Translational Research for Practice and Populations

Sunday July 31, 2022

“You can work with my draft included below (my topic was Nursing assessment of Pain in a skilled nursing facility) or choose any other topic you are most comfortable with. (Setting can be in skilled nursing facility, a primary care or community clinic) Introduction: One of the key roles of the master’s-prepared nurse is to lead practice change across the full spectrum of healthcare settings. Master’s-prepared nurses must be able to translate the existing body of knowledge around a phenomenon of interest (accessible through published research studies) to inform decision making related to nursing practice. Requirements: A. Identify a current nursing practice within your healthcare setting that requires change. 1. Describe the current nursing practice. 2. Discuss why the current nursing practice needs to be changed. B. Identify the key stakeholders within your healthcare setting who are part of the current nursing practice. 1. Describe the role each identified key stakeholder will play to support the proposed practice change. C. Create an evidence critique table (see “Sample Evidence Critique Table”). 1. Identify five sources from scholarly peer-reviewed journals, which adhere to the following standards: a. Each source must be published within the past five years. b. Each source must relate to the change identified in part A. c. Each source must be listed in the table using APA format. 2. Identify the evidence strength of each chosen source, using the Strength of Evidence Table in the study plan. 3. Identify the evidence hierarchy of each chosen source, using the Evidence Hierarchy Table in the study plan. D. Develop an evidence summary based on the findings from part C that includes each of the five sources used (suggested length of 1–2 pages for all sources). E. Recommend a specific best practice based on the evidence summary developed in part D. F. Identify a practice change model that is appropriate to apply to the proposed practice change. 1. Justify why you chose the practice change model. 2. Explain how to apply the identified model to guide the implementation of the proposed practice change. G. Discuss possible barriers to successful implementation of the proposed practice change. H. Discuss any possible ethical implications that may arise while planning or implementing the proposed practice change. I. When you use sources, include all in-text citations and references in APA format. Below is my rough draft for the answers I had started answering A. Identify a current nursing practice within your healthcare setting that requires change. 1. Describe the current nursing practice. Pain is a sensation that hurts caused by an illness or injury leading to discomfort or distress. Nursing assessment of pain in a skilled nursing setting is one of the most common and yet most complex nursing assessments in this setting. Nursing assessment is one of the five systematic steps in the nursing process which focuses on identifying the potential or actual alteration in an individual, community or population’s health. Pain is subjective. It is what the patient says it is. Unfortunately, some patients are unable to provide a self-report of pain verbally, in writing, or by other expressive means, such as finger movement (Merkel, 2002) or blinking their eyes to answer yes or no questions (Pasero & McCaffery, 2011). I provide on call nursing care at several skilled nursing facilities and they all utilize the PQRST method of assessing residents’ pain. PQRST is a 5-part set of questions, P-Provocation of pain, Q-Quality of the pain, R-Region of the pain, S-Severity and T-Timing of the pain including the start and how long it lasts. The population at the skilled nursing facilities is a mixture of young and old unconscious patients who have tracheostomies and are on ventilators, older adults with advanced dementia and patients at the end of life. Each of these populations may be unable to self-report pain due to cognitive and physiological limitations making it difficult to adequately assess their pain. The PQSRT method therefore, is not comprehensive enough to utilize for patients who are unable to provide a self-report of pain verbally, in writing, or by other expressive means. B. Identify the key stakeholders within your


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