NU310-6: Synthesize research evidence for best practice to improve patient outcomes.
Read this Article
The purpose of this assignment is for you to incorporate research evidence into a clinical model for a practice change. Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting.
The concept map should include the 7 steps below in schematic format:
1. Formulate a clinical problem that is nursing sensitive and patient focused. Develop a PICO statement to articulate a research question>
P=Population (Who is your population of interest to be affected?)
I= Intervention (What intervention will you implement to address the clinical problem?)
C= Comparison (Will you be comparing one intervention with another or an intervention with existing protocols?)
O= Outcome (What is the desired outcome from the intervention?)
T= Time (How long will the change take to implement?)
2. Determine organizational commitment
3. Develop a team to gather and appraise evidence
4. Determine if reasonable evidence exists to implement the clinical change
5. Implement a pilot change to test the feasibility
6. Evaluate the change/plan
7. Disseminate the results.
The schematic/concept map should fit on one page. On a separate page, explain the rationale and process of each step of your model (briefly), incorporating references as cite sources in correct 6th edition APA style and format. You do not need to include a title page for this assignment. Provide your reference list on a separate page, with between 4-5 current scholarly references. The total submission should be no more than 3 pages.
.doc file

 
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected

 
The following case for discussion is from the eText, chapter 18, page 527:
Steven and Marisol are a young married couple who are concerned about passing genetic diseases to their children.  Members of Steven’s family have been diagnosed with Huntington’s disease, an incurable genetic disorder that causes cognitive problems, difficulties with movement that ultimately require full-time nursing care, and reduced life expectancy.  Members of Marisol’s family have tested positive for a mutation of the BRCA genes that are strongly associated with breast and ovarian cancer.
At a family reunion, they are discussing their decision to use in vitro fertilization and preimplantation genetic screening of embryos.  Seven’s cousin, Valerie, is appalled.  She is opposed to the idea of in vitro fertilization and to the entire idea of genetic screening.
Valerie says, “You can’t just choose the babies you want to have.  God will only give you the challenges He knows you can handle.  And if a child is born with a disease, your job is to love that child, no matter what.”
Steven is speechless.  But Marisol is not.  “But if we can guarantee that our child is healthy and will live a happy life, shouldn’t we do that?  We don’t want to raise a child who is doomed to genetic diseases.”
Valerie shakes her head.  “There is no way to know,” she says.  “Kids get sick and die.  Some who have diseases get better.  You can’t control everything.  And besides, that test-tube baby stuff is really expensive.  How can you afford it?”
Now Steven replies, “We want to invest in this procedure now because it might save money in the long run.  I’ve seen how much Huntington’s costs a family – so have you.  I’d rather pay to prevent it now than have to deal with the costs later.”
Valerie responds, “That sounds really rude.  It sounds like you resent people who get sick and need your help.  The whole thing is very selfish.”
Questions for discussion – Answer any two of the following questions:
With whom do you agree here: Steven and Marisol or Steven’s cousin, Valerie?  Explain.
Is it wrong to want to prevent genetic disease through use of IVF and preimplantation genetic screening?   Is it a wise investment?  Should it be covered by health insurance?
Is it selfish to want to control your child’s genes?  Explain your answer.
What about using IVF for selecting the gender of the baby you want to have?  Explain your reasoning.
These options are available to couples today: LINK

For your final paper, you will need to write at least 2,000 words and use at least 8 sources on a topic of your choice, as long as the topic has to do with the medical field or nursing profession. We will go over some options in class, and I will help you brainstorm your topic. This essay must be argumentative, so you will need to take a stand on something or make an argument for or against an issue. We will be covering these different concepts in class. If you need a refresher, you will just need to rewatch the lecture videos related to this assignment. Email me with any questions.
Requirements:

• APA formatting
  • cover page
  • abstract
  • reference page with sources in APA formatting
  • Times New Roman, 12 point font
  • double-spacing
• at least 2,000 words
• at least 8 sources
• topic should be related to the medical field or nursing profession
• NO PLAGIARISM
• subject to late work policy