PLEASE READ AND RESPOND TO THIS CLASSMATES WRITING BELOWThe “John Hopkins Nursing Evidence-Based Practice Model” uses a process called PET (Dang & Dearholt, 2017). This stands for practice quest

 PLEASE READ AND RESPOND TO THIS CLASSMATES WRITING BELOW

The “John Hopkins Nursing Evidence-Based Practice Model” uses a process called PET (Dang & Dearholt, 2017). This stands for practice question, evidence, and translation. With the Institute of Medicine  publication calling for higher educated nurses working at the full extent of their license (Campaign for Action, 2017), this involves understanding how to implement evidence-based practice. However, barriers exist, including, the demands of patient care which limits their time to implement these practices. With the John Hopkins approach the process is simplified and easy to understand, reducing the cost of entry. With the PICO framework, the nurse is able to better identify the problem in the form of a tangible question. Through the evidence phase, research is conducted and critiqued in order to determine strengths and weakness of articles before committing to a practice. Lastly, through the translation phase, nurses are able to determine if the practice is feasible and pilot a project (Parkosewich, 2013).

                I am working on rolling out new psychotropic review for my company. This form is used by the nurses to identify psychotropic and spark conversation with the provider in order to reduce the amount of psychotropic medications used in the facilities. Through this course I have developed a PICO statement and completed a lot of research. By using the John Hopkins model, I would be able to further identify key items such as stakeholder analysis. Additionally, by using this model I would want to identify a project leader and change champions to push the new review forward. Milestones will need to be identified and pre and post measurements taken. Also, barriers would need to be identified with a plan to overcome them. Eventually this form will be added to the EMR but initially it will be a paper form and would not be financially impactful on the company as we do have a form and process already. Barriers may include nurses who are used to the old form and resistant to change. However, with proper dissemination on the evidence of using the new form this could be overcome. Additionally, providers may not be on board when a higher questioning of psychotropic medications is presented. However, as part of the role out process infographics and information on why this is important and what our companies views are will help nurses to have meaningful conversations to overcome this barrier.

References

Campaign for Action. (2017). Infographic – the future of nursing. The National Academies of Sciences, , 1. Retrieved fromhttp://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Infographic.aspx

Dang, D., & Dearholt, S. (2017). Center for evidence-based practice. Retrieved from https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html

Parkosewich, J. A. (2013). An infrastructure to advance the scholarly work of staffnurses. The Yale Journal of Biology and Medicine, 86(1), 63-77. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584497/

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The Iowa model is an Evidence-Based Practice (EBP) model whose foundational concepts revolve around problem-focused triggers and knowledge-focused triggers. The nurse identifies the area of interest from these two triggers. Problem-focused triggers include issues related to patient care such as increased rate of nosocomial infections and patient falls whereas knowledge-focused triggers focus on identifying new research findings can be applicable in clinical practice (Brown, 2014). Once the nurse has recognized the potential triggers, the next step is to prioritize the identified problems. This ensures that the nurse selects the most important issues that require prompt attention.

Following prioritization, team comprising of members from different disciplines such as nursing, medicine, pharmacy, epidemiology, and infection control is created. The purpose of the team is to oversee the successful implementation of evidence-based practice. The team members will then formulate a research question using the PICOT format (population, intervention, comparison, outcome, and time) (Brown, 2014). The research question will guide the team members during the selection of relevant research articles. Evaluating the significance and relevance of these research articles is mandatory. The findings are then implemented in a pilot study that involves one or two units in the hospital. If the pilot study is successful, the research findings can be applied to the whole organization (Brown, 2014).

Time is a significant barrier that can impede the successful adoption of EBP in any organization. Nurses are often overworked, and they do not have time to go to the databases and look for research evidence. The organization should ensure that the nurses have adequate schedules that support the use of EBP (Tacia, Biskupski, Pheley & Lehto, 2015).

References

Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing, 18(2).

Tacia, L., Biskupski, K., Pheley, A., & Lehto, R. H. (2015). Identifying barriers to evidence-based practice adoption: A focus group study. Clinical Nursing Studies, 3(2), 90.

Legal Issues in Nursing: In this assignment, you will write a 2 page paper on a legal issue that you have either experienced first hand, that you have been privy to, or that you have invented. Relate

Legal Issues in Nursing: In this assignment, you will write a 2 page paper on a legal issue that you have either experienced first hand, that you have been privy to, or that you have invented. Relate the incident, how it could have been prevented, and how it was resolved. You should have at least 2 references. This APA assignment is worth 15 points.

Suggestions:

Whistleblowing

 Breach of confidentiality

Clinical judgment 

Inappropriate triage

Medication error

 Sentinal event

Lapse in communication

 Substandard care

Lack of documentation

Fraud

False imprisonment

Assault or battery 

Legal Issues in Nursing

15 Points

Quality paper, with   thorough content and minimal grammar or spelling errors.

15

Good paper, but a   few omissions in content or more than 2 errors in spelling or grammar

14-12

Fair to poor paper,   difficult to follow or lacking in pertinent content, or many spelling or   grammar errors

11-8

Very poor paper,   very late paper, or no paper at all.

The purpose of this paper is to systematically review the literature regarding a specific nursing… 

The purpose of this paper is to systematically review the literature regarding a specific nursing problem and discuss recommendations for clinical practice. The paper must adhere to APA standards (use your APA manual and the APA stylesheet handout for guidance. Be sure to have the following headings in the paper: Introduction, Problem Statement, Review and Evaluation of the Research, Summary and Clinical Evaluation, and References. The title page, abstract, and references should be on separate pages. The paper should be no longer than 5 pages in length, excluding the title page, abstract, and references. Every page must include a header and page number.

When saving your file to your computer or flash drive, use the following format:

312yourlastname_ebp paper

For example, if I were the student, my document would be labeled: 312oldenburg_ebp paper

Title Page (up to 5 points)

The title page should have a running head, title of the project, your name and affiliation. See APA manual for specific guidelines. The title should be a reflection of your project (i.e., do not use the title ‘Evidenced-Based Paper’).

Abstract (up to 10 points)

The abstract is a concise summary of the key points of your paper on the page following the title page. At a minimum, your abstract should contain your research topic, research questions, and conclusions. You may also include possible implications and future work you see connected with your findings. Your abstract should be a single paragraph double-spaced.Your abstract should be between 150 and 250 words.

Introduction (up to 5 points)

This section should contain a discussion of why this topic merits investigation. It is based on the Significance Paper that you submitted in Unit 7. You want to sell the reader regarding why this is such an important issue, to you personally and to nursing. Why would nurses be interested in reading your paper? What can be learned from your project that will improve nursing care? You will need to include references in this section, but NOT research articles from your literature review. For example, if you are talking about pain relief for cancer patients and want to discuss the incidence of cancer, you might want to refer to the American Cancer Society for statistics on the incidence of cancer. You MUST include at least two relevant websites and/or literature references.

Problem Statement (up to 5 points)

Clearly state the research problem. Be sure to include the independent variable(s) and dependent variable(s) and your target population. This is your refined problem statement. This section should only be one sentence.

Review of the Literature (up to 30 points)

This will be the major section of the paper. Summarize 5 articles including details of the study. You must include the following information for each of the studies: purpose of the study, study design, methods, and major findings. State whether the findings are significant (for quantitative research only). There must be enough detail so the reader understands the study.Try to limit the discussion of each study to approximately two paragraphs. You need a minimum of 5 research studies in this section. Three of the research studies MUST be nursing research. Be sure you cite PRIMARY sources that are empiric (research) studies. You can use review papers in your introduction (i.e., significance paper), but you can only use primary sources for this section of your paper. Studies should be current (published within the past 5 years). If you want to include an older study, send me a message explaining your rationale.

Summary and Clinical Evaluation (up to 20 points)

Evaluate the studies discussed using the Evidence Hierarchy (covered in Unit 2) using seven levels of graded evidence. Discuss the body of literature as a whole, not each individual research article. Critique this body of literature as a whole. Evaluate the clinical usefulness of the research findings. Are the findings clinically relevant? Are the recommendations cost-effective? Can the recommendations be integrated into clinical practice? Offer some recommendations for future research.

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You re

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

MY QUESTION: The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.