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Essay Instructions: This paper is a capstone project for an acute care facility. The proposed practicum project is FALL PREVENTION: Working with your Care Team.

Enclosed are the specific instructions and followed by the proposal and objectives to set forth. This paper must be written in the third person. Each objective must have a methodology, formative eval, summative eval. The paper must contain 5 literature reviewed references. Please use QSEN INSTITUTE OF MEDICINE REPORT. Please add in a table or graph. There are three objectives and each one must have its own methodology.

The practicum project plan is written as a scholarly proposal for your project. Imagine you are submitting this proposal to your leadership team for review and approval. Consider what information you would want in a project proposal if you were an executive who was responsible for the use of human, financial, time, and other resources. (Note: For this assignment, you do not have to address the financial aspects of your plan.

PLEASE ADDRESS ALL:

Title. Include the name of your project in the title, following the Uniform-Guidelines format. FALL PREVENTION PROGRAM: Working with your care team. This is a pilot project proposal to assist one unit in a hospital who has had the most patient falls and one with a serious injury. This project is to prevent falls and maintain patient safety.

Introduction. In the introduction, include the purpose of the paper, the goal of the project, the name of the project, and the structure of the paper.

Goal statement. A goal statement identifies what you expect to accomplish, a focus area, and the population. The goal statement introduces the project and relates, in broad terms, how you will solve a particular problem or issue. For example: To develop a curriculum on patient safety that is needed to meet state guidelines.
Project objectives. Project objectives delineate your strategy for reaching the goal. Remember that project objectives are different from your practicum-experience objectives. Project objectives are the steps you will follow to complete the project. You must include a minimum of three objectives, using Bloom’s Taxonomy as a guide in selecting the action verb for each objective. Select verbs from the Application level of this taxonomy and higher.
Evidence-based review of the literature. This review must include a review of your specialization’s professional-practice standards and guidelines related to your project. Evidence-based support for your identified problem, project methods and evaluation are expected. You must include a minimum of 5 scholarly references.

Methodology. The methodology section addresses in detail how you will accomplish the objectives. Include, as relevant, the "who," "when," "where," and "how" of each objective.
Resources. Identify and justify the human, physical, and/or technical resources you will need to complete this project.

Formative evaluation. Describe how and when you will conduct formative evaluation of your project. Relate how you will use the evaluation results. Do not stop with a definition of formative evaluation. Consider how you will know the project is proceeding as planned.

Summative evaluation. Describe how and when you will conduct summative evaluation of your project and how you will use the evaluation results.

Timeline. Create a graphic timeline representing significant stages of your project. Supply a narrative sufficient for your Instructor to understand the timeline. Place the timeline in an Appendix to your project plan.

MY THREE PROJECT OBJECTIVES THAT ARE NEEDED TO ADDRESS METHODOLOGY< FORMATIVE AND SUMMATIVE ARE:

PROJECT
Fall Prevention Program: Working with your Care Team
Falls are the leading cause of hospital related injuries in the United States. They involve patients of all ages. Inpatient falls are serious patient safety and quality issues. Patients injured in a fall incur increased hospital costs due to additional treatment and longer lengths of stay (Pearson, Coburn, 2011). Fall prevention is a critical component of any patient safety approach. Effective communication among staff, patients, and their families augment information transmission, build relationships, and increase aptitude for positive patient safety and culture change. According to the IOM, (Institute of Medicine) creating safe, effective, patient-centric, timely, efficient, and equitable care has become the structure for the national patient safety movement, built upon clinically excellent care (Joint Commission National Patient Safety Goal, 2014).
Project Objectives
• Implement a pilot program with a purpose to reduce the number of patient falls and preserve patient safety.
• Contribute to the practicum project by coaching and mentoring the staff to be decision makers and teaming with the patients to prevent falls.
• Analyze the results of the pilot project related to the purpose and objectives.

Evidence
Quite little is known about the extent to which fall prevention interventions can be successfully implemented in an acute care facility. Systematic reviews and meta-analyses of falls rely on randomized controlled trials, which are challenging to perform. Evidenced-based literature on falls and fall prevention focuses more on community settings rather than hospitals (Rand, 2003). The research literature review used to assist in finding the best evidence based process would be to use the (PICO) method, the acronym for Population, Intervention, Comparison and Outcomes.
Prior to implementing this project we will have scheduled focus groups to collaborate new ideas and strategies to make this project work. Coaching and mentoring the staff to move forward and to delegate to the nursing assistants and to get all team members on board.
Formative Evaluation
During the formative evaluation, my preceptor and I will re-group with the team and discuss the progress of my project. Time is a major factor for this particular project due to limited practicum hour requirements (Davey, 2007). This is the time to focus on positive results and build toward the summative evaluation.
Summative Evaluation
By the end of the practicum project, the learner and the preceptor will review the efficacy of the fall prevention program: Working with your Care Team; and the maintenance of patient safety. We will compare the total number of patients on the program to the number of falls during the six week trial period.

Essay Instructions: You have learned about the abundance of research literature available to nurses and how to access it. Now you will tap into those resources to find research that is of relevance and value to your own practice.

In preparation for this assignment, complete the following:

****Select a topic Hourly rounding to eliminate constant patient use of call bells, reduce patient falls aand increase patient satisfaction

******Formulate a research question that is relevant to your nursing practice and is also of great interest to you.

Gather the literature

Locate FIVE or more full-text research articles that are relevant to your research question. Include at least one systematic review and one integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least three of these articles are available as full-text versions through Walden University’s library resources.

Prepare to summarize and synthesize the literature

Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to discuss a minimum o fFIVE articles. You may wish to create a literature review summary table, as suggested in Chapter 6 of the Burns & Grove textbook, to help you organize your thoughts.
Column headings MUST include: Author, Type of Study (Qualitative vs. Quantitative), Sample, Design, Theoretic Framework, Data Collection Approach, and Key Findings.

ADDRESS the following:

Synthesize what the studies reveal about the current state of knowledge on this topic. Point out consistencies and contradictions in the literature, and offer possible explanations for inconsistencies.


Provide preliminary conclusions on whether the research provides strong evidence to support a change in practice, or whether further research is needed to adequately address your inquiry.
Note: You are invited to critically evaluate any aspect of these studies??"for example, a study’s design, appropriateness of the theoretic framework, or data sampling methods. But it is understood that certain technical aspects of a standard review of literature have not yet been covered in this course. Your conclusion in this review should be “preliminary” for two reasons. First, five studies are almost certainly not enough to reflect the full range of knowledge on this particular question. Second, you are probably not yet familiar enough with research methodology to be able to evaluate all aspects of the studies.

Essay Instructions: Unit 3 Project: Credible Research Sources


Now that you are aware of the importance of evidence-based nursing and basing your decisions on credible research, you will now complete a literature review on the topic you selected in Unit 2 and write a 3-5 page paper which summarizes your findings.

Step 1 - You must select three research articles from a variety of sources.

1.At least one source must be from an internet site;
2.At least one source must be directly from a journal;
3.The location of the third source is up to your discretion, however all sources must be peer-reviewed.
Step 2 - Use the Rating System for Grading Levels of Evidence in the Houser (2008, p. 26) text to evaluate the peer-reviewed sources you have chosen.

Step 3 - Write a 3-5 page paper (not including a title page and reference list) demonstrating your application of the review criteria. Remember to include explicit evidence from the article and your text and/or other reading materials to support your critique. Your paper must include:

1.A title page;
2.An introductory paragraph;
3.At least 3 well-developed paragraphs which detail your review;
4.A concluding paragraph which brings your paper to a reasonable conclusion;
5.A reference list with at least 4 sources in APA format. These sources will include the Houser text and the 3 peer-reviewed articles you have selected for review. These sources must also be cited within the body of your paper.
When complete, save your paper as a Word document and submit to the Unit 3: Project Dropbox basket.


A nursing related topic of interest to at work is patients fall on the subacute unit .my attention every time is at work is patient falls. Over the past 10 years that I have worked as a nursing assistant and Registered Nurse in the Nursing Home, I have noticed that fall preventive measures implemented to prevent falls have not work. Consequently, the incidents of falls on the subacute unit have increased. I seen and been informed by my nursing staff about patient falling during: transfer from bed to wheelchair, wheelchair to bed, bathroom assistance, walking without any walking devices, trying to do things for themselves without calling for assistance or using the call bell to call for help. Some incidents are related to patients not being happy or not wanting to be in a medical facility where their routine of daily activity living has to be performed by people they

Essay Instructions: Answer the following question please 1-2 pages with at least 2 references these

(Based on the overview and shared resources, how do you think you may disseminate findings? Identify a conference you think appropriate for a presentation on your findings. Identify a journal that would be appropriate for a manuscript submission of your project. I am downloading paper on my project. )


The following is just an overview for reference
1. Discuss strategies for dissemination of findings.
2. Evaluate an existing plan for dissemination.
3. Develop a plan to disseminate findings after project completion.
Required Readings:
Mateo & Kirchoff Chapters 21 & 22Mateo, M. & Kirchoff, K. (2009). Research for advanced practice nurses

Recommended Readings:
Burns & Grove Chapter 25

Sharing the outcomes of your work is a professional responsibility. By the end of your DNP program, you will have implemented a project that could have lasting impact not only on the system you worked with, but potentially others as well. Why wouldn’t you want others to know how well, or not well, your project went? Some say, “I’m so tired of it, I never want to see that project again.” Being tired of a topic you’ve been immersed in so long is understandable. However, it is your responsibility to share what you have learned with others in the discipline of nursing so that patient care can be impacted. Many people will have invested time, possibly other resources, to assist with your project. They will want to know what the outcomes are. On a personal level, dissemination of the findings will be very important for your professional career as well.
How do we go about disseminating findings? Do we have to publish? No one is going to make you publish. But, you would be doing yourself a disservice if you didn’t publish your findings. We use the word findings in this discussion, which typically refers to research findings. Please know that when we say findings, we are referring to any outcome that may have resulted from your project. Findings could be a quantifiable measurement such as decreased patient falls or system and organizational structure that must be overcome before change can take place. Our thought is that you should get your findings out minimally in a journal article, but you should consider any venue where sharing your work would be appropriate.

Certainly, professional meetings and conferences, newsletters, presentations are all worthy of consideration. When a USA CON faculty member completed her dissertation, she published two articles and presented on the local and national arena. She even visited her Senator and shared her findings when she was on a trip to Washington D.C. Students have asked, “How did you get in with your Senator?” Well, remember we are their constituents. We elect them…they want to hear from us. If your project has policy implications, what better way to get your point across than to actually go see them or at least their health aide? Also, don’t get discouraged…have tenacity. Her first manuscript was so soundly rejected that she wouldn’t even look at the reviews for 6 months.
we all have developed a much thicker skin now. Use the reviews as suggestions for improvement. By all means, publish your findings. Presentations next…local, regional, national, & international. Aim high! You can always go lower if your abstract is not accepted.