Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

Note: Have an APA Level 1 header for Each Area Noted below in Blue (a level 1 header is centered, bolded, using upper and lower case letters—see APA manual area 3.03)
Grading Area Points Possible Points Earned
Potential areas for earning points:
Header: Summary of Practice Issue Summary of practice issue. (Note: The issue you select must be suitable for completing the entire EBP Project in 8410.) 2 1.5
Header: Exploration of Research Literature Exploration of the research literature on this issue. 3 2.75
High level of scholarship commensurate with doctoral level evident 1 1
Potential areas for losing points:
Grammar, Spelling, and APA errors Up to 2 pt. deduction -0
Went Over Page Limit (2 pages max) Up to 2 pt. deduction -0
*Improper credit & citation issue 1-6 pt. deduction -0
Sent back to re-do 1 pt deduction -1
Late Submission (posted X.XX.20XX, due X.XX.20XX ) 20% deduction (1.2 pts) per day late (per syllabus) n/a: posted on time
6 Total Points possible 4.25 Total Points Earned
In this assignment you were consider a practice issue at your practicum site, summarize that issue, and outline the research literature associated with it. Please see my edits/notes below. Good job! Some things for ALL to remember/consider (you may have done this already-this is just a gentle reminder): · Use a heading for each of the main areas noted in the assignment grading rubric for all assignments (I posted the rubrics in the announcement area-the headers to be used are in blue font). · Related to your topic of interest, does the agency have a process/policy/clinical practice guideline/practice approach/nurse education/patient education in place already? All of them? Are they being implemented according to the best evidence? If not, could that be an appropriate focus for your project? · How will you go about updating the processes/policies/education materials so they are more consistent with national recommendations/guidelines/research? · What is your revised PICOT for this EBP (PICOT was not a mandatory part of the paper—but it is nice to tie this all together at the end of your paper with that information). · *All students should review their Safe Assign reports regularly (use the draft folders to run a report prior to submitting your assignment). You should not have more than 3 words in a row that are the same as another source unless you use quotation marks and properly cite that source (with author, year, and page number). You need to reword your paper to avoid this. You should reserve using quotations for the rare instances wherein you cannot reword information without losing meaning. Also, you need to cite each sentence with information that a layperson would not know. There are many resources online that you can use to review proper citation and common plagiarism errors. All students should review the Walden Plagiarism Tutorial at . Please explore these topics. Thank you! Tracy Practice Issue for the Evidence-Based Practice (EBP) Project Anne Marie WouapetName Walden UniversitySchool NURS 8410 Section 01, Best Practices in Nursing SpecialtiesClass September 12, 2018Date Summary of Practice Issue Patients in need of critical care have a lot of demands for the safety and quality of their care to be maintained. One clinical issue that has been identified in care for critically ill patients is hospital admission over an extended period. Several patients in the intensive care unit (ICU) are admitted for too long leading to negative impacts on their experiences and health outcomes. Delayed discharge of ICU patients is a problem that affects many healthcare facilities. Many researchers have studied the effects of delayed discharge, and some studies indicate a close relationship between delayed discharge and factors such as hospital readmission and patient mortality. Throughout this paragraph—you have made several statements that are not well-known concepts by a lay person—thus you need to cite each of those sentences. This evidence-based project aims to prove that early mobilization of ICU patients can speed up their recovery process and lessen the time of admission leading to positive patient outcomes and experiences. Comment by Tracy Wright: This is not in line with an EBP project. EBP project are not research…they are not to “prove” anything. Rather, they take high-level and multi sources of research that have already proved a concept and implement that evidence in a practice setting. Exploration of Research Literature A longer length of stay has been confirmed as a serious practice issue in healthcare by numerous studies—you can’t say this without giving citations. For example, Schneider et al. (2012) conducted a study investigating how a longer hospital stay affected patients of colon cancer who had undergone a colorectal surgery. The study found that the length of stay is directly proportional to readmission and mortality rates (Schneider et al., 2012). This evidence shows that it is crucial to develop strategies to speed up patients' recovery process to reduce their admission length of stay in critical care. This project recommends that early mobilization of the patients be used as a strategy to reduce the length of ICU stay and in turn cause positive patient experiences and outcomes. This intervention has been studied in the past and found to have positive effects on critical care patients. Adler and Malone (2012) conducted a study that found that enhanced physical activity in critical care patients improves the recovery process. Similarly, Denehy, Lanphere and& Needham (2017) evaluated various positive effects that mobilization of ICU patients can have on their health outcomes. These studies confirm that the proposed intervention for this project will yield positive results. This literature evidence also shows that early mobilization of patients can aid in quick recovery. Nonetheless, this method has been applied in my clinical area; however, but there has not been any significant change in the patients' speedy recovery, and hence, length of ICU stays. Therefore, there is a need to implement some changes in the way this intervention is implemented to yield positive results. What makes this intervention different is that it puts focus on the challenges and barriers that have prevented previous mobilization strategies from being effective. Holdsworth (2015) found that the perceptions of clinicians and the limitation of staff members prevent consistent mobilization of patients. This project will pay attention to these barriers by focusing on assigning specific health workers to critical care patients and educating them on the importance of the process so that they can do it efficiently. The consistency of this intervention is likely to yield better results that have been done in the past. Conclusion It is essential to reduce the length of stay for ICU patients to increase the rate of positive outcomes in critical care. As this paper demonstrates, research shows that longer hospital admissions are associated with adverse outcomes. This evidence-based project proposes a strategy of early patient mobilization to speed up the recovery process so that patients can be ready for discharge within a shorter period. References

Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

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