Category: Nursing

Tina jones cardiovascular shadow health Objective Data 100%

Objective Data Collection: 23 of 23 (100%)

 Correct

 Partially correct

 Incorrect

 Missed

 Inspected chest

1 of 1 point

Symmetry 
(1/2 point)

 Symmetric

 Asymmetric

Tina jones cardiovascular shadow health Objective Data 100%

Appearance 
(1/2 point)

 No visible abnormal findings

 Prominent pulsation

 Abnormal apical impulse

 Heaves or lifts

 Inspected for jugular venous distention

1 of 1 point

Height Of Venous Pressure 
(1/1 point)

 4 cm or less above the sternal angle

 More than 4 cm above the sternal angle

Tina jones cardiovascular shadow health Objective Data 100%

 Inspected hands and fingernails

1 of 1 point

Right: Nail Changes 
(1/3 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

ORDER HERE

Left: Nail Changes 
(1/3 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Capillary Refill Time 
(1/3 point)

 3 seconds or less

 Greater than 3 seconds

 Inspected lower extremities and toenails

1 of 1 point

Right: Edema 
(1/9 point)

 No edema

 Pitting

 Non-pitting

Right: Severity Of Edema 
(1/9 point)

 No edema

 1+ Slight pitting

 2+ Deeper pit, disappears in 10 to 15 seconds

 3+ Noticeably deep pit that lasts more than a minute

 4+ Very deep pit that lasts 2 to 5 minutes

Right: Appearance 
(1/9 point)

 No visible abnormal findings

 Visible distortion or swelling

 Discoloration

 Skin thickening

 Ulceration

 Varicose veins

Right: Nail Changes 
(1/9 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Left: Edema 
(1/9 point)

 No edema

 Pitting

 Non-pitting

Left: Severity Of Edema 
(1/9 point)

 No edema

 1+ Slight pitting

 2+ Deeper pit, disappears in 10 to 15 seconds

 3+ Noticeably deep pit that lasts more than a minute

 4+ Very deep pit that lasts 2 to 5 minutes

Tina jones cardiovascular shadow health Objective Data 100%

Left: Appearance 
(1/9 point)

 No visible abnormal findings

 Visible distortion or swelling

 Discoloration

 Skin thickening

 Ulceration

 Varicose veins

Left: Nail Changes 
(1/9 point)

 No visible abnormal findings

 Pallor

 Cyanosis

 Splinter hemorrhages

 Clubbing

Capillary Refill Time 
(1/9 point)

 3 seconds or less

 Greater than 3 seconds

 Palpated temporal arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated carotid arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated PMI

1 of 1 point

Location 
(1/3 point)

 Present at midclavicular line and 5th intercostal space

 Displaced laterally

Amplitude 
(1/3 point)

 Brisk and tapping

 Increased amplitude (hyperkinetic)

Diameter 
(1/3 point)

 Less than 3 cm

 Greater than 3 cm

 Palpated radial arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated brachial arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated femoral arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Tina jones cardiovascular shadow health Objective Data 100%

 Palpated popliteal arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated tibial arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Palpated dorsalis pedis arteries

1 of 1 point

Right: Vibration 
(1/4 point)

 No thrill

 Thrill

Right: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

Left: Vibration 
(1/4 point)

 No thrill

 Thrill

Left: Amplitude 
(1/4 point)

 0 Absent

 1+ Diminished or barely palpable

 2+ Expected

 3+ Increased

 4+ Bounding pulse

 Auscultated temporal arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Auscultated carotid arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Auscultated breath sounds

1 of 1 point

Breath Sounds 
(1/3 point)

 Present in all areas

 Diminished in some areas

 Absent in some areas

Adventitious Sounds 
(1/3 point)

 No adventitious sounds

 Wheezing

 Fine crackles

 Stridor

 Rhonchi

 Rales

Location 
(1/3 point)

 All areas clear

 Adventitious sounds in anterior right upper lobe

 Adventitious sounds in anterior right middle lobe

 Adventitious sounds in anterior right lower lobe

 Adventitious sounds in anterior left upper lobe

 Adventitious sounds in anterior left lower lobe

 Adventitious sounds in posterior right upper lobe

 Adventitious sounds in posterior right lower lobe

 Adventitious sounds in posterior left upper lobe

 Adventitious sounds in posterior left lower lobe

Tina jones cardiovascular shadow health Objective Data 100%

 Auscultated heart sounds

1 of 1 point

Heart Sounds 
(1/2 point)

 S1 and S2 audible

 S1, S2, and S3 audible

 S1, S2, and S4 audible

 S1, S2, S3, and S4 audible

Extra Heart Sounds 
(1/2 point)

 No extra sounds

 Gallops

 Murmur

 Friction rub

 Valve clicks

 Auscultated abdominal aorta

1 of 1 point

Sounds 
(1/1 point)

 No bruit

 Bruit

 Auscultated renal arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Auscultated iliac arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Auscultated femoral arteries

1 of 1 point

Right 
(1/2 point)

 No bruit

 Bruit

Left 
(1/2 point)

 No bruit

 Bruit

 Performed ankle-brachial index test

1 of 1 point

Abi 
(1/1 point)

 > 1.40 (noncompressable)

 1.00 – 1.40 (normal)

 0.90 – 0.99 (borderline ischemia)

 < 0.90 (abnormal)  Performed EKG 1 of 1 point Sinus Rhythm  (1/2 point)  Regular  Irregular St Changes  (1/2 point)  No ST changes  ST changes present Tina jones cardiovascular shadow health Objective Data 100%

Education & Empathy 
: 4 of 5 (80.0%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A 
Model Statement
 is provided as an example of an appropriate response to each opportunity.

Opportunities marked as 
Not Encountered
 are opportunities that were not elicited in the interview

Opportunities marked as 
Not Followed Up
 are missed opportunities that were present in the interview, but where no statements were made

Opportunities marked as 
Followed Up
 were followed up by students, and include the dialogue between student and patient

 1 Symptoms

Followed Up

 Description: 
Tina describes the symptoms that have been bothering her.

What brings you in today?

Question

10:45 PM MDT

I’ve been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don’t want to ignore heart stuff, I guess.

That must be frightening for you. I’m sorry you’re going through that.

Empathize

10:46 PM MDT

I appreciate you telling me that.

 Model Statement: 
“I’m sorry to hear you’re experiencing those symptoms; they can be very uncomfortable. I’ll ask you some questions to learn more about your symptoms, and we will try to determine what’s causing you to feel this way.”

 2 Hypertension

Not Followed Up

 Description: 
Tina has signs of hypertension and a strong family history of the disease, but does not take any action.

Do you have hypertension?

Question

10:51 PM MDT

…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.

Do you monitor your blood pressure at home?

Question

10:51 PM MDT

Only when I’m here at the clinic.

Do you monitor your heart rate at home?

Question

10:51 PM MDT

No, I’ve never done that.

Do you know if your heart has an abnormal rhythm?

Question

10:52 PM MDT

I don’t, honestly. [AUDIO COMING SOON]

 Model Statement: 
“A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. Keeping your blood pressure low is important to avoid health problems in the future with your heart and other organs.”

 3 Stress

Followed Up

 Description: 
Tina describes being busy, anxious, and stressed out.

Tell me about your stress levels

Question

12:38 AM MDT

Oh, geez. This whole year has been… I mean, it’s been the most stress I’ve had in my life. Right now our biggest worry is money, since, you know, this whole year we haven’t had Dad’s income. School can be stressful, too. Well, I guess it keeps me busy, but it’s only bad when I have a lot of tests, like mid-terms or finals.

I’m sorry to hear that it’s been a stressful year for you.

Empathize

12:39 AM MDT

Thanks for understanding.

 Model Statement: 
“Sounds like you’re working really hard. I’m sorry you’re dealing with so much stress.”

 4 Caffeine

Followed Up

 Description: 
Tina drinks a high level of caffeine and does not stay hydrated with water.

How many energy drinks do you drink?

Question

12:37 AM MDT

I’ve been having one every morning over the past month or so. A few times I’ve had two.

Caffeinated beverages can speed up your heart rate and blood pressure. They can be very dangerous.

Educate

12:37 AM MDT

Thanks for telling me.

 Model Statement: 
“Drinking high levels of caffeine can make you feel stressed or anxious, and can dehydrate you. Over time, lots of caffeine can make you experience “crashes” during the day, too. Let’s talk about healthy alternatives.”

 5 Exercise

Followed Up

 Description: 
Tina does not exercise on a regular basis.

Do you exercise?

Question

12:54 AM MDT

I’m pretty exhausted by the end of the day, so I don’t have the energy to do any extra exercise. But I’m on my feet all the time at work so I feel like that’s a little bit of exercise most days at least.

I understand that you’re tired at the end of the day and that is good that you get some exercise at work. However even just walking for 30 minutes a day could drastically improve your health and even extend your life.

Educate

12:55 AM MDT

That makes sense.

 Model Statement: 
“I understand being busy and having very little free time. However, exercise is healthy for you, and can even relieve stress. Even small amounts of exercise, such as taking a short walk, can improve your health.”

Which of the following is
correct
for a subsequent parenthetical citation for one work by two authors?

(Jones & Smith, 2016)

NURS 6003N Week 2 Quiz Answers

Question 1

5 
/ 5
 pts

Which of the following is correct for a subsequent parenthetical citation for one work by two authors?

(Jones & Smith, 2016)

(Jones, et. al, 2016)

 

(Jones et al., 2016)

 

(Jones and Smith 2016)

 

NURS 6003N Week 2 Quiz Answers Question 2

5 
/ 5
 pts

Which of the following is true regarding the APA elements of a title page in a student paper?

The title should be in all caps, centered between the left and right margins, and positioned in the upper half of the page.

 

The recommended length of the title is no more than 25 words.

 

The title of the paper, author’s name, author affiliation, course name and number, instructor name, assignment due date, and page number.

The institutional affiliation should come before the author’s name at the top of the title page.

 

BUY PLAGIARISM-FREE PAPERS OR GET EXAM AND QUIZZES HELP HERE

Question 3

5 
/ 5
 pts

When paraphrasing, which of the following is the correct format for an in-text citation?

(Jones, p. 151, 2016)

 

(Jones, 2016)

 

(Jones, 2016, p. 151)

 

(Jones, 151)

 

Incorrect
Question 4

0 
/ 5
 pts

Which of the following is correct regarding the format of a periodical on the reference page?

Jones, T. (2018). The legal side of the profession. 
Legal Nursing, 22
(7), 245-250. http://doi.org/ 10.2334/4892-8888.24.3.978

Jones, T. (2018). The Legal Side of the Profession.
Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

Jones, T. (2018). The legal side of the profession. 
Legal Nursing, 22
(7)
,
 245-250. https://doi.org/10.2334/4892-8888.24.3.978

Jones, T. (2018). 
The legal side of the profession
. Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

NURS 6003N Week 2 Quiz Answers Question 5

5 
/ 5
 pts

Which of the following is correct regarding an in-text citation for direct quotes?

(Jones, 2016)

 

(Jones, Journal of Professional Nursing Practice, 2016)

 

(Jones, 2016, p. 171)

 

(Jones, p. 171, 2016)

 

Question 6

5 
/ 5
 pts

According to APA, the list of references which appear at the end of the paper is referred to as the:

Works Cited

 

References

 

Sources

 

Bibliography

 

Question 7

5 
/ 5
 pts

Which of the following narrative in-text citations below is correct?

Jones and Smith (2018) reports……

 

Jones & Smith (2018) reports……

Jones, Smith (2018) reports……

 

Jones/Smith (2018) reports……

 

Question 8

5 
/ 5
 pts

In relation to comma usage in APA, which of the following follows the correct format?

Smith Jones and Craig (2016) found……

 

Smith, Jones, and Craig (2016) found……

 

Smith, Jones and Craig (2016) found……

 

Smith Jones, and Craig (2016) found……

 

Question 9

5 
/ 5
 pts

When a writer uses another person’s ideas and research without citing the source of the information, this is called plagiarism. NURS 6003N Week 2 Quiz Answers.

True

 

False

 

Question 10

5 
/ 5
 pts

In APA formatting, the margins should be _________ on all sides.

one and one-half inches

 

one-half inch

 

one inch

 

author’s choice

 

Question 11

5 
/ 5
 pts

Which of the following is correct when citing four authors in a narrative in-text citation in an APA-formatted paper?

Jones, Smith, Brady, and Baley (2016)……

 

Jones et al. (2016)……

 

Jones and others (2016)……

 

Jones, Smith, Brady & Baley (2016)……

Question 12

5 
/ 5
 pts

Words should be used to express any number that begins a sentence, title, or text heading.

True

 

False

 

Question 13

5 
/ 5
 pts

While 12-point Times New Roman was preferred by APA in the past, the seventh edition of the association’s 
Publication Manual
 also allows for the use of other fonts, such as s 11-point Calibri, 11-point Arial, or 10-point Lucida Sans Unicode.

True

 

False

 

Question 14

5 
/ 5
 pts

In APA, the writer should avoid the use of back-to-back parentheses.

True

 

False

 

Question 15

5 
/ 5
 pts

Based on the URL or web-address, which of the following websites would more likely contain scholarly, research-based resources on heart disease?

https://gobodly.com/heart-disease
Links to an external site.

https://www.cdc.gov/heartdisease/about.htm
Links to an external site.

Question 16

5 
/ 5
 pts

Which of the following is the correct way to cite a direct quote?

Jones (2018) found that “nurses are among the most trusted health care professionals.” (p. 34).

 

Jones (2018) found that “nurses are among the most trusted health care professionals” (p. 34).

 

Jones (2018) found that “nurses are among the most trusted health care professionals (p. 34).”

 

Jones (2018) found that “nurses are among the most trusted health care professionals.” (p34).

 

 GET EXAM AND QUIZZES HELP HERE

Question 17

5 
/ 5
 pts

Poetry, novels, and interviews are examples of _____________ sources.

Primary

 

Secondary

 

Question 18

5 
/ 5
 pts

In APA, it is recommended not to begin a sentence with an abbreviation.

True

 

False

 

Question 19

5 
/ 5
 pts

A Level 2 heading in APA should be:

Flush Left, Bold, Title Case Heading

Indented, bold, lowercase paragraph heading ending with a period.

Centered, Bold, Title Case Heading

Indented, bold, italic, lowercase paragraph heading ending with a period.

Question 20

5 
/ 5
 pts

In some papers for APA, an abstract will be required. Abstracts typically are limited to no more than ______ words.

50

125

 

250

 

300

NURS 6003N Week 2 Quiz Answers

When sending an e-mail to your Instructor or any Walden staff, your e-mail should:

Response Feedback: University staff and personnel will have no way of knowing who you are if you do

not sign your e-mail or sign it only with a nickname.

Online students are expected to behave with academic integrity and honesty.

Response Feedback:
Online
students are expected to follow the university Code of Conduct, which

includes behaving with academic integrity and honesty.

If you have a question about which courses you should register for next term, who should you contact? Your Academic Advisor

Your Academic Advisor
, will be the correct option. The Academic Advisor is the person who has a role of advising student regarding their academics

Students should avoid referencing Wikipedia as a
scholarly resource
in their assignments.
TRUE

Response Feedback: While it is acceptable to turn to
Wikipedia
to get background information on a topic, Wikipedia is no replacement for a scholarly resource, such as a peer-reviewed journal article. Students should avoid referencing Wikipedia in their assignments, unless specifically directed by the Instructor to do so.

Week 6 Assignment:  EBP Change Process form

ACE Star Model of Knowledge Transformation

Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project.  Nurse Daniel serves as an example only to illustrate the change process ACE Star Model of Knowledge Transformation.

 
Name:__
___________________

 
Star Point 1:  Discovery (Identify topic and practice issue)

Identify the
topic
and the
nursing practice issue
related to this topic. (This MUST involve a nursing practice issue.)

Infections acquired in medical facilities will be the topic of discussion. The frequent occurrence of UTIs caused by catheters (CAUTIs) is the chosen nursing practice issue.

Briefly describe your
rationale
for your topic selection. Include the
scope
of the issue/problem.

CAUTIs is the chosen issue, and I believe it is extremely essential to examine them since their incidence may be reduced and, in certain cases, even avoided entirely. ACE Star Model of Knowledge Transformation Nurses who are aware of the potential causes and manifestations of Hospital acquired infections are better able to take preventative measures.

ORDER YOUR PAPER HERE

Among the most prevalent types of infections that patients pick up in hospitals is an infection of the urinary tract. A urinary catheter that is left in place for an extended period of time is linked to at least 80 percent of all cases of urinary tract infections. An estimated 13,000 people each year pass away as a result of urinary tract infections related with catheter use. CAUTIs have been linked to longer hospital admissions, higher rates of morbidity and death, and higher overall healthcare expenses.

Star Point 2:  Summary (Evidence to support need for a change)

Describe the
practice problem in your own words
and formulate your PICOT question.

The practice problem is that since 2008, Medicare does not pay for the treatment of catheter-associated urinary tract infections (CAUTIs), which are one of the most prevalent types of illnesses that patients get while in a hospital. Although it has been claimed that nurse-driven guidelines make it easier to make proper use of catheters and remove them in a timely manner, there has been very little effort made to rigorously analyze how these protocols affect clinical outcomes ACE Star Model of Knowledge Transformation.

PICOT question

In acute care patients (P), does a nurse-driven protocol (I), compared to traditional management (C), decrease the incidence of catheter-associated urinary tract infections (O) within 6 months? (T)

 
List the systematic review chosen
from the CCN Library databases
. Type the complete
APA reference
for the systematic review selected.

Durant, D. J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: a systematic review. 
American journal of infection control
, 
45
(12), 1331-1341.
https://doi.org/10.1016/j.ajic.2017.07.020

List and briefly describe
other sources
used for data and information. List any other
optional scholarly source
used as a supplement to the systematic review in
APA format
.

During the course of my research for supporting evidence, I came across an article titled “Implementation of a nurse-driven CAUTI prevention algorithm.” The evidence obtained in this article is pertinent to my PICOT because I would want to explore a solution to reduce or prevent the number of CAUTI cases that occur in a hospital environment. The expenditures associated with CAUTI are discussed after a brief history of the disease’s incidence and prevalence are presented in the article. The article also discusses measures that may be taken to prevent CAUTI ACE Star Model of Knowledge Transformation. In addition, the article delves into a method for reducing the incidence of CAUTI called an algorithm. I also came across an article that discussed whether or not nurse-driven procedures have a role in the reduction of the risk of CAUTIs.

References

Russell, J. A., Leming-Lee, T. ‘., & Watters, R. (2019). Implementation of a nurse-driven CAUTI prevention algorithm. Nursing Clinics of North America, 54(1), 81-96.
https://doi.org/10.1016/j.cnur.2018.11.001

Wood, K. L. (2018). Do nurse-driven protocols have an impact on the prevention of catheter-associated urinary tract infections? American Journal of Infection Control, 46(6), S83.
https://doi.org/10.1016/j.ajic.2018.04.162

Briefly
summarize
the main findings (in your own words) from the systematic review and the
strength
of the evidence
.

The most significant findings from the systematic review are that nurse-driven practices to promote accurate catheter use and early removal seem to have a favorable influence on the clinical indicators as well as the incidence of CAUTI. Nevertheless, there is a requirement to enhance the study design of quality improvement initiatives carried out in the patient care environment due to the limited levels of evidence available and the absence of methodologic integrity in current research.

The strength of the evidence in this systematic review can be deduced from its effort to eliminate the likelihood of bias in the way of locating and choosing studies for data extraction, and utilizing a thorough search strategy. In addition, the study’s openness in detailing each step of the synthesis process is another one of the review’s strengths.

Outline one or two
evidence-based solutions
you will consider for the trial project.

An evidence-based solution would be the involvement of the multidisciplinary taskforce team in the CAUTI nursing practice issue. According to studies, the multidisciplinary taskforce team has the potential to undertake quality improvement initiatives and change management approaches, both of which may lead to a substantial and lasting decrease in the number of CAUTIs that occur in inpatient units (Taha et al., 2017).

Taha, H., Raji, S. J., Khallaf, A., Abu Hija, S., Mathew, R., Rashed, H., Du Plessis, C., Allie, Z., & Ellahham, S. (2017). Improving catheter associated urinary tract infection rates in the medical units. BMJ Quality Improvement Reports, 6(1), u209593.w7966.
https://doi.org/10.1136/bmjquality.u209593.w7966

 
Star Point 3:  Translation (Action Plan)

Identify
care standards, practice guidelines, or protocols
that may be in place
to support your intervention
planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).

As part of the standard of care for urinary catheters, staff and patients alike should be educated about the significance of infection prevention, the signs of a urinary tract infection, and how to properly care for an indwelling urinary catheter. Other protocols include washing hands thoroughly before and after handling an indwelling catheter, using aseptic methods to implant and remove the catheter, fastening the tubing and drainage bag, ensuring sterility, and replacing supplies as needed.

List your
stakeholders
(by title and not names; include yourself) and describe their
roles and responsibilities
in the change process (no more than 5).

Nurse Leader- the one who is in charge of the trial and is accountable for the everyday operations and complexities of the project.

Unit Nurses- These professionals will help facilitate the catheter replacement procedure and provide routine bedside care to patients who have permanent catheters.

Patient- provides informed consent for a clinical trial and assists in the identification of indications of CAUTI

What specifically is
your nursing role in the change process
? Other nursing roles?

In this process of change, the responsibility that I play as a nurse is to be at the vanguard of the process. As the nurse who is in charge of the trial, it would be my responsibility to make sure that all of the necessary materials, education, and paperwork are in place during the whole process. This would guarantee that the trial is conducted effectively. All aspects of an indwelling catheter’s care, including insertion, removal, and daily maintenance, fall within the purview of the unit’s nursing staff. Additionally, the collecting of specimens is the responsibility of nurses. Additionally, nurses are the primary individuals responsible for making a diagnosis of a patient who is thought to have CAUTI.

List your stakeholders by
position titles
(charge nurse, pharmacist, etc.).
Why are the members chosen
(stakeholders) important to your project?

Medical doctor

Nurse Manager

Nurse Educator

Unit Nurse

Certified Nursing Assistant

It is the duty of the attending doctor to place the order for the indwelling urinary catheter. Unit nurses and certified nursing assistants play a significant role in the care that must be provided for indwelling catheters on a daily basis. The nurse manager plays a crucial role in ensuring that the rules pertaining to the change process are adhered to and, if required, offers further help.

 
What type of
cost analysis
will be needed prior to a trial?  Who needs to be involved with this?

A cost effectiveness analysis would be the kind of cost analysis that would be required. An investigation of an intervention’s cost in relation to its impact on a patient’s health is known as a cost-effectiveness analysis (CEA). In this particular stage of the change process, participation from the department of finance is required. This is essential in order to determine how much money may be contributed to the project in order to acquire the necessary resources.

Star Point 4: (Implementation)

Describe the
process for gaining permission
to plan and begin a trial.  Is there a specific group, committee, or nurse leader involved?

The administration of the health center must provide their approval before a study can even begin to be planned out and carried out. Without the management’s approval, one cannot carry out a trial of any kind. The financial team must also be brought on board to determine how much money may be set aside for the endeavor.

Describe the
plan for educating the staff
about the change process trial and how they will be impacted or asked to participate.

To begin, it is essential to coordinate efforts with a nurse educator so that they can educate staff members on the procedure for making changes. The appropriate procedure of avoiding CAUTI may be taught by nurse educators to other staff members, and continuous refresher training can be provided during the trial period. It would be more convenient for the personnel if educators were accessible throughout the day for all of the shifts

Outline the
implementation timeline
for the change process (start time/end time, what steps are to occur along the timeline).

The process of making the change would take place over the course of six months. As part of this process, employees would be instructed on how to take care of catheters and what information should be recorded. The trial involving patients who have given their informed consent to participate would also be incorporated into this timeframe.

PLACE YOUR ORDER HERE

 
List the
measurable outcomes
based on the PICOT.  How will these be measured?

The number of CAUTI episodes that occur over a period of six months would serve as the measurable result based on the PICOT model. CAUTI event reports, drugs used to treat CAUTI, and the frequency of indwelling catheterizations performed on the unit are all good indicators of this.

What
forms
, if any, might be used for recording purposes during the pilot change process. Describe.

Forms might be used to keep track of things like staff training and education. Care for the growing number of patients requiring indwelling catheters would be optimized by having staff do a self-assessment of their own preparedness and knowledge of catheterization.

What resources are available to staff (include yourself) during the change pilot?

Extra catheter care supplies, including Foley catheter bags, perineal soap, stat locks, tubing and other items, would be among the resources that the personnel would have access to. Staff and patients’ educational resources include recognizing warning signs of a catheter-associated urinary tract infection (CAUTI), the best practices for avoiding CAUTI, and the fundamentals of caring for a catheter that is left in place.

Will there be
meetings
of certain stakeholders throughout the trial?  If so, who and when will they meet?

Stakeholders will be invited to attend meetings at various points throughout the trial to discuss the status of the trial and whether or not any essential adjustments are needed. The first month of the trial will consist of weekly meetings, with subsequent months consisting of bimonthly meetings. In order to keep everyone apprised of what is going on with the trial, meetings will be open to participation from all stakeholders.

 
Star Point 5: (Evaluation)

How will you
report the outcomes
of the trial?

A data report summarizing the trial’s outcomes will be displayed in all unit staff common areas. At the conclusion of the trial, there will be a meeting to review its success or failure.

What would be the
next steps
for the use of the change process information?

The findings of the trial may be used to influence continuing adjustments that can be applied towards CAUTI. The staff will be able to make strides in reducing the number of CAUTIs that occur on the unit after they have evaluated what did and did not work, adapted what actually worked, and built on the knowledge they have gleaned from those evaluations ACE Star Model of Knowledge Transformation.

When will you lose access to your completed courses (excluding this Student Readiness Orientation)?

60 days after the course end date

Response
Feedback
: You will have access to any of your online courses (excluding this Student Readiness

Orientation) until 60 days after the course end date. It is therefore important to keep copies of your work, as well as any resources from the online classroom that you would like to save.