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Constructing the Written Evidence-Based Proposal #4 (Research Paper Sample)


Combine all elements completed in previous weeks (Topics 1-4) into one cohesive evidence-based proposal and share the proposal with a leader in your organization. (Appropriate individuals include unit managers, department directors, clinical supervisors, charge nurses, and clinical educators.)
Obtain feedback from the leader you have selected and request verification using the Capstone Review Form. Submit the signed Capstone Review Form
For information on how to complete the assignment, refer to "Writing Guidelines" and the "Exemplar of Evidence-Based Practice Capstone Paper."
Include a title page, abstract, problem statement, conclusion, reference section, and appendices (if tables, graphs, surveys, diagrams, etc. are created from tools required in Topic 4).
Prepare this assignment according to the APA guidelines.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. 
Note: All Capstone Projects are to be submitted to the College. Please submit the Capstone Project Copyright and Distribution Form as well as an electronic copy of the Capstone Project 
7 NRS 441v.10R.Writing guidelines.docx NRS441V.11.0_Capstone_Consent_Form.docx 8 NRS 441v.10R.Exemplar of Evidenced-Based Practice.docx NRS441V.R.CapstoneReviewForm_1-27-14.docx


Written evidence-based proposal: Final
Course title:
In the present project, the identified problem is obstructive sleep apnoea (OSA), a serious illness that is observed in the primary care setting. A person who has this condition ceases to breath for an estimated ten seconds every hour as he or she is sleeping at night. The disorder is caused by relaxation of the muscles of the throat. About 2 percent and 4 percent of women and men respectively are affected by this disorder. Currently, patients who present with Obstructive Sleep Apnea are treated with the use continuous positive airway pressure (CPAP). In essence, CPAP therapy is poorly tolerated by patients and causes several complications such as nasal congestion, nasal dryness, conjunctivis, air leaks, facial skin abrasions, and claustrophobia. The proposed solution is to use surgical intervention to treat obstructive sleep apnoea syndrome. Surgical intervention would be carried out in the initial phase of OSA syndrome so as to reduce/prevent occurrences of complications linked to OSA. The rationale is that the proposed intervention is important since the patients will be able to tolerate it and it does not have many side effects as the current intervention, CPAP, does. The resources needed for this project include monetary resources, human resources, educational materials, as well as assessment tools.
Written evidence-based proposal: Final
1.0 Identifying a problem
1.1 Problem description
Obstructive Sleep Apnea (OSA) in adult obese men aged 40 years and older is the identified problem. Obstructive Sleep Apnea is understood as a sleep disorder wherein the individual stops to breath for about ten seconds every hour as he or she is sleeping. The cause of this condition is relaxation of the muscles of the throat; the soft tissue located in the backside of the throat collapses and then closes, and in so doing they result in blocked airways (Gutierrez & Brady, 2013). OSA affects 1.5 percent of women and 3.5 percent of men who are middle-aged. Individuals who are aged 40 years and above have a higher chance of developing this condition although people of any age could be affected, including kids (Muñoz-Hernandez et al., 2015). People who are obese are especially at risk of developing obstructive sleep apnea thanks to the extra fat that pushes against the muscles of the throat.
1.2 Setting/context and impact of problem
The setting in which the identified problem is observed is the primary care setting. People who have OSA often experience a number of symptoms which include being unusually sleepy in daytime, snoring loudly during sleep, sleep is fidgety, and periods of no breathing/silence during sleep and then followed by gasps (Victor, 2009). Currently, patients who have Obstructive Sleep Apnea are provided with costly and rather cumbersome breathing equipment which provides continuous positive airway pressure (CPAP) through a nasal mask. Adherence to this treatment might be influenced by the objective improvement in sleep apnea as well as by the patient’s subjective perception of the benefit, cost, side effects, family support or bed mate. All in all, most patients dislike CPAP therapy and adherence to it is often poor (Wolkove et al., 2008).
1.3 Gravity of the problem and its significance to nursing
At the moment, patients who present with Obstructive Sleep Apnea are treated with the use continuous positive airway pressure (CPAP). CPAP machines have a fan which blows air under pressure into the patient’s nostrils. In essence, the airflow serves as a pneumatic splint which keeps the pharyngeal airway open (Wolkove et al., 2008). The shortcomings with the current intervention are poor tolerance and ineffectiveness. Patient compliance to CPAP is ge...

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