NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Assignment

NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Assignment

NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Assignment

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Admitting a patient to inpatient care, whether planned or unplanned, is a complex process that requires coordination among physicians, nurses, registration/admitting staff, and others within the organization. We are currently tracking how long it takes for a patient to be admitted from Day Surgery to inpatient after physician orders have been entered in my department. Some of the challenges we’ve faced include inpatient rooms that aren’t cleaned promptly after discharge and difficulties providing SBAR handoff to inpatient nurses due to a lack of availability (nurse off the unit, on lunch break etc.). According to Madan (2018), intra-hospital delays are common and are associated with higher healthcare costs. According to Madan (2018), the primary cause of this is a lack of inter-departmental coordination.

For a variety of reasons, translating research into practice can be difficult. According to Curtis et al., insufficient knowledge of the research process, a lack of competence in reading and evaluating research or scientific articles and reports, a lack of time, a lack of statistical analysis knowledge, and, in some cases, a lack of authority to change practice, a lack of access to research, insufficient resources to implement change, and a lack of support from staff and colleagues (2017). As a result, policymakers, researchers, and clinicians must be reminded that better health can only be achieved through healthcare that is both scientifically and operationally sound, ensuring patients receive the best care and treatment possible.

The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.

Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.

Also Read: Benchmark – Evidence-Based Practice Project: PICOT Paper NUR 550

Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these

NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Assignment Essays
NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Assignment Essays

changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

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Re: Topic 2 DQ 2

Population health is determined by ecological, global, and social determinants and factors such as nutrition, genetics, lifestyle, environment, and socioeconomic factors. However, the two key determinants of population health are nutrition and lifestyle (Olshansky, 2017). As a crucial determinant of health, nutrition is perceived in three dimensions: person, family, and community. In rural settings, nutrition is a significant challenge that affects population health as people have limited access to healthy foods. As a result, they are likely to experience calorie deficiency, protein malnutrition, premature deaths, low birth weights, and other issues. Although people have access to healthy foods in the urban regions, they face lifestyle challenges such as less physical activity and obesity due to junk foods (Olshansky, 2017). Environmental pollution influences population health, although the impact is more intensified in rural communities. People in rural regions are more exposed to hygiene, agrochemicals, and insecticides, while those in urban areas are more vulnerable to air and water pollution but are less affected. Health disparity resulting from inequality in household income, gender, and education is another socioeconomic determinant that affects population health (Olshansky, 2017).

The principle of genetics and genomics has also affected population health. For instance, genetic risks can influence the rate of morbidity of a particular disease, such as cancer. Available literature shows that diseases like cancer, Alzheimer’s disease, leukemia, and many others have been associated with genetic risks (Baird, 2017). To properly understand how ecological and global issues, social determinants of health, principles of genetics, and genomes affect population health, the application of translational research is necessary. The reason is that translational research involves four steps in which an issue can be researched, possible interventions examined, and the impact of these recommendations on population health assessed.

References

Baird, P. A. (2017). The role of genetics in population health. In R. G. Evans, M. L. Barer, & T. R. Marmor (Eds.), Why are some people healthy and others not? (pp. 133-160). Routledge.

Olshansky, E. F. (2017). Social determinants of health: The role of nursing. AJN The American Journal of Nursing117(12), 11.

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Translational research is a practical and goal oriented approach to solving population health problems. Covid 19 poses serious threats to human health and has led to massive loss of life as a result of complications such as breathing problems. Xie et al (2020) during a study conducted in Wuhan China found an association between hypoxemia and in-hospital mortality among patients admitted with Covid 19. Oxygenation was therefore adopted to avert deaths due to hypoxemia among patients who tested for the disease. As in the case of Covid 19, finding a suitable intervention for emerging illnesses may prove a challenge and lead to loss of life as well (NIH, 2020). When such illnesses occur and vital organs such as the lungs and heart are affected, it can be frustrating when people lose life while the medics work to figure out how to manage a disease. Translational research can help bridge the gap through designing and testing machines that help perform the functions of vital organs prolonging life as doctors find out what to do.

For instance, extracorporeal membrane oxygenation is used to pump oxygen into the blood of patients outside the body when the affected lung or heart rests. Similar to the human lung the machine takes up carbon dioxide, oxygenates the blood and warms it to body temperature before it is pumped back (UCSF, n.d.). Translational research presents an opportunity to improve on the machine for ease of use through translational research so that death as a result of hypoxemia caused by Covid 19 can be averted. Additional translational research may be used to develop and test other artificial organs that can be used in the event that patients do not find a matching donor when in need of a transplant. This would be very helpful in improving quality of health care services offered and reduces medical errors due to panic when confronted with medical emergencies.

Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal 10.0% An explanation of how the article supports the proposed evidence-based practice project proposal is omitted for one or more of the articles. The explanation for three or more articles is inaccurate or incomplete. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for two of the articles is inaccurate or incomplete. A general explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for one article is inaccurate or incomplete. Support for the evidence-based project proposal is generally evident. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. Minor detail is needed for accuracy or clarity. Adequate support for the evidence-based project proposal is demonstrated. A detailed explanation for how each article supports the proposed evidence-based practice project proposal is presented. Support for the evidence-based project proposal is clearly evident.

Topic 5 DQ 1

Identify either a safety or quality improvement initiative related to improving population health. Explain how translational research can influence the development of the initiative. Include a specific example to support your response.

Re: Topic 5 DQ 1
Discussion Question

Preventing catheter-related infections is an essential quality improvement technique that can be incorporated by healthcare providers to enhance population health. Patients in post-operative units are at risk of nosocomial infections due to the ineffectiveness of acute care services clouded by medical errors (Malek & Raad, 2020). A healthcare approach towards controlling the spread of these infections could significantly lower the morbidity and mortality rates of patients in acute care settings. Improper care for catheters could lead to vital health consequences especially for older adults or patients with comorbid illnesses (Malek & Raad, 2020). One example of a quality improvement initiative to prevent catheter-related infections is the introduction of hand hygiene protocols for both the patients and the providers. The hand, other body parts, and hospitals surfaces are critical agents of spreading these infections; therefore, a proper sanitation program would reduce these occurrences and promote population health.

Translational research can significantly influence the development of catheter-related prevention programs. This type of study focuses more on the practicality of medical concepts rather than just formulating foundations for knowledge development (Molas-Gallart et al., 2016). For instance, the World Health Organization’s (WHO) five handwashing moments is an example of a scientifically proven procedure for eliminating pathogens and harmful germs on the hand. The implementation of T3 could significantly improve the adoption of this technique for system-wide change which is vitally required especially for patients and providers in acute care settings. Moreover, the use of T3 would improve the dissemination and implementation of research that supports perceptions and facts on the importance of hand hygiene in preventing catheter-related infections.

References

Malek, A. E., & Raad, I. I. (2020). Preventing catheter-related infections in cancer patients: a review of current strategies. Expert review of anti-infective therapy, 18(6), 531-538.

Molas-Gallart, J., D’Este, P., Llopis, O., & Rafols, I. (2016). Towards an alternative framework for the evaluation of translational research initiatives. Research Evaluation, 25(3), 235-243.