Recommending an Evidence-Based Practice Change

Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect      on the four peer-reviewed articles you critically appraised in Module 4,      related to your clinical topic of interest and PICOT.
  • Reflect      on your current healthcare organization and think about potential      opportunities for evidence-based change, using your topic of interest and      PICOT as the basis for your reflection.
  • Consider      the best method of disseminating the results of your presentation to an      audience.

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly      describe your healthcare organization, including its culture and readiness      for change. (You may opt to keep various elements of this anonymous, such      as your company name.)
  • Describe      the current problem or opportunity for change. Include in this description      the circumstances surrounding the need for change, the scope of the issue,      the stakeholders involved, and the risks associated with change      implementation in general.
  • Propose      an evidence-based idea for a change in practice using an EBP approach to      decision making. Note that you may find further research needs to be      conducted if sufficient evidence is not discovered.
  • Describe      your plan for knowledge transfer of this change, including knowledge      creation, dissemination, and organizational adoption and implementation.
  • Explain      how you would disseminate the results of your project to an audience.      Provide a rationale for why you selected this dissemination strategy.
  • Describe      the measurable outcomes you hope to achieve with the implementation of      this evidence-based change.
  • Be      sure to provide APA citations of the supporting evidence-based peer      reviewed articles you selected to support your thinking.
  • Add      a lessons learned section that includes the following:
    • A       summary of the critical appraisal of the peer-reviewed articles you       previously submitted
    • An       explanation about what you learned from completing the Evaluation Table       within the Critical Appraisal Tool Worksheet Template (1-3 slides)

the aging process.

the aging process.

Define aging from biologic, sociologic, and psychological theories.


Identify the different theories and their implications on the aging process.
Define aging from biologic, sociologic, and psychological theories.

  1. Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
  2. Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
  3. Based on your experience what health promotion strategies would you recommend to facilitate successful aging?

Adams’ Equity Theory

Adams’ Equity Theory

evaluate the theory in terms of explanatory adequacy for an area of nursing knowledge

explain why you have a chosen it

diagram the theory for logic

analysis/evaluate according to a specific framework

define the concept in terms of:

meaning and measurement

explain and diagram how the concepts relate to each other.

explain how propositions and potential propositions relate to the nursing area.

explain how the theory potentially may help build scientific knowledge in nursing.

Foundations of Pathophysiology

Foundations of Pathophysiology

Case Study: Scope of Pathophysiology

Mr. Reynolds, age 65, is slowly recovering from a recent heart attack. He has a history of emphysema but is having more difficulty breathing. He dislikes medications and any form of therapy.

Question 1

Using normal anatomy and physiology. Discuss how impaired ventilation can interfere with cardiac recovery and function.

Based on the patient’s medical history and his feelings about recovery programs. In conjunction with the patient’s need for medications and other therapies. Discuss the need for medication and participation in recovery programs and possible strategies. And the roles of other professionals in support of his recovery from the heart attack and to manage his respiratory condition.

Diagnostic Principles

Case Study: Diagnostic Principles – Gastric Ulcer

Ms. W. is a 55-year-old patient who consulted her physician because of recurrent epigastric pain. And nausea and two recent episodes of vomiting. In which the emesis was dark-colored. And granular in appearance. Her history includes heavy alcohol use, cigarette smoking. And persistent headaches. She has not followed all her physician’s previous recommendations. But has been controlling her headaches by taking two aspirins every few hours. Following tests. Ableeding gastric ulcer was diagnosed.

Question 1 , 2, 3, 4Discuss

the factors contributing to Ms. W.’s condition.

synergism, antagonism and potentiation as they apply to this case.

 the potential effects of increased bleeding from the ulcer.

issues related to patient compliance.

Case Study: Inflammation and Healing – Fracture and Swelling

JL, a 50-year-old woman, fell. And broke the left tibia at the ankle. She is in the emergency department. Waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made.

Question 1 What is the cause of pain. And swelling? What can JL expect in the days to come as inflammation resolves and healing begins?

Question 2

What is the rationale for immobilizing the fractured bone?

Question 3

She is told to come back to the fracture clinic in 24 hours to have her cast checked. What could happen to the inflamed tissue if the edema increases in the casted area?

Question 4

She reports feeling fatigued and anorexic. And has a low-grade temperature. What is the cause of these symptoms?

history of intermittent midepigastric pain

J.G. is a 42-year-old white man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin.

Diagnosis: Peptic Ulcer Disease: Answer the following questions in full sentences using APA citations.

List specific goals for treatment for J.G.

What drug therapy would you prescribe for J.G.? Why?

Discuss specific patient education based on the prescribed therapy.

List one or two adverse reactions for the selected agent that would cause you to change therapy.

What would be the choice for second-line therapy?

What lifestyle changes would you recommend to J.G.?

narcotic drugs

Question 1

A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?

A) Narcotics are banned in private settings and cannot be used.
B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO).
C) Narcotics to be used in the hospital are dispensed only with a written prescription.
D) Narcotics can be used in the hospital according to patient preferences.

Question 2

A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?

organochlorine pesticides

organochlorine pesticides

Question 1

Exposure to the major organochlorine pesticides has been linked to increased risk of ___________.

neurological effects
both of the above

Question 2

Which of the following is a tactic typically used in integrated pest management?

Choosing a single, targeted intervention for pest control
Undertaking pest control on a predetermined schedule
Monitoring populations of target pests

Question 3

What human disease may result if beef is contaminated during slaughter with bits of the cow’s brain or spinal cord?

Physical Assessment





Sample Paper

Student ABC

Rasmussen University

COURSE#: NUR2180 Physical Assessment

Instructor: Caitlyn Schumaker

April XX, 2021


Title of Paper

Subjective Information

Patient states “…” this is the area where you put all of the subjective information the patient tells you, or that you gather – use your textbook “subjective” section to find the appropriate questions you would ask your patient about their symptoms related to the body system for this module.

Subjective data includes basic biographic data on the patient (name, age, race/ethnicity, gender assigned at birth)

· Did I mention if the patient is taking any daily medications? Did I mention if the patient has any allergies?

· HPI: Did I included all aspects of PQRST/OLDCARTS?

· P- Did I mention makes their symptoms better & what makes them worse

· Q- Did I mention the quality, characteristics, or descriptive factors of the symptoms?

· R- Did I mention the region affected? Is any radiation present?

· S- Did I mention the severity on a scale of 0-10?

· T- Did I mention when their symptoms first started and the duration of their presence?



Objective Information

This is where you would document your assessment findings – remember to include all of the assessment pieces for the body system- use your textbook for examples of what needs to be included. For most body systems you will need to include: Inspection, Palpation, Auscultation – but it depends on the body system. Do not document “normal” or “Okay” – you need to describe the assessment findings that lead you to believe it was normal or okay. For example, do not document “ears normal” document – “On inspection ears are symmetrical and free from redness and drainage.” Your Jarvis textbook “documentation” section in each chapter will provide you with a complete outline of what would be included in a full physical assessment for each body system- so please double check your textbook to make sure you have included all aspects of the exam.

Risk Factors

This is where you will think about your assessment findings and identify assessment items that put your patient at risk for something – for example if my patient has a wound on his foot he may be at risk for falls, or if my patient has been vomiting for three days she may be at risk for dehydration or electrolyte imbalance. Keep your risks nursing focused if possible – things that, as a nurse, you can help your patient with (nutrition, mobility, safety) – if you need help thinking of a risk use the resources found in the nursing library page- Reference Books – the Care Plans tab.

For risk factors, make sure you have the following:

At least 2 actual or potential risk factors are listed for this patient- to get full points make sure you can answer the following:

· Do these risk factors clearly pertain to the patient issue?

· Did I use assessment data and information to back up WHY I think this patient is at risk for this?

· Did I cite my information with in-text citations?

Importance of Written Communications in Your Field. (Nursing)

Interview Questions: Importance of Written Communications in Your Field. (Nursing)

“Recent research proves that written communication skills are at the top of employers’ wish lists. According to the National Association of Colleges and Employers, 73.4% of employers want a candidate with strong written communication skills. Written communication was the number three most desired quality overall, behind leadership skills and ability to work as a team member.” (Moore, 2017, para. 2)

For this assignment, you will explore the importance of written communication in the workplace by interviewing a professional, ideally in the field you wish to enter upon completion of your degree, a series of questions on the role of writing in the professional world. This is NOT a mock interview. You must interview a person that represents a true “professional” to you. You may ask an employer or supervisor, a professor, a mentor, or someone on your campus. Try to pick a person who you would like to imitate in the future, such as someone who holds a position you wish to have. Do NOT interview a family member or your instructor for this class. You may interview the person on the phone, via email, or in person.

You must ask a total of FIVE questions. Be sure several of the questions deal with writing and communication within the person’s professional career field.

You may use a MAXIMUM OF THREE of the questions found on pp. 70-71. Reference p. 69 and p. 441, LO 26-4.

Include a paragraph (250 words) on what you learned from the interview and how it will help you in the future.

Format this assignment as follows:

Interviewee Name:



Contact Information (email is acceptable):

Question 1: Include Your Question Here


Question 2: Include Your Question Here


Question 3: Include Your Question Here


Question 4: Include Your Question Here


Question 5: Include Your Question Here


Remember to include your reflection (250 words) on what you learned from the interview and how it will help you in the future.

Statement Of Ethics E-Portfolio Artifact

In this week’s blog post, please compose a statement of ethics of 250-500 words.

Whereas the Professional Philosophy Statement (work statement) from Week One focused on specific knowledge, skills and experience, the primary focus of the Statement of Ethics is to share a little about the values that define you. For the purpose of this assignment, a general Statement of Ethics based on your field is fine, but feel free to imagine you are applying to a specific business and tailor the statement accordingly.

Consider some examples from the corporate world:

Walmart Statement of Ethics

Compliance and Ethics at Microsoft

About Memorial Healthcare System

These examples employ attractive images, bolded topic sentences, and brief but focused discussions. For this assignment, create an infographic that conveys your ethic. You can use Microsoft Office and its SmartArt function. Alternatively, you can try out a free Infographic Maker like Piktochart or Adobe Spark.

Ethical strengths to consider:








Consider the following questions to help guide you:

What are some of your deepest values, and how have these impacted your life and career choices?

Why do you feel drawn to your particular career field? What makes you passionate about it? How do you show, in tangible terms, enthusiasm for your work?

Who do you hope you can help through your career and in what way?

Can you point to specific examples of how your values or ethics influenced important life or career decisions?

A few additional points:

Maintain a professional tone. While you are encouraged to share personal values, the tone of the document should not be too casual. Remember, this Statement of Ethics should not be presented as a large block of text. It should be presented in Infographic format.

While it is fine to show passion and conviction, avoid a tone that feels dogmatic or contentious. Remember that others may share a different perspective. Focus heavily on visuals for this assignment rather than paragraphing.

Blogs should include a visual presence. Consider adding a graphic, photo, or other visual element to your blogs to earn full credit on the rubric. Remember, do not attach files. Type and insert media directly into the textbox.