Benchmark Capstone Project Change Proposal

Benchmark Capstone Project Change Proposal ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Benchmark Capstone Project Change Proposal Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Benchmark Capstone Project Change Proposal Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Benchmark Capstone Project Change Proposal picot_statement_10__21__2018.docx literature_evaluation_11_11_18.docx Running Head: PICOT STATEMENT 1 PICOT Statement NRS 490 Grand Canyon University Date 10/21/2018 PICOT STATEMENT 2 Introduction Formulation of a PICOT statement comes in handy when identifying the clinical problem in focus, that is, an increase in mortality rate among adults following cardiac arrest. This research into the intervention that can be applied and its effectiveness on acting on the clinical problem will come in handy once it has been compared with the hands plus breathing CPR, and its effectiveness in the same case. The PICOT statement plays an important role in clarifying the issue at hand, especially the medical issue in focus. The PICOT statement, in this case, covers an evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice with regard to the hands-only CPR being provided to adults for the sake of attempting to reduce the mortality rate (Lynn, 2010). The PICOT statement effective in this case is: P – Patient (adult) I – Intervention (Hands-only CPR) C – Comparison (hands-plus-breathing CPR) O – Outcome (reduced mortality rate in adults) T – Time required to realized outcome achievement The clinical problem, in this case, is the issue of an increase in mortality rate. The mortality rate remains high, or increases due to the failure of the right first aid measures being applied, or failure of the right way of giving a patient CPR, or failure of knowing the measures to apply to a person who requires assistance with breathing. The outcome can turn from negative to positive in PICOT STATEMENT 3 such a case when hands-only CPR is applied to a person who does not have the ability to breathe on their own. A person is then required to assist this patient when a medical responder is absent. Evidence-Based Solution The evidence-based solution in the event that an adult stops breathing is performing CPR (cardiopulmonary resuscitation) on them to help them breathe back to life. This is based on such a situation as a person suffering from cardiac arrest. The evidence-based solution carries the patient population in question (adults), as well as the intervention to be applied (hands-only CPR) (Field, A.C.E.P., & A.H.A., 2012). Nursing Intervention The most effective nursing intervention to be applied in the event of an adult’s lack of breath is the hands-only CPR. When an adult experiences cardiac arrest, a bystander may help them out by performing hands-only CPR. It is an effective method because it does not require training to perform, and it has been found to be successful in the application, as opposed to performing rescue breathing with chest compressions. Benchmark Capstone Project Change Proposal Chest compressions may be interrupted by the rescue breathing when the person performing it is untrained. Patient Care Patient care can be provided, in the event of cardiac arrest, through performing hands-only CPR. Bystanders should also take it upon themselves to perform CPR, especially in the absence of a medical responder, and until the responder arrives to keep the person alive. Once the responder arrives, the bystander can now leave it to the trained professionals. PICOT STATEMENT 4 Health Care Agency The healthcare agency in charge, after arrival at the scene, can aid in the performance of hands-only CPR while using a defibrillator, followed by taking the patient to the hospital once oxygenated-blood starts getting to the brain, and they start breathing again. The hospital can take a closer look at the issue with their health, and help the patient recover. Hands-only CPR cannot be used on a patient with a Do Not Resuscitate order from the doctor. Nursing Practice To perform hands-only CPR, several steps ought to be followed for effective performance. Following the collapse of an adult or a teenager, it is important first to dial 911. It is then encouraged that a person performs CPR through pushing fast, and hard at the patient’s chest center. CPR ought to be performed following the beat to the song “Stayin’ alive.” The rate used on pushing on the chest is 100-120 compressions every minute. Training a person to perform CPR has been found most effective when they have to remember a song whose beats aid in effective performance (Nord, 2017). Benchmark Capstone Project Change Proposal PICOT STATEMENT 5 References Field, J. M., American College of Emergency Physicians., & American Heart Association. (2012). The textbook of emergency cardiovascular care and CPR. Lynn, P. B. (2010). Taylor’s handbook of clinical nursing skills. Philadelphia, Pa: Lippincott Williams & Wilkins. Nord, A. (2017). Bystander CPR: New aspects of CPR training among students and the importance of bystander education level on survival. Linko?ping: Linko?ping University Electronic Press. Running Head: LITERATURE EVALUATION Literature Evaluation NRS 490 Grand Canyon University Date 11/11/2018 1 LITERATURE EVALUATION 2 Literature Evaluation Student Name: Change Topic: the PICOT topic talks about the use of hands-only CPR as an evidenced-based method in helping patients in casualty. The method can help in reducing the mortality rate that comes from the cases of cardiac arrest in emergency care cases. Introduction Nursing is one of the most important specialties in the healthcare sector. Over time the nursing sector has evolved into a more evidenced-based means of practicing as they have better health outcome compare to the other conventional types. One of the important strategies as this is the use of hands-only CPR in helping emergency cases in casualties. With hands-only CPR the work of helping individuals in emergency cases can be opened to any bystander who has knowledge in this field to save a life. There are cases where the healthcare practitioners are not easily reachable and if the people in the vicinity have the capacity to stop the cases, they can move ahead to assist. In the case of the clinical setups, this technique can help in saving many lives when the first aid kits are limited and there are more clinicians Literature Evaluation Table Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (PeerReviewed), and Permalink Nord Anette, Linko?ping University Electronic Press http://liu.diva- Michael R. Sayre, MD Robert A. Berg, MD, FAHA Benchmark Capstone Project Change Proposal Diana M. Cave, RN, MSN Richard L. Page, MD, FAHA Jerald Norris, R. M., & Kevin, P. O The New Zealand Medical Journal https://search.proq uest.com/openvie Heidenreich, J. W., Bonner, A., & Sanders, A. B. The Journal of emergency medicine LITERATURE EVALUATION 3 or Working Link to Access Article portal.org/smas h/record.jsf?pi d=diva2%3A1 153723&dswid =-3077 Potts, and Ph.D., FAHA Roger D. WhiteMD Circulation, https://www.ahajour nals.org/doi/abs/10.1 161/circulationaha.1 07.189380 w/453da7879b360 137cb2cd23b5f5b eed1/1?pqorigsite=gscholar &cbl=1056335 https://www.scienc edirect.com/science /article/pii/S073646 7910003938 Article Title and Year Published Bystander CPR: New aspects of CPR training among students and the importance of bystander education level on survival, 2017 Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-ofhospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee, 2008 Hands-only CPR; 2012 Rescuer fatigue in the elderly: standard vs. handsonly CPR. 2012 Research Questions (Qualitative )/Hypothesi s (Quantitati ve), and Purposes/Ai m of Study The research questions involved the factors that are likely to affect the 7th-grade students in the process of acquisition of the CPR skills in the process of training and their willingness to act when they are in the vicinity of the emergency.Benchmark Capstone Project Change Proposal The hypothesis of the experiments deliberates on the determination of the effectiveness in the use of the Handsonly CPR in the process of initiating resuscitation in a patient who has experienced cardiac arrest to optimize the therapeutic outcomes by giving the clinician an uninterrupted time while assisting the patient. The hypothesis of the research is concerning the promulgation of the hands only CPR as it states that the activity may not be sufficiently promulgated in New Zealand. The specific researcher question in the study the difference in the rescuer in the setting of an elderly patient, the ability to maintain sufficient compression rate and depth in the CPR Model. LITERATURE EVALUATION 4 Design Experimental (Type of design Quantitativ e, or Type of Qualitative) Quantitative – descriptive design Descriptive design Randomized Experimental design Setting/Sam Hospital-based ple Hospital-based Hospitals The Limitations of The Study The study did not involve any population involved in the issues and hence it is limited with respect to the level of its evidencebased strengths. Still, in the study process, the science advisory raised the concerns with the basis on the recommendations. The research work does not provide the current data on the extent of application of this system in New Zealand and has no projection on what the new additions are likely to achieve. The study did not take into account the standardization of the sample selected for the resuscitation process. The hands-only CPR by the bystanders is important in encouraging the process of recovery of an individual in cardiac arrest. In the recommendation part, the research insists that the bystander should offer hands-only CPR until the external defibrillator arrives. The Study crates awareness on the lack of proper implementation of the hands only CPR by bystanders in New Zealand in comparison to other countries like e United Kingdom. This point to a recommendation of a more versatile method of implementation. In the experiment, not the HOCPR led to bigger overall compressions compared to the STD-CPR but the STD-CPR gave a bigger number of effective compressions in all except the first minute of the resuscitation process. A conclusion, recommend ations for further research Benchmark Capstone Project Change Proposal The stsudy limitation comes in the way it was designed and the aim of the experiment. The experiment lean more to the teaching aspects of the treatment method as opposed to its therapeutic applications. The DVD based method of teaching the practical CPR skills was found to have a superior outcome in comparisons to the app based method among the seventhgrade students .also the practical method was privy to improving the Field -based LITERATURE EVALUATION outcome of the learning sessions than any other method. 5 LITERATURE EVALUATION 6 References Heidenreich, J. W., Bonner, A., & Sanders, A. B. (2012). Rescuer fatigue in the elderly: standard vs. hands-only CPR. The Journal of emergency medicine, 42(1), 88-92. Nord, A. (2017). Bystander CPR: New aspects of CPR training among students and the importance of bystander education level on survival. Linko?ping: Linko?ping University Electronic Press. Norris, R. M., & Kevin, P. O. (2012). Hands-only CPR. The New Zealand Medical Journal (Online), 125(1350). Sayre, M. R., Berg, R. A., Cave, D. M., Page, R. L., Potts, J., & White, R. D. (2008). Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation, 117(16), 2162-2167. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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