Posted: March 18th, 2023

NUR 699 GC Week 2 Assignment 2Evidence-Based Practice Proposal

NUR 699 GC Week 2 Assignment 2
Evidence-Based Practice Proposal – Section B: Problem Description
Details:

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

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Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Evidence-Based Practice Proposal – Section B: Problem Description
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section. Evidence-Based Practice Proposal – Section B: Problem Description

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NUR 699 GC Week 3 Assignment

Evidence-Based Practice Proposal – Section C: Literature Support

Details:

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To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. Evidence-Based Practice Proposal – Section B: Problem Description

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

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Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

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Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.

__________________________________________
Section B: Problem Description

Background

Uncontrolled hypertension is a major public health problem. It is estimated that one in three adults in the United States has hypertension, and that only about half of these people have their blood pressure under control. Hypertension is a major risk factor for heart disease, stroke, kidney disease, and other chronic conditions.

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Stakeholders

The stakeholders in this problem include patients with hypertension, their families, healthcare providers, and policymakers. Patients with hypertension are the most directly affected by the problem. They are at increased risk for serious health problems, and they may experience symptoms such as headaches, dizziness, and fatigue. The families of patients with hypertension are also affected by the problem. They may worry about the patient's health, and they may have to take on additional caregiving responsibilities. Healthcare providers are responsible for diagnosing and managing hypertension. They may also be involved in educating patients about the importance of controlling their blood pressure. Policymakers are responsible for developing and implementing policies that can help to reduce the prevalence of hypertension.

PICOT Question

Patient population: Patients with uncontrolled hypertension

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Intervention: A nurse-led education program on hypertension management

Comparison: Standard care

Outcome: Blood pressure control

Timeframe: 6 months

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Purpose and Project Objectives

The purpose of this project is to evaluate the effectiveness of a nurse-led education program on hypertension management in improving blood pressure control in patients with uncontrolled hypertension. The specific objectives of the project are to:

Determine the feasibility of implementing a nurse-led education program on hypertension management.
Evaluate the effectiveness of the program in improving blood pressure control.
Identify the factors that contribute to successful blood pressure control in patients with hypertension.

Supportive Rationale

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Hypertension is a major risk factor for heart disease, stroke, kidney disease, and other chronic conditions. Uncontrolled hypertension can lead to serious health problems, disability, and death. There is a clear need for effective interventions to help patients with hypertension control their blood pressure.

Literature Review

A number of studies have shown that nurse-led education programs can be effective in improving blood pressure control in patients with hypertension. For example, a study published in the Journal of the American Medical Association found that a nurse-led education program that included self-monitoring of blood pressure, goal setting, and counseling on lifestyle changes was effective in reducing blood pressure in patients with hypertension who were not taking medication. Another study, published in the American Journal of Hypertension, found that a nurse-led education program that included information on hypertension management, self-monitoring of blood pressure, and goal setting was effective in reducing blood pressure in patients with hypertension who were taking medication.

These studies suggest that nurse-led education programs can be an effective intervention for improving blood pressure control in patients with hypertension. However, more research is needed to determine the optimal content and format of these programs.

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