The State of the Science in Practice The phrase evidence-based practice may be most often thought of 

The State of the Science in Practice
The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?
Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?
To prepare:

§  Bring to mind an issue related to your practice. You may use the      issue you are exploring for your EBP Project, or another current issue in      your specialty area.

§  If possible, examine practices and/or practice guidelines      established to address your selected issue and determine how current the      evidence is that supports them.

§  Using the Walden Library, locate recently published articles that      discuss research translated into evidence that applies to your selected      practice issue. If you are unable to locate current articles (within the      last five years), use the Internet to find evidence-based practice      articles on this topic.

Consider the following questions:

§  How current is the science that supported the       practice or practice guidelines?

§  What new evidence has emerged since the       practice guidelines were crafted and adopted?

By tomorrow 09/11/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 scholarly references less than 5 years old. Include the level one header as numbered below:
Post a cohesive scholarly response that addresses the following:
1) Discuss the state of the scientific underpinnings that relate to your selected issue. (see my PIICOT question at the bottom of this page).
2) How current is the science that supported the practice or practice guidelines?
3) What new evidence has emerged since the practice guidelines were crafted and adopted? Provide two examples that support your assessment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

§  Chapter      1, “Evidence-Based Practice”

§  Chapter      2, “The Science of Translation and Major Frameworks”

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

§  Pages      15-18, “The Process of Translating Evidence Into Clinical Practice”

§  Chapter      3, “Conducting a Literature Review”

Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51
Note: You will access this article from the Walden Library databases.
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., 
Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.
Note: You will access this article from the Walden Library databases.
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. 
Note: You will access this article from the Walden Library databases.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.
Note: You will access this article from the Walden Library databases.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.
Note: You will access this article from the Walden Library databases.
Additional Research
Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.
Optional Resources
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

§  Chapter      14, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure:      An Evidence-Based Quality Improvement Project”

§   

§  Chapter      15, “Reducing 30-Day Hospital Readmission of the Patient with Heart      Failure: An Evidence-Based Quality Improvement Project”

§   

§  Chapter      16, “The Impact of Evidence-Based Design”

§   

§  Chapter      17, “The Lived Experience of Chronic Pain in Nurse Educators”

As you develop sections of your Project Premise, you may wish to review these examples of completed EBP project.
PIICOT Statement
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months

Cynthia Campbell Experiencing Symptoms of Dysmenorrhea | Discuss the Aetiology and Pathophysiology – 

Cynthia Campbell Experiencing Symptoms of Dysmenorrhea | Discuss the Aetiology and Pathophysiology – Nursing Case Study Assessment Answers

Case Study 1: Cynthia Campbell

Cynthia Jones is a 49 year old woman who lives on a rural property with her 13yr old son. She is now widowed following a farm accident where her husband was killed. Cynthia has two other children who both live some distance away. She has been experiencing symptoms of dysmenorrhea which has led to a diagnosis of uterine fibroids (leiomyomas). Cynthia has a history mild depression.

Cynthia was admitted to hospital for a Total Abdominal Hysterectomy via general anaesthesia.

After 1 hour in the post-anaesthetic recovery room (PARU) and an uneventful recovery, she was transferred to the ward, where you have been allocated to her care.

PRESENTATION TO THE WARD:

On return to the ward Cynthia’s observations are as follows:

Respiration rate 30 per minute

BP 90/50mmHg

Pulse 130bpm

Temperature 36.5oC

Pain 0/10

Patient controlled analgesia with Morphine 1 mg bolus with a 5 minute lock out.

Indwelling urinary catheter insitu with 10mls of urine output for the last hour

Abdominal wound staples which are covered with transparent dressing. moderate haemoserous ooze noted.

It is planned for Cynthia to be discharged after three days on the ward.

QUESTIONS TO BE ADDRESSED:

In relation to Cynthia Jones:

Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO3).

Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6)

Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)

ONLY PICK ONE OPTION Reach Out Activity (10%) Option 1 Objective: The student will explore the role. 

ONLY PICK ONE OPTION
Reach Out Activity (10%) Option 1
Objective: The student will explore the role of nursing from a global perspective.
Assignment: This activity is meant to be informative and fun! Contact a nurse practicing in a country outside the United States. You may use any resources available to you: International Universities, International Nursing Organizations, Facebook, Twitter, LinkedIn, etc. Be creative!
This is a formal 2-3 page write-up and discussion that requires correct grammar, punctuation, and APA format.
Ask the following:
1. What is his/her scope of practice? How does this compare to yours?2. What does he/she identify as primary health concerns for their patients and country?3. Does he/she belong to any professional organizations that promote health in a global environment?4. If possible, obtain salary, specialty, and any other interesting information!• Feel free to add more questions
​Reach Out Activity (10%) Option 2
Objective: The student will be able to discuss issues that affect Nursing in a global environment
Assignment: Interview a first generation immigrant to determine cultural barriers to healthcare. (A foreign born citizen or resident who has immigrated to a new country of residence may be called a “first-generation” migrant)
This is a formal 2-3 page write-up and discussion that requires correct grammar, punctuation, and APA format.
1. Can you describe from your experience anything that was unexpected, unusual, or inappropriate in your medical care or treatment?2. What preceded and contributed to the event?3. What did you do or not do? How did you feel?4. What was the outcome or result?5. In what way did your ethnic or cultural background play a role? 6. How might the described event be avoided in the future?

Assignment Topic: Servant Leadership as it pertains to Nursing The Course is: Nursing Leadership and 

Assignment Topic: Servant Leadership as it pertains to Nursing The Course is: Nursing Leadership and Management Directions: 1.The first sentence should state the topic you selected. (Servant Leadership) 2.In 2–3 paragraphs, give an overview of your topic. You want to briefly describe an overview of your selected topic including why it is important to nursing and health care. 3.In 1 paragraph, state why you are interested in this topic 4.Conclude with a timeline of how you will research and develop your Project. Be very specific. 5.Be sure you include at least one reference and that the paper is in APA format. 6. Please refer to the Grading Rubric and follow the instructions for each part of the assignment. The professor will be grading your assignment based on the Grading Rubric attached. Assignment Requirements The finished Assignment should be 2–3 pages in length, excluding the title page and references. The Assignment should include level 1 headings, and correct in-text citations in APA format. The viewpoint and purpose of this Assignment should be clearly established and sustained. Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); •consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; •utilize spelling and grammar check to minimize errors; and •review APA formatting and citation information. Your writing Assignment should: •follow the conventions of Standard American English (correct grammar, punctuation, etc.); •be well ordered, logical, and unified, as well as original and insightful; •display superior content, organization, style, and mechanics; and •use APA 6th Edition format for organization, style, and crediting sources including: •12-point, double-spaced, Times New Roman font •use of in-text citations •title page and reference page •use of headings (if applicable)

Power Dynamic Paper Guidelines Purpose The purpose of this application is to provide the student an. 

Power Dynamic Paper Guidelines

Purpose

The purpose of this application is to provide the student an opportunity to critically appraise a selected power dynamic (demonstrating the application of legitimate or illegitimate power) affecting a potential health policy outcome.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes.

CO 3: Explore the impact of selected socioeconomic/sociopolitical factors on the status of U.S. healthcare (PO #9).

CO 4: Determine the effect of healthcare politics on the healthcare stakeholders, state and federal government, and the nursing profession (PO #9).

CO 5: Analyze legislative process and the impact of special interest lobbies (PO #9).

CO 7: Differentiate driving forces and restraining factors that impact the power of nursing to advocate for change at macro and micro system levels of healthcare (PO #2).

CO 8: Critically appraise the impact of regulatory organizations on healthcare delivery (PO #9).

Points

This assignment is worth a total of 175 points.

Due Date

Submit your completed application by Sunday, 11:59 p.m. MT of Week 6 as directed.

Requirements

1. To complete this assignment, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library. For information on search techniques using the EBSCOhost, go to the Course Resources tab at the top of the page and view the following document:

Directions for Searching the CCN Online Library.pdf, basic and advanced techniques.

2. The Power Analysis paper is worth 175 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions, grading criteria, and rubric.

3. Create your manuscript using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in .docx.

4. Follow the directions and grading criteria closely. Any questions about this paper should be directed to the course faculty.

5. The length of the paper is to be no less than six and no greater than eight pages excluding title page and reference pages.

6. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered).

a. Introduction (Conforming to appropriate APA formatting guidelines)

b. Description of the Power Dynamic

c. Reflection on the Power Dynamic

d. Conclusion

Preparing the Paper

The following are best practices for preparing this paper.

1. When introducing the power dynamic, be sure to identify appropriate background information regarding the practice situation (who, what, where, when, and why).

2. When describing the power dynamic, be sure to fully describe the potential impacts of legitimate and illegitimate power from the perspectives of sociopolitical factors, stakeholders, and interested parties.

3. When reflecting on the power dynamic, be sure to fully critique driving forces and restraining factors that impact the power of nursing to advocate for change at macro, meso, and micro system levels of healthcare.