Practice Issue and Evidence Summary Worksheets

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.
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC.
Your practice issue will be the same for all three Milestone assignments in this course.
Please type your answers directly into the worksheet.
Evidence Summary Worksheet Directions

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

If you could please use hospital acquired infections. It actually is on pre-surgical aseptic technique and if we should use have a cleanse prior to surgery.
Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database of Systematic Reviews 2015, Issue 2. Art. No.: CD004985. doi:10.1002/14651858.CD004985.pub5. Chamberlain Library Permalink: http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

Student Name: Date: 

Directions

  • Refer to the guidelines for specific details on how to complete this assignment.
  • Type your answers directly into the worksheets below.
  • Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
  • Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support):
What is the nursing practice issue you have identified related to the topic you have chosen?
Fully describe the scope of the practice issue:
What is the practice area?__x_ Clinical___ Education___ Administration___ Other (List): 
How was the practice issue identified? (check all that apply)__x_ Safety/risk management concerns__ Unsatisfactory patient outcomes___ Wide variations in practice___ Significant financial concerns
___ Difference between hospital and community practice__x_ Clinical practice issue is a concern___ Procedure or process is a time waster___ Clinical practice issue has no scientific base__ Other:
Describe the rationale for your checked selections:
What evidence must be gathered? (check all that apply)
___ Literature search__x_ Guidelines___ Expert Opinion__x_ Patient Preferences__x_ Clinical Expertise___ Financial Analysis_x__ Standards (Regulatory, professional, community)___ Other
Describe the rationale for your checked selections: 

Evidence Summary Worksheet 

Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:
Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA reference for any additional optional supplemental scholarly source related to the review you wish to use.
Identify the objectives of the article:
Provide a statement of the questions being addressed in the work and how these relate to your practice issue:
Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.
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. (If an optional supplemental source is also used, include a statement of relevance to it as well.)
Outline evidence-based solutions that you will consider for your project.
Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project.

List of Approved Systematic Reviews 

NR451 Capstone Project

Directions: Please choose ONE topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Obstetrics/Delivery

Lemos, A., Amorim, M. M. R., Dornelas de Andrade, A., Souza, A. I., Calbral Filho, J. E., & Correia, J. B. (2017). Pushing/bearing down methods for the second stage of labour.  Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD009124. DOI: 10.1002/14651858.CD009124.pub3.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD009124.pub3/full 

Moore, E. R., Bergman, N., Anderson, G. C., & Medley, N. (2016). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2016, Issue 11. Art. No.: CD003519. DOI: 10.1002/14651858.CD003519.pub4.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD003519.pub4/full 

Health-Associated Infections (HAI)

Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database of Systematic Reviews 2015, Issue 2. Art. No.: CD004985. doi:10.1002/14651858.CD004985.pub5.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD004985.pub5/full 

Wound Care

Moore, Z. E. H., Webster, J., & Samuriwo, J. (2015). Wound-care teams for preventing and treating pressure ulcers. Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD011011. doi:10.1002/14651858.CD011011.pub2.

Chamberlain Library Permalink: http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD011011.pub2/full 

Childhood/School Health

Janicke, D. M., Steele, R. G., Gayes, L. A., Lim, C. S., Clifford, L. M., Schneider, E. M., & … Westen, S. (2014). Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity. Journal of Pediatric Psychology, 39(8), 809-825. 

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

Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O’Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13(1), 1. doi:10.1186/1471-2318-13-70

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