This is a 6 week project with new aspects of it added per week. University of Phoenix nursing course. I will add the papers from the first 4 installments. This is the 5th installment of the project. "Nursing Research Utilization Project Proposal: Monitoring"

This is a 6 week project with new aspects of it added per week. University of Phoenix nursing course. I will add the papers from the first 4 installments. This is the 5th installment of the project. “Nursing Research Utilization Project Proposal: Monitoring”

•Describe the methods for monitoring solution implementation using the steps of the model you chose.

Outcome Measure:

•Describe the methods for collecting the outcome day which includes how the outcome measure is valid, reliable, sensitive to change, and appropriate for use in this proposed project.

Evaluation Data Collection:

•Describe the methods to be used to evaluate the solution

•Identify resources needed for evaluation.

•Discuss the feasibility of the evaluation plan.

Format your paper consistent with APA guidelines. Include a minimum of 4 scholarly references from the University Library and 1,050-1,400 words.

**All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”.

Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted.

Assignment Grading Criteria

Nursing Research Utilization Project Proposal: Monitoring

Week 5

Content / Development

70 Points Points Earned

/70 Additional Comments:

All key elements of the assignment are:

• Describe the methods for monitoring solution implementation using the steps of the model/theory you chose for your project 15 points

• Describe the methods for collecting the outcome measure data which should include how you would determine your measure’s 15 points:

a) Validity

b) Reliability

c) Sensitive to change

d) Appropriate for use in this project

• Discuss methods you would use to evaluate the solution 15 points

• Describe resources and methods to collect outcome data and the rationale for using the methods 10 points

• Discuss the feasibility of the evaluation plan 10 points

(5 points)

Paper is between 1,050 -1,400 words

Total points 100 x.70 70 Additional comments:

Readability and Style

9 Points Points Earned

/9 Additional Comments:

(3 points each)

The tone is appropriate to the content and assignment. No first person or direct quotes.

Sentences are complete, clear, and concise.

Sentences are well-constructed, with consistently strong, varied sentences.

Mechanics

21 Points Points Earned

/21 Additional Comments:

The paper, including the title page, reference page, and appendices follow APA guidelines for format. (10)

Citations of original works within the body of the paper follow APA guidelines. (6)

The paper is laid out with effective use of headings, font styles, and white space. (3)

Rules of grammar, usage, and punctuation are followed. (2)

Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted.

Total

100 Points Earned

*( .10)

/10 Additional Comments:

Total Points X .10

(This was week 4’s assignment and attached graded paper)PLEASE SEE COMMENTS FROM INSTRUCTOR REGARDING REFERENCES

Implementation Plan

Oncological pain can be tremendous for a patient. The mere idea of relieve and comfort for this population is fantastic. Spiritulity can comfort can aid as well but promotion of healing begins with the relieve of discomfort. Implementation of a pain solution for oncology patients’ can be extensive but well worth the effort. Settting forth a plan is key to the success of pain management for those who suffer with the horrific diagnosis of cancer and the associcated treatment.

Solution Implementation Plan

Pain management is very crucial in oncology care with more than 50% of patients with cancer experiencing pain. The proposed strategy of patient involvement and empowerment is thought to be central to pain management. A research conducted by Turkish oncology nurses revealed that inadequate attitude and knowledge influences the process of cancer pain management (Yildirim, Cicek, & Uyar, 2008). In order to implement the proposed strategy, the first step will come up with a committee comprising the nurse educators from the oncology unit in order to familiarize themselves with the project description and solution. After they go through the project proposal and approve it, then its implementation can begin. The specific nurse educators will appoint charge nurses from the oncology unit, based on their knowledge of oncology, pain management as well as if they are interested to be part of the implementation team of the project.

Training sessions, of about one hour each, will be arranged in order to help the involved nurses improve their knowledge on the topic. Ten training sessions are expected to be efficient for the nurses to recap and gain more knowledge on effective pain management by involving the patient. The formed committee will come up with the objectives of each session and communicate this to the selected group. They also have the responsibility of communicating with the management of the unit about the project and what is to be achieved at the end of it.

Other sources of educative information will also be used together with the training session. Use of handouts on pain management will also be helpful and the committee will ensure that each charge nurse selected to go through the training will have a handout. To ensure that this project is a success the involved people should work together with the main focus being to achieve the objective. The objective of the study is to ensure that oncology patients will be empowered and involved in the pain management. They should also be able to provide clear and accurate information on what they have learned that the other health care providers in the oncology unit and who help manage cancer patients.

Resources Needed for Solution Implementation

In order to implement the education sessions on pain management there will be needed for a projector to show the presentation. The committee will ensure that there is an available projector before the onset of the training sessions. Handouts should also be made available and a print will therefore be required to ensure that everyone gets all available handouts. Even the staff of oncology unit will each need a copy of the handout and thus enough number should be produced. The committee has the task of ensuring that the resources needed are available and any other cost needed in the implementation part will be catered through the finance department.

Monitoring Solution Implementation

The committee will need to monitor the implementation plan regularly to ensure that there are accuracy and consistency of the topic. Evaluation of the content of the training session and attendance rate is also very important. The committee will also evaluate if the staff knows the importance of involving patients in their care. Pain management is very important and especially when the patient is involved and has been empowered at the same. The oncology staff should demonstrate that they have this knowledge through the use of this evidence based practice as they provide health care in the unit.

Watch for large gaps.

Using Planned Change Theory

This implementation plan uses the theory of Symptom Self-Management, a tested middle range theory (Hoffman, 2013). This theory provides interventions on the improvement of quality of life of a patient by means to understand aspects of symptom self-management and a framework for the development of enhancing interventions. Evidence from studies divulge that behaviors that are healthy, such as effective symptom self-management, can be successful in the prevention or reduction of much of the suffering from cancer diagnoses (Kreuter et al., 2007). Oncology healthcare providers play a crucial role in developing a symptom self- management plan that is critical in ensuring there is optimization of a patient’s symptoms self-management behaviors.

Educating patinets can promote effectivness in diminishing cancer pain and should be used as standard practice guideline in all oncology environments (Marks & Allegrante, 2005). Getting emotional and practical support will also help with the management of pain. There is a need for colossal education on strategies on the management of pain. Multiple systematic have identified that patient education in improving cancer pain management has been optimal. However, there is uncertainty that patient education has the absolute mechanism to improve pain outcomes (Bennett, Bagnall, & Closs, 2009).

Feasibility of the Implementation Plan

The health care providers are aware of the burden that pain causes to cancer patients and hence understand the need by using new strategies aimed at helping the patient manage the pain. Therefore, implementation of the evidence based practice of patient education and empowerment in pain management will have positive results. It’s aimed at helping the patient improve their functional status and quality of life. Additionally, methods of educational empowerment should be based on experiential learning, implying that the provider should ensure be self-involving as much as possible (Aujoulat, d’Hoore, & Deccache, 2007).

Conclusion

A plan is necessary for the solution to mimimize the pain and suffering associated with cancer. Implementing strategy through education and EBP with all care team disciplines can be a significant step to address this phenomonom. A caring touch during such difficult times in ones’ life can be recheaded by providing comfort for the healing of the patient and his or her family.

References

Aujoulat, I., d’Hoore, W., & Deccache, A. (2007). Patient empowerment in theory and practice: polysemy or cacophony?. Patient education and counseling, 66(1), 13-20 missing doi# for these reference citations on this page?

Bennett, M. I., Bagnall, A. M., & Closs, S. J. (2009). How effective are patient-based educational interventions in the management of cancer pain? Systematic review and meta-analysis. PAIN®, 143(3), 192-199.

Hoffman, A. J. (2013). Enhancing self-efficacy for optimized patient outcomes through the theory of symptom self-management. Cancer nursing, 36(1), E16.

Kreuter, M. W., Green, M. C., Cappella, J. N., Slater, M. D., Wise, M. E., Storey, D., … & Woolley, S. (2007). Narrative communication in cancer prevention and control: a framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221-235.

Marks, R., & Allegrante, J. P. (2005). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II). Health Promotion Practice, 6(2), 148-156.

Yildirim, Y. K., Cicek, F., & Uyar, M. (2008). Knowledge and attitudes of Turkish oncology nurses about cancer pain management. Pain Management Nursing, 9(1), 17-25.

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Assignment Grading Criteria

Nursing Research Utilization Project: Implementation Plan

Week Four

Content / Development

70 Points Points Earned

60 /70 Additional Comments:

All key elements of the assignment are:

• Develop a plan for Implementing the proposed solution which should include the following: 20 points

a. Realistic objectives

b. Goals

c. Appropriate timeframe for the proposed solution

• Planned change theory that is relational to the development of the implementation plan. Rationale is provided for the use of this theory. 15 points

• Identify Resources needed for the proposed solution with thorough explanation of how the resources will be secured and incorporated 15 poings

• Describe outcome measure(s) that are aligned with the planned outcomes 10 points

• Discuss the Feasibility of the plan 10 points You provided a very clear plan for implementing your solution. It is aligned with your objectives and goals.

Great job with integration of theory. There was not a clear discussion on the outcome measures you are planning to use to determin whether your solution is successful or not.

Total points 100 x.70 70 Additional comments:

Readability and Style

9 Points Points Earned

9 /9 Additional Comments:

(3 points each)

Includes a minimum of 6 Scholarly resources This was clearly well written.

Sentences are complete, clear, and concise.

Sentences are well-constructed, with consistently strong, varied sentences.

Mechanics

21 Points Points Earned

20 /21 Additional Comments:

The paper, including the title page, reference page, and appendices follow APA guidelines for format. (10) Overall, nice job. The references were missing the doi#.

Citations of original works within the body of the paper follow APA guidelines. (6)

The paper is laid out with effective use of headings, font styles, and white space. (3)

Rules of grammar, usage, and punctuation are followed. (2)

Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted.

Total

100 Points Earned * (.10)

8.9 /10 Additional Comments:

Total Points X .10

Nursing Research Utilization Project Proposal: Implementation Plan INSTRUCTION: Describe the methods to be used to implement the proposed solution. •Develop a plan for implementing the proposed solution. •Incorporate a theory to develop the implementation plan and explain how it is used to develop the plan. •Identify resources needed for the proposed solution’s implementation and how you plan to gather and incorporate them. •Describe outcome measures aligned with planned outcomes •Discuss the feasibility of the implementation plan. Format your plan consistent with APA guidelines by either writing this in a paper format or you may use the matrix table to complete this assignment as long as all of the content above is fully covered. If the matrix table is used, it must be professional/neat in appearance. Include a minimum of 6 scholarly peer-reviewed journal articles from the University Library within the outcome descriptions (no minimum word count requirement). Ensure you include an APA formatted reference page. **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Submit the assignment as directed by the instructor GRADING RUBRIC (4th installment – this paper) Assignment Grading Criteria Nursing Research Utilization Project: Implementation Plan Week Four Content / Development 70 Points Points Earned /70 Additional Comments: All key elements of the assignment are: • Develop a plan for Implementing the proposed solution which should include the following: 20 points a. Realistic objectives b. Goals c. Appropriate timeframe for the proposed solution • Planned change theory that is relational to the development of the implementation plan. Rationale is provided for the use of this theory. 15 points • Identify Resources needed for the proposed solution with thorough explanation of how the resources will be secured and incorporated 15 poings • Describe outcome measure(s) that are aligned with the planned outcomes 10 points • Discuss the Feasibility of the plan 10 points . Total points 100 x.70 70 Additional comments: Readability and Style 9 Points Points Earned /9 Additional Comments: (3 points each) Includes a minimum of 6 Scholarly resources Sentences are complete, clear, and concise. Sentences are well-constructed, with consistently strong, varied sentences. Mechanics 21 Points Points Earned /21 Additional Comments: The paper, including the title page, reference page, and appendices follow APA guidelines for format. (10) Citations of original works within the body of the paper follow APA guidelines. (6) The paper is laid out with effective use of headings, font styles, and white space. (3) Rules of grammar, usage, and punctuation are followed. (2) **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Total 100 Points Earned * (.10) /10 Additional Comments: (THIS WAS FROM THE 1st WEEK (INSTALLMENT)of the project…Completed paer with be attached for reference… Select a clinical issue or work setting problem. This issue will be the focus of the ongoing individual assignments over the next 6 weeks. Here are some examples to choose from: Patient-centered Care and Education 1.Risks across the life-span 2.Discharge planning including home environment needs/ Community resources 1.Health Promotion. Orientation to clinical settings 1. New graduates/Residencies 2. Policy/procedure changes 3. Developing collaborative teams Clinical Issues 1.Horizontal Violence 2.Interdisciplinary Patient Care Planning 3.Clinical Nurse Leader Role Write a 350-700 word reflection to Identify your selected issue or problem and provide rationale as to why this is an issue or a problem. The rationale must be supported by valid research findings. Format your paper consistent with APA guidelines. Include a minimum of 4 scholarly references. **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. No first person or direct quotes should be used in any individual or team assignments. Patient Center Care Patient-Centered Care (PCC) is at the core of local and national efforts to improving the quality of health-care. PCC is not a new concept; but rather one that could be viewed as getting more talk than action in practice. Generally, PCC is an approach in which families and patients are considered integral parts of the healthcare decision-making process. The nurse understands the patient as a person rather than a cluster of diseases. PCC delivers care to the patient in several ways such as; patient’s beliefs and, having a sympathetic presence, engagement, and provision of physical and emotional needs. PCC exposes several benefits to patients by placing them at the center of the delivery care. It redirects activities so that the right official does a right job at the expected time. PCC improves integration of clinicians collaborating on behalf of their patients and also improves continuity of care. Moreover, PCC minimizes shifting of patients within the hospital, allows staff members to plan and execute their work in ways that meet patient needs and provides autonomy to patients. Nurses, through PCC, can respond precisely to each patient’s needs, preferences, and wants. Furthermore, PCC provides a more holistic care by enhancing communication skills between patients (Barnsteiner & Walton, 2014 , p.134), healthcare providers, and relatives. It shifts the emphasis from body care to total care. PCC is used in discharging process of patients. Patients and families are engaged in the discharge planning process. Mostly, 20% of the patients experience a devastating event within 30 days of discharge (Hamric &Hanson, 2014, p.121). Three-quarters of these can be prevented. The patients encounter problems such as adverse drug events, procedural complications, and hospital-acquired infections. Involving patients and their families in discharge planning can reduce unplanned readmissions, improves patient results, and increase their satisfaction. The elements of ideal discharge planning are; include, discuss, educate, assess, and listen. Include The patients and their families should be informed about the discharge planning process. Discuss Nurses should address five basic areas to prevent problems at home. They family should describe to them what life at home will be like for the patient, they should review medications, address warning signs and problems to the family, explain test patient outcomes, and arrange for follow-up appointments after discharge. Educate Nurses should educate the family and the patient in plain language about the patient’s condition, the discharge process, and the next steps throughout the hospital stay. Listen Clinicians should also pay attention to the patient’s and family’s goals, observations, preferences, and concerns. Clinicians should also discuss with their patients on risks across life span. They should diagnose the life-threatening associated conditions and then advice the patients and families on how to manage the condition and what lifestyle they should adopt to improve their well-being. Properly maintaining the health conditions helps in minimizing the risks and increases life expectancy (Forman, 2011, p.56). Some of the diseases which expose patients to risks throughout their life span are diabetes type II, HIV/AIDS, and cerebral palsy. Patients who receive proper healthcare are managing to live with these diseases for quite a long time. According to Day and Brunner, every hospital should strive to provide a friendly, collaborative learning environment which involves the patient and promotes their health status (Day& Brunner, 2009, p. 96) .With nurses as the primary patient, they are charged with the responsibility of ensuring that patient care is maintained in hospitals. References Forman, H. (2011). Nursing leadership for patient-centered care: Authenticity, presence, intuition, expertise. New York, NY: Springer Pub. Co. Barnsteiner, J. H., Disch, J. M., Walton, M. K., & Sigma Theta Tau International,. (2014). Person- and family-centered care where is the rest of the reference? In Hamric, A. B., In Hanson, C. M., In Tracy, M. F., & In O’Grady, E. T. (2014). Advanced practice nursing: An integrative approach. Not understanding this citation? Day, R. A., Brunner, L. S., & Day, R. A. (2009). Brunner & Suddarth’s textbook of Canadian medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins. NURS 598: Topic Selection Rubric Content / Development 70 Points Points Earned 60 /70 Additional Comments: All key elements of the assignment are: ( 20 points each for total of 60 points) • Description of selected topic in the practice setting (either present or past workplace) 20 possible points • Discussion of significance of the problem to patient-care or clinical practice issue. 20 possible point • Discussion of feasibility of providing a solution to the problem or issue in the practice setting. 20 possible point Good topic selection; however, I am unsure as to what the problem is? Moving forward you will need to be specific with the problem as you only discussed the topic area. I didn’t get a good understanding of feasibility? (5 points each) Word Count – between 350-700 words Minimum of 4 scholarly references no older than 10 years is included. Total points x.70 Additional comments: Readability and Style 9 Points Points Earned 9 /9 Additional Comments: (3 points each) The tone is appropriate to the content and assignment. No first person or direct quotes. Overall, written adequately. Sentences are complete, clear, and concise. Sentences are well-constructed, with consistently strong, varied sentences. Mechanics 21 Points Points Earned 19 /21 Additional Comments: The paper, including the title page, reference page, tables, and appendices follow APA guidelines for format.(10) Good start with APA formatting. See small errors on reference page and with formatting/sub headers. Also, credentials should be used (no points deducted for this). See my comments on your title page. Citations of original works within the body of the paper follow APA guidelines. (6) The paper is laid out with effective use of headings, font styles, and white space. (3) Rules of grammar, usage, and punctuation are followed. (2) **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Total 100 Points Earned: 4.4 / 5 Additional Comments: Total X .05 This was Week 2’s assignment (INSTALLMENT) and graded paper: Based on the identified Issue or problem you discussed in week 1: •Identify one Evidence Based Practice model and discuss model fully •Explain how you will use the selected model to direct your research utilization project. Format your paper consistent with APA guidelines. Include a minimum of 4 peer reviewed journal article references from the University Library. Paper should be between 700-1,050 words. **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. THIS WAS THE GRADING RUBRIC & PAPER FROM WEEK 2: Based on the identified Issue or problem you discussed in week 1: •Identify one Evidence Based Practice model and discuss model fully •Explain how you will use the selected model to direct your research utilization project. Format your paper consistent with APA guidelines. Include a minimum of 4 peer reviewed journal article references from the University Library. Paper should be between 700-1,050 words. **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Stetler Model Evidence Based Practice (EBP) is an increasingly significant element of clinical care. It is a means of improving rehabilitation. Despite having a one-on-one delivery of therapy, other factors influence the patient’s outcome. Mostly, nurses find a hard time deciding the best form of therapy for patients because of the chronic and the ever-evolving nature of patients’ conditions (Grove, Burns, & Gray, 2013). EBP models then stand out as the most important means of delivering care by most nurses. The Stetler Model is an example of the EBP model that is used in practice. According to Loiselle (2011), the Stetler Model focuses on the relationship between evidence-informed practice and research use. (Loiselle, 2011). These concepts are differenting and merging them will improve the use of research in organizations. The model states that research use is seen in a few different formats. These formats include: • Instrumental use- refers to the concrete and direct application of knowledge. • Conceptual use- mostly arises when using information changes the understanding or the perception of an individual on an issue. • Symbolic use when justification is demonstrated to render a decision or enforce a policy. Research can be used in all the three forms or independently. They can be affected at individual level by several factors. Stetler’s Model explores the thought that knowledge is influenced by internal elements as well as the factors of the external environment. The following are included: • An organization’s participation of the evidence of an individual’s use of research is not always a definite. • Internal or external factors can have an impact on a group’s or individual’s utilization and review of the evidence. • Research and assessment generate probabilistic data rather than absolutes. • To enhance problem-solving and decision-making, non-research related information and different kinds of research can be combined. For any organization to attain success using the Stetler Model, it should put into practice the elements that support evidence-informed practice. For instance, the organization should have the ability to take part in evidence-informed practice, such as having an effective framework for implementing their research findings. It should also have proper infrastructure in place for implementing the research findings, that is, stakeholder readiness, risk or benefits assessment, and availability of resources. The model further outlines the standards to determine the likelihood of addressing a matter to research. It emphasizes on substantiating the evidence obtained, and fitting the substantiated evidence for the user group and settings. The Stetler Model consists of five phases. Each of these phases is designed to facilitate critical thinking about the practical application of research findings, mitigate some of the human errors that could have been made during the study, and leading to the application of evidence in daily practice. (Rubin & Bellamy, 2011). These phases will be discussed further. are as follows: Preparation Identifying a purpose of examining evidence/research and if a need to rectify a problem or implementing revisions to an existing policy. The team should understand the relevance of considering crucial contextual elements that may have an impact on implementation. Validation This stage involves determining the applicability as well as credibility of the evidence. It makes an assumption that a weak research study may still have relevance if additional data provides further evidence (Melnyk & Fineout-Overholt, 2011). It also determines whether a given source is fit or has credibility from which a decision is made on whether to reject or accept it for synthesis with other evidence. It also calls for a summary to be made on the applicability of findings. This summary of findings should reflect on the studied relationships or variables in ways that could be practically used. Comparative Evaluation/ Decision making This phase rationally organizes and displays the comprehensive results from across all sources in terms of their similarities and differences. It also determines the feasibility to apply these findings in practice, based on applicability criteria, that is, in terms of the overall potency of the comprehensive conclusions. Applicability At this point, the researcher is expected to up with recommendations that generally take up research results and form action terms. He/she should evaluate how to implement the synthesized findings, identify the practice implications that could come up. Evaluation This is the final phase of the process. This stages includes clarification of the anticipated outcomes in conjunction of the desired evidence and whether they have relation to direct use. Conclusion The Stetler Model of EBP will help with the use of evidence in practice with planning and implementation. For instance, it will act as an essential guide to applying evidence obtained from research. It will enable individuals to utilize data obtained from research and other relevant evidence that can be implemented into practice to promote quality healthcare. This model will enable the ability to find solutions to the daily challenges that nurses meet in practice. References Rubin, A., & Bellamy, J. (2011). Practitioner’s guide to using research for evidence-based practice. Hoboken, N.J: Wiley Loiselle, C. G. (2011). Canadian essentials of nursing research. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Grove, S. K., Burns, N., & Gray, J. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence. St. Louis, Mo: Elsevier/Saunders. NURS 598 Week 2: Utilization Project Proposal: Model Selection Content / Development 70 Points Points Earned 55 /70 Additional Comments: All key elements of the assignment are: • Identification of one Evidence Based Practice Model that will be used to structure the proposed solution plan (model should be discussed) 30 points • Description of how the EBP model will be used to direct your research utilization project 30 points Good start with identification and discussion of a model. You provided good information about the model and its relevance. There was not enough discussion on how this EBP model will be used to direct your specific project regarding your topic from week 1. Over the next few weeks. All of these papers should be connected and I did not see how you would connect this model to your identified problem. (5 points each) Word Count – between 700-1050 words Minimum of 4 peer reviewed references from the University Library Total points x.70 Additional comments: Readability and Style 9 Points Points Earned 9 /9 Additional Comments: (3 points each) The tone is appropriate to the content and assignment. No first person or direct quotes. Good start with organization. Sentences are complete, clear, and concise. Sentences are well-constructed, with consistently strong, varied sentences. Mechanics 21 Points Points Earned 20 /21 Additional Comments: The paper, including the title page, reference page, tables, and appendices follow APA guidelines for format.(10) See corrections in paper with grammatical and sentence structure. Citations of original works within the body of the paper follow APA guidelines. (6) The paper is laid out with effective use of headings, font styles, and white space. (3) Rules of grammar, usage, and punctuation are followed. (2) **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Total 100 Points Earned: 6.72 / 8 Additional Comments: Total X .08 WEEK 3 ASSIGNMENT (3rd installement of the project): Instruction: Conduct a literature review to identify a solution to the previously identified problem Paper should include the following elements: 1. Literature Review •Critique 4 peer reviewed primary studies (must be studies) from the UoP library that are within 10 years (not older than 2005) to provide a sufficient and compelling research base for a proposed solution. •Each summary for the four articles should be no longer than 1 paragraph long or no longer than 6-8 sentences and include the following information: method used, problem, sample size/population, research question/hypothesis, measures/instruments used (if applicable), results, strengths/limitations. 2. A description of the proposed solution •Describe the proposed solution. •Describe the way(s) in which the proposed solution is consistent with current research knowledge. •Discuss the feasibility of implementing the proposed solution •Identify appropriate goals, objectives, and expected outcomes Format a 700-1,200 word paper consistent with APA formatting guidelines that covers the above requirements. **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. GRADING RUBRIC FOR WEEK 3: Assignment Grading Criteria Nursing Research Utilization Project Proposal: Literature Review and Solution Week Three Content / Development 70 Points Points Earned /70 Additional Comments: All key elements of the assignment are: • Summary of 4 peer reviewed primary studies that are within 10 years from the University library. Studies should provide support for the proposed solution to your clinical identified problem and be no longer than 1 paragraph or between 6-8 sentences long (see example). 30 points • Describe the proposed solution 15 pts • Discuss feasibility of implementing the proposed solution in the work setting. 10 pts • Identify appropriate goals, objectives, and expected outcomes of implementing solution. 10 pts 5 points Paper should be between 700 – 1200 words Total points x.70 Additional comments: Readability and Style 9 Points Points Earned /9 Additional Comments: (3 points each) The tone is appropriate to the content and assignment. No first person or direct quotes. Sentences are complete, clear, and concise. Sentences are well-constructed, with consistently strong, varied sentences. Mechanics 21 Points Points Earned /21 Additional Comments: The paper, including the title page, reference page, tables, and appendices follow APA guidelines for format.(10) Citations of original works within the body of the paper follow APA guidelines. (6) The paper is laid out with effective use of headings, font styles, and white space. (3) Rules of grammar, usage, and punctuation are followed. (2) **All papers should have a Turnitin report under 15% or a penalty will be deducted (25%) per the plagiarism email in the Instructor’s announcement. If papers have greater than 50%, the assignment will receive a “0”. Any papers that do not have a reference page, are not cited in the paper, contains direct quotes, or uses first person will automatically have 10 points deducted. Total 100 Points Earned: / 10 Additional Comments: Total X 10 PAPER FOR WEEK 3: Literature Review and Solution Identifying a problem and understanding the literature review of the topic of this utilization project over the 6 week timeframe, pain management in oncology has been selected. Through the processes selected, oncological pain management would be considered a passion to research for more therapeutic offerings. Improving the journey of oncological care by reducing one of the negative components, pain management, a nurse has improved the quality of the patients served. Pain management in Oncology Choi et al (2013) investigated an evidence based practice to improve the pain management in oncology. The study was a three phased audit, which evaluated the feedback from 137 patients in the Yonsei University Hospital on nurse’s compliances to patient centered care. The study suggested that patient empowerment was a good tool to the success of pain management. The nurses should be vigilant to observe pain related behaviors and discomfort on patient so as to assess the extent of pain. This strategy coupled with use of analgesics and opioids management pain in cancer patients effectively. According to Gibbs et al. (2014), the current knowledge is due to the innumerable trajectories in pain management in oncology is due the immense hard work and dedication by the pioneers. The article conducts interview on cancer patients. Analysis of the interview resulted to four themes including; a) self and independence; b) modifying expectations; c) healthcare role and d) definition of pain in context of oncology. The paper recommends that the patient must be informed about the onset of pain and how to manage it. The paper pinpoints that current pain assessment tool must be revised to ensure that the right aspects of pain are evaluated. The article highlights the importance of patient empowerment as it will enable the patient to communicate effectively on any pharmacological therapeutic side effects which reduces the concept of opiodo-phobia. Overcash et al (2013) indicate that about 73% of cancer patients have poor pain management. The paper evaluates pain assessment tools and extent to which the advanced cancer pain is controlled. From the study, 50% of patients felt less pain after receiving pain and medications education. The article suggests that chronic pain patient should be subscribed for analgesic at a regular basis. The therapy prescribed by the healthcare provider should be easy to administer by an empowered patient. The article suggests patient empowerment must be conducted to ensure that the patient does not feel depressed and distressed by the condition. The paper advocates that healthcare must not only provide standardized pharmacological therapy but must be couples with immense patient education on strategies to manage the pain. Baker et al (2013) argues that a patient’s ability to manage their pain depends on perceptions on pain experiences. There is limited information of how patient empowerment could influence the ability to manage their pain. The study is a prospective cross sectional research for out-patient cancer care. The survey is a qualitative study which is based on assessing the nature of pain, experiences and treatment satisfaction. The paper concludes that the best strategy to manage pain in cancer patients is through patient empowerment; because it makes the patient imparities on pain and management is reduced. Patient Empowerment in Pain Management The health care systems in the world are transiting to an interested strengthened patient. Patient empowerment has been found to be very effective in other pathophysiological disciplines such as congestive heart disease, and similar successes are projected in pain management system. The concepts includes engaging the patient in all the processes of pain management processes, rather than sticking to conventional approach where pharmacological therapy were administered to clueless patients. This will ensure that the patient is more aware of their understandings; and thus can effectively contribute in making decisions. Through healthcare support, the patient can manage the pain using conventional therapeutic strategies effectively. Additionally, empowered patient will be confident and will communicate their preferences in a manner that is increasingly meaningful. This evidence based practice is consistent with research. Systematic review on 67 articles which highlighted the importance of patient empowerment and improved self-care enhances the management of chronic diseases. From the 67 articles, 50 of them indicated positive effects when patient knowledge is increased, 12 indicated mixed results and only 5 reported negative results. The studies concluded that patient empowerment improved decision making processes; thereby improving patient’s safety and quality of life (Baker et al., 2013). The strategy is feasible and has been associated with a number of benefits. To start with, patient empowerment enhances healthier behaviors. Literature indicates that cancer patients are often depressed and are more likely to indulge in risky behavior activities such as alcoholism. By emphasizing on the patients autonomy, it will make it easier for the patient to adhere to the mutually agreed recommendations. Patient empowerment results to greater and better decision making processes. This is because the patient and the healthcare come together, and tailor makes individualized strategies which will benefit both the patient and the health care systems. Consequently, the patient quality of life will be improved and will lead to greater patient satisfaction (Gibbs et al., 2014). Conclusion Engaging patients in their care is very important in sustaining and continuing the sustainability of the healthcare system. Patient empowerment has been viewed as a solution to most chronic disease care and has been positively identified to reduce the disease burden, improving end of life care and enhanced multi-collaboration between various healthcare providers, thereby sustaining quality of care. References Baker, T., O’Connor, M., & Krok, J. (2013). Experience and Knowledge of Pain Management in Patients Receiving Outpatient Cancer Treatment: What Do Older Adults Really Know about Their Cancer Pain? Pain Med, 15(1), 52-60. doi:10.1111/pme.12244 Choi, M., Kim, H., Chung, S., Ahn, M., Yoo, J., & Park, O. et al. (2013). Evidence-based practice for pain management for cancer patients in an acute care setting. International Journal of Nursing Practice, 20(1), 60-69. doi:10.1111/ijn.12122 Gibbins, J., Bhatia, R., Forbes, K., & Reid, C. (2013). What do patients with advanced incurable cancer want from the management of their pain? A qualitative study. Palliative Medicine, 28(1), 71-78. doi:10.1177/0269216313486310 Overcash, J., Hanes, D., Birkhimer, D., & Askew, T. (2013). Pain Intensity and Pain Management of Hospitalized Patients with Cancer: An Opportunity for Improvement. Clinical Journal of Oncology Nursing, 17(4), 365-368. doi:10.1188/13.cjon.365-368