During your practicum, determine what clinical problem or issue the organization is facing
Grand Canyon University During your practicum, determine what clinical problem or issue the organization is facing-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University During your practicum, determine what clinical problem or issue the organization is facing assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for During your practicum, determine what clinical problem or issue the organization is facing
Whether one passes or fails an academic assignment such as the Grand Canyon University During your practicum, determine what clinical problem or issue the organization is facing depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for During your practicum, determine what clinical problem or issue the organization is facing
The introduction for the Grand Canyon University During your practicum, determine what clinical problem or issue the organization is facing is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for During your practicum, determine what clinical problem or issue the organization is facing
After the introduction, move into the main part of the During your practicum, determine what clinical problem or issue the organization is facing assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for During your practicum, determine what clinical problem or issue the organization is facing
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for During your practicum, determine what clinical problem or issue the organization is facing
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NRS 490 Grand Canyon Week 2 Discussion 1
Nursing practice and profession is founded on the intent to enhance patient outcomes and satisfaction through the delivery of quality care using evidence-based practice (EBP) interventions. Based on collaboration with the preceptor in the practicum site, one issue or problem of concern is hospital acquired pressure injuries or ulcers. Studies (Tervo-Heikkinen et al., 2021; Smith et al., 2018; 2022; Mortada et al., 2020) demonstrate that hospital acquired pressure injuries are common yet preventable conditions that impact care delivery and quality patient outcomes. The Agency for Healthcare Research and Quality (AHRQ) asserts that over 2.5 million individuals develop pressure ulcers while in hospitals (Pitman et al., 2019). The purpose of this paper is to present the identified Capstone project topic for subsequent approval. The paper addresses the setting or context of the issue, describes its prevalence and effects, significance of the problem to nursing practice and provides a proposed solution.
Setting
The setting and context of the problem, hospital acquired pressure injuries or ulcers, is hospital, especially in critical and progressive care units. The critical care unit serves 20 patients who require close monitoring and changing of positions because of immobility and delicate nature of their condition. Critically ill patients often show poor tissue tolerance because of hypo-perfusion, poor nutrition and immobility as well as insufficient oxygenation of tissues. These individuals have a ten-fold higher risk for getting hospital acquired pressure injuries (HAPIs).
Description of the Issue
Despite several an array of preventive approaches, hospital acquired pressure injuries (HAPIs) continue to be prevalent, particularly in critical and progressive care units. According Pitman et al. (2019), the prevalence rates of HAPIs in critical care units range from 3% to as high as 53% in comparison to 2% to 8.3% in medical-surgical units. Despite the significant variation, these injuries prevent increased cost burden and possible comorbidities that lengthens one’s stay in hospitals and other selected facilities like long-term care areas (Alderden et al., 2019). Pressure injuries range in severity, from early injuries without open wounds to advanced wounds that entail deep skin breakdown as well as bones, muscles and even tendon. As such, treating pressure injuries at different stages of their diagnosis is critical to attaining better patient outcomes.
Impact of the Hospital Acquired Pressure Injuries
As stated, HAPIs are critical quality care issues that affect millions of patients leading to deaths and increased cost of care. Organizations consider HAPI rates as a measure of the quality of nursing care offered and evaluates the financial penalties when they happen (Rivera et al., 2019). The implication is that these adverse events cause suffering and poor patient outcomes yet most of them are preventable or avoidable. As stated earlier, hospital acquired pressure injuries (HAPIs0 affect over 2.5 million patients in the U.S. and cost between $9 and $11 billion, with a further 60,000 people dying because of direct effects of having these conditions.
Significance of the Problem
HAPIs lower the quality of care and patient outcomes. Nursing practice leverages best practices, especially in preventive measures to improve patient care. As such, this issue is important for nurses to develop preventive measures and work collaboratively in the setting where it occurs (Rivera et al., 2019). Nursing practice focuses on better interventions to offer best care but having these injuries leads to increased cost of care and susceptibility to other comorbidities.
Proposed Solution
The proposed solution to reduce the prevalence of HAPI in critical care unit is having pressure injury prevention (PIP) bundle that standardizes the preventive measures. Studies show that using PIP bundle allows providers to implement a host of strategies that include patient education and even technological interventions to reduce and eliminate the incidence of HAPIs (Gaspar et al., 2019; Coyer et al., 2022). The use of PIP bundle includes having staff-focused interventions as well as patient-focused strategies that reduce the susceptibility of patients to HAPIs.
Conclusion
Hospital acquired pressure injuries are a critical concern for healthcare organizations and providers. These injuries lead to over 60,000 deaths every year in the United States and cost about $11 billion. Nursing practice is about offering quality care to patients. Therefore, implementing PIP bundle allows nurses to reduce the prevalence of HAPIs, especially in critical care units (CCUs).
References
Alderden, J., Drake, K. P., Wilson, A., Dimas, J., Cummins, M. R., & Yap, T. L. (2021).
Hospital acquired pressure injury prediction in surgical critical care patients. BMC Medical Informatics and Decision Making, 21, 1-11. DOI: https://doi.org/10.1186/s12911-020-01371-z
Coyer, F., Cook, J. L., Doubrovsky, A., Campbell, J., Vann, A., McNamara, G., … & Fulbrook,
- (2022). Implementation and evaluation of multilayered pressure injury prevention strategies in an Australian intensive care unit setting. Australian Critical Care, 35(2), 143-152. https://doi.org/10.1016/j.aucc.2021.03.005
Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on
hospital‐acquired pressure ulcers prevention: a systematic review. International wound journal, 16(5), 1087-1102. https://doi.org/10.1111/iwj.13147
Mortada, H., Malatani, N., Awan, B. A., & Aljaaly, H. (2020). Characteristics of hospital
acquired pressure ulcer and factors affecting its development: a retrospective study. Cureus, 12(12). DOI: 10.7759/cureus.11992
Pittman, J., Beeson, T., Dillon, J., Yang, Z., & Cuddigan, J. (2019). Hospital-acquired pressure
injuries in critical and progressive care: avoidable versus unavoidable. American journal of critical care, 28(5), 338-350. DOI: 10.4037/ajcc2019264.
Rivera, J., Donohoe, E., Deady-Rooney, M., Douglas, M., & Samaniego, N. (2020).
Implementing a Pressure Injury Prevention Bundle to Decrease Hospital-Acquired Pressure Injuries in an Adult Critical Care Unit: An Evidence-Based, Pilot Initiative. Wound Management & Prevention, 66(10), 20-28. DOI: 10.25270/wmp.2020.10.2229
Smith, S., Snyder, A., McMahon Jr, L. F., Petersen, L., & Meddings, J. (2018). Success in
hospital-acquired pressure ulcer prevention: a tale in two data sets. Health Affairs, 37(11), 1787-1796. https://doi.org/10.1377/hlthaff.2018.0712
Tervo‐Heikkinen, T. A., Heikkilä, A., Koivunen, M., Kortteisto, T. R., Peltokoski, J., Salmela,
S., … & Junttila, K. (2022). Pressure injury prevalence and incidence in acute inpatient care and related risk factors: a cross‐sectional national study. International wound journal, 19(4), 919-931. https://doi.org/10.1111/iwj.13692
During your practicum, determine what clinical problem or issue the organization is facing
Determine what clinical problem or issue the organization is dealing with during your practicum. Discuss two nursing implications.
What is the most pressing issue for your organization in addressing evidence-based nursing practice? Discuss what the first step might be in addressing and resolving this issue. determine the clinical problem or issue that the organization is dealing with
Topic Selection and Approval for Capstone Project
This article reviews patients’ actions reflected by carrying out medication lists to diminish information loss from health care settings and identifying support for patient safety. The study reveals priorities for improving medication safety in primary care by addressing incomplete medication reconciliation. The strength of the study is reflected by the empowerment and confidentiality inspired to patients by involvement in medication management, increasing their dignity and self-esteem level, evidencing a form of resilience in nursing practice. Patient-held medication lists may be helpful for information transfer in emergency situations when communication is altered. Patient-held medication lists assist with taking medications, reordering, monitoring health care conditions, or tracking the efficiency of medications. The weakness of the study is reflected by possible disconnections between the information needs by health care professionals and the information being kept by patients who carried medication lists. Another limitation of the study is interviewing more females than males who carried a medication list, and the procedure suggests that more females carry a medication list than males and may reflect an inaccurate practice (Garfield et al., 2020).
Details
You will select a specific evidence-based practice proposal topic for the Capstone Project in collaboration with your approved course mentor. Consider the clinical setting in which you are currently or recently worked. The topic of your Capstone Project can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need relevant to your area of interest and practice immersion (practicum) setting. Through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP, a total of 100 “supervised clinical hours” in community health and leadership areas will be obtained.
In a community health setting, practicum immersion experiences are required. Immersion in community health and leadership practice can take place at the same time and place as the evidence-based project in the NRS-490V course. Definitions of community-based settings should promote community integration and involvement, increase access to services and supports, promote personal preferences, strengths, and dignity, and empower people to participate in the economic mainstream. Examples of community health, leadership, and an EBP integration can be found at Healthy People 2020.
The practice immersion experience’s goals are to apply what you’ve learned in your research, community health, and leadership classes:
Following completion of this course, you should be able to:
Show and apply knowledge of factors to consider when planning to work with a specific community.
Demonstrate and apply knowledge of approaches that will facilitate community engagement.
Demonstrate and apply knowledge and skills required for collaborative community work.
Demonstrate and apply knowledge of organizational leadership and change agents’ engagement.
Demonstrate and apply knowledge of project findings/data dissemination to organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project with the goal of influencing population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles to the completion of an evidence-based project aimed at improving population health outcomes.
Educational and community-based programs and strategies, according to Healthy People.gov, are intended to reach people outside of traditional health care settings. These options include:
Schools
Worksites
Medical facilities
Communities
Each setting offers opportunities to reach out to people through existing social structures. This maximizes impact while decreasing the time and resources required for program development.
Describe the nature of your proposed project topic in no more than 750 words. Include the following topics in your conversation:
The environment or situation in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description that goes into great detail about the problem, issue, suggestion, initiative, or educational need.
The effect of a problem, issue, suggestion, initiative, or educational need on the workplace, the quality of care provided by staff, and patient outcomes.
The importance of the problem, issue, suggestion, initiative, or educational need in relation to nursing.
Examine and use the “Project Topic Checklist” resource from the topic materials to help you develop your proposed Capstone Project topic. This resource will help you organize your work and provide additional information about the assignment. You must retrieve and evaluate a minimum of 15 peer-reviewed articles. Make a timetable for completing this assignment.
Attach the “Project Topic Checklist” completed to your assignment submission.
Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center. There is no need for an abstract.
This assignment does not have to be turned in to Turnitin.
Portfolio Practice Sessions
Students will use the Practice Hours Completion Statement provided in this assignment to track their practice hours throughout the course.
determine the clinical problem or issue that the organization is dealing with
Fill out the following statement in Word and submit it to the instructor through the individual forum in LoudCloud.
determine the clinical problem or issue that the organization is dealing with
NRS-490 Practice Hours Completion Statement
I, (INSERT NAME), certify that I have completed (NUMBER OF) practice hours related to the course’s goals and objectives. I also ensure that all necessary course approvals from my faculty and practice mentor are in place. determine the clinical problem or issue that the organization is dealing with