EVIDENCE BASED PAPER ( TOTAL PARENTERAL NUTRION )

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NR452 Capstone

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Course

RUA- Capstone Evidence-Based Practice Paper Guidelines

Purpose

To analyze own performance on the integrated comprehensive assessments and reflect on areas of opportunity and strategies to promote NCLEX-RN success and transition into practice. The student will apply the priority concept (topic) to evidence-based professional practice upon which nurses have the ability to resolve or have a positive impact. There is a focus on the healthcare disparities of the individual, as well as ethical and legal implications to professional practice. The student will discuss how an interdisciplinary approach promotes quality improvement for the patient and evidence-based professional practice, driving positive outcomes.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO # 1: Synthesize knowledge from sciences, humanities, and nursing in managing the needs of humans as consumers of healthcare in a patient-centered environment.(PO#1)

CO # 2: Integrate communication and relationship skills in teamwork and collaboration functioning effectively with health team members and consumers of care.(PO#3)

CO # 3: Utilize information technology to manage knowledge, mitigate error, andsupport decision making with health team members and consumers of care. (PO# 8)

CO # 4 Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise, and patient/family preferences/values in the implementation of the nursing process. (PO# 4)

CO # 5: Explore the impact of professional standards, legislative issues, ethical principles, and values on professional nursing, using data to monitor outcomes and improve quality and safety. (PO# 5, 6)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 250 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1) Track performance on the comprehensive assessments by logging NCLEX-RN Client Need Category performance on the Individual Student ATI Assessment Trends: Longitudinal Performance tool.

2) Based on individual performance on the comprehensive assessments, prioritize the top concept (topic) of greatest opportunity.

3) Include the following criteria for each identified concept (topic): The

NCSBN NCLEX-RN Test Plan

will support this process (detailed criteria listed below and in the Grading Rubric must match exactly).

a. Priority Concept (Topic)- 20 points/8%

· Identify the priority concept (topic) of opportunity.

· Provide a description of how this aligns with the NCLEX-RN Test Plan as indicated by performance in the Individual Student ATI Assessment Trends Table.

· Identify a minimum of two learning strategies that you plan to implement to address your learning need.

· Identify a minimum of two resources that you will integrate into your NCLEX-RN Readiness plan to assist you with improving the identified learning need.

(
NR452_RUA- Capstone Evidence-Based Guidelines
) (
Revised: 03/2021
) (
1
)

(
Learning Resources:
Identify
a
minimum of
two
resources that you will integrate into your NCLEX-RN Readiness plan to assist you with improving the identified learning need.
ATI Book, ATI pink book, NCLEX review
Adaptive quizzes, Cathy Parkes flashcards
)

88.9%

100.0%

Individual Student ATI Assessment Trends: Longitudinal Performance Table

ATI Assessment Title

NCLEX-RN Client Need Categories:

Students will log their individual assessment performance in each category below

and highlight the scores below 60% or lowest three scores for each assessment

Course

Manage- ment of Care

Safety & Infection Control

Health Promotion & Maintenance

Psychosocial Integrity

Basic Care & Comfort

Pharma- cological & Parental

Therapies

Reduction of Risk Potential

Physiological Adaptation

ATI Capstone Comprehensive

Assessment B

NR-446

100.0%

88.9%

85.7%

57.1%

71.4%

27.3%

80.0%

ATI Comprehensive

Practice- Form A

NR-452

96.7%

100.0%

92.3%

92.3%

95.7%

94.4%

95.2%

Based on individual performance on the comprehensive assessments, prioritize the top concept (topic) of greatest opportunity:

1. Pharmacological and Parenteral therapies

Apply the priority concept (topic) of greatest opportunity below:

(
Learning Strategies:
Identify a
minimum of two
learning strategies that you plan to implement to address your learning need.
Evaluate client response to medication. Educating patients on medication
Total Parenteral Nutrition
) (
Learning Needs:
According to the ATI capstone assessments questioning and the NCLEX review session,
Pharmacological and parenteral therapies cover every aspect of the NCLEX. Therefore, having a good grasp of this aspect will really help me in the exam.
)Identified Priority Concept (Topic):

(
NR452 Capstone Course
Capstone Evidence-Based Practice Paper Guidelines
)

(
NR452_RUA- Capstone Evidence-Based Guidelines
) (
Revised: 03/2021
) (
2
)

In this paper the student will provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint, the priority concept (topic), and professional practice.

1) Write a 4-6 page paper (not including the title page or reference page) using APA format

2) Include the following sections

a. Introduction- 20 points/8%

· Offer a detailed description of the statement of purpose for the paper.

· Identify a priority concept (topic) from the Individual Student ATI Assessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4) main categories of the NCLEX-RN examination blueprint:

· Assurance of a safe and effective care environment

· Health promotion and maintenance of health

· Preservation of the patient population’s psychosocial integrity

· Preservation of the patient population’s physiological integrity

· Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic).

b. Importance – 20 points/8%

· Describe the importance of the priority concept (topic) to professional practice

· Describe the health of the patient population.

· Include the potential negative effect to professional practice if the priority concept (topic) is unresolved.

· Include the potential negative effect to the patient population if the priority concept (topic) is unresolved.

c. Healthcare Disparities, Inequalities, and Interventions- 70 points/28%

· Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved.

· Identify healthcare resources to support evidence-based professional practice related to the priority concept (topic).

· Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

· Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.

· Identify three (3) evidence-based practice interventions.

· Prioritize the identified evidence-based practice interventions and provide rationale.

· Discuss two (2) patient education considerations related to the priority concept (topic).

d. Legal & Ethical Considerations and Intervention Challenges- 40 points/16%

· Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.

· Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.

· Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.

· Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.

· Identify one (1) anticipated challenges to the success of resolving the priority concept (topic) in professional practice.

e. Participants and Interdisciplinary Approach – 20 points/8%

· Identify all the parties who will be involved in the implementation of the priority concept (topic) interventions.

· Discuss the role of each member in the intervention implementation for the priority concept (topic).

· Identify a minimum of two (2) members of a discipline outside of nursing.

· Discuss the benefit of including the identified interdisciplinary member from disciplines outside nursing to promote evidence-based professional practice.

f. Quality Improvement– 20 points/8%

· Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.

· Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice.

· Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.

· Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice.

g. Conclusion – 20 points/8%

· Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency.

· Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).

· Include a complete statement describing why addressing the priority concept (topic) matters and to whom.

h. APA Style and Organization– 20 points/8%

· References are submitted with paper.

· Uses current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided.

For writing assistance (APA, formatting, or grammar) visit the

APA

Citation and Writing page in the online Chamberlain library.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

Priority Concept (Topic)
(20 points/8%)

20 points

18 points

16 points

8 points

0 points

Required criteria
1. Identify the concept (topic) of opportunity.
2. Provide a description of how this aligns with the NCLEX-RN Test Plan as indicated by performance in the Individual Student ATI Assessment Trends Table.
3. Identify a minimum of two learning strategies that you plan to implement to address your learning need.
4. Identify a minimum of two resources that you will integrate into your NCLEX-RN Readiness plan to assist you with improving the identified learning need.

Includes all 4 requirements for section.

Includes all 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirement for section.

No requirements for this section presented.

Introduction
(20 points/8%)

20 points

16 points

8 points

0 points

Required criteria
1. Offer a detailed description of the statement of purpose for thepaper.
2. Identify a priority concept (topic) from the
Individual Student ATI Assessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4) main categories of theNCLEX-RN examination blueprint:
a. Assurance of a safe and effective care environment
b. Health promotion and maintenance of health
c. Preservation of the patient population’s psychosocial integrity
d. Preservation of the patient population’s physiological integrity

Includes all 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

(
NR452 Capstone Course Capstone Evidence-Based Paper

Guidelines
)

(
NR452_RUA- Capstone Evidence-Based Guidelines
) (
Revised: 03/2021
) (
5
)

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

3. Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic).

Importance
(20 points/8%)

20 points

18 points

16 points

8 points

0 points

Required criteria
1. Describe the importance of the priority concept (topic) to professional practice
2. Describe the health of the patient population.
3. Include the potential negative effect to professional practice if the priority concept (topic) is unresolved.
4. Include the potential negative effect to the patient population if the priority concept (topic) is unresolved.

Includes all 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Healthcare Disparities, Inequalities, and Interventions
(70 points/28%)

70 points

63 points

54 points

21 points

0 points

Required criteria
1. Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved.
2. Identify healthcare resources to support evidence-based practice related to the priority concept (topic).
3. Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.
4. Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.
5. Identify three (3) evidence-based practice interventions.
6. Prioritize the identified evidence-based practice interventions and provide rationale.

Includes all 7 requirements for section.

Includes no fewer than 5-6 requirements for section.

Includes no fewer than 3-4 requirements for section.

Includes no fewer than 1-2 requirements for section.

No requirements for this section presented.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

7. Discuss two (2) patient education considerations related to
the priority concept (topic).

Legal & Ethical Considerations and Intervention Challenges
(40 points/16%)

40 points

36 points

31 points

12 points

0 points

Required criteria
1. Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.
2. Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.
3. Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.
4. Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.
5. Identify one (1) anticipated challenges to the success of resolving the priority concept (topic) in professional practice.

Includes all 5 requirements for section.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 1-2 requirements for section.

No requirements for this section presented.

Participants and Interdisciplinary Approach
(20 points/8%)

20 points

18 points

16 points

8 points

0 points

Required criteria
1. Identify all the parties who will be involved in the implementation of the priority concept (topic) interventions.
2. Discuss the role of each member in the intervention implementation for the priority concept (topic).
3. Identify a minimum of two (2) members of a discipline outside of nursing.
4. Discuss the benefit of including the identified

Includes all 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

interdisciplinary member from disciplines outside nursing to promote evidence-based professional practice.

Quality Improvement
(20 points/8%)

20 points

18 points

16 points

8 points

0 points

Required criteria
1. Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.
2. Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice.
3. Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.
4. Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice.

Includes all 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Conclusion
(20 points/8%)

20 points

16 points

8 points

0 points

Required criteria
1. Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency.
2. Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).
3. Include a complete statement describing why addressing the priority concept (topic) matters and to whom.

Includes all 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

APA Format, Grammar, and Punctuation
(20 points/8%)

20 points

18 points

16 points

8 points

0 points

Required criteria
1. References are submitted with paper.
2. Uses current APA format and is free of errors.
3. Grammar and mechanics are free of errors.
4. At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided.

Includes all 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Total Points Possible = 250 points

EVIDENCE BASED 2

Evidence Based RUA

Student Name

Chamberlain College of Nursing

NR452: Capstone

Session Month and Year

1

EVIDENCE BASED 4

Evidence Based RUA

Type your introduction. Although the first paragraph after the paper title is the introduction, no heading labeled Introduction is used. Refer to your assignment guidelines for the headings to be used for the body of the paper. Include NCLEX category with appropriate in text citation

Importance

Use as many paragraphs as needed to cover the content appropriately. Include negative effect of leaving issue unresolved.

Healthcare Disparities, Inequalities, and Interventions

Use as many paragraphs as needed to cover the content appropriately.

Legal & Ethical Considerations and Intervention Challenges

Use as many paragraphs as needed to cover the content appropriately. Include ethical and legal implications.

Participants and Interdisciplinary Approach

Use as many paragraphs as needed to cover the content appropriately. Include members of a discipline outside of nursing (please note that case managers and educators are nurses).

Quality Improvement

Use as many paragraphs as needed to cover the content appropriately. Provide benefits in addressing the priority concept (topic) and resources utilized.

Conclusion

Papers should end with a conclusion or summary. The assignment directions will specify which is required. It should be concise and contain little or no detail. No matter how much space is left on the page, the references always start on a separate page (insert a page break).

References

Author Last Name, First Initial. (Year of Publication). Title of article. Title of Journal, volume number (issue number), pages. Retrieved from http://dx.doi.org/xx.xxx/yyyy.

National Council of State Boards of Nursing (2019). NCLEX-RN Examination [PDF file], (2019). Retrieved from https://www.ncsbn.org/2019_RN_TestPlan-English.htm.

RUA Explanation

https://screencast-o-matic.com/watch/crnqFdS89q

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