Learning Activity Content

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During this week's learning activity we will begin to develop your PICCO question.

Choose a topic that you would like to research in nursing. You may use a topic previously used in the assignments for this week. 
Develop a literature review abstract list (1 for each source) of 3 or more sources that support this topic. This means you will cite your article and write 1-2 paragraphs on how this research study/article supports your PICO question.

The PICO Question is Due this week and is a required assignment. Submit it with your Literature Review [with this assignment].

Here is a very useful link on how to write a literature review and complete a literature review.

How to write a Literature Review

How to write a PICO Question

Please review the rubric prior to submission.

Criteria	Excellent 100%	Satisfactory 75%	Unsatisfactory 50%	Poor 25%
Learning activity questions    50 %	The learning activity questions are answered comprehensively. The word count if applicable has been met, and it is accurate, non-evaluative, coherent, readable, and concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.	The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, and it is accurate, has some non-cohesive thoughts, readable, and is concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.	The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.	The learning activity questions are not answered comprehensively. The word count is more than 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.
Grammar, Spelling, APA  25%	Minimal spelling, APA, and/or grammar mistakes.	Some spelling, APA, and or grammar mistakes.	Noticeable spelling, APA, and/or grammar mistakes.	An unacceptable number of spelling and/or grammar mistakes.
Reference Page 25%	All sources 3 are current within 5 years and are cited following APA format.	At least 1 source is NOT current (within 5 years) but ALL are cited following APA format.	More than 2 sources are NOT current (within 5 years) and some are cited NOT following APA format.	All sources are NOT current (within 5 years) and some are cited NOT following APA format.

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

· Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide 
narrated PowerPoint presentation in which you do the following:

· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

· Add a lessons learned section that includes the following:

· A summary of the critical appraisal of the peer-reviewed articles you previously submitted

· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

LEARNING RESOURCES

Required Readings

· Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). 

The connection between evidence-based medicine and shared decision makingLinks to an external site.
. 
Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

· Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). 

Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statementLinks to an external site.
. 
Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

· Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). 

Measuring return on investment for professional development activities: Implications for practiceLinks to an external site.
. 
Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

· Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). 

Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision makingLinks to an external site.
. 
Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). 

Patient decision aidsLinks to an external site.
. Retrieved from https://decisionaid.ohri.ca/

  

1. Interoperability can only be achieved when provider organizations do the work necessary to participate. Do provider organizations have the necessary incentives to do that work?

2. Private health information exchanges seem to be growing at a faster pace than public health information exchanges. Public exchanges should arguably offer more value to patients and lower costs to provider organizations. Why the discrepancy?

3. The INPC, originated as a research project, was initially funded by grants and one of the ongoing value propositions is research use of the data. Is research necessarily critical to success of a health information exchange?

4. Establishing and operating a health information exchange requires a variety of investments including computing and network infrastructure, software systems of various types, legal and operational costs. Would you agree that data capture and normalization is the largest investment required?

5. Computing infrastructure, networking technology, software and clinical information standards will continue to evolve rapidly and investments in the technology will depreciate relatively rapidly. What are the core assets of an HIE if not these things?

Adult Health II

RUA: Practice Readiness Paper Guidelines

Purpose

The student will review the current NCLEX-RN® test plan and reflect on areas of opportunity and strategies to assist the student in the transition to practice. The student will assess clinical learning against the activity statements within the test plan and determine next steps to seek out new opportunities in future clinical experiences.

Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Provide effective professional nursing care for adult patients and their families in acute care settings using the nursing process. (PO 1)

2. Participate in health maintenance and health restoration activities as members of the health care team. (PO 2)

3. Demonstrate effective communication skills necessary for collaboration with other health team members and for providing professional nursing care to adult patients and their families. (PO 3)

4. Apply critical thinking strategies to make good clinical decisions in the adult patient clinical setting. (PO 4)

5. Assume responsibility and accountability for identifying own personal, educational, and professional goals. (PO 5)

6. Relate knowledge and principles of legal, ethical, and professional standards to clinical practice in the acute care setting, with adult patients and their families. (PO 6)

7. Exhibit behaviors consistent with professional nursing roles and responsibilities while providing cost-effective nursing care to individuals and families. (PO 7)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Write a 3-4-page summary paper (not including the title page or reference page) using APA format.

2. Include the following sections (detailed criteria listed below and in the Grading Rubric).

A. Introduction- 20 points/20 %

1. Offers a detailed description for the purpose of the paper.

2. Summarizes the 4 client need categories and sub-categories.

3. Describes why using the NCLEX-RN® test plan to guide practice readiness is important.

4. Explains why clinical self-assessment is important.

5. Describes how the activity statements help prepare you for practice.

B. Clinical Experience Reflection and Plan – 50 points/50%

1. Describes a unique clinical experience that you have encountered in the clinical setting.

2. Identifies 2 client need categories and 2 activity statements for each category that you had the opportunity to practice in the described experience.

3. Identifies the 2 client need categories and 2 activity statements for each category that you need more practice with in your future clinical experiences.

4. Provides a rationale for why these categories and activity statements were selected for seeking out new opportunities for practice.

5. Discusses 3 strategies you will use in your future clinical experiences to seek out practice opportunities.

C. Conclusion – 20 points/20%

1. Restates the purpose of the paper.

2. Summarizes the main points of the paper.

3. Offers final impression of why the NCLEX- RN® test plan is important.

4. Avoids presenting new information.

D. APA Style and Organization– 10 points/10%

1. References are submitted with assignment. 

2. Uses current APA format and is free of errors. 

3. Grammar and mechanics are free of errors. 

4. Paper is 3-4 pages, excluding title and reference pages. 

5. At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided. 

Adult Health II

RUA: Practice Readiness Paper Guidelines

Adult Health II

RUA: Practice Readiness Paper Guidelines

Adult Health II RUA: Practice Readiness Paper Guidelines © 2023 Chamberlain University. All Rights Reserved 1

Adult Health II RUA: Practice Readiness Paper Guidelines © 2023 Chamberlain University. All Rights Reserved 2

Grading Rubric: Criteria are met when the student’s application of knowledge demonstrates achievement of the listed outcomes.
 

Assignment Section and  Required Criteria  (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section Not Included
Introduction (20 Points/20% Points)	20 points	18 points	15 points	8 points	0 points
Required criteria.  1. Offers a detailed description for the purpose of the paper. 2. Summarizes the 4 client need categories and sub-categories. 3. Describes why using the NCLEX-RN® test plan to guide practice readiness is important. 4. Explains why clinical self-assessment is important. 5. Describes how the activity statements help prepare you for practice.	Includes 5 requirements for section.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 2 or fewer requirements for section.	No requirements for this section presented.
Clinical Experience Reflection and Plan  (50 Points/50 % Points)	50 points	44 points	38 points	19 points	0 points
Required criteria 1. Describes a unique clinical experience that you have encountered in the clinical setting. 2. Identifies 2 client need categories and 2 activity statements that you had the opportunity to practice in the described experience. 3. Identifies the 2 client need categories and 2 activity statements for each category that you need more practice with in your future clinical experiences. 4. Provides a rationale for why these categories and activity statements were selected for seeking out new opportunities to practice. 5. Discusses 3 strategies you will use in your future clinical experiences to seek out practice opportunities.	Includes 5 requirements for section.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 2 or fewer requirements for section.	No requirements for this section presented.

Conclusion  (20 Points/20 % Points)	20 points	18 points	15 points	8 points	0 points
Required criteria 1. Restates the purpose of the paper. 2. Summarizes the main points of the paper. 3. Offers final impression of why the NCLEX- RN® test plan is important. 4. Avoids presenting new information.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	No requirements for this section presented .
APA Style and Organization (10 Points/10% Points)	10 points	9 points	8 points	4 points	0 points
Required criteria  1. References are submitted with assignment.  2. Uses appropriate APA format and is free of errors.  3. Grammar and mechanics are free of errors.  4. Paper is 3-4 pages, excluding title and reference pages.  5. At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.	Includes 5 requirements for section.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 2 or fewer requirements for section.	No requirements for this section presented.
Total Points Possible = 100 points

 

Adult Health II RUA: Practice Readiness Paper Guidelines © 2023 Chamberlain University. All Rights Reserved 4

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Literature Review/Synthesis

Once you have thoroughly learned your studies (this is where the Table of Evidence you did previously will help you!), you need to communicate to your readers the level and quality of literature that was reviewed. The synthesis is a description of the entire body of literature that you have reviewed that supports your EBP project.  

 

Literature Synthesis = (100 points)

Purpose/Objective of this assignment is to:

1. Provide a 


synthesis and analysis

 of previously selected articles through a systematic review.

2. Evaluate the findings, identifying gaps in knowledge and implications for future research.

 

Assignment requirements: Students will utilize the articles selected to write a 

6 to 7 page
 review of the literature on the selected topic. Additional research articles may be included if necessary. (
Note that this is the first section of a two-section paper. (A 4 – 5-page paper discussing the clinical implications of the literature review findings on nursing practice will follow this literature review. See Assignment – Clinical Project: Clinical Implications Paper.) Include a background section.

1. Articles will be reviewed in an integrated manner. Summarize and provide a detailed synthesis of the information from all of your studies as it relates to the topic of interest.

2.

Must provide a synthesis and critical analysis of research designs, methodologies, sampling, independent and dependent variables, research findings, threats to reliability and validity. Discussion to include trends, areas of commonalities and differences in approaches.

3. Discuss outcomes and findings

4. All information must be cited and referenced appropriately.

5. Paper will utilize all appropriate APA 7th Ed guidelines for intro, conclusion, citations, references, document organization, formatting, academic language, and grammar. 
First person is not appropriate in this paper.

 

Topic: In mechanically ventilated patients in the ICU (P), does an oral care protocol using chlorhexidine mouthwash (I) compared to routine oral care (C) reduce the incidence of ventilator-associated pneumonia (O) over six months (T)?