NUR 440 Milestone One Guidelines and Rubric:
Overview:
In Milestone One, you will submit a topic proposal for instructor approval which identifies your chosen professional practice issue. A professional practice issue is any issue or situation that either compromises client care/service by placing a client at risk or affects a nurse’s ability to provide care/service consistent with standards and guidelines and agency or organization policies or procedures. By the end of this course, your topic also has the potential to be explored further as part of your capstone project. As the first piece of your final project, the topic proposal will enable you to explain the background and significance of the issue, develop your PICO question in Milestone Two and begin the introduction of your final project. A good topic proposal is engaging, identifies a specific and original topic, explains the background and significance, and establishes a purpose.
Prompt:
Choose a professional practice issue of local, state, or national importance that might be encountered in nursing practice.
Be sure to include the following elements in your topic proposal:
1. Identify your topic. How does it relate to a professional practice issue?
2. Explain your interest and purpose. Why did you choose this topic?
3. Explore the background and significance. What do you hope to gain by researching this topic? What is already known about the problem? What gap in practice will be addressed?
4. Analyze the relationship between research and evidence-based practice. How does research influence evidence-based practice? How will your research on this topic contribute to evidence-based nursing practice?
Required Resources:
Textbook: Essentials of Nursing Research: Appraising Evidence for Nursing Practice, Chapters 1, 2, and 18
Chapter 1 introduces the history of nursing research, the purpose of nursing research, and the fundamentals of evidence-based nursing practice.
Chapter 2 focuses on key concepts and the steps in the research process. Together, Chapters 1 and 2 form the foundation for evidence-based nursing practice and discuss the evolution to current nursing practice.
Chapter 18 describes the steps of evidence-based practice and identifies strategies to improve patient care.
What to Submit:
Your topic proposal must be submitted as a Microsoft Word document with 12-point Times New Roman font and one-inch margins. Submission should include at least two evidence-based resources published within the last five years. All citations and references should be formatted according to the most recent APA guidelines.
NEEDED BY SUNDAY MORNING PLEASE. MAKE SURE TO DO ALL PARTS
ALSO THIS IS AN ANNOUNCEMENT FROM MY TEACHER SAYS:
As nurses, we are involved in multiple aspects of a patient’s care. Remember our scope of practice and that nurses do not develop treatment plans (i.e. order medications, tests, discharges, etc.), we carry out the plan. In developing your topic proposal be sure the EBP change you are wanting to find through your research supports the nursing practice.
Here are some more examples I have had students come up with in the past that may help you get some juices flowing…but remember to find something that is relevant to your practice and of interest!
1. Stethoscope hygiene
2. New Graduate Nurse Residency
3. Reduce Nurse Injury with Technology
4. Interdisciplinary Rounds
5. Glucommander: Computer-Directed Method of Glucose Monitoring for Critically Ill Patients Treated with IV Insulin
The next part to keep in mind is if you have a professional practice problem and there is already a solution in place, but the solution is not working- ask yourself, why do I still have a professional practice problem and why is the solution in place not working??? It is easy for us to respond by stating…"Educate the staff!” Well, I am sure the staff was educated when the proposal initially came out and they are not following through…why they are not following through, this is another question! What can you change (through EBP) that will make it work? The answer to this question may be the answer to finding your topic proposal!
USE THAT INFORMATION AS NEEDED.
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