NR 451 Week 2 Discussion The Clinical Question

The Clinical Question

Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes

• Formulate a significant clinical question that will be the basis for your capstone change project

• Relate how you developed the question

• Describe the importance of this question to your clinical practice

• Define meta-analysis.and explain how this relates to evidence -based practice (EBP)
• Describe what a research-practice gap is

Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets

Directions
Refer to the guidelines for specific details on how to complete this assignment.
Type your answers directly into the worksheets below.
Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT. NR 451 Week 2 Discussion The Clinical Question
Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

What is the Practice Issue?

Define the scope of the Practice Issue:

What is the practice area?
_✔__ ___

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(list)_________________________________
How was the practice issue identified?

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Describe the rationale for your checked selections:

What evidence must be gathered? (Check all that apply)
Describe the rationale for your checked selections:

Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet. NR 451 Week 2 Discussion The Clinical Question

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected:
Define the search terms for your systematic review:

Identify the objectives of the article.

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper.
Outline evidence-based solutions that you will consider for your project. NR 451 Week 2 Discussion The Clinical Question
Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.

Description

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. NR 451 Week 2 Discussion The Clinical Question

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1.Background

2.Clinical problem statement.

3.Purpose of the change proposal in relation to providing patient care in the changing health care system.

4.PICOT question.

5.Literature search strategy employed.

6.Evaluation of the literature.

7.Applicable change or nursing theory utilized.

8.Proposed implementation plan with outcome measures.

9.Discussion of how evidence-based practice was used in creating the intervention plan.

10.Plan for evaluating the proposed nursing intervention. NR 451 Week 2 Discussion The Clinical Question

11.Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.

12.Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

2.2: Comprehend nursing concepts and health theories.

3.2: Implement patient care decisions based on evidence-based practice. NR 451 Week 2 Discussion The Clinical Question

Objectives:

1.Produce a written comprehensive evidence-based capstone project change proposal using components developed in prior topics of the course.

2.Integrate a plan for evaluating the nursing intervention in the written comprehensive evidence-based capstone project change proposal.

3.Integrate a change or nursing theory into the written comprehensive evidence-based capstone project change proposal.

4.Identify potential barriers to the implementation of the change proposal.

5.Integrate how the identified potential barriers will be overcome.

6.Integrate reflective practice into the practicum reflective journal. NR 451 Week 2 Discussion The Clinical Question

7.Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.

PICOT QUestion

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. NR 451 Week 2 Discussion The Clinical Question

Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal. NR 451 Week 2 Discussion The Clinical Question

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

Evidence-based solution
Nursing intervention
Patient care
Health care agency
Nursing practice