NR 490 Week 2 assignment Capstone Project Topic Selection and Approval
NR 490 Week 2 assignment Capstone Project Topic Selection and Approval
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).
In collaboration with your approved course mentor, you will
identify a specific evidence-based practice proposal topic for the capstone
project. Consider the clinical environment in which you are currently working
or have recently worked. The capstone project topic can be a clinical practice
problem, an organizational issue, a quality improvement suggestion, a
leadership initiative, or an educational need appropriate to your area of
interest as well as your practice immersion (practicum) setting. Examples of
the integration of community health, leadership, and an EBP can be found on the
“Educational and Community-Based Programs” page of the Healthy People
2020 website.
Write a 500-750 word description of your proposed capstone
project topic. Make sure to include the following:
The problem, issue, suggestion, initiative, or educational
need that will be the focus of the project
The setting or context in which the problem, issue,
suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the
problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or
educational need on the work environment, the quality of care provided by
staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative,
or educational need and its implications to nursing.
A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8
peer-reviewed articles. Plan your time accordingly to complete this assignment.
Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.
You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.
Week 3 assignment
PICOT Statement Paper
Review the Topic Materials and the work completed in
NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a
particular clinical area and identifies clinical problems or issues that arise
from clinical care. The intervention should be an independent, specified
nursing change intervention. The intervention cannot require a provider
prescription. Include a comparison to a patient population not currently
receiving the intervention, and specify the timeframe needed to implement the
change process.
Formulate a PICOT statement using the PICOT format provided
in the assigned readings. The PICOT statement will provide a framework for your
capstone project.
In a paper of 500-750 words, clearly identify the clinical
problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.
This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.
You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
Check Out Also: NR 490 Week 6 assignment Literature Evaluation Table
Nurses are obligated to ensure that patients are given the quality and safe care. This capstone change project focuses on the management of Catheter-Associated Urinary Tract Infections (CAUTI) among medical-surgical patients. CAUTI is an issue that is associated with significant implications for the quality and safety of care. The purpose of this paper is to identify the issue, project setting, problem description, implications of the problem, significance of the problem to nursing practice, and the proposed solution.
The Problem
This capstone project focuses on the management of CAUTIs in medical-surgical units. CAUTIs are among the primary healthcare concerns that plague health facilities nationwide affecting the safety and well-being of patients in medical-surgical units. They account for the bigger percentage of UTIs in hospitals. According to Gomila et al. (2019), CAUTIs affect over one million people yearly in the United States. CAUTIs are associated with dire complications such as sepsis and endocarditis, increased healthcare costs, long hospital stay days, and even death. They are also the widespread causes of bacteremia in medical-surgical units. Moreover, CAUTIs are linked to a heavy economic burden attributed to the heavy financial load needed in the treatment of infections, which causes a fiscal burden on the healthcare industry. Based on these factors, CAUTIs are considered a significant nursing issue that needs to be addressed.
The Setting
Medical-surgical units within healthcare facilities are the preferred setting for this capstone change project. The incidence of CAUTIs is linked to risk factors such as poor maintenance of the catheter and inappropriate use of indwelling catheters. These factors are common in post-operative units where the catheter is inserted into the bladder of many patients to help in draining urine after a surgical procedure (Mong et al., 2022). Catheter increases the risk of contracting CAUTIs. Therefore, a targeted intervention focusing on this setting is critical in enhancing the healthcare outcomes of patients.
Problem Description
CAUTIs are among the primary healthcare concerns that plague health facilities nationwide affecting the safety and well-being of patients in medical-surgical units. According to CDC (2021), about 15-25% of hospitalized patients need urinary catheters. However, the extended use of urinary catheters increases the risk of contracting CAUTIs. CAUTIs are associated with dire complications such as sepsis and endocarditis, increased healthcare costs, long hospital stay days, and even death. Moreover, CAUTIs are linked to a heavy economic burden attributed to the heavy financial load needed in the treatment of infections (Shaheen et al., 2019). Therefore, this project seeks to manage CAUTIs among patients in medical-surgical units to prevent adverse events and promote positive health outcomes among these patients.
Effect of the Problem
Management of CAUTIs is an issue that should concern all healthcare providers. Some of the implications of CAUTIs in the medical-surgical unit include increased chances of contracting sepsis and endocarditis, increased healthcare costs, and long hospital stay days (Van Decker et al 2021). Moreover, CAUTIs are the leading cause of death among medical-surgical patients and are also associated with a significant socio-economic load on patients and their families (Shaheen et al., 2019). The dire implications of this nursing issue make it a cause for alarm that necessitates being addressed with utmost priority in the healthcare system.
Significance of the Topic and its Implication for Nursing Practice
The management of CAUTIs among medical-surgical patients is an important topic in nursing practice. Nurses have the obligation to champion the safety and quality of care for patients. As such, the management of CAUTIs among medical-surgical patients aligns with this nursing obligation (Shadle et al., 2021). Moreover, the management of CAUTIs is a way of enhancing patient health outcomes and reducing CAUTIs within medical-surgical units.
Proposed Solution
The proposed solution to CAUTIs management and prevention in medical-surgical units is the adoption of intentional leadership rounding. Hedenstrom et al., (2022) define leadership rounding as a process where leaders engage with nurses and patients, talking to them directly about CAUTI prevention. Leadership rounding is crucial in providing information to caregivers and discussing with nurses particular process issues that may be encumbering progress in addressing CAUTIs in the medical-surgical units (Auten, 2021). These discussions during leadership rounding need to ensure interprofessional collaboration between providers that are involved in CAUTI management. This is critical in ensuring the sustainability of the proposed intervention.
Conclusion
This paper has given an impression of this capstone change project and the reasons it is considered applicable in nursing practice. Dealing with the issue of CAUTIs in medical-surgical units is crucial in enhancing safety and quality of care, thus enhancing positive patient outcomes.
References
Auten, K. (2021). Intentional Leadership Rounds: A Proactive Approach to CAUTI Reduction. American Journal of Infection Control, 49(6), S9. https://doi.org/10.1016/j.ajic.2021.04.035
CDC. (2021). Catheter-associated Urinary Tract Infections (CAUTI) | HAI | CDC. Retrieved from https://www.cdc.gov/hai/ca_uti/uti.html
Gomila, A., Carratalà, J., Eliakim-Raz, N., Shaw, E., Tebé, C., Wolkewitz, M., Wiegand I., Grier S., Vank C., Cuperus N., Heuvel, L., Vuong, C., MacGowan, A., Leibovici, L., Addy, I., & Pujol, M. (2019). Clinical outcomes of hospitalized patients with catheter-associated urinary tract infection in countries with a high rate of multidrug-resistance: the COMBACTE-MAGNET RESCUING study. Antimicrobial Resistance & Infection Control, 8(1), 1-8. doi: 10.1186/s13756-019-0656-6
Hedenstrom, M., Harrilson, A., Heath, M., & Dyess, S. (2022). “What’s Old Is New Again”: Innovative Health Care Leader Rounding—A Strategy to Foster Connection. Nurse Leader, 20(4), 366-370. https://doi.org/10.1016/j.mnl.2022.05.005
Mong, I., Ramoo, V., Ponnampalavanar, S., Chong, M. C., & Wan Nawawi, W. N. F. (2022). Knowledge, attitude, and practice in relation to catheter‐associated urinary tract infection (CAUTI) prevention: A cross‐sectional study. Journal of clinical nursing, 31(1-2), 209-219. https://doi.org/10.1111/jocn.15899
Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A bundle-based approach to prevent catheter-associated urinary tract infections in the intensive care unit. Critical Care Nurse, 41(2), 62-71. https://doi.org/10.4037/ccn2021934
Shaheen, G., Akram, M., Jabeen, F., Ali Shah, S. M., Munir, N., Daniyal, M., … & Khan, M. (2019). Therapeutic potential of medicinal plants for the management of urinary tract infection: A systematic review. Clinical and Experimental Pharmacology and Physiology, 46(7), 613-624.
Van Decker, S. G., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: a bundled care model. BMJ Open Quality, 10(4), e001534. http://dx.doi.org/10.1136/bmjoq-2021-001534