NR 500 Week 5 Discussion Evidence-Based Practice Recent

Chamberlain University NR 500 Week 5 Discussion Evidence-Based Practice Recent-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 500 Week 5 Discussion Evidence-Based Practice Recent assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 500 Week 5 Discussion Evidence-Based Practice Recent

Whether one passes or fails an academic assignment such as the Chamberlain University NR 500 Week 5 Discussion Evidence-Based Practice Recent depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 500 Week 5 Discussion Evidence-Based Practice Recent

The introduction for the Chamberlain University NR 500 Week 5 Discussion Evidence-Based Practice Recent is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NR 500 Week 5 Discussion Evidence-Based Practice Recent

After the introduction, move into the main part of the NR 500 Week 5 Discussion Evidence-Based Practice Recent assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 500 Week 5 Discussion Evidence-Based Practice Recent

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 500 Week 5 Discussion Evidence-Based Practice Recent

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 500 Week 5 Discussion Evidence-Based Practice Recent Included After Question

Share what evidence-based practice means to you (EBP) and describe how EBP is used in your practice setting.

PICO (T)

The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. Select a common nursing practice (e.g., wound care management) in your clinical setting and formulate a PICO question. Once you have formulated your question, conduct a library search and locate one scholarly article that addresses the topic you have selected. Post your clinical question in the TD, explain the PICO(T) elements, and provide a full reference of the article you selected.

Sample Answer for NR 500 Week 5 Discussion Evidence-Based Practice Recent

The term evidence-based practice refers specifically to “the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients (Hanberg & Brown, 2006). The idea behind the use of Evidence-based practice is that it comes from the values and preferences of the patient, the clinical or clinical expertise, and the research evidence itself. The combination of these aspects is what leads to improved individualized patient outcomes, making evidence-based practice crucial to nursing practice itself.

The process of EBP starts the asking of burning clinical questions to improve patient care. The question is asked in PICOT format. Once a clinical question is generated, the next process will be. Search for and collect the most relevant best evidence. Entering key word from the PICOT question into the database that is being searched (e.g. Medline, CINAHL) and then combining the research words together to reveal the studies that may answer the question. Reliable sources to answer the PICOT questions include systematic reviews, pre-appraised literatures and studies from peer-reviewed journals. Critical appraisal of the studies from the research is conducted. Evidence is integrated with the clinician’s expertise and patient preferences and values to make a decision regarding whether a practice change should be made. Outcomes should be measured to determine positive outcomes of the change (Hanberg & Brown, 2006).

One of the advantages of implementing evidence-based practice by nurses is results in higher quality of care that leads to improved patient outcomes, since EBP incorporates the latest research evidence that are made available to healthcare providers at the point of care. Also, the current use of evidence in healthcare would result in increased patient outcome since EBP includes healthcare recommendations that would help nurses in addressing questions related to best client care. As well, the use of evidences in the healthcare setting would further increase the nurses’ confidence, improve skills, critical thinking and decision making since nurses have to constantly evaluate various research that would support and be beneficial in their practice (Hanberg & Brown, 2006). Evidence-based practice not only enhance the nurse’s clinical performance, but also lead to higher job satisfaction and better group cohesion which promote job retention in health care. Also, another benefit of using evidence-based practice is reducing cost in health care compared with the care that is based in tradition and outdated policies and practices (Saba & McCormick, 2011). Implementation of evidence-based practice would manage available resources, since it would be used efficiently and effectively instead of being wasted in the process of determining ways of providing competent client care (Hanberg & Brown, 2006).

My specialty track is family nurse practitioner. FNP will prepare me with the academic knowledge and clinical skills I need to be a leader in health promotion, disease prevention, assessment, and management of common acute and chronic illnesses. FNP fills a need for more accessible health care for families, since fewer physicians are entering that field. Autonomy. diagnose illnesses, treat patients, prescribe drugs, order diagnostic tests, gather medical histories, perform physical exams, and educate their patients. FNP route can provide you with responsibilities, yet also provide you with the ability to spend time with your patients.

One of the topic I have passion about is PSA screening recommendations for prostate cancer. As an FNP, I will provide educational materials addressing patient questions and concerns about the guidelines, evaluate patient perceptions about prostate cancer screening benefits, harms and recommendations against screening. Prostate-specific antigen (PSA) is a protein made by the prostate. The prostate is a walnut-sized gland in men that makes a fluid for semen. Most PSA is released into semen. Some of it is released into the blood. If there is a problem with the prostate, then the PSA level in the blood can become elevated (Parlikar, 2017).

Hanberg, A., & Brown, S. (2006). Bridging the theory–practice gap with evidence-based practice. Journal Of Continuing Education In Nursing, 37(6), 248-249. Retrieved from EBSCOHost.

Parlikar, U. (2017). Prostate-Specific Antigen (PSA) Test. Health Library: Evidence-Based Information.

Saba, V. K. & McCormick, K. A., (2011). Essentials of Nursing Informatics, (5th edition). McGraw-Hill Companies.

Sample Answer 2 for NR 500 Week 5 Discussion Evidence-Based Practice Recent

My interest is the prostate-specific antigen screening for prostate cancer. I will discuss more on the actual screening and its effect on patients. According to the article, prostate cancer is almost exclusively a disease of middle-aged and elderly men with less than 1% of all prostate cancer diagnoses occurring in men less than 44 years of age. The median age of diagnosis is 67 years, with 60.6% of all diagnoses in men 65 years or older, and 25.3% of all diagnoses occurring in men 75 years or older (Leavitt & Konety, 2011). Interestingly, The effect PSA screening has played on mortality is more uncertain and has remained argumentative since PSA testing was first introduced. Overdiagnosis and overtreatment are a real concern with prostate cancer and PSA screening. With a disease that becomes more prevalent and more aggressive with age, the use of PSA for prostate cancer screening in the elderly is an interesting and important question for aging men and for cost-conscious medical systems. The test does not diagnose prostate cancer, rather it is used to help predict the risk of having prostate cancer.

According to one contemporary randomized trial, DRE had a complication (pain or bleeding) rate of 0.3 per 10,000 screenings, PSA testing had a complication (dizziness, bruising or hematoma) rate of 26.2 per 10,000 screenings and medical complications from additional diagnostic procedure occurred at a rate of 68 per 10,000. A prostate biopsy is often recommended as the next diagnostic step for men with elevated PSA. Mild hematuria, rectal bleeding and hematospermia are some of the common complications of prostate biopsies. Vasovagal presyncopal or syncopal episodes occur in 1-3% of patients, urinary tract infections occur in 2-11% and sepsis occurs in 0.1-0.5% (Leavitt & Konety, 2011). False-negative results from PSA screening are directly related to the PSA cut-off point chosen to trigger further testing. Many studies suggest prostate cancer screening with PSA testing has been plagued with overdiagnosis and overtreatment. Overdiagnosis becomes most problematic when it leads to overtreatment, and this is no small issue in elderly men with low-risk prostate cancer. PSA screening has been controversial and lately there appears to be an increasing consensus against prostate cancer screening in men with limited life expectancies and in elderly men, especially those aged 75 years and older. This stems primarily from a lack of robust level I evidence showing prostate cancer screening in all elderly men improves prostate-cancer-specific survival or overall life expectancy (Leavitt & Konety, 2011).

Prostate cancer is a common cancer among elderly men, its natural progression is heterogeneous, and it continues to kill more men than any other noncutaneous cancer besides lung cancer. PSA is not an ideal screening marker, yet screening with PSA remains common in most elderly men despite mounting evidence of significant overdiagnosis and overtreatment, and a lack of convincing evidence of meaningful benefit from screening in this population. There should be a shared decision-making approach between patient and physician with a thorough discussion of the inherent risks, benefits and limitations of screening.

Leavitt, D. A., & Konety, B. R. (2011). Prostate-specific antigen screening in elderly men. Aging Health, 7(2), 219-229. http://dx.doi.org.chamberlainuniversity.idm.oc lc.org/10.2217/ahe.10.84

Sample Answer 3 for NR 500 Week 5 Discussion Evidence-Based Practice Recent

Evidence-based practice in nursing helps educate and promote care that is effective, efficient, and safe for patients. My selected specialty track is the Family Nurse Practitioner. I chose this specific professional track because I could continue to provide patient care, but in a higher role of nursing, such as being in a leadership position. Also, the Family Nurse Practitioner role does not limit you to a specific specialty or area. An area of interest to me is pediatrics. I have always had a passion for working with children. As a Family Nurse Practitioner, I could work with children, but I would not be limited to just this area like I would if I was just a Pediatric Nurse Practitioner instead. A topic relating to pediatrics that I have always had interest in is childhood vaccinations. The significance of being a Family Nurse Practitioner who specializes in pediatrics can help to educate parents on vaccinations. Many people are hesitant when it comes to vaccinating their child even though vaccinations are a primary prevention of some infectious diseases. There are many factors that play into hesitation, acceptance, or refusal of vaccinations. Borras et al. (2009) stated, “Factors that increase acceptance include the desire to prevent disease, helping the community by means of herd immunity and doing what other people do. Possible factors reducing acceptance are the fear of harming their child, the belief that their child is not at risk because other children are vaccinated, the perception that they are able to control the child’s susceptibility and the outcome of the disease, the opinion that natural immunity after suffering the disease is better than vaccination, doubts about the reliability of information on vaccination, and mistrust of vaccine safety and risk.” People tend to pay too much attention to media instead of being educated on the vaccinations. This influences the parents attitudes and decision on vaccinations. “Negative parental perceptions of vaccinations have been identified as an important barrier to pediatric vaccinations.” (Borras, et al., 2009) As a Family Nurse Practitioner, our role as a healthcare provider is to educate the parents of our pediatric patients regarding vaccinations.

Borràs, E., Domínguez, À., Fuentes, M., Batalla, J., Cardeñosa, N., & Plasencia, A. (2009). Parental knowledge of paediatric vaccination. BMC Public Health, 9(1), 1-7. doi:10.1186/1471-2458-9-154

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the

NR 500 Week 5 Discussion Evidence-Based Practice Recent

body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

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☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStormto check your writing.

NR 500 Week 5 Discussion Evidence-Based Practice Recent

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.