Signature Work

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Please see attached for instructions

EBP question

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 Two to three page 

Details:

  1. Selecting EBP Model for your EBP Question 
    Select one of the common EBP models that you think it best fits your PICOT question and then explain/justify your selection considering the following:  

    • The clarity and conciseness of the model’s concepts and organization  
    • The diagrammatic representation of the model and the ability to assimilate the concepts and organizes the step of the desired EBP changes 
    • The comprehensiveness of the model from the beginning stages to implementation and evaluation of outcomes 
    • The easiness of the use when concepts are applied to direct EBP changes and practice issues in clinical settings 
    • The flexibility of the model to be applied to various populations of patients, EBP projects, initiatives, and programs 
    • The use and popularity of the model in the published literature 
    • This assignment should be no more than 2-3 pages (not including the title or references pages).     
      Common EBP Models: 
    1. The Stetler Model of Evidence-Based Practice  
    2. The Iowa Model of Evidence-Based Practice to promote quality care 
    3. The Model for Evidence-Based Practice Change  
    4. The Advancing Research and Clinical practice through close Collaboration (ARCC) model for implementation and sustainability of EBP  
    5. The Promoting Action on Research Implementation in Health Services (PARIHS) framework  
    6. The Clinical Scholar model  
    7. The Johns Hopkins Nursing Evidence-Based Practice model  
    8. The ACE Star Model of Knowledge Transformation 

Power Point

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 Introduction (1 slide)

  1. Reflect on the ethics of the workplace (2-3 slides) 
  • What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues?
  • What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice?
  • How did the practiced ethics affect the patient’s outcomes?
  • How would you handle the scenario ethically? Similarly or differently?
  1. Reflect on the financial management (2-3 slides)
  • How did the finances affect the healthcare decision in the scenario?
  • What financial, billing, or reimbursement practices would you support or disagree with, and why?
  1. Reflect on the politics and policies  (2-3 slides)
  • Identify a practice you would want to change and describe how you would propose and lead collaborative/interprofessional effort using one of the leadership models to create the desired change.
  1. References (1 slide)- Include 2–3 scholarly resources in APA Style. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations published within the last five years.

Be succinct. Your presentation should be 8-10 slides

Nichole

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B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

1.  Identify each of the following PICO components of the clinical practice problem:

•   P: patient, population, or problem

•   I: intervention

•   C: comparison

•   O: outcome

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

2.  Describe the research methodology used in the research-based article.

3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the research-based article.

5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article.

a.  Explain how the article helps answer your EBP question.

D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.

E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation. 

3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.

4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.

F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Introduction

Throughout the eight weeks in which Middle-Range Theories and their relation to the nursing profession have been discussed and analyzed, I realized a fundamental change of perception over patient care and personal growth. It also enlarged my understanding of the theories that incorporated the connection of the grand theories with practical clinical, or changed my understanding of the importance of having a mentor to develop needed critical thinking and leadership skills. Considering these topics allows one to illustrate how research ideas are put into practice and demonstrate the significance of having a mentor in the process.

Middle-Range Theories in Nursing Practice

Middle-range theories play an important role in translating grand theories into practice carried out in nursing processes. They offer a well-directed approach to the resolution of clinical issues and facilitate the standard practice of evidence-based nursing. In my studies, they pointed out procedures that seem to be practical more often than not in the practice of a clinical setting, from improving clients’ self-care and disease management. For instance, self-efficacy theory has been used effectively in practice in nursing settings; the effects have included increased compliance with treatment schedules by the patients as well as general health status outcomes by Smith & Lee (2023). Middle-range theories are useful in the modern complex organization due to their potential to elaborate concrete solutions for advancing knowledge. In this way, it will be useful for the nurses to incorporate these theories into nursing and thus improve the existing interventions that are delivered to the patients.

Impact of Mentorship

Meanwhile, it is worth stating that the impact of the mentors throughout this course has been highly beneficial. I have received guidance that goes beyond academic tutoring, especially from my mentors who have taught me confidence, critical thinking, and the ability to implement change in clinical practice. It also enabled me to ground knowledge from the text with proficient nursing professionals in a practice environment. Mentors also ensured that the context of middle-range theories was further explained to students and also promoted professionalism by emulating professionalism in staff accountability and patient care. This allowed me to develop my clinical reasoning abilities and improve the approach to the patient care (Brown, 2022). Also, the aspect of mentorship was established by the mentor himself, who encouraged me to explore research-based practices that would improve the patient’s outcome in the future.

Conclusion

It is quite a constructive path that makes one once again determined to finish the whole course, thinking that patient-centered care is the key to the future. Its combination with the middle-range theories and the impactful mentorship during the work on the projects provides strong evidence that being a nurse is the right decision. This connection gives a strategic direction on how potential solutions to clinical issues can be actualized; also, the tutelage that has been offered helps in shaping the aspiration of producing a professional and sensitive nurse. These findings will be helpful as I advance in my career to enhance the quality of care, encourage innovation, and effectively mentor other individuals for their growth as future nurses.

References

Brown, T. (2022). Mentorship in modern nursing: Shaping the future of clinical practice. Journal of Nursing Education and Practice, 12(3), 150–158.

Smith, J., & Lee, A. (2023). Application of self-efficacy theory in nursing practice: Bridging theory and clinical care. Nursing Theory Review, 31(2), 97–105.

Johnson, K. (2024). Translating middle-range theories into nursing interventions. Nursing Praxis, 28(1), 45–53.

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Introduction

Over the period of eight weeks, I have engaged in analysis of several areas that has enhanced my perception of nursing practice and theory utilization considerably. For instance, the middle-range theories have helped in establishment of a linkage between clinical events and realistic practice, as well as the direction from achievers in the field has enhanced mastery and personal development.

Middle-Range Theories in Nursing Practice

Middle-range theories have gradually gained appreciation due to their effectiveness in converting theoretical ideas into practice, prescribing practices. These theories become valuable resources that are used in clinical reasoning, patient evaluation, and the formulation of actions to be made in treatment. The literature points out that middle-range theories also have a great utility in the theory-practice Nurses’ Clinical context as they offer specific but generic guidelines to solve the real-life patient care issues. In this course, I have come to understand the role of these theories about EBPF in the ways that research information can be applied to the provision of care. The use of middle-range theories contributes to proceduralizing of the processes, thus improving the outcomes of a patient and the overall organization of cooperation between the teams, as well as providing a high level of systematicity to the nursing practice.

Impact of Mentors During the Course

Equally important to mention is the significance of the constant guidance during the course. I have gained significant guidance from different individuals through the theoretical and practical parts of nursing practices. They have guided scholars towards making better use of middle-range theories in practice and focusing on the reflective issues in clinical practice. Mentors have also created a more learning-focused learning atmosphere where feedback and practical solutions to problems matter. According to the literature, proper mentorship has a proper participation in the training of nursing students and enhances critical thinking and practice of resilience in clinical practice (Johnson & Cooper, 2023). By the provision of ongoing discussions, practice, and journaling as encouraged by my mentors, I have gained improved competencies that have helped me review the theories learnt in this course.

Conclusion

In conclusion, it can be said that the use of the middle-range theories in practice and the significance of the mentor role can be critical for the practical learning of a nurse during the eight weeks. The combination of theory with practice means that there is a clear guideline on how the nursing practice will be conducted, and the mentors make sure that these practices are relevant and can be practiced in a real-world setting. This approach has helped me not only in enhancing my knowledge in the practice of nursing but also in preparing me to become a more reflective practitioner. It can be said that future interaction with both of such theories and a mentor surely will be the foundation of further professional activity.

References

Chen, M., Garcia, N., & Roberts, L. (2022). Integrating middle‐range theories into clinical practice: Bridging theory and patient care. Nursing Science Quarterly, 35(1), 45–56.

Johnson, L., & Cooper, S. (2023). The role of mentorship in advancing clinical competencies among nursing students. Journal of Nursing Education, 62(2), 112–119.

Smith, T., Martinez, D., & Nguyen, H. (2024). Reflective practices in nursing: The impact of educational mentorship on clinical outcomes. Journal of Advanced Nursing Practice, 39(3), 205–218.

455Topic 5 DQ 2

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Explain the modifiable and nonmodifiable risk factors for osteoporosis. How can a nurse support the patient in managing the health condition and restore the patient to optimal health?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

455Topic 5 DQ 1

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Choose one multisystem dysfunction. Describe pathophysiological changes, abnormal findings, and symptoms of the chosen dysfunction. How does it affect the patient’s activities of daily living?  

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Term Topic Proposal

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In this assignment, you will select a current medical ethics issue to research 

Select a topic related to one of the following current medical ethics issues:

  • Patient Confidentiality and Risk to Society

quality of healthcare

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You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of the most current National Patient Safety Goals found at the link below.

National Patient Safety Goals-The Joint CommissionLinks to an external site.

You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission’s revisit in six(6) months.