Assignent Solutionnurs

Learning Goal: I’m working on a nursing spreadsheet and need support to help me learn.How does a nurse, faced with a clinical practice problem, begin the process of quality improvement? Hopp and Rittenmeyer (2021) indicate that armed with data, nurses use the best available literature to guide practice guidelines. Have you looked at the policies on the unit you work? Who writes and reviews them? Are there references to the literature noted on the policy? Does your organization have a shared governance committee where nurses can present clinical practice problems and collaboratively work to improve patient care?Your assignment this week will spark your curiosity about how nurses spur change. You are probably aware of items at work that you would like to review. Nurse leaders initiate quality improvement initiatives. This week, we are asking you to think about system change.Directions: You will write a 1-3 page document in APA format addressing each point (1-4). 1. Your assignment this week asks that you describe a current clinical practice problem within a health care work environment. Please write a paragraph about the problem. 2. Once you identify the problem, you are asked to develop a PICO question to narrow and specify your problem. The PICO question will guide your search for the best available evidence. Here’s some helpful hints… **Please review the Presentation on EBP Questions and Search Strategy (29:00) and the information found under the ‘Evidence-based practice’ tab of the course Library Guide for additional information on PICO question writing and levels of evidence. The Worksheet to assist in creating a PICO question and search strategy does not have to be submitted. This is only for assistance in creating the PICO. How do you write an appropriate question? The PICO elements needed for a good research question are:P- population: be specific about that population. As an example, if you are interested in hospitalized patients with COVID, be more specific about the specific population. Perhaps you are interested in hospitalized patients with COVID requiring respiratory support. How will you describe the population…adults with type I diabetes…5th grade boys…newborns in the NICU?I- intervention- be specific about the intervention your population receives. You will be searching for the highest level of evidence in the literature. Questions to consider: Remember, you are not doing a research project. Instead, you are trying to find the best available evidence to support a change in practice? Another thing to think about – is this a nurse mediated intervention? Practice changes that involve other stakeholders (doctors, respiratory therapists, pharmacy techs) would require them to be at the table.C-comparison Who is your comparison group? Did half the group in the study receive the intervention and the other half did not? The literature will tell you the answer.O- outcome what outcome do you want to measure? Ex. adherence to hand hygiene policyHere is an example of a well-written PICO question: What is the effectiveness of offering mandatory training sessions (I) compared to posting signs in the hospital (C) on improving adherence to the hospital hand hygiene protocol (O) among nurses in the ICU (P)?3. Search for a minimum of three (maximum of five) research (scholarly) articles published within the last 10 years that relate to the chosen clinical practice. Note: Focus on higher levels of evidence whenever available. Please use APA format to reference each article at the end of your assignment. 4. Use the articles in step 3 (above) to summarize and synthesize the evidence as it relates to your question.a. Summarizing your article means that you are articulating general findings in your own words for each of the three (3) articles cited on your reference list.b. Synthesizing, then, is applying the findings to the clinical problem you have identified in step 1.Reference:Hopp, L., & Rittenmeyer, L. (2021) Introduction to evidence-based practice: A practical guide for nursing (2nd Ed.) F. A. Davis. ISBN 978-0803666634.
Requirements: at least 3 pages