Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)  

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.
2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
3. Download and use the required PPE Worksheet (Links to an external site.).
4. Review the information provided in our library of how to search for journal articles here (Links to an external site.).
5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).
6. You are required to complete the worksheet 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. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
7. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
8. Be sure to use the PPE grading rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
9. Use correct grammar, spelling, punctuation, and in-text APA formatting.
10. Submit the completed PPE Worksheet on the Week 3 Assignment page.
11. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here.   

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

QualitySafety

• Patient satisfaction
• Patient education
• Falls
• Non-pharmacological pain management

Errors. Examples include:

• Medication
• Patient identification
• Communication
• Readmissions
• Length of stay
• Costs

Healthcare Associated Infections (HAIs). 
Examples include:

• Central Line Associated Blood Stream Infections (CLABSI)
• Catheter Associated Urinary Tract Infections (CAUTI)
• Ventilator Associated Pneumonia (VAP)
• Surgical Site Infections (SSI)
• Sepsis (Screening or Prevention)
• Discharge Teaching/Coaching
• Transitions of Care/Level of Care
• Pressure Ulcers
• Skin Integrity

Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.  

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

 

 

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In a 4-page paper, describe the procedures for each of the two compliance plans. Break each procedure section into 2 pages each. Remember to support your procedures for each of two plans with a total of three research sources (1-2 per procedure), cited at the end in APA format. Write your procedures in a way that all employees will understand at a large medical facility where you are the Compliance Officer.

Remember, you chose two compliance policy plans under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention. (Check them out if you forget! Remember, you may have written about different policies for the two different compliance plans.)

 

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Learning Resources

Note: To access this Week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.

Chapter 15, “Using Comparative Data” (pp. 161-173)
Review: In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.

Thorpe, L., Kovach, S., Vins, W., & Stefanak, M. (2010). Business process analysis and redesign methods: improving response to telephone-based reports in a local health department. Public Health Reports, 125(6), 903–908.
Retrieved from the Walden Library databases.

In this article, the authors describe a case in which one local health department used the business process analysis and redesign methods to test their effect on response time to pressing public health problems. It demonstrates the importance of analyzing current organizational processes in order to improve system design.

Jenkins, A., & Eckel, S. (2012). Analyzing methods for improved management of workflow in an outpatient pharmacy setting. American Journal of Health-System Pharmacy, 69(11), 966–971.
Retrieved from the Walden Library databases.

This article details an analysis of a central outpatient pharmacy. The authors explain the need to transfer pharmacists’ dispensing-oriented activities from technical dispensing functions toward more pharmacist-patient related interactions.

CareLogistics (n.d.). Hospital Operating System: Unleashing throughput potential (Executive Summary). Retrieved from http://www.iise.org/uploadedFiles/SHSNew/Tools_and_Resources/Case_Studies_and_Tools/Exec%20Summary-White%20Paper%20-%20Hospital%20Operating%20System.pdf

This white paper discusses whether or not a hospital would be able to manage throughput if it becomes a system of interconnected activities.

Required Media

Laureate Education (Producer). (2012). Process analyses. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 6 minutes.

In this video, Dr. William Ward describes brown paper analysis, process flow analysis, and value stream mapping. Dr. Ward demonstrates the application of the three types of analyses to the same scenario to highlight their different uses.

 

Discussion: Process Flow Analysis

Have you ever encountered a process that had too many steps or was overly complicated? Perhaps you examined the process and looked for areas where you could remove steps or simplify its flow. If you did, you were conducting a process flow analysis. Process analysis is an important step in determining the financial well-being of an organization and pinpointing areas where changes could help improve the bottom line. In this Assignment, you will create a process flow analysis (also known as workflow diagramming) for an activity in your own organization (or one with which you are familiar).

To prepare:

• Review the information in the Learning Resources (including the Media) for this week dealing with how to perform a process flow analysis.
• Identify a process that is completed on a consistent basis in your organization (or one with which you are familiar). Examples of a process include such things as how a patient is moved through the system, or what must occur to prepare an examination room or hospital room for the next patient.
• Create a simple flow analysis map detailing the process using Microsoft Word using one of the methods below:
  • Select SmartArt from the Insert menu and select a diagram that matches the flowchart structure you would like to use.
  • Select Shapes from theInsert menu and select the shape that matches the flowchart piece you would like to use. Continue inserting shapes and connect them using the arrow shapes.
• Reflect on the ease or difficulty of obtaining the necessary information to create your flow analysis map.
• Identify “white space” as defined in the article, “Hospital Operating System: Unleashing Throughput Potential” found in the Learning Resources for this week.
• Determine strategies for improving the process flow.
• Reflect on the role of the process flow analysis in financial decision making and how it can have positive impacts on the process. Attach your Flow Analysis Map to your Discussion post.

Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space that need to be addressed and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map when you turn in your paper.

Reminder: This Discussion assignment serves as your Portfolio Assignment for this course. Be sure to save this Discussion Assignment on both your hard drive and on an external drive.

By Day 3

Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map as part of your post.

 

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 Describe the process of a retrospective chart review. How are these data collected? How would you access the data? What is the validity and reliability of these data? What steps would you need to take to ensure these data were accurately pulled from the database? 1 page, 2 sources, APA.

 

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1. Professional socialization relates to the manner in which we learn the roles and functions of being a nurse once we enter the healthcare system. What are some of the ways this socialization occurs in your place of employment, and do you believe it leads to effective assumption of the nursing role? This socialization occurs in a patriarchal healthcare system that still remains predominantly male physician-based. Discuss the impact, you believe, this has on socialization to the nursing role.

 

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