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Nurs 5052 / Nurs 6052: Essentials Of Evidence-Based Practice

Essay Instructions:

Course Project: Introduction to Course Project ******MY NURSING PROBLEM IS PSYCHOTROPIC MEDICATIONS THAT INCREASE RISK FOR FALLS.I MUST HAVE THREE REFERENCES IN PAPER
Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.
For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.
Before you begin, review the Course Project Overview document located in this week’s Learning Resources.
Note: This Course Project will serve as the Portfolio Assignment for the course. In addition to submitting portions of this Project in Weeks 2 and 5, you will turn in all three deliverables in Week 10.
Course Project: Part 1—Identifying a Researchable Problem
One of the most challenging aspects of EBP is to actually identify the answerable question.
—Karen Sue Davies
Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.
In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.
To prepare:
Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?
Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.
To complete:
Write a 3- to 4-page paper that includes the following:
A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
The 5 questions you have generated and a description of how you analyzed them for feasibility
Your preliminary PICOT question and a description of each PICOT variable relevant to your question
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
By Day 7
please make sure the references are on same page as paper. I got knocked off half on the last two papers because there were no references listed. This is the most important part.

Essay Sample Content Preview:

Essentials of Evidence Based Practice: Psychotropic Medications that Increase Risk for Falls
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Essentials of Evidence Based Practice: Psychotropic Medications that Increase Risk for Falls
Evidence-based practice (EBP) entails integrating the best research evidence with patient values and clinical expertise that when applied by health professionals eventually results in improved patient outcome. There are three main elements of EBP: best external evidence, patient values and expectations, and individual clinical expertise. Identifying an answerable question is one of the main challenging facets of evidence-based practice. One particular area of my interest is patient falls, particular the falls for elderly patients who have a mental disorder. A problem that is prevalent within this area of interest is psychotropic medications that increase patient’s risk for falls.
Patient fall refers to an accidental tumble to the floor with or without patient injury. The fall might occur due to equipment failure, slipping or tripping, or other environmental factors (Johnell et al., 2017). Falls amongst the older population are linked to a high patient mortality and morbidity. In old age, mental disorders are an important concern. Pharmacological treatment using psychotropic medications such as neuroleptics, anticonvulsants, antidepressants, hypnotics, benzodiazepines, anxiolytics, and antipsychotics is recognized as the standard treatment. Other than treating mental health problems like insomnia, anxiety, and depression, psychotropic medications are also usually prescribed to the elderly for psychological as well as behavioural symptoms of dementia (De Jong, Van der Elst & Hartholt, 2013). These medicines are therefore utilized extensively amongst older patients.
Researchers have reported that the use of psychotropic medications is a risk factor for falls (Leipzig, Cumming & Tinetti, 2013; Thapa et al., 2013). These drugs can bring about serious adverse outcomes in elderly patient, for instance increased mortality risk. In frail elderly individuals, De Jong, Van der Elst and Hartholt (2013) reported that there is a direct connection between increased mortality and the use of antipsychotic drugs. Elderly patients are particularly more susceptible to the neurological side effects of such drugs owing to the changes in their pharmacodynamics and pharmacokinetics pertaining to aging.
The significance of the identified problem for nursing practice is that nurses should strive to decrease the rate of patient falls by minimizing the use of psychotropic drugs. Nurses should be cautious when they prescribe multiple psychotropic medications to their elderly patients. Because of the substantial financial burden and individual suffering pertaining to the serious negative consequences of psychotropic drugs, nurses should consider safer non-pharmacological alternatives (Thapa et al., 2013). Preventing patient falls is important considering that falls among the elderly are the main cause of injury amongst this patient population and subsequently bring about high healthcare demand such as long-term rehabilitation, direct medical treatment, in addition to social consequences (Johne...
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