...Nursing Research Utilization Project Proposal Abstract The issue of controlling and preventing hospital-acquired infections is a major problem in the Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital-acquired infection (Paterson, 2012). Some patients are more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital-acquired infections remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long-term care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care hospital setting. These are surgical site infections, central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance...
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...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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...CDT * 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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...History of Nursing Research Worksheet There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |First Published: 1952 (Burns & Grove, 2007. p. 9) | | |Importance: | | |“Research conducted by the ANA and other specialty groups provided | | |the basis for nursing practice standards that currently guide | | |professional practice. The increase in research activity in the | | |1940’s prompted the first publication of Nursing Research” (Burns & | | |Grove, 2007, p. 9). | |Sigma Theta Tau Journal published by this organization is |First Published: 1967 (Burns & Grove, 2007. p. 10) | |now called Image—The Journal of Nursing Scholarship...
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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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...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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...Perspective Essay One significant event in nursing research which created greater awareness for the need of utilizing research in clinical practice was the establishment in 1986 of the National Center for Nursing Research by congressional mandate. A primary function of the Center for Nursing Research was promotion of research projects that related to patient care. In this period nurses began formal projects to help with research utilization in clinical practice to enhance patient outcomes. During this time factors outside of nursing helped shape nursing research also. A clinical learning strategy designed by McMaster Medical School in Canada called evidence-based medicine had a major effect on all health care professions and how physicians and nurses made clinical decisions. This learning strategy paved the way for nursing research to incorporate evidence-based practice into the daily clinical practices and enhance patient outcomes. Nursing research focused on improved patient-nurse relationships and improved patient outcomes, strategies that nurses could utilize at the bedside to enhance patient care. With use of this learning strategy nursing developed nursing strategies that were centered around nursing diagnosis and not on medical diagnosis to effect patient outcomes. Interventions that nursing could use that were nursing related and did not require a physician’s order to implement. Today the National Center for Nursing Research continues to develop knowledge to build...
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...Introduction When one thinks about the historical developments in nursing research and research utilization, the statement is indeed true… that nursing has evolutionalized. This brief journey into historical research has been described by LoBiondo – Wood and Haber (1998) as ‘the systematic compilation of data, resulting from evaluation and interpretation of facts regarding people, events and occurrences of the past’ History is where we come from, who we are, and where we are going. History may not always repeat itself exactly, but knowledge of history can serve as a guide to avoiding pitfalls or mistakes similar to those in the past (Rees and Howell, 1999) Developments covered will include the work of Florence Nightingale, the development of the Nursing Science Journal and the Agency for Healthcare Research and Quality (AHRQ), the identification and development of the first nursing diagnosis conference and the development of the Healthy People 2010. Florence Nightingale is best known as the person who founded modern nursing. She chose nursing despite the disapproval of her family. Her choice to rebel against the traditional woman’s role as a wife and mother helped her as she started her initial research role by focusing on the patient’s physical and mental wellbeing and promoting a healthy environment. She is noted for her collection and analysis of soldier morbidity and mortality data during the Crimean War. The research enabled her to change the attitudes of the military and society...
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...and flexible staffing; and policies that protect both the patient and the nurse from inappropriate assignment or delegation of nursing responsibilities, activities, or tasks (American Nurses Association, 2015). How I accomplish these duties as the manager of the department...
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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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