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Essay Available:
Pages:
4 pages/≈1100 words
Sources:
4 Sources
Level:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 20.74
Topic:

Proposed Evidence-Based Practice Change (Coursework Sample)

Instructions:

Please use the rubric below and avoid plaigiarism.
es and PICOT Statement Final Draft

1
Unsatisfactory
0.00%
2
Less than Satisfactory
75.00%
3
Satisfactory
83.00%
4
Good
94.00%
5
Excellent
100.00%
60.0 %Content

5.0 %Nursing Practice Problem and PICOT Statement
A nursing practice problem is not clearly described and/or a PICOT statement is not included.
PICOT statement describes a nursing practice problem but lacks reliable sources.
PICOT statement describes a nursing practice problem and includes a few reliable sources.
PICOT statement articulates a nursing practice problem using supporting information from reliable sources.
PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
5.0 %Background of Study
Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.
Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
5.0 %Method of Study
Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.
Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
5.0 %Results of Study
Discussion of study results including findings and implications for nursing practice is incomplete.
Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
5.0 %Ethical Considerations
Discussion of ethical considerations associated with the conduct of nursing research is incomplete.
Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
5.0 %Conclusion
Conclusion does not summarize a critical appraisal and applicability of findings.
Conclusion is vague and does not discuss importance to nursing.
Conclusion summarizes utility of the research and importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
10.0 %Evidence of Revision
Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.
Incorporation of research critique feedback or evidence of revision is incomplete.
Incorporation of research critique feedback and evidence of revision are present.
Evidence of incorporation of research critique feedback and revision is clearly provided.
Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
10.0 %PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.
10.0 %Proposed Evidence-Based Practice Change (C. 3.2)
The proposed evidence-based practice change is not included.
The proposed evidence-based practice change is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.
The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.
The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.
30.0 %Organization and Effectiveness

10.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
10.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
10.0 %Format

5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage

source..
Content:


Proposed Evidence-Based Practice Change
Name
Institution
Proposed Evidence-Based Practice Change
PICOT Statement
Population: In-patients at medical-surgical unit
Intervention: Does a high nurse to patient ratio
Comparison: as compared to low nurse to patient ratio
Outcome: improve patient outcome
Timeline: during their admission time at the hospital?
Question: Does a high nurse to patient ratio as compared to low nurse to patient ratio improve patient outcome during their admission time at the hospital?
Introduction
Nurses are essential in ensuring the health system is efficient since they spend the most time with patients within the hospital set-up. As such, a hospital with a few nurses may result in a patient overload thus undermining the services offered at the hospital. Driscoll et al. (2017), note that a low nurse to patient ratio has adverse effects on nurse-sensitive patients, especially regarding in-hospital mortality. Also, low nurse to patient ratio affects the quality of care since nurses will suffer fatigue as a result of patient overload, as noted by Van Bogaert et al. (2014). Therefore, in order to improve patient outcome during their stay at the hospital, the issue of the nurse to patient ratio should be addressed in every institution.
Qualitative Research Critique
The study by McGahan, Kucharski, and Coyer (2012) sought to review the relationship between the level of staffing among nurses and the incidences of mortality.
Background of the Study
Previous studies such as the one conducted by West, Mays, Rafferty, Rowan, and Sanderson (2009) were not able to establish a statistical relationship between the two parameters, prompting a review of recent studies. McGahan, Kucharski, and Coyer (2012) established that a shortage of nurses and a decrease in the budget allocated to ICU’s is likely to sabotage the quality of care of patients and their health outcomes. As such, the study aimed at reviewing studies that were previously conducted to examine the relationship between the levels of nurse staffing and patient outcomes.
The study answered questions on the relationship between nurse staffing levels and pressure ulcers, the relationship between staffing levels and mortality and finally the relationship between staffing levels and infections. These questions were in line with the research problem as they sought to establish a statistical relationship between nurse staffing levels and patient outcome.
Method of the Study
Use of Observational methodological design was evident in the study, especially case-crossover and cross-sectional designs. The study was developed from the perspective of a lack of a statistically significant association between the parameters in similar studies (McGahan, Kucharski, & Coyer, 2012). The literature review addressing the relationship between staffing levels and mortality and infections was adequate and extensive, with most of it being within the 5-year limit. However, the study lacked adequate literature on the relationship between staffing levels and pressure ulcers (McGahan, Kucharski, & Coyer, 2012). Those above, coupled with the lack of a consistent measure of adequate staffing and extensive use of observational designs were the main limitations of the study.
Results of the Study
The study revealed that an increase in the level of nurse staffing resulted in a decrease in adverse outcomes among patients in the ICU (McGahan, Kucharski, & Coyer, 2012). However, it did not establish an exact optimal nurse to patient ratio. These results to nursing practice imply that it is up to the management to identify the nurse to patient rat...

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