...Nursing Research Utilization Project Proposal Tamra Sanders Nur/598- Research Utilization Project June 2, 2014 Patricia Dehof Nursing Research Utilization Project Proposal In the United States, 15-25% of patients who are in the hospital have urinary catheters and 75% of urinary tract infections are associated with a urinary catheter. The most vital risk for acquiring a catheter-associated UTI (CAUTI) is the extended use of a urinary catheter. Catheter-associated urinary tract infection (CAUTI) causes an increase in morbidity, mortality, hospital cost, and length of stay. There are approximately 380,000 infections and 9000 deaths related to CAUTI’s per year. CAUTI’s can increase a patient’s hospital stay by 2-4 days. The cost, in United States hospitals, per year, is over 500 million dollars to treat CAUTI’s (Centers for Disease Control and Prevention, 2012). Having a urinary tract infection can lead to unnecessary antimicrobial use, and the urinary drainage system of the urinary catheter can harbor multidrug-resistant bacteria, which can spread to other patients (Centers for Disease Control and Prevention, 2012).This paper, the nursing research utilization proposal, will focus on preventing CAUTI’s. The key resolution to prevent CAUTI’s is to implement a quality improvement (QI) program to improve the appropriate use of indwelling catheters and to reduce the risk of CAUTI’s based on health care organization’s risk assessment. A quality improvement program will make...
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...Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and Tschannen and Ms Lee). This project was funded...
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...in a dialysis facility, the family must serve as a system in support of the individual family member. The family often plays a role in assisting in the plan of care, as the individual suffering from kidney disease will have the support system needed in caring for themselves and will not have to serve as the sole provider of self- care. In some cases the ill individual cannot play a role in self-care. The family can play a role in the individual’s recovery by coming together as one to support healing, or simply identifying, and achieving individual health goals. All individuals in the dialysis unit develop a plan of care with the assistance of a multi- disciplinary team, including the patient, family members, dietitian, nursing, physicians, and social work. In some cases change is dialysis modalities decisions must be made primarily based on known individual wishes or documents, and the support of the family. Even when a patient in the dialysis unit has an opportunity to voice their concerns...
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...Nursing Research Utilization Project Proposal Sally Martin Torres NUR 598 September 11, 2011 Dr. Veta Massey Nursing Research Utilization Project Proposal Section D: Methods of Implementation Health care throughout the history has shown many changes. Every change brings in challenges in a workplace because change is more often met with resistance. It also brings in innovative ideas that steers the organization’s advancement and performance. The major motivation of change in this organization is to sustain a successful future in its continuum. For change to succeed, brilliant strategy, and clever implementation are necessary (Gandossy and Sonnenfield, 2004). Organizing the Plan The problem that was stated in Part A of this proposal was medication error and the organization is aiming at reducing the incidents of administration errors that involve medications. Although there are three proposed solutions, the one that gained the highest priority is the use red disposable apron during the medication rounds. This type of innovation is cost-effective, requiring short staff in-service by the nurse clinical educator, it is maintenance free, and does not require space for storage. This intervention will also allow a less difficult data collection for measuring outcomes. Every institution requires the approval of the Chief Nurse Officer (CNO) to pilot an intervention. The intervention will be introduced in a small 30-bed medical-surgical unit which will last for four months...
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...Nursing Research Utilization Project Proposal: Topic Selection Amanda Reese NUR/598 June 16, 2015 Patricia Dehof Nursing Research Utilization Project Proposal: Topic Selection Dementia is a broad spectrum umbrella word that encompasses many disorders that affect a patient and memory loss. There is Alzheimer’s type dementia, Lewy Body Dementia, delirium and more. As the general population in the United States gets older dementia becomes more and more of a problem. Generally speaking healthcare staff is not adequately educated and trained in dementia and the proper treatment of patients. There are several courses that are offered but there are very few policy and procedures in health care facilities regarding training people to care for dementia patients, and there are very few dementia programs within hospital settings. Topic Selection The topic selection for this paper is the need for dementia programs and policy and procedure related to the care of the dementia patient. The goal for the facilities would be to establish a care team that would be knowledgeable in the care of the different types of dementia. The team would be able to educate families as well as staff and be a resource. A team could examine the best ways to prevent injury to the patients that are in an unfamiliar hospital care environment and help work with the family to aid in the transition between home, the hospital and back again. With the knowledge the team has they can institute a policy and familiarize...
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...|[pic] |Syllabus | | |College of Nursing | | |NUR/598 Version 4 | | |Research Utilization Project | Copyright © 2011, 2009, 2005, 2004, 2001, 2000, 1999 by University of Phoenix. All rights reserved. Course Description This is a graduate research course that focuses on the use of a body of nursing knowledge and scientific knowledge in the nursing practice setting. Students develop a proposal to address a problem or concern in the nursing practice, propose an evidence-based solution, develop an implementation and evaluation plan, and describe implementation strategies for the proposed solution. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be...
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...Harold Girado, Rebecca Madden University of Phoenix Research Utilization Project NUR/598 Dr. Ashley Garneau December 09, 2012 The Magnet Certification The demand on improving the quality of service imposed by the Magnet certification on performing the health care needed solutions to solve global issues, such as nursing shortage, and the way the health system is developing. Based on research utilization proposals and highly trained staff, from management training, as well to support, and to nurse executives patient safety and health care quality is applied based on performance improvement projects. The components of a Model Magnet are exceptional professional practice, transformational leadership, empowerment, based on knowledge and innovation (American Nurses Credentialing Center, 2012). Magnet is something that demonstrates achievement. Magnet standards are also a set of standards to move toward (Chaney, 2002). The Forces of Magnetism According to, the American Nurses Credentialing Center (2012), in 1983 a research study was performed that identified 14 characteristics that differentiated the hospitals best able to recruit and retain nurses. These characteristics became the “Forces of Magnetism” that form the conceptual framework for the Magnet Recognition Program. They are a designation that indicates excellence in nursing practice. According to the ANCC, the forces are described as high-quality nursing leadership, an organizational structure that places...
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...* ID: 445025269 * Word Count: 454 * Submitted: 1 WEEK 1 DRAFT 3 By Calene Roseman Similarity Index 1% Similarity by Source Internet Sources: 0% Publications: 1% Student Papers: N/A include quoted include bibliography exclude small matches download refresh print mode: 1% match (publications) Kim, S. H., A. Yu, J. H. Jung, Y. J. Lee, and E.-S. Lee. "Incidence and Risk Factors of 30-Day Early and 90-Day Late Morbidity and Mortality of Radical Cystectomy During a 13-Year Follow-up: A Comparative Propensity-score Matched Analysis of Complications Between Neobladder and Ileal Conduit", Japanese Journal of Clinical Oncology, 2014. Calene Roseman NUR / 544 Nursing Research Utilization Project August 18, 2014 Dr. Margarret Colucceillo 2 Nursing Research Utilization Project Proposal Clinical issue: The improvement of morbidity and improved recovery for patients with bladder cancer. Undergoing radical cystectomy with ileal conduit (Castle. & Pruthi,2013) The problem that I identified and needs a solution is the improvement of post-operative outcomes and morbidity for bladder cancer patients undergoing radical cystectomy with ileal conduit (Kim.Yu.Jung.Lee.& Lee.2013)With the aim to discharge patients using fast track and clinical pathways and improve quality of life and morbidity. Radical cystectomy is a serious and extensive surgery not without risk and complications, hence the fact that complications occurs frequently. (Kulkarni. 2011) the standard...
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...The Significance of Having a Multidisciplinary Team 3 Abstract The growing prevalence and hospital acquired pressure ulcers is an immediate concern. The major challenge is the A major challenge is the lack of knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually)...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...Danielle Pizzoferrato NUR/598- Nursing Research Utilization February 10, 2014 Professor Maria Revell Improving Hand Hygiene through Education Section C: Research Support There has been a plethora of research compiled in regards to hand hygiene and infection control. This research has been the driving force behind evidenced based practice for years and has helped revolutionize effective infection control methods. There are still many gaps to be filled. One of the biggest happens to be improving compliance rates among hand hygiene. This has been classified as a problem, but there is not a large array of research on specific interventions. One of the interventions that have been put under the microscope is the effect that education plays on change behavior to increase hand hygiene compliance. The following research articles emphasize this intervention. Article 1 The first article was entitled “Increasing Hand Hygiene Compliance Requires Culture Change” written by Treon, Kelley, Kneebone, and Miles (2007). The purpose of this research focused on designing an innovative educational intervention to increase overall awareness of infection control practices, and to increase overall hand hygiene compliance. The research question proposed was looking to determine if education can cause change behavior and increase hand hygiene adherence. The design of this research consisted of both qualitative and quantitative research providing a blended project. Likert surveys about infection...
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...Nursing Research Project Teen Pregnancy Prevention Program Abstract The issue of controlling and preventing teenage pregnancy is a major problem in society. Teenage pregnancy is a significant health issue that plagues our nation and communities. Community and public health nurses are faced with the challenge of addressing teen pregnancy, a monumental health issues that affect vulnerable populations in society. Effectiveness of healthcare interventions depends in part, on the approach that is taken in addressing the presenting issues (Shi & Stevens, 2005). Factors that contribute to teenage pregnancy span socioeconomic, cultural, and psychological issues that are perpetrated by individual characteristics (of the teenagers), peers, family members, and the greater society (Maurer & Smith, 2009). Data from the Centers for Disease Control and Prevention note that in 2009, more than 500,000 children were born to mothers of ages 15 to 19 years, at a rate of 45.5 per 1000 mothers (Centers for Disease Control and Prevention, 2010, para. 1). Teenage pregnancy, a public health priority for youths, is a multifaceted health issue that is influenced, in part, by socioeconomic factors such as peer pressure, low income of families, and the media (Maurer & Smith, 2009; The National Campaign, 2010). Likewise, teenage pregnancy also creates socioeconomic and health problems for teenage mothers, teenage fathers, their children, and society. Some of the effects of...
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...Teen Pregnancy Prevention Program Dotlyn Robertson NUR/598 July 8, 2013 Pat Jamerson, RN, PhD Abstract The issue of controlling and preventing teenage pregnancy is a major problem in society. Teenage pregnancy is a significant health issue that plagues our nation and communities. Community and public health nurses are faced with the challenge of addressing teen pregnancy, a monumental health issues that affect vulnerable populations in society. Effectiveness of healthcare interventions depends in part, on the approach that is taken in addressing the presenting issues (Shi & Stevens, 2005). Factors that contribute to teenage pregnancy span socioeconomic, cultural, and psychological issues that are perpetrated by individual characteristics (of the teenagers), peers, family members, and the greater society (Maurer & Smith, 2009). Data from the Centers for Disease Control and Prevention note that in 2009, more than 500,000 children were born to mothers of ages 15 to 19 years, at a rate of 45.5 per 1000 mothers (Centers for Disease Control and Prevention, 2010, para. 1). Teenage pregnancy, a public health priority for youths, is a multifaceted health issue that is influenced, in part, by socioeconomic factors such as peer pressure, low income of families, and the media (Maurer & Smith, 2009; The National Campaign, 2010). Likewise, teenage pregnancy also creates socioeconomic and health problems for teenage mothers, teenage fathers, their children, and society...
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...Increasing Nursing Compliance with Safe Medication Preparation and Administration Marie Shelly Capstone Course Increasing Nursing Compliance with Safe Medication Preparation and Administration The importance of safe medication preparation and administration in healthcare settings is being increasingly recognized. There have been numerous publications describing the transmission of bloodborne pathogens, viruses, and bacteria related to unsafe injection practices. The current field of nursing requires concerned parties to exercise a critical appraisal of research findings, and, establish a synthesis of contextual and empirical evidence that is relevant. However, practitioners have not established better alternatives regarding their practice. In addition, the essential evidence-based methods and critical skills in thinking are still lacking; yet they are ideal for the maximization of the cost-effectiveness and quality of health care (Camiletti, & Huffman, 1998). The Center for Disease Control reported that between 1998 and 2008 a total of 33 outbreaks of patient to patient transmission of HBV or HCV due to breaches of infection control by health care personal (http://www.cdc.gov/injectionsafety/CDCsRole.html1). More than 60,000 patients were at risk and 448 patients acquired with HBV or HCV. The disease transmission was primarily from lapses in aseptic technique, the reuse of syringes and contamination of medications that were multi-dose vials. In 2001(Luby, 2001) The World...
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...MNUALLL/301/0/2013 Tutorial Letter 101/0/2013 General tutorial letter for proposal, dissertation and thesis writing MNUALLL Year module Department of Health Studies IMPORTANT INFORMATION: This tutorial letter contains important information about your module. Note: Copyright pertaining to Mouton (2006) has been ceded to Unisa CONTENTS Page 1 2 2.1 2.2 2.3 2.3.1 2.4 2.5 2.6 2.7 2.8 3 3.1 3.2 3.3 3.4 3.5 4 4.1 4.2 4.3 4.4 4.5 4.6 5 5.1 5.2 5.2.1 5.2.2 2 WELCOME ................................................................................................................................... 6 SECTION 1: BEING REGISTERED FOR THE RESEARCH PROPOSAL MODULE (RPM) .... 7 Introduction ................................................................................................................................... 7 Application .................................................................................................................................... 7 Registration for Research Proposal Module (RPM) ...................................................................... 7 Registration................................................................................................................................... 8 Appointment of supervisor ............................................................................................................ 8 Guidelines for writing a proposal ...............................................................................................
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