NUR 550 Evidence-Based Practice Project Proposal – Assignment

NUR 550 Evidence-Based Practice Project Proposal – Assignment

Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The project will be completed in sections, beginning in NUR-550 and culminating in a final written paper detailing the evidence-based practice proposal in NUR-590. NUR 550 Evidence-Based Practice Project Proposal – Assignment

The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.). Use the ”PICOT Draft” template to complete this assignment.

Use a national, state, or local population healthcare database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT statement.

Refer to the ” Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite one peer-reviewed source to complete this assignment. Sources must be published within the last 5 years and appropriate for the NUR 550 Evidence-Based Practice Project Proposal – Assignment assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

PICOT Draft Sample Paper

Name_____________________________________                                                                                                                                                        

Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem.

The prevalence of central line-associated bloodstream infections (CLABSI) and the acquisition of multi-drug resistant bacterial organisms is a critical medical problem that requires proper, evidence-backed intervention. A study by Lin et al. (2017 NUR 550 Evidence-Based Practice Project Proposal – Assignment) established a CLABSI incidence rate of 3.93 per 1000 central catheter days, with the dominant causative factors being Gram-negative (39.2%) and Gram-positive (33.2%) bacteria, as well as Candida spp. (27.6%). Given the heavy burden associated with these conditions, largely in terms of prolonged hospital stay, increased mortality, and morbidity, I found it necessary to explore the topic and establish better ways of handling such infections among patients admitted to the intensive care unit.

Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)

PICOT Question
P Population Patients admitted to the Intensive care unit are in critical condition and are at increased risk of infection. This is attributed to the debilitating effects of their underlying condition and the life-saving procedures performed on them such as the insertion of the central venous catheter and urinary catheter. Infections in this population can lead to a prolonged hospital stay, increased cost of care, morbidity, and mortality. Early antibiotic use for suspected infections has been critical in reducing the effects of infection. However, antibiotic resistance develops in the long term. NUR 550 Evidence-Based Practice Project Proposal – Assignment

 

The most common infection in the ICU is due to methicillin-resistant Staphylococcus aureus (MRSA) and other gram-positive bacteria. Further, hospital-acquired pneumonia is a prevalent disease in this population. Septicemia and blood infections are prevalent and can lead to increased mortality if not controlled. Organisms get into the body through central lines, ventilators, and urinary catheters.

In a translational study by Mody (2018), the author sought to establish the relationship between indwelling devices in ICU patients and the occurrence of infection. The survey, randomized study, and observational study were used. The results showed that indwelling catheters increased the risk of bacterial colonization in most patients thus leading to increased hospital stay, mortality, and increased cost of care.

I Intervention Chlorhexidine Gluconate is a local solution that has a bactericidal effect on gram-positive bacteria. It has a fast onset of action, prolonged duration, and is effective on broad-spectrum bacteria. The application of chlorhexidine helps in reducing the entry of skin microflora into the bloodstream hence reducing infection.

 

A study by Zamir et al. (2020 NUR 550 Evidence-Based Practice Project Proposal – Assignment) revealed that the use of chlorhexidine in ICU patients leads to a reduced rate of infection from 6.6% to 4.8% per 1000 patients admitted to the ICU. The study also established that reduced manipulation of the catheter will reduce the rate of infection. Chlorhexidine locking solution has been used to reduce manipulation of the central venous catheter and the result proved the efficiency of chlorhexidine in reducing the infection rate.

C Comparison  
O Outcome  
T Timeframe  
PICOT  

 

 

 

Problem Statement  

 

 

 

NUR 550 Evidence-Based Practice Project Proposal – Assignment  References

Lin, K-Y., Cheng, A., Chang, Y-C., Hung, M-C., Wang, J-T., Sheng, W-H., Hseuh, P-R., Chen, Y-C. & Chang, S-C. (2017). Central line-associated bloodstream infections among critically-ill patients in the era of bundle care. Journal of Microbiology, Immunology and Infection, 50(3), 339-348. https://doi.org/10.1016/j.jmii.2015.07.001

Mody, L. (2018). Translational models of infection prevention and control: lessons from studying high risk aging populations. Current Opinion in Infectious Diseases, 31(4), 359–367. https://doi.org/10.1097/QCO.0000000000000466

Zamir, N., Pook, M., McDonald, E., & Fox-Robichaud, A. E. (2020). Chlorhexidine locking device for central line infection prevention in ICU patients: protocol for an open-label pilot and feasibility randomized controlled trial. Pilot and Feasibility Studies, 6(1), 26. https://doi.org/10.1186/s40814-020-0564-9

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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NUR 550 Evidence-Based Practice Project Proposal – Assignment

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

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The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NUR 550 Evidence-Based Practice Project Proposal – Assignment

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