NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE

Walden University NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE 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 NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE                     

Whether one passes or fails an academic assignment such as the Walden University NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE 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 NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE                     

The introduction for the Walden University NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE 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.

How to Write the Body for NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE                     

After the introduction, move into the main part of the NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE 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 NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE                     

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 NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE                     

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 NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE Included After Question

Clarifying Connections: Practice Problem, Evidence, Changing Practice

Practice Problem: Lack of fully informative congestive heart failure (CHF) education to patients at discharge

A Sample Answer For the Assignment: NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE

Title: NURS 8114 CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE

Heart failure hospital readmission rates [within 30 days of discharge] are significantly impacted by patient non-compliance. In part, this facet of non-compliance is affected by inadequate discharge teaching, which should not only include information regarding dietary restrictions (i.e. low sodium and restrictive fluid intake) but should also include obtaining the patient’s euvolemic weight prior to discharge to establish a baseline for continued measurement post discharge. As such, when the patient’s weight has exceeded a determined threshold, the patient knows to notify the cardiologist for further advisement on adjustments of diuretics and potentially avoid hospital readmission. Furthermore, the dialogue of discharge education should factor in the patient’s healthcare literacy status, any language barriers, and/or any economic constraints that could impair procurement of necessary medications or facilitation of follow up appointments.

Results of Literature Review

My literature review results yielded specific consideration points: 1) accurate recording of patient daily weight directly affects dosing and type of diuretics administered (Al-Rafae & Taylor, 2021), 2) patients with CHF are at great risk for frequent readmission due to self-care deficits (David et al., 2018) and 3) inadequate heart failure discharge teaching is statistically linked to preventable hospital readmissions (Becker et al., 2021). These points of consideration lend to a practice gap that can and should be further evaluated by an EBP QI initiative, which may lead to practice change and ultimately reducing avoidable heart failure readmissions.

Synthesis of Literature

Heart failure hospital discharge teaching involves a multi-faceted approach including the provision of exorbitant written information regarding medications, lifestyle modification and coordination of follow up appointments. Inadequate performance of this teaching could result in an avoidable readmission within 30 days of discharge and expenses that have thus far cost the American hospital system an annual $20 billion (Becker et al., 2021). Ergo, an EBP QI initiative to improve heart failure discharge teaching is worthy to conduct to implement practice change.

Proposed Practice Change

 My proposed practice change is two-fold: First, inclusion of an accurate euvolemic weight – taken the day of discharge – of the patient as part of discharge teaching. This significant data will serve as a reference point for intravascular volume management once out of the immediate care of clinical staff. Patients [and nursing staff of LTAC/skilled nursing/rehabilitation facilities, if the disposition location of the patient is not their home] can then be instructed on when to notify the established cardiology provider for diuretic medication adjustments [or perhaps an office visit for IV diuretic therapy] to potentially avoid hospital readmission. Second, delivery of discharge education in a manner that is understandable to the patient. Education on dietary restrictions and lifestyle modification should be specific to the individual and relayed in clear, understandable, and non-ambiguous terms, which will aid in reinforcing compliance. For example, when educating a patient on fluid restriction – many nurses and providers will tell patients to limit their daily fluid intake to 50ounces. I have personally encountered patients who have no concept of how much volume 50ounces is. However, they are very familiar with a 2-liter bottle. So, I advise them to limit fluid intake to one 2-liter bottle (equivalent to approximately 60 ounces) for the day – and this is all inclusive of anything that would be a liquid consistency at room temperature (popsicles, ice, all drinks, etc.).

References

Al-Rafae, N., & Taylor, L. (2021) Daily Weight and Fluid Balance Assessment in Patients Admitted with Acute Heart Failure. Heart, 107, A113-114.

Becker, C., Zumbrunn., S., Beck., K., Vincent, A., Loretz, N., Muller, J., Amacher, S., Shaefert, R., & Hunziker, S. (2021). Interventions to Improve Communication at Hospital Discharge and Rates of Readmission: A Systematic Review and Meta-Analysis. JAMA Network Open, 4(8), e2119346. https://doi.org/10.001/jamanetworkopen.202Links to an external site..

David, D., Howard, E., Dalton, J., & Britting, L. (2018). Self Care In Heart Failure Hospital Discharge Instructions – Differences Between Nurse Practitioner and Physician Providers. The Journal For Nurse Practitioners, 14(1), 18-25.