How to reduce hospital readmission

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How to reduce hospital readmission

Question descriptionClear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.
Practice Issue Worksheet
TOPIC: Hospital Readmissions
Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., & … Montori, V. M. (2014). Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Internal Medicine, 174(7), 1095-1107. doi:10.1001/jamainternmed.2014.1608

  1. Follow the grading criteria below to formulate your practice issue (for example how to reduce hospital readmissions), which must be based on the topic of the systematic review you have selected. I chose Hospital readmissions as my topic using that specific reference listed above.

Evidence Summary Worksheet Directions

  1. Develop an evidence summary by following the grading criteria below.
  2. Document this on the evidence summary portion of the worksheet.
  3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
  4. Please type your answers directly into the worksheet.

Preventing central venous catheter-related infections

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Practice Issue and Evidence Summary Worksheet/completion of ONE form with two worksheets​

Question descriptionPurpose
Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.
Course Outcomes
This assignment enables the student to meet the following course outcomes:

  • CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
  • CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.) Please type your answers directly into the worksheet.My topic is :

Preventing central venous catheter-related infections

Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2.
Chamberlain Library Permalink: http://onlinelibrary.wiley.com.proxy.chamberlain.edu:8080/doi/10.1002/14651858.CD010140.pub2/full
Info to access the article: D40636555
198302
My clinical Question asked using PICOT method is, In patients who are adults (population), how effective is skin antisepsis regimen (Intervention) as compared to no skin antisepsis (Comparison intervention) in controlling central venous catheter-related infections (Outcome) with time? Since the PICOT method stands for Population Intervention Comparison Outcome and Time, the intervention question is formulated as follows:
Population- It could be children, adolescents, adults or the elderly. In this case, it is Adults with CVT
Intervention: The method used for treatment. In this case, it is, skin antisepsis regimen
Comparison intervention: The method used to establish a comparison with the proposed method. In this case, it is no skin antisepsis
Outcome: The results of treatment of the disorder or disease. In this case, it is, Controlling central venous catheter-related infections
Time: With time
The question on the use of antiseptic to reduce the susceptibility of patient contracting infections related to the central venous catheter is very critical in my current and future practice as a nurse. Since most patients admitted required blood transfusion, fluids, as well as medication to be injected into the body through the CVT, it is critical to identify whether in antiseptics are useful as an intervention strategy to control infections or not. The current gap that requires to be adequately filled in the determination of an intervention strategy that will be most effective in significantly reducing the patient contracting infections along the where the CVT is inserted into the patient’s body.

Write a 500-750 word description of your proposed capstone project topic

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Write a 500-750 word

Question descriptionDetails:
In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.
Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Nursing Research in Evidence-Based Practice

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Nursing Research in Evidence-Based Practice

Question descriptionBeing able to identify proper research literature is primary to developing your end of program capstone project.
Tasks:
Access Argosy’s electronic library databases and conduct a search for nursing research literature that is relevant to your anticipated capstone focus. Develop an annotated bibliography of this literature and identify two research articles, one qualitative and one quantitative, that are specific to your capstone focus.

  1. The annotated bibliography should consist of no fewer than 10 research articles and should broadly represent the literature available that is related to your capstone focus.
  2. Select one article that is a report of qualitative nursing research and one article that is a report of quantitative nursing research.
  3. Analyze and state the differences between the two chosen articles using the listed components on the Research Article Analysis form provided (i.e., problem statement, purpose, research objectives).
  4. Your final product should include the annotated bibliography, a completed Research Article Analysis Form, and a narrative (1–2 pages) in which you differentiate between the two types of research and explain the importance of both types in evidence-based nursing practice.

Note: For the annotative bibliography, the 10 articles need to be listed in alphabetical order and all key ideas need to be summarized and evaluated. Articles used for the Research Article Analysis Form should be clearly identified using APA format and including the database source.
Support your findings with examples and scholarly references. Apply APA standards to citation of sources.