Discussion: comprehensive literature review

Discussion: comprehensive literature review ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: comprehensive literature review Purpose: For this Assignment, you will construct a comprehensive literature review and identify the theoretical foundation or framework for the DNP Project. This is Section II of your DNP Project proposal. Submit a document that includes: Discussion: comprehensive literature review a description of the conceptual or theoretical framework for your Project; the rationale for why this theory or model is an appropriate choice for your Project; a description of how the theoretical model sets the foundation for your unique DNP Project; and A comprehensive literature review that supports your project. The content for the theoretical foundation or framework for the Project should include: Appraisal of relevant evidence Review and critique of relevant theory-based literature Before you construct your literature review, review these scholarly writing resources in the Writing Center: Web Research Guidelines Online Research Resources Research Writing II: Finding and Evaluating Resources Research Sources for Credibility Writing a Literature Review Follow these steps to gather relevant, valid literature for your DNP Project proposal literature review. Note you must document your search strategies and summaries of literature selected. Based on the problem statement you developed, devise a search strategy (i.e., select databases, identify keywords, etc.). Search for, identify, and retrieve source materials to support your inquiry (minimum of 10 sources; you may want to begin your search in the Cochrane Library database, available through the Library). Document your search decisions and actions in detail. This will be an important document for the dissemination of the results and recommendations of your completed DNP Project. Critique and evaluate the studies by comparing and contrasting studies and identifying key concepts in each. After your literature review, based on what you have found so far, think about what your next steps are. For example, what do you still need to find out about the topic? What did you learn about this topic so far? Identify any new databases, references, or leads you plan to use next. Discussion: comprehensive literature review Grading rubric attached and the work Ive been working on so you can integrate the framework with this work. dn723_unit4assignmentgradingrubric.xlsx corrected_by_prof_dnp_project_proposal_jg_01.23.2020.docx Unit 4 Assignment grading rubric. Enter total available points in cell H2, and values between 0 a Score column. Content Rubric Constructs a comprehensive literature review and identifies the theoretical foundation or framework for the DNP project: a description of the theoretical framework for your Project; the rationale for why this theory or model is an appropriate choice for your Project; and a description of how the theoretical model sets the foundation for your unique DNP Project A comprehensive literature review that supports your project. The content for the Theoretical Foundation or Framework for the Project should include: Appraisal of relevant evidence, Review and critique of relevant theory-based literature. Based on the problem statement, devises a search strategy (i.e. select databases, identify keywords, etc.). Introductory – Not submitted or largely incomplete. Work may indicate very little if any comprehension of content. Emergent – Work shows some comprehension but errors indicating miscomprehension may be present. 0 – 1.9 2 – 2.9 Retrieves and critiques source materials to support the inquiry (minimum ten sources), identifying key concepts in each study. Writing Deduction Rubric (everyone starts with 4’s = no deductions) Grammar & Punctuation Spelling Introductory Emergent 0-1 2 The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult. Discussion: comprehensive literature review Several confusing sentences, or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion. Many typos, misspelled The many misspelled words words, or the use of and incorrect words choices incorrect words making significantly interfere with the understanding difficult in a readability. few places. The order of information is confusing in several places Paper has some good and this organization information or research, but it interferes with the meaning does not follow assignment or intent of the paper. Order of Ideas & However, the paper has a Length Requirement directions and is lacking in overall organization and generally discernible content. purpose and follows assignment directions overall. APA Feedback: This is an attempt use APA formatting and citing. There There is some attempt at are both in-text citations APA formatting and citing. and reference listings. There are one or more Citation information may be missing parts such as the missing or incorrect (i.e. cover page or references list. Websites listed as in-text or Citation information may be reference citations). There missing. Citation mistakes is an attempt to cite all make authorship unclear. outside sources in at least one place. Authorship is generally clear. Instructors: , and values between 0 and 4 in the yellow cells in the Total available points = Practiced – Work indicates overall progress toward comprehension. Minor errors may present. Proficient/Mastered Work is complete and indicates full comprehension of content. 3 – 3.9 4 Score 200 Weight Final Score 60% 0,00 20% 0,00 20% Content Score Practiced Proficient/Mastered 3 4 A few confusing sentences make it difficult to understand a small portion of the paper. Discussion: comprehensive literature review However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation. 0,00 0 Score Weight Final Score There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or runon sentences. 4 35% 1,40 A few misspelled words normally Some misspelled words or caught by spellcheckers are the misuse of words such as present but do not significantly confusing then/than. interfere with the overall However, intent is still clear. readability of the paper. 4 35% 1,40 The overall order of the information is clear and The order of information is contributes to the meaning of confusing in a few places assignment. There is one and the lack of organization paragraph or a sentence or two interferes with the meaning that are out of place or other or intent of the paper in a minor organizational issues. A minor way. few sentences may be long and hard to understand. Meets length requirements. 4 20% 0,80 There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear. There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear. 4 10% 0,40 Writing 0 Deduction Final Score Percentage 0 0% DN723 xxxxxxxxxxx xxxxxxxxxxx January 21, 2020 13 Introduction of DNP Project Proposal Identified Need and Problem Statement Although hospitals have been striving to cut costs, the problem of unscheduled return visits to the emergency department has not been thoroughly addressed.Discussion: comprehensive literature review Most Florida hospitalshave been concentrating on reducing 30-day readmission with a few activities and intercessions (CDC, 2017). In Florida, about 28% of the acute care visits and 50% of hospital admissions emerge from the ED per the Centers for Disease Control and Prevention (2017). The authorization of the Patient Protection and Affordable Care Act has shown the requirement for coordinating patient care voice in structuring the conveyance of social insurance (Rising et al., 2014). Clarifications for patients to come back to the ED, the plausibility of a future return, and the rehashed return can be inspected from administrative information. Some variables have been associated with high rates of ED patient readmission. They incorporate low follow up care and language boundaries that bar patients from understanding the discharge guidelines. Other variables include old age, non-ambulatory status, and absence of family support. Background and Significance of Problem to Health Care/Nursing Unscheduled return visits to the emergency department are a significant issue regularly faced by healthcare facilities. These cumbersome visits are an important indicator of the quality of care. Hospital emergency departments (ED) continuously face the issue of restricted assets, high rates of patient admissions, aging populace, and deficiency of human services suppliers. Most EDs have gotten amazingly stuffed. They are described by long holding up time that contributes negatively to the patients’ outcomes. Patients returning to the emergency department have medical issues that have either failed to go away or improve, or have gotten worse. Being an important metric to measure the quality of 13 healthcare, the problem of unscheduled return visits to the emergency department is very important to healthcare or nursing since it provides the healthcare personnel with essential information regarding their performance or health output. A reduction in the rate of return visits to the ED is a marker of high quality care, while an increase in the rate signifies poor healthcare performance and poor patient outcomes. Needs Assessment The daily number or patient volume received in the ED is 72-98, with 35% of these patients returning to the ED due to lack of follow up instructions, unexplained diagnoses, or missing test results to provide to their PCP.Discussion: comprehensive literature review They were told to return to ED for further treatments. Among that 35%, some 12% end up being admitted due to failed or incomplete treatment. There are several information gaps which occur due to missing patient information, previously collected by a physician. Information gaps were present in around one-third of the ED visits. These gaps, therefore, suggest that the physicians failed to provide high-quality healthcare to the patients during their first visit, increasing the chances of an unscheduled return visit to the ED (Hayward et al., 2018). Return visits to the ED are presently a metric of the adequacy of ED discharge activities. The short ED returns intently get checked. This metric additionally mirrors the emergency care quality, particularly in situations where patients need hospitalization in their return to the ED. Nonetheless, there are issues to embracing return visits as proportions of value since it is unsure and connected with unpredictable results. ED offers care for a blend of the patient populace. A considerable lot of the patients get released home after treatment without legitimate training or directions. This analysis distinguished the issue in relation with the adult population in Florida state. This investigation recognizes the gap that is to address the challenges that address the 13 difficulties related with ED return visits. ED doctors must realize how to adjust expected hospitalization benefits against costs related with hospital stay and clinical vulnerability when settling on choices concerning patient hospitalization. Target Population/Community The Florida state is populous, making it an ideal spot to create and execute the intervention. ED information in this state is robust, and it is not difficult to follow return visits. The study population is Florida adults. They have different social foundations, primarily dictated by race. The prevailing social or cultural perspectives can be ordered as whites, African Americans, Hispanics, Asians, Native Americans, and mixed-race individuals. The way of life of the objective populace impacts their wellbeing, convictions about ailments and demise, ways of life as well as health advancement. The psychosocial measurements can be ordered into three. Restorative measurements identify with the sort of treatment, the impression of misery, and the clinical course. Mental variables spread the interruption of life objectives and the capability of modifying life plans utilizing coping strategies and emotional stability.Discussion: comprehensive literature review The social variables contain the accessibility of help from close partners, for example, companions, family, and colleagues. The ecological elements for the target population are critical in impacting the nature of their wellbeing and characterizing the fundamental preventive measures. It is evaluated that 23% of all deaths in the world, just as 26% of deaths in kids under the age of 5, are contributed by preventable natural factors (Healthy People 2020, 2019). A portion of the elements that affect the target population incorporate environmental change, exposure to toxins in food, water, air and soil, the contamination of their habitats, and occupational dangers. The estimated demographic descriptors of the population are 49.1% male and 50.9% female and a median age of 35 for both genders. The population has an average family size of 3.14 13 persons. The health literacy of the target population varies significantly according to race. For example, 14% of the whites are proficiency in health literacy; the rate literacy rate for Hispanics is 4%, with that of the African American being only 2% (Rikard et al., 2016). The intermediate literacy rate for the three races is 58%, 31%, and 41 %, respectively. The proficiency level implies that individuals can clearly read, write, understand, and solve problems. The intermediate level suggests that people can experience a problem, such as solving problems. Health literacy has direct impacts on health outcomes. Literate people have better outcomes than illiterate ones. In 2016, the life expectancy of the target population was 78.8 (Rikard et al., 2016). Diabetes and stroke caused 21.3 and 37.6% of all deaths in this population. The adults that smoke cigarette makes 15.1% of the entire population. It is further estimated that 21.8% of the people visit the emergency room at least once a year. Project Purpose/Goal The purpose of this project is to implement a clinical intervention to reduce unscheduled return visits to the ED. The proposed intervention is to employ medical attendant skills in reducing ED congestion. These experts are prefectly situated to reduce crowding due to their direct patient contact . They, subsequently, have specific errands, which are the main drivers of overcrowding. Discussion: comprehensive literature review The issue of the patients to comprehend release guidelines can be tended to effectively by medical attendants (Sayah et al., 2014). They handle all the vital techniques of guaranteeing that patients are released from the hospitals, which incorporates all the desk work that should be shown to the patients, their parents, or relatives. Nurses can grasp this opportunity to clarify in detail every one of the inquiries that the patients of guardians pose and in any event, asking them questions to guarantee that they understand the data they are given in detail. They can also step up to the plate by ensuring the transportation of the patients from the ED to their destinations, particularly when 13 utilizing the ambulatory services. Nurses are in a better position to partake in clarifying the concerns of the patients as well as their diseases. This intervention can guarantee that patients stick to every one of the mandates of the directives of the care providers to maintain a strategic distance from occurrences arising from wrong medication. It ought to be fortified with legitimate ED training on patient management to prevent future returns. Intensive training can concentrate on improving the role of nurses and incorporating patient engagement. The efforts can guarantee that patients don’t go to the ED again and, thus, reducing congestion. Concepts and Definitions Used in The Project Some of the main concepts of this project include the problem which is unscheduled return visits to the emergency department, clinical interventions for the problem, DNP essentials, and advanced nursing practice. The clinical interventions to the problem of unscheduled return visits to the emergency department entail the utilization of the expertise of nurses in minimizing overcrowding in the ED. Nurses are the ideal group of healthcare personnel to reduce congestion in the emergency department because they have a direct connection or interaction with the patients. The DNP Essentials detail all the curricular elements required by DNP programs. Published by the AACN, they address the complex needs that apply to the modern healthcare system. Discussion: comprehensive literature review Advanced nursing practice refers to a level of nursing practice which applies the use of experience, comprehensive skills, and knowledge in nursing care. Relationship of Project to Advanced Nursing Practice This project has a close connection with Advanced Nursing Practice in that it provides nurses with an opportunity to perform their duties regarding patient discharge and patient care. Nurses assume a key role in transforming care. They can offer nitty gritty clarifications concerning patient discharge to the patients. It will involve the factors that will emerge while the patient will 13 be at home, and how to move toward circumstances that may force them to return to the ED (Rafnsson & Gunnarsdottir, 2010). This will help keep the patients from heading off to the ED once more. Another transient arrangement includes the doctors examining itemized data about the diseases affecting their patients. The doctors can likewise appropriately address worries that their patients may need to lessen their vulnerability. Over the long haul, the doctors and attendants ought to guarantee they make an ED-based care program that will integrate the care teams in the ED. The program should offer more training on taking care of ED patients including discharge processes to prevent the return cases (Rushforth, 2015). Intensive training should focus on upgrading the nurse and doctor roles that incorporate patient engagement. Developing a discharge checklist that when patients are going to be released from the ED they can check out and sign affirming that providers examined what is on the agenda with the patients before they leave the ED. Doctors can fill in as a contact to different partners who practice by helping them discover the patients fittingly. Doctors ought to likewise work intimately with distinguished drug specialists associated to the hospital, to offer medication counselling. This will cultivate patient self-management and diminish vulnerability from patients (Schrader et al., 2019). The DNP Essential Aligned with The Project The project that I’m working on is supported by the essentials I, II and III. Essential I is the scientific underpinnings of this education which reflect the complexity of practice at the doctoral level and the rich heritage that is the conceptual foundation of nursing (AACN, 2006). The educational part of this project will assist healthcare providers to understand the patterning of human behavior in interaction with the environment in normal life events and critical life situations after being discharge from the ED. This will help improve science discipline by understanding the 13 nature and significance of health and health care delivery phenomena. This essential also maintains that the extensive understanding of the nursing theory ensures that advanced nursing practice is built upon a solid foundation. Graduates can therefore integrate nursing practice with organizational or analytical sciences. These science-based concepts can therefore be used to improve the quality of healthcare. Essential II is the organizational and systems leadership to improve quality and systems thinking meaning that doctoral level knowledge and skills in these areas are consistent with nursing and health care goals to eliminate health disparities and to promote patient safety and excellence in practice (AACN, 2006). Discussion: comprehensive literature review This essential helps in transforming research into practice. The project is based on quality improvement by making changes to current discharge policies by providing the best practice to discharge a patient. This will improve patient outcomes after being out of the ED and prevent them from returning because they didn’t understand discharge/after care instructions. Essential III states scholarship and research are the hallmarks of doctoral education (AACN, 2006). This essential mainly focuses on the complex issues that face modern health. It further focuses on the medical dilemmas that physicians face in patient care, as well as shaping the evidence-based initiatives in the agenda of healthcare. The project uses analytic methods to critically appraise existing policies and other evidence to determine and implement the best practice to discharge a patient from the ED. Project Alignment with Practice Site Mission and Goals The practice site for this project is a standalone Florida ED. Its mission, and some of its goals, closely align with the project objectives. With regard to this project, the main mission and goals of the practice site include providing high-quality patient care, and reducing unscheduled ED return visits. 13 Another goal is ensuring safe transitions of care, which is essential in promoting better patient experiences, reducing costs, and enhancing the quality of outcomes. Unscheduled return ED visits reflect inadequate follow-up procedures or discharge practices. The goal of the project site is to eliminate such poor indicators of poor-quality patient care and ensure that the facility enhances its provision of high quality patient care. Key Stakeholders The key stakeholders in this project are the physicians, nurses, home care providers, managers, and prehospital care personnel, as well as the insurance companies who pay for the patients’ medical care. The emergency … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

RECOMMENDED: Literature Review: Developing an Annotated Bibliography