NUR 590 Evidence Based Practice Project Week 1 Discussion

DQ1 Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format.

I think spiritual values do influence the decision to maintain academic integrity because otherwise, it would be hypocrisy. If one claims to be a spiritual being but cheats their way through life, then the question becomes who do we actually think we’re fooling? It is necessary to stay true to oneself and to choose the proper thing to do even when no one’s looking, to me, that’s the true definition of integrity. I also believe one must constantly work at or renew their spiritual beliefs because we’re all human without perfection so, at times will’s get weak and we envision success by taking the easier way out such as cheating on a test or taking credit where it isn’t due by putting our names on others’ work, committing infractions known to us as plagiarism but causing greater damage to the soul. We must remember every good thing worth having requires putting in the work required to achieve those goals. The constant struggle within to always do the right thing is understandable but, if we nourish the positivity more than we nourish the negativity, making the appropriate decisions become second nature and the struggle to make the desirable choices are lessened. It’s a greater sense of appreciation to know the goals achieved were achieved honestly and through hard work. When one puts in honest work, the process is respected!

Medication administration errors are a healthcare concern and efforts to prevent and reduce their occurrence can leverage on different interventions that include the use of health information technology (HIT). The susceptibility to medication administration errors (MAEs) among the critically-ill patients is higher than other population or patient demographics (Trimble et al., 2017). Therefore, this EBP project will assess the effectiveness of implementing health information technologies compared to the conventional medication management processes to reduce medication errors among the critically-ill patients.

PICOT Question
P	Population	Among the critically ill patients
I	Intervention	Integration of health information technology in the medication administration process
C	Comparison	Use of conventional or normal medication administration process
O	Outcome	Reduction n medication administration errors
T	Timeframe	Duration of hospital stay
PICOT Create a complete PICOT statement.	Among the critically ill patients (P), does the integration of health information technology (I) compared to conventional medication administration process (C), lead to a reduction in medication administration errors (O) during patient’s stay (T)?
Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.	Medication administration errors are a health concern because of the adverse effects that they cause to patients and the need for healthcare providers, especially nurses, to develop interventions based on the use of evidence-based practice. Medication errors lowers quality care and patient outcomes. Medication errrs sometimes cause no harm to patients. However, in most cases, they devastate nurses and are harmful to patients. Nurses are a critical part of the care provision and have a duty to protect patients against errors in the medication administration process. The critically ill patients require close and effective monitoring and nurses remain accountable to anything that happens to the patients (Alotaibi & Federico, 2017). Interventions like the use of health information technology can enhance quality care outcomes and allow nurses to offer the most effective care to patients in critical conditions that include intensive care unit (ICU) (Naidu & Alicia, 2019). Health information technology enhances and transforms healthcare delivery as it leads to a reduction of human errors, facilitates better coordination among the interdisciplinary teams and improves overall practice efficiencies. By using health information technology models like electronic medication administration (e-MAR, barcode scanning and e-prescribing, stakeholders can reduce medication administration errors among nurses and enhance patient safety.

References

Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi

Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631

Naidu, M. and Alicia, Y.L.Y. (2019). Impact of Bar-Code Medication Administration and

Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11, 511-526. https://doi.org/10.4236/health.2019.115044

Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens

to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726

DQ2 Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.

Population health management requires health care providers, people, and communities to apply up-to-date and relevant approaches to respond to current and emerging health problems. Amid this, discoveries of new approaches to health and strategies of enhancing health outcomes are vital. Translational research’s primary purpose is to produce more meaningful, applicable results that benefit human health directly (Titler, 2018). It comes in different levels whose purposes and outcomes vary. As Fort et al. (2017) explained, phase T1 involves testing findings from basic research for clinical applicability, T2 tests new interventions in controlled environments, and T3 explores ways of applying guidelines in general practice. T4 research examines factors and interventions influencing population health.

From a health perspective, translational research differs from evidence-based practice in meaning and application. To a considerable extent, translational research involves discovering new knowledge. Titler (2018) described it as a process for yielding knowledge and the potential for intervention. If differently stated, translational research generates knowledge to form the basis for clinical application. In health practice, evidence-based practice involves utilizing the most current research to improve patients’ health and safety (Chien, 2019). It is generally a problem-solving approach that combines best practices from research with clinical experience and patients’ preferences to enhance outcomes. In this case, translational research is the foundation of evidence-based practice.

Concerning application to population health management, population health improvement relies heavily on knowledge. Illnesses emerge over time, and illnesses’ dynamics change according to people’s age, gender, blood group, and living environments, among other factors. Such variations complicate public health, and optimal health cannot be achieved if health care providers rely on a general approach or primarily the present knowledge. Solution-driven discoveries must be made as time advances to respond to the emerging health challenges. Translational research generates new knowledge critical in managing population health.

References

Chien L. Y. (2019). Evidence-based practice and nursing research. The Journal of Nursing Research : JNR, 27(4), e29. https://doi.org/10.1097/jnr.0000000000000346

Fort, D. G., Herr, T. M., Shaw, P. L., Gutzman, K. E., & Starren, J. B. (2017). Mapping the evolving definitions of translational research. Journal of Clinical and Translational science, 1(1), 60-66. doi: 10.1017/cts.2016.10

Titler, M. G. (2018). Translation research in practice: An introduction. OJIN: The Online Journal of Issues in Nursing, 23(2). doi: 10.3912/OJIN.Vol23No02Man01

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Check Out also: NR 531 Nursing Leadership in Healthcare Organizations Week 7 Assignment

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

nformation! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.