NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay
Nurses are professionally and ethically mandated to promote safe workplaces for optimal patient care. In the current nursing practice, nursing professionals achieve this objective by addressing nursing problems through evidence-based interventions. Nursing burnout is widespread in clinical care, considering that approximately 35%-45% of nurses are burned out in the United States (Schlak et al., 2021). The problem is multifaceted and stems from multiple factors, including a high workload, high job turnover rates, inadequate sleep, and stressful work environments. Research shows that the rate of nurse burnout increases proportionately with an increase in nurses’ psychological stress (Al Sabei et al., 2022). To underline the significance of nurse burnout as a practice problem, it is crucial to explore its profound impacts. The article by Schlak et al. (2021) demonstrates the importance of addressing nurse burnout by underlining that the risk of patient adverse events and patient mortality is about 8% when being attended to by nurses experiencing burnout. Length of stay is also high in environments with a high prevalence of nurse burnout. As a result, evidence-based interventions for reducing workplace stress can cushion nurses against burnout and improve patient care outcomes.
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.)
|P||Population||Nurses experiencing burnoutNurses with burnout pose a significant risk to patient care and hardly meet the desired health outcomes. According to Babapour et al. (2022), stressful environments that intensify burnout decrease nurses’ energy and work efficiency, hampering their capacity to provide proper patient care. Other adverse outcomes associated with such a workforce include low job satisfaction, a lack of teamwork, and increased intention to leave (Monroe et al., 2021). Since these outcomes affect patient care and work relationships adversely, evidence-based interventions to reduce nurse burnout should be a priority for nurses and nurse leaders.|
|I||Intervention||Guided mindfulness meditationMindfulness meditation enhances coping and could be an effective intervention for nurse burnout. Mindfulness-based interventions are associated with positive benefits among nurses, such as stress and anxiety reduction, improved coping, and strong mental health and well-being (Fadzil et al., 2021; Huberty et al., 2019). Besides, mindfulness improves nurses’ self-awareness and judgment, enabling them to make better health decisions.|
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay References
Al Sabei, S. D., Al‐Rawajfah, O., AbuAlRub, R., Labrague, L. J., & Burney, I. A. (2022). Nurses’ job burnout and its association with work environment, empowerment and psychological stress during COVID‐19 pandemic. International Journal of Nursing Practice, 28(5), e13077. https://doi.org/10.1111/ijn.13077
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Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1), 1-10. https://doi.org/10.1186/s12912-022-00852-y
Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The effect of a mindfulness-based intervention on nurses in Kelantan, Malaysia. The Malaysian Journal of Medical Sciences: MJMS, 28(6), 121–128. https://doi.org/10.21315/mjms2021.28.6.12
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “calm” to reduce stress among college students: Randomized controlled trial. JMIR mHealth and uHealth, 7(6), e14273. https://doi.org/10.2196/14273
Monroe, C., Loresto, F., Horton-Deutsch, S., Kleiner, C., Eron, K., Varney, R., & Grimm, S. (2021). The value of intentional self-care practices: the effects of mindfulness on improving job satisfaction, teamwork, and workplace environments. Archives of Psychiatric Nursing, 35(2), 189-194. https://doi.org/10.1016%2Fj.apnu.2020.10.003
Schlak, A. E., Aiken, L. H., Chittams, J., Poghosyan, L., & McHugh, M. (2021). Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. International Journal of Environmental Research and Public Health, 18(2), 610. https://doi.org/10.3390/ijerph
Part 1: Falls are a major health problem globally with sequelae ranging from minor abrasions and bruises to more complex consequences like head injuries, fractures lacerations, and death. Mortality rates among age-adjusted falls have increased over the past few years. According to the Centre for Disease Control and Prevention (CDC), every year, approximately one million patients fall in hospitals within the United States accounting for roughly 85% of all hospital-acquired conditions(Dykes et al., 2020).Incidences of hospital fall and injury vary based on the unit characteristic, with increased rates among medical-surgical patients as compared to intensive care patients. In the United States, medical-surgical units report approximately 3.67 to 6.26 falls per 1000 patient days (PDs). Several evidence-based strategies have been utilized in fall prevention. However, the Center for Medicare and Medicaid (CMS) identifies falls as a “never event,” leading to a substantial amount of pressure on hospital administrators hence no falls goals in most hospitals. Advanced nurse practitioners bear the responsibility of providing direct patient care and promoting fall prevention interventions. This project will thus focus on evaluating the benefits associated with the use of the Tailoring Intervention for Patient Safety (TIPS) toolkit to reduce the incidences of falls on a medical-surgical 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.)
|P||Population||The project will focus on hospitalized adult patients in the medical-surgical ward. Fall injuries are the most reported adverse events among hospitalized adult patients(Tzeng et al., 2021).|
|I||Intervention||The TIPS toolkit is a nurse-led, evidence-based intervention utilized in fall prevention. This intervention uses bedside tools to identify patient-specific fall risk factors and develop a tailored prevention plan(Tzeng et al., 2021).|
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay References
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries. JAMA Network Open, 3(11), e2025889. https://doi.org/10.1001/jamanetworkopen.2020.25889
Tzeng, H.-M., Jansen, L. S., Okpalauwaekwe, U., Khasnabish, S., Andreas, B., & Dykes, P. C. (2021). Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home. Journal of Nursing Care Quality, Publish Ahead of Print. https://doi.org/10.1097/ncq.0000000000000547
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.
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 health care 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 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.
Topic 1 DQ 1
Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management.
Translational research is to produce a meaningful and applicable result that will directly benefit human health by moving basic science discoveries more quickly and efficiently into practice. Translational research is classified under the translational (T) spectrum with levels 0 to 4. T0 is basic science research or preclinical or animal studies, T1 is translation to humans or phase 1 clinical trials, T2 is translation to patients or phase 2 and 3 clinical trials, T3 is translation to practice or phase 4 clinical trials with clinical outcomes research, and T5 is translation to the community or population level outcomes research (UAMS Translational Research Institute, n.d.).
Translational research is turning scientific discoveries into interventions or implementation for the focused population or public by conducting trials, while evidence-based nursing practice “is the conscientious, explicit, and judicious use of theory-derived, research-based information in making decisions about care delivery to individuals or groups of patients and in consideration of individual needs and preferences” (DeNisco, 2021). Therefore, EBP is using the best available clinical research evidence to arrive at the most appropriate clinical decision-making and best practice.
Population health management is the process of improving clinical outcomes of a defined group of individuals or populations through improved care coordination and patient engagement (AHA Center for Health Innovation, n.d.). Translation research and EBP also involves improving clinical outcomes for certain groups of individuals or populations that will benefit from them as they are the research subject. The use of the principles of EBP may therefore be applicable helpful in population health management.
DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning
UAMS Translational Research Institute (n.d.). What is translational research? https://tri.uams.edu/about-tri/what-is-translational-research/#:~:text=Translational%20research%20seeks%20to%20produce,quickly%20and%20efficiently%20into%20practice.
AHA Center for Health Innovation (n.d.). What is population health management? https://www.aha.org/center/population-health-management
Topic 1 DQ 2
Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best.
Topic 1 Participation
Topic 1: Quality Research and Theoretical Frameworks
- Identify the different levels of translational research.
2. Differentiate translational research from evidence-based practice.
3. Discuss the application of translational research to population health management.
4. Evaluate sources of translational research.
5. Select a valid nursing practice problem for an evidence-based practice project proposal.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 22 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Evidence-Based Practice in Nursing and Healthcare
Read Chapter 1 in Evidence-Based Practice in Nursing and Healthcare.
World Health Organization (WHO)
Explore the World Health Organization (WHO) website.
Centers for Disease Control and Prevention (CDC)
Explore the Centers for Disease Control and Prevention (CDC) website.
State and County Departments of Health
Explore the websites of your state and county departments of health and access mortality and morbidity data. The link to the Arizona Department of Health Services website is provided, but students living in other states should access their county and state departments.
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Non-Communicable Diseases (NCD) Burden of Disease
Read “Non-Communicable Diseases (NCD) Burden of Disease,” by the U.S. Department of Health and Human Services, located on the Centers for Disease Control and Prevention website.
GCU Library: Nursing and Health Sciences Research Guide
Review the “Nursing and Health Sciences” research guide, located on the GCU Library website.
The Electronic Health Record: A Friend or Foe of Translational Research and Evidence-Based Practice?
Read “The Electronic Health Record: A Friend or Foe of Translational Research and Evidence-Based Practice?” by Chipps et al., from Worldviews on Evidence-Based Nursing (2019).
Read “Evidence-Based Practice” by Melnyk and Fineout-Overholt, from Encyclopedia of Nursing Research (2017).
Translation Research in Practice: An Introduction
Read “Translation Research in Practice: An Introduction,” by Titler, from Online Journal of Issues in Nursing (2018).
On Biostatistics and Clinical Trials: PICO, PICOTS, PICOTT Framework for Clinical Questions as a Way to Design Clinical Trials
Read “PICO, PICOTS, PICOTT Framework for Clinical Questions as a Way to Design Clinical Trials,” by Deng, from
On Biostatistics and Clinical Trials (2020).
In this course learners examine the process of scientific inquiry, knowledge generation, utilization, and dissemination of evidence into advanced nursing practice in order to propose quality-improvement initiatives that advance the delivery of safe, high-quality care for patient populations. Learners critically evaluate evidence, including scientific findings from the biopsychosocial fields, epidemiology, biostatistics, genetics, and genomics, and apply levels of evidence and theoretical frameworks to design culturally appropriate clinical prevention interventions and population-based care that reduces risks, prevents disease, and promotes health and well-being. Learners also consider strategies to evaluate health policy and advocacy issues, the state of health care delivery, patient-centered care, and ethical principles related to health beliefs, health promotion, and risk reduction for diverse populations. Learners apply these strategies to work towards recognizing gaps in nursing and health care knowledge, identifying potential solutions or innovations for those gaps, planning and implementing practice changes, and evaluating the outcomes in order to improve practice. Prerequisite: NUR-513.
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L., & Horowitz, M. R. (2019). Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284047929
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13: 9781496384539
APA Writing Style
APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the in the Student Success Center.
You may want to consider purchasing a copy of the APA style guide, as this will be a useful resource throughout your program
The Writing Process Access
View “The Writing Process” media presentation for information on how to strengthen your writing for future assignments.
University Policy Handbook
Read the Code of Conduct and Academic Standards section of the University Policy Handbook.
Library Walk Through Tutorial
View the “Library Walk Through Tutorial.”
Read the “About LopesWrite” and “Plagiarism” sections of the Academic Integrity page of the GCU website.
GCU Library: General Research Guide
Review the “General Research” guide, located on the GCU Library website.
GCU Library: Persistent Links
Review “Persistent Links,” located on the GCU Library website, to learn how to locate persistent links for library articles, videos, etc.
RefWorks and EndNote: RefWorks and EndNote Login
Manage your citations with the RefWorks tool, located on the GCU Library website. RefWorks automates the creation of your reference lists in the format of your choice (APA, MLA, etc.).
GCU Library Research Guides: Citing Sources
Reference the “GCU Library Research Guides: Citing Sources” resource for information on how to cite sources properly.
Refer to the resources located in the Writing Center for PowerPoint guidelines, APA style, writing and library tutorials, and research and writing assistance.
Statement on the Integration of Faith and Work
“Grand Canyon University prepares learners to become global citizens, critical thinkers, effective communicators, and responsible leaders by providing an academically-challenging, values-based curriculum from the context of our Christian heritage” (GCU Mission Statement). Review the “Statement on the Integration of Faith and Work” to become familiar with many fundamental Christian worldviews and consider how they may apply in the context of this course.
Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.
APA Writing Checklist
Use the “APA Writing Checklist” to act as a checklist for each paper you will write throughout your GCU graduate program.
Discussion Forum Guidelines and Example
Review the “Discussion Forum Guidelines and Example” document for your weekly discussion forum participation.
Evidence-Based Practice Project Proposal –Assignment Overview
Learners are required to develop an evidence-based practice project proposal. The project begins in NUR-550 and culminates in NUR-590. The project will be completed in sections throughout both courses and culminate in NUR-590, during which the project elements are synthesized into a final written paper that details the evidence-based practice project proposal.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments. This document serves only to provide context for the overall project and how the assignments interact. Refer to each assignment in the classroom for the assignment criteria and rubric information.
ThinkingStorm is an online tutoring resource that provides flexible support to supplement traditional educational environments. The tutoring center is remotely accessible to GCU learners with a computer and an Internet connection and offers convenient hours for learners with busy schedules. ThinkingStorm tutoring includes a writing center that offers 24/7 submission-based writing support, as well as live writing support across the curriculum.
If you are interested in utilizing ThinkingStorm’s writing support, submit your documents chapter by chapter, rather than as a full manuscript.
To assist learners with their success at the university, GCU will pay for the first 10 hours of a learner’s annual ThinkingStorm activity. Learners are responsible for usage charges after the first 10 hours.
To access ThinkingStorm, click on the link provided and select the yellow “Go to ThinkingStorm” button.
For additional information, the following is recommended:
Grammarly is an online writing assistance application that reviews written submissions and suggests context-specific corrections for grammar, spelling, word usage, wordiness, style, punctuation, and plagiarism. The reasoning for each suggested correction is provided, allowing users to make informed decisions about how to correct writing issues.
Grammarly can be installed as free browser extension, though Grammarly Premium requires an annual subscription. This subscription is not a GCU-required purchase
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