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ASSIGNMENT INSTRUCTIONS:
Directions:
Consider this scenario for the Discussion:You are practicing in an acute care unit in a local hospital. During your recent shifts, you identified a practice problem that you would like to see changed. After discussing the issue with your direct supervisor and the Director of Nursing, they have asked that you research the current literature and propose an evidence-based practice solution to the identified practice problem.
Initial Post:
From your work or clinical experience, identify a potential practice problem and formulate a proposal for an evidence-based practice solution that includes:
A brief description of a potential practice problem
Relevant evidence-based practice question
Locate and review at least two current, peer-reviewed, research articles that address the identified clinical problem, appraise research findings and synthesize relevant, credible findings into a succinct summary supporting your potential practice problem and evidence-based practice solution
Propose an evidence-based practice solution including
Implementation plan
Evaluation plan
Plan to sustain the practice change
Responses (minimum of two):
Critique classmates’ evidence-based practice solutions including:
Opinion if the proposed practice change was relevant and supported by the literature
Discussion of the feasibility of a plan to implement, evaluate and sustain practice change
At least one suggestion for how to improve the proposal for an evidence-based practice solution
Please make your initial post by midweek, and respond to at least two other students’ posts by the end of the week. Please check the Course Calendar for specific due dates.
HOW TO WORK ON THIS ASSIGNMENT (EXAMPLE ESSAY / DRAFT)
Introduction: As a nurse working in an acute care unit in a local hospital, it is essential to identify and address practice problems to ensure the provision of high-quality care. In this essay, I will identify a potential practice problem and propose an evidence-based practice solution. I will also review relevant research articles, develop an implementation plan, an evaluation plan, and a plan to sustain the practice change.
Practice Problem: In my clinical experience, a significant practice problem is the inadequate documentation of patient care. Many nurses in our unit fail to document their patient care adequately, leading to incomplete and inaccurate medical records. This problem can lead to serious consequences, including legal issues, suboptimal care, and poor patient outcomes.
Relevant Evidence-Based Practice Question: How can we improve the documentation of patient care to ensure accurate and complete medical records and improve patient outcomes?
Literature Review: To address the problem of inadequate documentation of patient care, I reviewed two peer-reviewed research articles. The first article, published in the Journal of Nursing Education and Practice, evaluated the impact of an educational intervention on nursing documentation. The study found that the educational intervention significantly improved the quality of nursing documentation, including completeness and accuracy. The second article, published in the Journal of Clinical Nursing, explored the barriers to effective nursing documentation. The study identified several factors that hindered effective documentation, including lack of time, inadequate training, and incomplete understanding of documentation requirements.
Evidence-Based Practice Solution: Based on the research findings, the proposed evidence-based practice solution is to implement an educational intervention to improve nursing documentation. The implementation plan includes conducting a needs assessment to identify the specific areas where nurses need additional training and developing an educational program tailored to meet these needs. The educational program will include information on documentation requirements, best practices, and the consequences of inadequate documentation. The program will be mandatory for all nursing staff and delivered through a variety of methods, including lectures, case studies, and simulations.
The evaluation plan includes conducting pre- and post-education assessments of nursing documentation quality to determine the effectiveness of the educational intervention. The assessments will be conducted by independent reviewers to ensure objectivity. If the intervention is successful, the plan to sustain the practice change includes incorporating the educational program into the hospital’s new employee orientation process and annual education requirements for nursing staff.
Critique of Classmates’ Evidence-Based Practice Solutions: After reviewing my classmates’ evidence-based practice solutions, I found that they were relevant and supported by the literature. However, some proposals lacked specific details on how to implement and sustain the practice change. One suggestion to improve the proposals is to include more information on the resources needed for implementation, such as staff, technology, and time. Additionally, it would be helpful to include potential barriers to implementation and strategies to overcome them.
Conclusion: In conclusion, implementing evidence-based practice solutions is essential to address practice problems and improve patient outcomes. The proposed educational intervention to improve nursing documentation quality can help to ensure accurate and complete medical records and ultimately improve the quality of care provided to patients. It is crucial to evaluate the effectiveness of the intervention and develop a plan to sustain the practice change to ensure continued success.
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