Using the Clinical Reasoning cycle reflect on an episode from clinical practice to develop your paper.

Using the Clinical Reasoning cycle reflect on an episode from clinical practice to develop your paper.

the Clinical Reasoning cycle reflect on an episode from clinical practice to develop your paper.
The paper is to be divided into the following parts and include a short introduction and conclusion.

Part 1: Collecting Cues and information
– Identify cues/issues that presented as priorities on which you considered the nursing care for your patient.
Part 2: Process the information
– Justify why these are priorities (support with evidence).
Part 3: Identify the potential problems/ nursing issues
– Outline key nursing issues (potential problems or risks)
Part 4: Establish goals, take action and evaluate outcomes
– For each nursing issue, identify goals, and outline nursing interventions you implemented and how you evaluated the outcomes.
Part 5: Reflection
– Reflect on your care in this episode of practice and discuss
any challenges that emerged and outline how you will address this for your future practice.

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:

The influence of evidence-based practice (EBP) has reached across nursing practice, education, and science. Forward-thinking healthcare systems empower their frontline staff with the autonomy to effect change by identifying research that supports best practices through the performance improvement process. This is done with an aim of improving patient outcomes. In order to complete such a task, EBP combines continuous quality improvement, research, performance improvement, and change theory.

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. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. 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 brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.
2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background.

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Research evidence must not be more than five years old.

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 standards.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
4. Identify one indicator to measure the outcome related to the recommendation.