Category: Nursing

For this discussion, you will be exploring evidence-based practice in nursing. Review the following scenario:
You are a registered nurse working in a rural, critical access emergency department with limited healthcare services and no specialized medical care. The community has high rates of poverty, unemployment, and drug use. You have noticed that patients regularly use the emergency department as they would a primary care provider, coming in for minor issues such as colds and ear infections, and failing to follow-up with a primary or specialized care provider or complete required laboratory tests for management of their plan of care. These visits, in addition to patients arriving by ambulance and those with other medical emergencies, keep the 10 bed emergency room full and often result in patients waiting 2 hours or more to be seen by a provider.
In your initial posting, discuss the following after reading chapter 1 and 2 (textbook pdf attached):
– How can you, the RN, begin to ignite a spirit of inquiry in the department and encourage an evidence-based project to improve the situation and promote positive health outcomes?
– Since EBP involves integration of patient values and preferences, what information might you want to gather from patients and the community before planning a project?
– Who are the stakeholders that would be important to include in the development of this project?
– What are facilitators (factors that help) and barriers (factors that hinder) evidence-based practice (in general, not specific to this scenario)?
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) scholarly references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
Objectives
Identify the seven steps of evidence-based practice
Describe the process for igniting a spirit of inquiry for evidence-based practice
Discuss facilitators and barriers to evidence-based practice
References:
Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
Initial Post: Minimum 200 words excluding references (approximately one (1) page)

Choose an epidemiology graph of a chronic disease of your choice in a developing country from a peer reviewed resource.
Explain in one (1) paragraph why you chose that graph. A paragraph is minimum of three sentences. 
Describe in one (1) paragraph what the graph is illustrating.
Last paragraph should explain how the data from that graph may forecast the future of that disease and country.
Be sure to include the graph in your document on a separate page.
This assignment should be a minimum of 2 pages, one page with the
written information (See items 2,3 and 4). The other page should include
the graph with reference to where the graph was obtained from. https://guides.himmelfarb.gwu.edu/APA/image-electronic
Links to an external site.

I will attach 
-Sample Paper
-Instructions: Please adhere to the instructions
-Scoring Guide (RUBRIC) Please ensure all competencies are met
*I am required to submit the paper into a plagiarism checker before turning it in*

Select one type of presentation method to briefly summarize your project: one-page PowerPoint slide, Canva, google slide, etc. Be creative! This is a display of the work you have completed. You will upload your completed QI project presentation here and a copy of the image to the dissemination discussion board. 
A few examples of templates (free) from canva you may choose to use: 
https://www.canva.com/templates/EAEgrX-fMGo-red-and-gray-contemporary-editorial-landscape-university-research-poster/Links to an external site. 
https://www.canva.com/templates/EAEgrRJo5aI-beige-and-white-contemporary-editorial-landscape-university-research-poster/Links to an external site. 
https://www.canva.com/templates/EAEgwKzSrPw-beige-butterfly-contemporary-editorial-portrait-university-research-poster/Links to an external site. 
Be sure to include the following sections on your presentation/poster: 
Title of Project
Name
Introduction – Brief description of the problem, national/safety organization, aim statement, team members (title/roles from concept map)
Evidence – List at least two scholarly articles in proper APA 7th edition format
Tools & Measures – Display your fishbone diagram, state the change you selected from the diagram and in 1-2 sentences explain why, and list your project measures (outcomes, process, balancing)
Methods – PDSA cycle – List Plan, Do, Study, Act with 1-2 sentences describing each step
Implications for practice – Explain the next steps for the project. Will you continue to monitor the results? For how long? What are the expected outcomes? How will this impact staff? What are your key considerations (ethics/safety/technology/regulations)? What needs to happen moving forward?
References – APA 7th edition formatting
**Although these are templates you may utilize be sure to adjust titles and headings to reflect what is required of the rubric. Organize your project as if you were using your poster to present to classmates walking them through each step.**
This criterion is linked to a Learning OutcomeVisual Representation
Student completed a one-slide/image visual aid to display their QI project. Visual aid is well organized, clear and concise, and easy to review. (5 points)
5 pts
This criterion is linked to a Learning OutcomeIntroduction
Student Included:
Brief description of the problem (2 points)
Linked to national safety/quality organization (1 point)
Clearly stated aim statement (1 point)
Listed team members (1 point)
5 pts
This criterion is linked to a Learning OutcomeEvidence Search
Student listed at least two sources of scholarly evidence to support their project utilizing 7th edition APA formatting. (4 points)
4 pts
This criterion is linked to a Learning OutcomeTools & Measures
Fishbone diagram image displayed (3 points)
Description of change listed (3 points)
Description of measurements (outcome/process/balancing) (3 points)
9 pts
This criterion is linked to a Learning OutcomeMethods
Student includes PDSA Cycle description – lists plan, do, study, act with 1-2 sentences describing each step. (5 points)
5 pts
This criterion is linked to a Learning OutcomeImplications for Practice
Student clearly explained the next steps the project would take – continue to monitor and for how long, expected outcomes. How will the project impact staff? Reviewed key considerations – ethics/safety/technology/regulations. (10 points)
10 pts
This criterion is linked to a Learning OutcomeReferences
Included list of APA 7th edition references to support project. (2 points)

Reading materials:
The following
article discusses the effect of nurse burnout on patient safety, quality of
care and other organizational outcomes. It’s a long article, focus your reading
on the discussion section.
Jun et al.
(2021)
This article looks at studies that have done
examining how nursing fatigue affects patient safety. Focus on the results and
discussion sections. Think about how your practice differs when you are
well-rested and when you are tired.
Cho &
Steege (2021)
The next article examines how workplace
bullying affects patient safety and offers suggestions on how individuals,
managers and leaders can address this issue.  
Wallace &
Gipson (2017)Links: https://patientsafety.pa.gov/ADVISORIES/Pages/201706_64.aspx
Here are the Questions:
1. What are the
effects of burnout on patient safety and quality of care?
2. What are the
effects of fatigue on patient safety and quality of care?
3. What is one
thing that the readings suggested that nursing leaders or staff nurses can do
to address either burnout or fatigue?
4. Does your
organization do anything to address fatigue or burnout (other than telling you
to take care of yourself, which isn’t really a solution)?
5. In this
module we talked about human factors that affect patient safety and quality of
care. We focused on fatigue, burnout and bullying behaviors. What are actions
that you can take to address one of these issues?

Need the paper edited to  reflect APA style incorporate scholarly relevant references in text and references page 6-7 references.

Literature Summary
Assignment
Purpose
The purpose of this assignment is to find and appraise resources related to the PICOT question from Week 2. The focus of this assignment is to evaluate pertinent literature that supports the practice change intervention.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO 1: Examine the role of research and evidence from nursing and related fields in advancing healthcare outcomes and equity. (POs 4, 5)
CO 4: Apply evidence-based models to enhance advanced nursing practice. (POs 4, 5)
CO 5: Develop professional competencies in scientific inquiry and translating scholarship into practice. (POs 4, 5)
Due Date
Submit the Literature Summary Worksheet to the Dropbox by 11:59 p.m. MT Sunday at the end of Week 5. 
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with a penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 
Total Points Possible
This assignment is worth 200 points.
Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. 
General Instructions  
Select and review five research articles related to the practice issue and proposed intervention of your PICOT question. These articles may include quantitative, qualitative, or mixed methods studies (original research); systematic reviews, meta-analyses, or meta-syntheses (synthesis); or clinical practice guidelines (CPGs). Complete one table for each selected article.
Use the Literature Summary TemplateLinks to an external site. to complete the assignment.
Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
Abide by Chamberlain University’s academic integrity policy.
Include the following sections (detailed criteria listed below and in the grading rubric).
State the PICOT question, including
Population
Intervention
Comparison
Outcome
Timeframe
Use standard PICOT sentence format
For each article, select the correct table and complete with the information appropriate for the type of article selected, including
Full APA reference
Purpose
Methods/search strategy/systematic review of literature
Sample and participants/discussion of inclusion criteria/stakeholders and peer review
Findings
Limitations/strength of recommendations
Relevance to the identified practice issue or proposed intervention
Ensure each article meets the following
Article is published in a peer-reviewed, provider-focused journal or is a current clinical practice guideline
Publication date is current within five years
Rubric
NR585NP_W5_Literature Summary Rubric
NR585NP_W5_Literature Summary Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePICOT Question
6 Required Criteria 
1. Population
2. Intervention
3. Comparison
4. Outcome
5. Timeframe
6. Use standard PICOT sentence format
10 pts
Excellent
All requirements met.
9 pts
Very Good
5 requirements met.
8 pts
Satisfactory
3-4 requirements met.
5 pts
Needs Improvement
1-2 requirements met.
0 pts
Unsatisfactory
No requirements met.
10 pts
This criterion is linked to a Learning OutcomeArticle 1
7 Required Criteria 
1. Full APA reference
2. Purpose
3. Methods/ search strategy/ systematic review of literature
4. Sample and participants/discussion of inclusion criteria/stakeholders and peer review
5. Findings
6. Limitations/strength of recommendations
7. Relevance to the identified practice issue or proposed intervention
30 pts
Excellent
All requirements met.
27 pts
Very Good
6 requirements met.
25 pts
Satisfactory
4-5 requirements met.
15 pts
Needs Improvement
1-3 requirements met.
0 pts
Unsatisfactory
No requirements met.
30 pts
This criterion is linked to a Learning OutcomeArticle 2
7 Required Criteria 
1. Full APA reference
2. Purpose
3. Methods/ search strategy/ systematic review of literature
4. Sample and participants/discussion of inclusion criteria/stakeholders and peer review
5. Findings
6. Limitations/strength of recommendations
7. Relevance to the identified practice issue or proposed intervention
30 pts
Excellent
All requirements met.
27 pts
Very Good
6 requirements met.
25 pts
Satisfactory
4-5 requirements met.
15 pts
Needs Improvement
1-3 requirements met.
0 pts
Unsatisfactory
No requirements met.
30 pts
This criterion is linked to a Learning OutcomeArticle 3
7 Required Criteria 
1. Full APA reference
2. Purpose
3. Methods/ search strategy/ systematic review of literature
4. Sample and participants/discussion of inclusion criteria/stakeholders and peer review
5. Findings
6. Limitations/strength of recommendations
7. Relevance to the identified practice issue or proposed intervention
30 pts
Excellent
All requirements met.
27 pts
Very Good
6 requirements met.
25 pts
Satisfactory
4-5 requirements met.
15 pts
Needs Improvement
1-3 requirements met.
0 pts
Unsatisfactory
No requirements met.
30 pts
This criterion is linked to a Learning OutcomeArticle 4
7 Required Criteria 
1. Full APA reference
2. Purpose
3. Methods/ search strategy/ systematic review of literature
4. Sample and participants/discussion of inclusion criteria/stakeholders and peer review
5. Findings
6. Limitations/strength of recommendations
7. Relevance to the identified practice issue or proposed intervention
30 pts
Excellent
All requirements met.
27 pts
Very Good
6 requirements met.
25 pts
Satisfactory
4-5 requirements met.
15 pts
Needs Improvement
1-3 requirements met.
0 pts
Unsatisfactory
No requirements met.
30 pts
This criterion is linked to a Learning OutcomeArticle 5
7 Required Criteria 
1. Full APA reference
2. Purpose
3. Methods/ search strategy/ systematic review of literature
4. Sample and participants/discussion of inclusion criteria/stakeholders and peer review
5. Findings
6. Limitations/strength of recommendations
7. Relevance to the identified practice issue or proposed intervention
30 pts
Excellent
All requirements met.
27 pts
Very Good
6 requirements met.
25 pts
Satisfactory
4-5 requirements met.
15 pts
Needs Improvement
1-3 requirements met.
0 pts
Unsatisfactory
No requirements met.
30 pts
This criterion is linked to a Learning OutcomeArticle Quality
5 Required Criteria
Each of the five articles meets the following:
• Article is published in a peer-reviewed, provider-focused journal
• Publication date is current within five years
Articles 1-5
20 pts
Excellent
All requirements met.
18 pts
Very Good
4 requirements met.
16 pts
Satisfactory
3 requirements met.
10 pts
1-2 requirements met.
0 pts
Unsatisfactory
No requirements met.
20 pts
This criterion is linked to a Learning OutcomeAPA Format
Citation and Reference Formation   
Use the current APA format to format citations and references and is free of errors.
10 pts
Excellent
0-1 errors.
9 pts
Very Good
2-3 errors.
8 pts
Satisfactory
4-5 errors.
5 pts
Needs Improvement
6-7 errors.
0 pts
Unsatisfactory
More than 7 errors.
10 pts
This criterion is linked to a Learning OutcomeWriting Requirements
Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
10 pts
Excellent
0-1 errors.
9 pts
Very Good
2-3 errors.
8 pts
Satisfactory
4-5 errors.
5 pts
Needs Improvement
6-7 errors.
0 pts
Unsatisfactory
More than 7 errors.
10 pts
This criterion is linked to a Learning OutcomeUse of Template
10% will be deducted if the template is not used.
0 pts
No Points Deducted
Template used.
0 pts
Points Deducted
20 (10%) points will be deducted if the required template is not used.
0 pts
This criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
0 pts
No Points Deducted
Assignment submitted on time. No points deducted.
0 pts
Points Deducted
-10% points/day up to 3 days late
0 pts
Total Points: 200
PreviousNext

After reviewing this module’s assigned readings, you will create a mind map identifying the six cultural phenomena that should be considered when providing culturally appropriate care to patients, according to Giger and Davidhizar. For each phenomenon, provide a brief description and example.  
This mind map will be useful as you learn about the various cultural groups week to week and begin to prepare for your module seven assignment. For further project details and the final submission grading rubric, refer to Module 5 Assignment. 
Submit the mind map as a URL or PDF. The use of Canva.com is recommended. 
No citations/references are required for this assignment.

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
E-Portfolio Creation
A. Create an e-portfolio shell using the “E-Portfolio Template” in the Weblinks section.
Note: The e-portfolio shell will be submitted and evaluated with this task at the end of D218, and the final e-portfolio will be submitted and evaluated at the completion of the program in D226 BSNU Capstone.
1. Include the following 11 headings in your e-portfolio: • Introduction
• Ethically Competent Practice
• Scholarship
• Informatics and Technology
• Safety
• Leadership and Professional
• Innovation
• Quality Assurance
• Compassionate Holistic Care
• Professional Communication and Collaboration
• Personal, Professional, and Leadership Development
2. Complete the required D218 artifact and corresponding reflection from the “Portfolio Artifact Table” located in the Weblinks section, and include the D218 artifact and the corresponding reflection in the Ethically Competent Practice section of your e-portfolio.
Note: Add the artifact from each assigned course to the corresponding section listed in the “Portfolio Artifact Table” in the Weblinks section as you complete the course.
Leadership Skills and Mindset Reflection
Note: The suggested length of your response for each part is ½–1 page.
B. Include your responses to parts C through E within the Introduction heading of your e-portfolio. C. Complete the following:
1. Explain the differences between the roles of a leader and a manager.
2. Identify three present leadership skills and three present management skills (i.e., skills you possess).
a. Provide an example of how you use each of the leadership and management skills identified in part C2 in your practice.
3. Identify three absent leadership skills and three absent management skills (i.e., skills you currently lack).
a. Provide an example of how you can improve upon each of the three absent leadership skills from part C3.
D. Explain the importance of a leadership mindset and how it influences your professional practice, including the following: 1. Discuss how having a leadership mindset supports long-term personal growth, including two examples.
2. Discuss how having a leadership mindset supports long-term professional growth, including two examples.
E. Discuss how you would ensure equity and inclusivity as a leader in a healthcare environment, including two examples.
F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and presentation of your submission.

Build a slide presentation (PowerPoint preferred) of the hypothetical health promotion plan you developed in the first assignment. Then, implement your health promotion plan by conducting a hypothetical face-to-face educational session addressing the health concern and health goals of your selected group. How would you set goals for the session, evaluate session outcomes, and suggest possible revisions to improve future sessions?
Prepare a 10 slide PowerPoint presentation with speaker notes that reflects your hypothetical presentation. This presentation is the implementation of the plan you created in Assignment 1. The speaker notes should be well organized.
Simulate the hypothetical face-to-face educational session addressing the health concern and health goals of your selected community individual or group.
Imagine collaborating with the hypothetical participant(s) in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.
Support your plan with at least three professional or scholarly references, published within the last 5 years, which may include peer-reviewed articles, course study resources, and Healthy People 2030 resources.
The requirements outlined below correspond to the criteria in the assignment, so be sure to address each point. Present your health promotion plan to your hypothetical audience.
Tailor the presentation to the needs of your hypothetical audience.
Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
Which aspects of the session would you change?
How might those changes improve future outcomes?
Evaluate educational session outcomes in terms of progress made toward Healthy People 2030 objectives and leading health indicators.
What changes would you recommend to better align the session with Healthy People 2030 objectives and leading health indicators?
Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).
Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
Evaluate educational session outcomes in terms of progress made toward Healthy People 2030 objectives and leading health indicators.
Competency 4: Integrate principles of social justice in community health interventions.
Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with hypothetical participants.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
Present a health promotion plan to a hypothetical individual or a group within a community.
Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).
Slides are easy to read and error free. Detailed audio, transcriipt, and speaker notes are provided. Audio is clear, organized, and professionally presented.
Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.