Executive Solution Overview
As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately. The patients' need of narcotics is around the clock until the pain subsides. The lack of staff in the surgical floo…
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As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately. The patients' need of narcotics is around the clock until the pain subsides. The lack of staff in the surgical floor is a problem the institution has been dealing with for the last year and the problem still has not been corrected. The patient’s satisfaction is compromised, and the nurse patient ratio is high.
**Step 1: Identify the problem -** **Cultivate a spirit of inquiry**
Explain, in your own words, what is the problem?
What are the data and sources that validate the problem?
– Safety
– Quality indicators
– Practice observations
– Patient satisfaction
– Other
Why is the problem is relevant?
What is the current practice?
1. **Create the clinical question utilizing the PICOT format -** **Ask clinical questions utilizing the PICOT format**
P = Patient Population
I = Intervention or issue
C = Comparison Intervention or Status
O = Outcome
T = Timeframe to accomplish the O
Final Clinical Question: _________________________________________
1. **Searching for the best evidence**
The student will look at the different databases to search for the strongest evidence that will be used to answer the clinical question.
1. **Critically appraise the evidence – Summarize the evidence**
The student will evaluate the evidence and will choose the ones that will help to answer the clinical question. They will create a summary of the best information found and synthesize the findings.
1. **Integrate the evidence with clinical expertise**
– Develop best evidence recommendations
– Create an action plan
– Implement action plan
1. **Reports results to stakeholders**
– Create a report to the stakeholders
1. **Disseminate findings**
– Hospital administration meeting – PowerPoint
**General Instructions**
1. Remember that your work must be original and must not contain material copied from books or the internet. You must respect the intellectual property of the authors and not commit plagiarism.
2. Examine the criteria used to evaluate your assignment to find out how to get the highest grade for your work. The assignments are graded or evaluated through rubrics or by the distribution of points.
3. Before submitting your entry, read your message several times. This will ensure that it contains the exact information you want to communicate.
**Format**
– You must present your writing double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12.
– Pay attention to grammar rules (spelling and syntax).
– Your work must be original and must not contain material copied from books or the internet.
– When citing the work of other authors, include citations and references using APA style to respect their intellectual property and avoid plagiarism.
– Remember that your writing must have a header or a cover page that includes the name of the institution, the program, the course code, the title of the activity, your name and student number, and the assignment's due date.
Contribute a minimum of 10 pages. It should include at least 10 academic sources, formatted and cited in APA.
## **Supplemental Resources**
**Suggested Textbook from the Syllabus:**
Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. _BMC Medical Education, 18_(1), 1-11.
Melnyk, B. M., Mazurek, B., & Fineout-Overholt, E. (2019). _Evidence-based practice in nursing & healthcare: a guide to best practice_ (4th ed). Wolters Kluwer.
Zaccagnini, M. E., & White, K. W. (2017). _The doctor of nursing practice essentials: a new model for advanced practice nursing_ (3rd ed.). Jones & Bartlett Learning.
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