Essay

Guidelines with Scoring Rubric

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Purpose

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978).  Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978).  Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice.  The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience. NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Course Outcomes

Through this assessment, the student will meet the following Course Outcomes:

Demonstrate logical and creative thinking in the analysis and application of theory to nursing practice. (CO #1)

Examine broad theoretical concepts as foundational to advanced nursing practice roles. (CO #3)

 

Total Points Possible

This assignment is worth 100 points.

Due Date

Submit your file by 11:59 p.m. MT Sunday at the end of Week 2.

Requirements

Criteria for Content

Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.

Select an important nursing issue/topic that was inherent to the identified situation.

As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a
two- to three-page paper
address the following:

Briefly
explain the situation

Identify the nursing issue inherent in the identified situation

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

What do you think was the underlying reason for the situation? (Esthetics)

What were your thoughts and feeling in the situation? (Personal)

What was one personal belief that impacted your actions? (Ethics)

What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

What new insights did you gain through this reflective practice opportunity?

Preparing the paper

Submission Requirements

Application: Use Microsoft Word 2013™ to create the written component of this assessment.

Length:

The paper (excluding the title page and reference page) should be
at least two but no more than three pages.

A minimum of
two (2)
scholarly literature sources must be used.

Submission: Submit your file to the Canvas course site by the due date/time indicated.

Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

Review directions thoroughly.

Follow assignment requirements.

Make sure all elements on the grading rubric are included.

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.

Because the paper is a reflective essay, first person is acceptable for this assignment.

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

Ideas and information that come from scholarly literature must be cited and referenced correctly.

A minimum of
two (2)
scholarly literature sources must be used.

Abide by CCN academic integrity policy.

 

Grading Criteria

Category

Points

%

Description

Explanation of the Situation

10

10%

Provide a succinct description of a practice situation in which you felt underprepared or uncomfortable.

Nursing Issue or Concern Inherent to the Situation

15

15%

Explain the specific nursing issue or concern that was inherent to the situation and include your rationale.

 

Reflection upon the Situation using Carper’s Patterns of Knowing

 

45

50%

Analyze the situation and apply Carper’s Patterns of Knowing to discuss the following:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

Summary of Reflection

20

20%

Provide a summary of your reflection. Include a minimum of two new insights gained through the situation you experienced. Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role.

APA Format

5

5%

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly sources must be cited and referenced correctly.
Two (2) scholarly
literature references are used.

Writing Mechanics

5

5%

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual. For this assignment first person may be used.

Total

100

100%

A quality assignment will meet or exceed all the above requirements.

 

Grading Rubric

Assessment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

 

Content Possible Points
= 90 Points

Explanation of the Situation

 

10 Points

9 Points

8 Points

6 Points

0 Points

Presentation of information is
comprehensive and concise
and includes all of the following elements:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information is
superficial
and includes all of the following elements:

 

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information is
minimally
demonstrated and includes all of the following elements:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Nursing Issue or Concern Inherent to the Situation

 

15 Points

13 Points

12 Points

9 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
the following elements:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information is
superficial
in places and includes
all
the following elements:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information is
minimally
demonstrated and includes
all
the following elements:

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information in
one
of the following elements fails to meet expectations or is missing:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information in
two or more
following elements fail to meet expectations or are missing:

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Reflection upon the Situation using Carper’s Patterns of Knowing

 

45 Points

 40 Points

 36 Points

17 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information is
superficial
in places and includes
all
of the following elements:

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

 

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information is
minimally
demonstrated and includes
all
of the following elements:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information in two or more of the following elements fail to meet expectations or are missing the following:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Summary of Reflection

20 Points

 18 Points

16 Points

8 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information is
superficial
in places and includes
all
of the following elements:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information is
minimally
demonstrated in
all
of the following elements:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Content Subtotal ___ /90 points

Format Possible Points = 10 Points NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

APA Format

5 Points

4 Points

3 Points

2 Points

0 Points

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

0 to 1
APA error is present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

2–3
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

4–5
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

6–7
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

8 or greater
APA errors are present

References and Page Length

 

Note: Students are to use at least
two (2) scholarly re
ferences.

The paper (excluding the title page and reference page) should be at least
two but no more than three pages.

3 Point deduction

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Does not use at least two (2) scholarly references
and/or
falls short of or exceeds required page length.

Writing Mechanics

5 Points

4 Points

3 Points

2 Points

0 Points

1–2
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

3–4
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

5–6
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

7–8
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

9 or greater
errors
or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

Format Subtotal ____/10 points

 

Total Points ____/100 points

Comments: NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

 

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her last days would be round-the-clock hospice care for especially pain relief. The task, therefore, of convincing her together with her relatives to follow this route fell on me. Needless to say, I felt not only unprepared, but also uncomfortable because I knew there was no hope of her surviving for long. Yet I had to give her a reason to look forward to the next day.

The nursing issue inherent in this situation was the need for apt, caring and tactful guidance and counselling as an important role of me as the nurse in this end-of-life situation. I had to not only help the patient and her relatives make the right decision of checking into a hospice, but also give them convincing reasons why they needed to do so. This was not an easy mission to accomplish.

Reflection on the Situation Based on Carper’s Patterns of Knowing

           
Four facets of nursing knowledge have been identified as empirics or the scientific basis of nursing, esthetics or the consideration of nursing as an art, ethics or the morality in nursing, and the personal knowledge component of nursing (Carper, 1978; Schmidt et al., 2003). On empirics, therefore, I needed to be armed with evidence that hospice care indeed is beneficial for this patient and her family. This is the evidence that I needed to base my argument on in trying to convince them to accept hospice care. Quaglietti, et al. (2004) have stated that the palliative care offered in the hospice takes care of the patient’s and her family’s expectations in terms of care. They continue that nurse practitioners (NPs) are well placed to meet these expectations. On esthetics, empathy is the single most important factor in mastering the art of offering nursing care to patients (Carper, 1978). This was the underlying reason for the situation – need for empathy. Experience had taught me that to gain the patient’s trust and confidence; I as the nurse must feel genuine empathy for them. This way they will make less effort to accept any proposal such as going into hospice care. On personal knowledge, Carper (1978) identifies interpersonal interaction as the barometer with which this knowledge is measured and gained. In this scenario, my personal feeling was that I had to relate with both the patient and her relatives at a personal level by establishing a personal bond with them. In doing this, I had to first know myself and confront my own personal fears and shortcomings. Last but not least on ethics, I had to be aware that I had a moral obligation to only offer suggestions that would bring the greatest good to the patient and by extension her family (beneficence). Also, whatever suggestion or intervention that I suggested had to be devoid of the possibility of causing harm to the patient (nonmaleficence). But, most importantly, it dawned on me that I had to respect the decision of the patient and her relatives at the end (respect for autonomy) (Haswell, 2019). NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Summary     

           
This experience was indeed rich in knowledge for me. I learnt that the four factors of nursing knowledge are present in all practical nursing situations. Thus the double insight I got was the importance of evidence-based practice decisions and the power of empathy. Intentional reflective nursing practice is therefore imperative for improved future care.

References

Carper, B.A. (1978).
Fundamental patterns of knowing in nursing
. Retrieved 8 September 2019 from
https://www.google.co.ke/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/8871/eb88fb06168bb31e20e9c54e57920e575a47.pdf&ved=2ahUKEwje0JrqscHkAhVClFwKHYXzAgsQFjAQegQICRAB&usg=AOvVaw0CEuuz-eqnIwVMqcmUI55E

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice.
Journal of Aesthetic Nursing
, 8(4), 177-179. Doi: 10.12968/joan.2019.8.4.177

Schmidt, L.A., Nelson, D. & Godfrey, L. (2003). A clinical ladder program based on Carper’s fundamental patterns of knowing in nursing.
JONA
, 33(3), 146-152. Doi: 10.1097/00005110-200303000-00005

Quaglietti, S., Blum, L. & Ellis, V. (2004). The role of the adult nurse practitioner in palliative care.
Journal of Hospice and Palliative Nursing
, 6(4), 209-214. Doi: 10.1097/00129191-200410000-00009 NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Conceptual Iowa Model Example

4. In addition, create a conceptual Iowa model of the project. PICOT question. (P) For post-operative patients, (I) can standardized hourly rounding by a medical team be a better deterrent (C) compared to bed alarms or other tools that are readily available within a hospital (O) and designed to reduce patient fall risk (T) during hospitalization. With narrative Conceptual Iowa Model Example

BUY A PLAGIARISM-FREE PAPER HERE

Conceptual Iowa Model Example

The lowa model focuses on how research is organized, conducted and used. The lowa model is relevant in this project because it will allow knowledge and triggers of falls among post-operative patients to be analysed. The model will also allow analysis of current research regarding approaches that can reduce falls in the target population such as standardized hourly rounding & bed alarms (Newell & Burnard 2016).

The first step is to select the topic and, in this case, the topic is “falls in the post-operative patients”. Evidence indicates the significant adverse health effects and economic effects associated with falls and this indicates the urgency and the need to address the issue in the organization (Newell & Burnard 2016). Conceptual Iowa Model Example.

The second step will involve team formation. The team will develop, implement and evaluate the efficacy of the project. The team members should have the relevant knowledge about the project and all interested stakeholders should be involved. The team will, therefore, consist of the Physicians, nurses, pharmacists, physical therapist, & management. The role of the management is to provide the required resources for project implementation (Berwick, 2015).

The team can then conduct a brainstorming session to identify the evidence and literature materials to guide the identification and retrieval of the evidence (Pravikoff, et al, 2015). This project will target nursing and health databases such as Cochrane, PubMed, Web of Science & Cinahl. Conceptual Iowa Model Example

The team members will assess the quality of the evidence and have the evidence graded. In addition, the evidence will be grouped if it is quantitative, mixed-method or qualitative. The evidence will then be critically appraised using tools such a CASP in order to ensure only the quality studies are included (Pravikoff, et al, 2015).

After critiquing the evidence, the team will meet in order to determine the recommendations for practice between standardized hourly rounding and bed alarms or other tools. The evidence-based practice will be selected based on the collaborative decision of all team-members after taking into consideration the relevance, practicability, efficacy, significance, and suitability of the evidence (Berwick, 2015).

The change will then be piloted, to examine if it is feasible. If the change is practical and the outcomes have been evaluated, the change will then be implemented.

During the implementation of the evidence-based practice such as the proposed project, it is important to consider and follow the organizational policies and guidelines. The team should collaborate with the management and all organizational stakeholders and act as the change champions in order to garner support for the change implementation (Nutbeam, 2018).

Evaluation of the project is important to examine the impact of the evidence into practice. Accordingly, data regarding fall rate in post-operative patients will be collected before and after the project. A comparison of the fall rate pre-project and post-project will be done to evaluate the efficacy and impact of the recommended evidence-based practice (Nutbeam, 2018). Conceptual Iowa Model Example.

References

Berwick DM (2015). Disseminating innovations in health care.
JAMA
. 289(15): 1969–75

Jähne-Raden N, Marschollek M & Wolf K. (2019). INBED: A Highly Specialized System for Bed-Exit-Detection and Fall Prevention on a Geriatric Ward.
Sensors (Basel)
. 19(5), 1017.

Mitchell M, Lavenberg J, Trotta R & Craig U. (2014). Hourly Rounding to Improve Nursing Responsiveness: A Systematic Review.
J Nurs Adm
. 44(9), 462–472.

Newell R &, Burnard P. (2016).
Research for evidence-based practice
. Oxford: Blackwell Publishing Ltd.

Nutbeam D. (2018). Evaluating health promotion: progress, problems, and solutions.
Health Promot Int
. 13(1): 27–44

Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2015). The readiness of U.S. nurses for evidence-based practice.
American Journal of Nursing
. 105(9). 40–51.

Smith P, Barret L, Rayson K & Govro K. (2015). Effectiveness of a bed alarm system to predict falls in an acute care setting.
Clinical Nursing Studies
. 3(1). Conceptual Iowa Model Example

›Applying Current Literature to Clinical Practice

›
Overview of the article

Title:

›The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis

›Authors: Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., and Xiao.

›Year of publication: 2018 Applying Current Literature to Clinical Practice

›It contains a systematic review research on the effectiveness of exercise on fall prevention in nursing home residents

BUY A PLAGIARISM-FREE PAPER HERE

Nursing home residents have a high risk of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents.

Presents an abstract, background, design section, data resources, review methods, results and…

 

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected.

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

 

Applying Current Literature to Clinical Practice

 

Abstract

The presentation describes and reviews a study on the effectiveness of group psychotherapy among women who have a history of sexual harassment. The analyzed study was published in the
Journal of Clinical Nursing.
The presentation examines various factors in the study, such as the reason for selection of these women and the setting of the group therapy among others. In addition, the presentation researches features that include curative factors that can be helpful to the group under consideration. Aspects such as catharsis and instillation of hope among others in the study have been discussed in the presentation. Exclusion criteria involved in the study, which include age, history of alcohol abuse, etc. have been addressed in addition to the findings of the research. Finally, the limitations of the study are reviewed in the presentation as well as their effects on the application of the results obtained in the study.

 

Applying Current Literature to Clinical Practice

Overview

The presentation focuses on various aspect of the study in order to evaluate its findings. Information such as the type of group involved in the study and its participants is helpful to determine the validity and reliability of the study. The presentation also discusses the reasons for the group members’ selection, setting of the group, frequency of the group meetings, and their duration. Other key issues considered include the findings, curative factors that might be helpful to group members, and exclusion criteria. Finally, the limitations of the study are examined as well as their impact on the application of the findings of the research.

Introduction

Group psychotherapy is one of the most effective therapies for patients suffering from depression, anxiety, and even post traumatic disorders. Group psychotherapy involves helping people with the same problems and background. During the sessions, the selected members are treated as a group in order to enhance skills such as socializing and group cohesiveness. This presentation focuses on answering the question derived from the study, which is whether group psychotherapy among women with a history of sexual harassment proves effective and gives durable results.

 

›Applying Current Literature to Clinical Practice

›
Overview of the article

Title:

›The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis

›Authors: Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., and Xiao.

›Year of publication: 2018

›It contains a systematic review research on the effectiveness of exercise on fall prevention in nursing home residents

Nursing home residents have a high risk of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents Applying Current Literature to Clinical Practice

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents.

Presents an abstract, background, design section, data resources, review methods, results and conclusion

 

›Population

Target audience

›Nursing homes

residents

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents. Applying Current Literature to Clinical Practice

 

›Specific intervention

›Exercise

 

›The intervention was already in use

Exercise is a cognitive behavior therapy for nursing home residents (Schoenfelder, 2000).

It has been in use in many areas of healthcare as a form of psychotherapeutic approach

 

›
Author’s claims

›No conclusive evidence exists on exercise effectiveness on preventing of falls in home nursing

›Nursing home residents have a high risk of falling (Cao et al., 2018; KAYA et al. 2012)

The authors claims that there is limited information regarding the effectiveness of exercise in nursing homes for prevention of falls Applying Current Literature to Clinical Practice

 

›
Findings/outcomes

›Exercise did not play a role in preventing falls

›This might not translate into practice with my own clients

Translation to practice is limited by little evidence-based research regarding physical exercise in nursing homes fall prevention

Home nursing facilities employ physical exercise as a therapy to good health and improving quality of life and body strength with the aim of preventing falls and thus is expected to reduce falls among my clients (Carter, Kannus & Khan, 2001).

Physical exercise is one of the most effective interventions for fall prevention

The research employed small samples which presented low quality evidence

 

›
Limitation’s impacts

›The render the findings not generalizable

›They increases the need for further research in my practice area.

›They increase cost and time of  further research before drawing conclusions

Limitation: lack of sufficient data on exercise effectiveness on fall prevention in nursing homes

There was low heterogeneity

Use of small and low quality samples

Limited research cannot be generalized since it does not cover the entire target population

It demands further research which is costly and time consuming Applying Current Literature to Clinical Practice

 

›
References

›Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., & Xiao, L. (2018). The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis.
Journal of advanced nursing
, 74(11), 2511-2522.

›KAYA, Ç. A., Kirimli, E., KALAÇA, Ç., Cifcili, S., ÜNALAN, P. C., & Kalaca, S. (2012). The incidence of falls and related factors in the elderly living in residential homes. 
Turkish Journal of Geriatrics
, 
15
(1).

›Schoenfelder, D. P. (2000). A fall prevention program for elderly individuals: exercise in long-term care settings. Journal of gerontological nursing, 26(3), 43-51.

›Carter, N. D., Kannus, P., & Khan, K. (2001). Exercise in the prevention of falls in older people. 
Sports medicine
, 
31
(6), 427-438. Applying Current Literature to Clinical Practice

›