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COMPETENCIES 724.8.5 : Foundations of Inquiry The

COMPETENCIES 724.8.5 : Foundations of Inquiry The graduate differentiates between quality improvement processes, evidence based practice, and research. 724.8.6 : Literature Review and Analysis The graduate demonstrates knowledge of the process and outcomes of conducting a literature review. 724.8.7 : Ethics and Research The graduate demonstrates understanding of the ethics of nursing research, particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences. 724.8.8 : Patient Outcomes The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory. 724.8.9 : Data Collection, Analysis, and Dissemination The graduate describes the process of data collection, analysis, and implementation of evidence that can improve clinical practice from an interprofessional perspective. INTRODUCTION In this task, you will identify a healthcare problem and develop a PICO question that can be answered using evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice. REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. A. Write a summary of the significance and background of a healthcare problem by doing the following: 1. Describe a healthcare problem that can be used to develop a PICO question. Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals. 2. Explain the significance of the problem from part A1. 3. Describe the current healthcare practices related to the problem from part A1. 4. Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences). B. Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following: 1. Discuss two research evidence sources and two nonresearch evidence sources that you considered. Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old. C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic. D. Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points: Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards. Note: Upload a copy of the full text of the articles with your submission. • author, journal name, and year of publication • research design (e.g., quantitative, qualitative, mixed design, systematic review) • sample size (e.g., numbers of study participants, number of articles, number of control group participants) • outcome variables measured (e.g., identify what the research is measuring) • quality (using the following scale: A, B, C) • results/author’s conclusions (e.g., briefly summarize the outcome) E. Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations. F. Describe a process for implementing the practice change from part E in which you do the following: 1. Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E. 2. Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting. 3. Identify two strategies that could be used to overcome the barriers described in part F2. 4. Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E. G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. H. Demonstrate professional communication in the content and presentation of your submission. File Restrictions File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( ) File size limit: 200 MB File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z RUBRIC A1:HEALTHCARE PROBLEMS NOT EVIDENT A description of a healthcare problem is not provided.  APPROACHING COMPETENCE The described healthcare problem does not contain enough detail that it can be used to develop a PICO question. The described healthcare problem is not one that is currently prioritized in healthcare organizations. COMPETENT The described healthcare problem contains enough detail that it can be used to develop a PICO question. The described healthcare problem is one that is currently prioritized in healthcare organizations. A2:SIGNIFICANCE OF PROBLEM NOT EVIDENT An explanation is not provided. APPROACHING COMPETENCE The explanation does not address the significance of the problem described in part A1. COMPETENT The explanation thoroughly addresses the significance of the problem described in part A1.” The explanation contains enough detail to address the significance of the problem described in part A1. A3:CURRENT PRACTICE NOT EVIDENT A description is not provided. APPROACHING COMPETENCE The description does not incorporate specific examples of the current healthcare practices related to the described problem from part A1. COMPETENT The description incorporates specific examples of the current healthcare practices related to the described problem from part A1. A4:IMPACT ON BACKGROUND NOT EVIDENT A discussion is not provided. APPROACHING COMPETENCE The discussion incorporates how the problem affects the organization and patient’s cultural background, but specific details or examples related to the problem are not provided. COMPETENT The discussion incorporates specific details of how the problem affects the organization and specific examples of how the problem impacts the patient’s cultural background. B1:EVIDENCE SOURCES NOT EVIDENT A discussion of 2 research evidence sources and 2 nonresearch evidence sources is not provided. APPROACHING COMPETENCE The discussion of 2 research evidence sources and 2 nonresearch evidence sources does not convey a level of understanding in relation to appropriate scholarly and secular sources. COMPETENT The discussion of 2 research evidence sources and 2 nonresearch evidence sources conveys a level of understanding in relation to appropriate scholarly and secular sources. C:PICO QUESTION NOT EVIDENT The question is not provided. APPROACHING COMPETENCE The developed question does not include all elements of PICO (patient/population, intervention/indicator, comparison/control, and outcome), is not based on the topic, or does not use research from part B. COMPETENT The developed question includes all elements of PICO (patient/population, intervention/indicator, comparison/control, and outcome), is based on the topic and uses research from part B. D:EVIDENCE MATRIX NOT EVIDENT The attachment is not provided. APPROACHING COMPETENCE The “Evidence Matrix” attachment does not include the 5 sources from part B, or the sources are from scholarly journals or are not located in major medical databases. The given points are not all accurately or logically addressed for each source. COMPETENT The “Evidence Matrix” attachment includes the 5 sources from part B, and the scholarly journal sources are located in major medical databases. All of the given points are accurately or logically addressed for each source. E:RECOMMENDED PRACTICE CHANGE NOT EVIDENT A practice change is not recommended. APPROACHING COMPETENCE The recommended practice change is not a logical outcome of the PICO question or is not supported by the evidence collected in the “Evidence Matrix” attachment. Fewer than 5 research articles from the “Evidence Matrix” attachment are used via in-text citations to support the recommendation. COMPETENT The recommended practice change is an logical outcome of the PICO question and is supported by the evidence collected in the “Evidence Matrix” attachment. All 5 research articles from the “Evidence Matrix” attachment are used via in-text citations to support the recommendation. F1 :KEY STAKEHOLDERS NOT EVIDENT An explanation is not provided. APPROACHING COMPETENCE The explanation does not show an effective way for 3 key stakeholders to be involved in the decision to implement the recommendation from part E. COMPETENT The explanation shows an effective way for 3 key stakeholders to be involved in the decision to implement the recommendation from part E. F2:BARRIERS NOT EVIDENT A description is not provided. APPROACHING COMPETENCE The description does not address 2 plausible barriers that may be encountered when implementing the practice change from part E in a nursing practice setting. COMPETENT The description addresses 2 plausible barriers that may be encountered when implementing the practice change from part E in a nursing practice setting. F3:STRATEGIES FOR BARRIERS NOT EVIDENT 2 strategies are not identified. APPROACHING COMPETENCE 2 strategies are identified, but both of the identified strategies could not be used to overcome the barriers described in part F2. COMPETENT 2 strategies that could be used to overcome the barriers described in part F2 are identified. F4:INDICATOR TO MEASURE OUTCOME NOT EVIDENT An indicator is not provided. APPROACHING COMPETENCE 1 indicator is identified, but the identified indicator would not measure the outcome of the recommended practice change from part E. COMPETENT The 1 identified indicator would measure the outcome of the recommended practice change from part E. G:APA SOURCES NOT EVIDENT The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized. APPROACHING COMPETENCE The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style. COMPETENT The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style. H:PROFESSIONAL COMMUNICATION NOT EVIDENT Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. APPROACHING COMPETENCE Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. COMPETENT Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

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