Jan 17, 2018

What is a problem you see in your clinical practice? What are some of the possible solutions?

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devry nr451 week 1 discussion
dq1& dq 2 latest 2016 may

dq 1

Assessing Need for Change (graded)

Think about a problem in your clinical practice. Are the
satisfaction scores in your unit low? Does your unit have a higher than average
infection rate? What is a problem you see in your clinical practice? What are
some of the possible solutions? Why is it important to evaluate the need for
change and not just stick with the “it’s the way we always have done it”

dq 2

Nurse’s Role in EBP (graded)

Evidence based practice dates back to Florence Nightingale, yet it
took a long time for nurses to conduct nursing research. Why is it important
for nurses to have their own body of knowledge? Give a specific example of how
bedside nurses contribute to nursing research?

devry nr451 week 2 discussion
dq1& dq 2 latest 2016 may


Forming the PICO Question (graded)

Form a PICO question that you will use for your change project.
Include each element of the PICO question. How did you develop this question?
Why is it important to your clinical practice?

dq 2

Appraisal of Evidence (graded)

When reviewing a journal article, how do you best determine its
credibility and reliability? Why is it important to determine the strength of
evidence and how does that affect your implementation of the results into
clinical practice?

devry nr451 week 3 discussion
dq1& dq 2 latest 2016 may

dq 1

Feasibility of your Capstone Project (graded)

Now that you have identified your capstone project. What is the
cost involved to implement your project? Remember that cost isn’t always just
money but also time and resources (both tangible and intangible). Will the
initial cost pay off in the long run with improved outcomes?

dq 2

Communication Errors (graded)

Have you ever played the telephone game when you were younger?
Communication can take on a life of its own and the content can often be
distorted over time. Give an example in your clinical practice where
miscommunication was the root cause of an error. How could this communication
error have been prevented?

devry nr451 week 4 discussion
dq1& dq 2 latest 2016 may

dq 1

Patterns of Nursing Care (graded)

Your lesson this week discussed patterns of nursing care delivery.
In your opinion, what is the most effective nursing care delivery model and
why? What are the advantages and disadvantages of your chosen nursing care
delivery model? Give specific clinical examples.

dq 2

Discussion of Articles (graded)

Discuss the two articles that you read from the Patient Safety and
Quality: An Evidence-based Handbook for Nurses website. Give the title and the
URL address for each article. How is the information in each article applicable
to your practice?

devry nr451 week 5 discussion
dq1& dq 2 latest 2016 may

dq 1

An Ethical Dilemma (graded)

Nurses face many ethical issues on a daily basis. Consider the
following scenario:

Your unit has team nursing. As luck would have it, you and your
best friend, Jill, are paired as a team this shift. Jill is a new nurse so you
feel this is a great opportunity to take her under your wing a bit and show her
the ropes. It is a busy shift and you administered Mr. Smith his insulin dose
based on the sliding scale before lunch. You chart your medication
administration and continuing caring for your patients. An hour later, Jill
comes to you terrified because she forgot to chart the insulin she gave Mr.
Smith and realized that you also gave the medication. She rushed to take his
blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his
family had snuck in for him. No harm done, in fact he probably needed the extra
insulin to compensate for the candy bar he wasn’t supposed to have, Jill
explained. Jill begs you not to report this since she is still on probation.
She says that she has learned her lesson and since nothing bad happened, why
does anyone need to know?

What would you do in this situation? Apply ethical principles to
explain the rationale for your decision making process.

dq 2

Core Competencies for Nurses (graded)

Explore the website for the Quality and Safety Education for
Nurses (QSEN) initiative at.qsen.org/”>http://www.qsen.org. How can these
competencies for nurses be implemented into the workplace or professional
nursing setting if you are not currently working?

devry nr451 week 6 discussion
dq1& dq 2 latest 2016 may

dq 1

Implementing Change Despite Resistance (graded)

Change can be difficult to implement. Now that you are almost
finished with your change project, if you were to implement your project in
your clinical practice, what type of resistance do you expect from staff? List
at least three ways that you can lessen the resistance you may encounter to
help ensure the success of your project.

dq 2

Workplace Safety (graded)

Select an American Nurses Association (ANA) publication on
workplace safety from the ANA. Search the American Nurses Association (ANA)
website for workplace safety (.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environment”>http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace
safety. Review the document (publication), include the URL, and discuss
implications for you and your work setting.

devry nr451 week 7 discussion
dq1& dq 2 latest 2016 may

dq 1

Policy (graded)

Describe a recent health care policy and discuss it’s implication
to your personal clinical practice or health care as a whole. Why is it
important for nurses to be aware of health care policy?

Dq 2

Economics (graded)

Health care costs are on the rise. What is an example of wasted
health care dollars in your clinical practice and how do you propose improving
the utilization of these dollars?

devry nr451 week 8 discussion latest 2016 may

Educational Preparation as a BSN Graduate (graded)

How has this educational program prepared you for the future of nursing as a BSN graduate?

devry nr451 week 2 Capstone Project
Milestone #1 latest may 2016

Milestone #1:

Appraisal Worksheets




Instructor’s Name:

Purpose: To
identify a problem or concern that nursing can change and develop a PICO
question to guide the change project.

the form below to complete the PICO assignment in Milestone #1. This includes
filling in the table with information about your research question and your
PICO elements.

Step 1: Select
the key PICO terms for searching the evidence. Clearly define your PICO
question. List each element P (problem, population, or problem), I
(intervention), C (Comparison with other treatment/current practice), and O
(Desired outcome). Is the potential solution something for which you (as nurse
or student) can find a solution through evidence research? Look in your book
for guidelines to developing your PICO question.

Step 2: Identify
the problem.What have you noticed in your work or school environment that isn’t
achieving the desired patient or learning outcomes? What needs to change in
nursing, what can you change with the support of evidence in the literature? Describe
the problem or practice issue that you want to research. What is your practice
area; clinical, education, or administration? (This is NOT where you will list
your PICO question)

Step 3: How was
the practice issues identified?How did you come to know this was a problem in
your clinical practice? Review the listed concerns and check all that apply.

Step 4: What
evidence must be gathered? Everyone should have a literature search. However,
what other sources of reliable information will be helpful for your particular

Step 5: What
terms will you use in order to make sure that your search is wide enough to
obtain required information but narrow enough to keep it focused? What
databases will you search? How will you narrow your search if needed?


What is
the PICO question?____________________________________________________________

each element of the question below:

P– (Patient, population, or problem):

I– (Intervention):

C– (Comparison with other treatment/current practice):

O– (Desired outcome):

What is
the practice issue/problem?

What is
the practice area?

___ Clinical

___ Education

___ Administration

___ Other

How was
the practice issue identified?
all that apply)

___ Safety/risk management concerns

___ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

___ Difference between hospital and
community practice

___ Clinical practice issue is a

___ Procedure or process is a time

___ Clinical practice issue has no
scientific base

___ Other:

evidence must be gathered?
all that apply)

Literature search

___ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

___ Financial Analysis

___ Standards (Regulatory,
professional, community)

___ Other


Databases to search:

Search Strategies:

Appraisal Worksheet

Your Name:


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