/* nursingwritersbureau.com theme functions */ /* nursingwritersbureau.com theme functions */ {"id":6949,"date":"2020-08-20T09:33:58","date_gmt":"2020-08-20T09:33:58","guid":{"rendered":"https:\/\/nursingwritersbureau.com\/?p=6949"},"modified":"2020-08-20T09:33:58","modified_gmt":"2020-08-20T09:33:58","slug":"this-weeks-assignments-is-based-on-the-previous-assignment","status":"publish","type":"post","link":"https:\/\/nursingwritersbureau.com\/this-weeks-assignments-is-based-on-the-previous-assignment\/","title":{"rendered":"This weeks assignments is based on the previous assignment."},"content":{"rendered":"

Question description<\/strong><\/p>\n

<\/p>\n

Chamberlain College of Nursing<\/span>NR<\/span>451<\/span>\u00a0RN\u00a0Capstone Course<\/span><\/p>\n

Capstone<\/span>\u00a0Project<\/span>\u00a0Milestone 1<\/span>:<\/span><\/p>\n

Practice Issue and\u00a0Evidence\u00a0Summary\u00a0Worksheets<\/span><\/p>\n

Student Name:<\/strong>\u00a0Date:<\/strong><\/p>\n

Directions<\/strong><\/p>\n

1.\u00a0Refer to the guidelines for specific details on how to complete this assignment.<\/span><\/span><\/p>\n

2.\u00a0Type your answers directly into the worksheets below.<\/span><\/span><\/p>\n

3.\u00a0Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.<\/span><\/span><\/p>\n

4.\u00a0Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.<\/span><\/span><\/p>\n

Practice Issue Worksheet<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n
List the topic and include the citation for the systematic review you have selected:<\/strong><\/p>\n

The topic is\u00a0Hospital Readmissions.<\/span><\/p>\n

Citation for systematic review is Hall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol).\u00a0Cochrane Database of Systematic Reviews<\/em>, Issue 8. Art. No.: CD012315. DOI: 10.1002\/14651858.CD012315.<\/span><\/p>\n

Chamberlain Library Permalink:<\/span><\/p>\n

<\/u>http:\/\/onlinelibrary.wiley.com.chamberlainuniversi…<\/a><\/u><\/td>\n<\/tr>\n

What is the practice i<\/strong>ssue<\/strong>\u00a0you have identified related to the topic you have chosen<\/strong>?<\/strong><\/p>\n

The rehospitalization trend after discharge on grounds of the same illnes<\/span>s which prompts the hospital personal to come up with procedures that would\u00a0help reduce such\u00a0occurrences.<\/span><\/td>\n<\/tr>\n

Define the scope of the practice i<\/strong>ssue:<\/strong><\/p>\n

The clinical issue in this case is the worrying trend in readmissions from diagnoses such as\u00a0tracheostomy.<\/span>\u00a0It\u00a0is a\u00a0common issue in several\u00a0facilities that deal in inpatient and outpatient\u00a0facilities.In this case, it is limited to the recurring and heightened cases of children rehospitalization for respiratory illnesses that they had already been diagnosed and treated for. The scope of time is 60 days and the various interventions proposed are with regards to amending the discharge plans appropriately.<\/span><\/span><\/td>\n<\/tr>\n

What is the practice area?<\/strong><\/p>\n

___ Clinical<\/span>___ Education<\/span><\/p>\n

___ Administration<\/span><\/p>\n

___ Other (List):<\/span><\/td>\n<\/tr>\n

How was the practice issue identified?<\/strong>(check all that apply)<\/span><\/p>\n

___ Safety\/risk management concerns<\/span><\/p>\n

___ Unsatisfactory patient outcomes<\/span>___ Wide variations in practice<\/span><\/p>\n

___ Significant financial concerns<\/span><\/td>\n

___ Difference between hospital and community practice<\/span><\/p>\n

___ Clinical practice issue is a concern<\/span>___ Procedure or process is a time waster<\/span><\/p>\n

___ Clinical practice issue has no scientific base<\/span><\/p>\n

__ Other:<\/span><\/td>\n<\/tr>\n

Describe the rational<\/span>e<\/span>\u00a0for your checked selections:<\/span><\/p>\n

The issue of readmissions after a diagnosis and discharge can be noted through\u00a0managementconcerns since they are in a position to monitor patient activity and\u00a0take note of\u00a0repeat\u00a0patients.\u00a0In addition, the very fact that there was a large number of readmissions in the Unite demonstrated that the outcomes of these treatments were unsatisfactory and the patients themselves were not impressed that they had to return for the same procedures to conducted when they had already paid for such services.\u00a0Finally, the\u00a0manner\u00a0in which the patients were\u00a0discharged\u00a0was wanting. They were not educated in detail over what their treatment would look like after\u00a0leaving\u00a0the facility.\u00a0No\u00a0detaileddescriptions\u00a0of warning signs were offered, this in itself was a point of concern.\u00a0The remedy was\u00a0focused on discharge procedures because it is at this point that the\u00a0patient\u2019s\u00a0seem to get lost and lose contact with the\u00a0facilty.<\/span><\/td>\n<\/tr>\n

What evidence must be gathered?<\/strong>\u00a0(check all that apply)<\/span><\/td>\n<\/tr>\n
<\/p>\n

___\u00a0Literature search<\/span><\/p>\n

___ Guidelines<\/span><\/p>\n

___ Expert Opinion<\/span>___ Patient Preferences<\/span><\/td>\n

<\/p>\n

___ Clinical Expertise<\/span><\/p>\n

___ Financial Analysis<\/span>___ Standards (Regulatory, professional, community)<\/span><\/p>\n

___ Other<\/span><\/td>\n<\/tr>\n

Describe the rational<\/span>e<\/span>\u00a0for your checked selections:<\/span><\/p>\n

Literature<\/span>\u00a0research is essential in gathering data on the various trends that have been observed by other scholars in the rates of readmission on hospitals and specifically to certain diseases.<\/span>Additionally,\u00a0guidelines from scholars and approved manuals are important as they demonstrate what is considered the best practice in such cases.\u00a0Expert opinion would be gathered from hospital management, nurses and doctors, it would ne invaluable in giving a localized view of the issue at the hospital level.\u00a0Experts are often at par with current research and have first hand experience in the field.\u00a0My clinical expertise within the duration I was at the facility as well as that of fellow staff members is important as well. It may not be documented but it can shed a light on how things are implemented on the ground with regards to diagnoses, discharge procedures and readmission rates. Regulatory standards and legal provisions are paramount in this research since they show the direction that\u00a0facilities\u00a0are expected to turn in case of certain cases.\u00a0They could demonstrate weakness in facility practices or they themselves could have fundamental flaws.\u00a0The regulations that are relevant are those that pertain to hospital discharge procedures and cases of return patients. These\u00a0regulations\u00a0and\u00a0procedures\u00a0can be from the government or industrial\u00a0bodies and\u00a0policies.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/a>Evidence\u00a0<\/strong>Summary<\/strong>\u00a0Worksheet<\/strong><\/p>\n

Directions<\/strong>: Please type your answers directly into the worksheet.<\/span><\/p>\n\n\n\n\n\n\n\n
Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:<\/span><\/p>\n

The practice problem is rehospitalization for the same diagnosis<\/span>\u00a0within\u00a0two\u00a0months.\u00a0The patients\u00a0(children)\u00a0with chronic respiratory conditions have been noted to return to the\u00a0facilityafter\u00a060 days\u00a0of discharge.\u00a0This is a significant problem since over 60% of the patients are affected.\u00a0This is a problem that has had the registered nurse\u2019s attention and they have hypothesized on some of the possible causes that may contribute to this phenomenon.<\/span><\/td>\n<\/tr>\n

Type<\/span>\u00a0the complete APA reference for the systematic review article you chose from the list provided,\u00a0It\u00a0must be\u00a0relevant to the practice\u00a0issue\u00a0you described above.<\/span><\/p>\n

Hall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol).\u00a0Cochrane Database of Systematic Reviews<\/em>, Issue 8. Art. No.: CD012315. DOI: 10.1002\/14651858.CD012315.<\/span><\/p>\n

Chamberlain Library Permalink:<\/span><\/p>\n

<\/u>http:\/\/onlinelibrary.wiley.com.chamberlainuniversi…<\/a><\/u><\/td>\n<\/tr>\n

Identify the\u00a0objectives of the article.<\/span><\/p>\n

The article is a protocol that evaluates the effectiveness of discharge plans that are assigned to individual case\u00a0workers\u00a0and\u00a0non-caseworker\u00a0plans as far as\u00a0prevention\u00a0of\u00a0hospitalization\u00a0of children with chronic\u00a0respiratory\u00a0diseases\u00a0are\u00a0concerned, in particular,\u00a0asthma and bronchiectasis.<\/span><\/p>\n

P<\/span>rovide a statement of the questions being addressed in the work\u00a0and how they relate\u00a0to yourpractice issue:<\/span><\/p>\n

The questions being tackled in t<\/span>he article\u00a0are whether case assigned discharge plans are effective as\u00a0opposed\u00a0to\u00a0self-management\u00a0plans in preventing rehospitalization stemming from\u00a0exacerbated\u00a0chronic illnesses in children.\u00a0This relates to my work because I am conducting a case at my work facility that examines the potential cases for readmission for the same diagnosis in children with chronic illnesses.<\/span><\/td>\n<\/tr>\n

Summarize (in your own words) the interventions the author(s) sugg<\/span>est to improve patient outcomes.<\/span><\/p>\n

The intervention that the authors suggest to improve patient outcomes is the assignment of a caseworker to a patient upon admission.\u00a0This\u00a0would\u00a0work through a variety of ways\u00a0that\u00a0include;enhancing the\u00a0communication\u00a0between the patients and service providers, a rapport that improves efficacy of\u00a0self-management\u00a0plans.\u00a0This approach also allows for coordinated care beyond the medical facility and into the patient\u2019s home.\u00a0Finally, it would result in improved education in this area and in the health industry as a whole.<\/span><\/p>\n

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper.<\/span><\/p>\n

The article found that traditional\u00a0discharge\u00a0plans are often based on the medical staff\u2019s\u00a0evaluation of a patient and his\/ her condition.\u00a0They fail to accommodate for other aspects of the condition such as emotions that may impact the patient. These are common in an environment away from the controlled hospital scenario.\u00a0On the other hand, the article found that Self-management plans are an invaluable improvement over the traditional systems of hospital discharge but\u00a0still\u00a0lacking in the aspect of follow up procedures that allow patients to benefit from first hand experience and help.\u00a0The authors\u00a0finalize by establishing that the case assigned model might work mush better since it is patient specific and allows for a follow up session at home, which is dynamic and important in tackling possible issues that may arise and prevent rehospitalization of the children.\u00a0The evidence offered for this data and interventions is in the form of references to appropriate journals and credible authors.\u00a0It is an exploratory research that relies of preestablished information from credible sources.<\/span><\/td>\n<\/tr>\n

Outline evidence-based solutions<\/span>\u00a0that you will consider for your project.<\/span><\/p>\n

The evidence based solutions that\u00a0I would consider for my project are;<\/span><\/p>\n

use of the case assigned physician approach<\/span>.<\/span><\/p>\n

Educating the patients on the approaches that they would employ in managing the chronic conditions at home, in this case, the parents would be the ones given the education on how to take care of their children.<\/span><\/p>\n

Another solution is providing avenues for prompt reporting form the patients to the assigned officers. This helps avert situations where the guardians are not sure how to handle the\u00a0patient\u2019s condition.<\/span><\/p>\n

Finally,\u00a0I would advocate for\u00a0adherence\u00a0to\u00a0procedures\u00a0and medication as a viable method of halting or reducing the issue of rehospitalization.<\/span><\/p>\n

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.<\/span><\/p>\n

The limitation to the study performed is the fact that it has relied heavily on previously established information and there are no fresh\u00a0experimentsconducted by the authors. This\u00a0means\u00a0that what I would find within the research has already been covered in the\u00a0literaturereview\u00a0section\u00a0of my\u00a0paper.\u00a0As a matter of fact, some of the data is about 8 years old and some is from 2001. The latest data used is from 2016. This would mean that I would have to find current data on the issue from reliable journals that have been published lately.\u00a0Additionally, the authors discuss how their approach might work, as\u00a0opposed\u00a0to whether it actually works. This\u00a0means\u00a0that it has not been tested but the\u00a0probability\u00a0of it working is high, according to the author. This leaves such information\u00a0in an unreliable context that may not be useful for this\u00a0research. However, the paper is useful in\u00a0pointing\u00a0me in the direction which the research on the\u00a0topic\u00a0is focused.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
NR451<\/span>\u00a0W<\/span>3 MS1 Practice Issue and Evidence Summary Worksheets\u00a04\/22\/17 GH<\/span><\/td>\n6<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Week 4: Capstone Project: Milestone 2: Design Proposal (graded)<\/h1>\n

CAPSTONE PROJECT MILESTONE 2: DESIGN FOR CHANGE PROPOSAL GUIDELINES<\/strong><\/h3>\n

Updated 9\/7\/2017<\/em><\/p>\n

Purpose<\/strong><\/p>\n

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.<\/p>\n

Course Outcomes<\/strong><\/p>\n

This assignment enables the student to meet the following course outcomes.<\/p>\n