Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN,

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Directions

Read over each of the following directions.
You must read the Assignment Practice Scenario below before completing the PPL Worksheet.
Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..
Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..
Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:

American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site.

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality Safety
Patient satisfaction
Patient education Falls
Non-pharmacological pain management Errors (any). Examples include:
Medication
Patient identification
Communication

Readmissions
Length of stay
Costs Healthcare Associated Infections (HAIs). (Any type)
Examples include:
Central Line Associated Blood Stream Infections (CLABSI)
Catheter Associated Urinary Tract Infections (CAUTI)
Ventilator Associated Pneumonia (VAP)
Surgical Site Infections (SSI)
Sepsis
Discharge Teaching/Coaching
Transitions of Care/Level of Care Pressure Ulcers
Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AAC…

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/


NR439 PPL Worksheet Rubric
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeClinical
Nursing Practice
Problem
Identify one quality
or safety clinical
priority area from the
assignment
guidelines practice
scenario.
Summarize the
independent clinical
nursing practice
problem/issue you
believe is the most
important.
Summarize your
rationale (why) for
choosing the
problem.
Ratings
25.0 pts
Clearly identifies one
quality and safety
clinical priority
practice problem
from the assignment
guidelines practice
scenario.
Thoroughly
summarizes the
importance of the
problem/issue.
Thoroughly
summarizes the
rationale (why) the
problem was chosen.
22.0 pts
Criteria from
the first
column are
mostly
summarized
or one criteria
lacks details
or is missing.
20.0 pts
Criteria from
the first
column are
minimally
summarized
or two criteria
lack details or
are not
present.
10.0 pts
Criteria from
the first
column are
poorly
summarized.
0.0 pts
Criteria
are not
discussed.
2
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeClinical
PICOT Question
Using the AAACN
Template for Asking
PICOT Questions
located in the
assignment
guidelines, write out
your PICOT
question. You must
use one type of
question from the
AAACN template.
This criterion is
linked to a Learning
OutcomePICOT
Elements
Identify each of the
elements for your
PICOT.
Ratings
20.0 pts
PICOT
question with
all 5 elements
correct.
18.0 pts
PICOT
question with
4 elements
correct.
16.0 pts
PICOT
question with
3 elements
correct.
20.0 pts
All 5 PICOT
elements are
correctly
identified.
18.0 pts
4 PICOT
elements are
correctly
identified.
16.0 pts
3 PICOT
elements are
correctly
identified.
8.0 pts
PICOT
question with
1-2 elements
correct.
8.0 pts
1-2 PICOT
elements are
correctly
identified.
0.0 pts
PICOT question
with no elements
correct or no
PICOT question
present.
0.0 pts
No PICOT
elements are
correctly
identified or are
not present.
2
2
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeEvidence
Retrieval Process
Using the
Chamberlain
College of Nursing
library, locate an
original nursing
report/article of a
single nursing study
published from a
nursing
source/journal within
the last 10 years that
is relevant to your
chosen clinical
nursing practice
problem/issue.
Provide a complete
APA reference to the
study and the
permalink. *Metaanalysis, Metasynthesis,
Systematic Reviews
should not be used.
Ratings
20.0 pts
All of the five criteria are present
or one criteria is missing: 1.
Complete study reference is
provided in APA. 2. Uses the
Chamberlain College of Nursing
library by providing the
permalink for the study. 3. Study
is less than 10 years old. 4. Single
original nursing study. 5. Study is
from a nursing source/journal
*Meta-analysis, Meta-synthesis,
Systematic Reviews should not be
used.
18.0 pts
Missing
two
criteria
from the
A
column.
16.0 pts
Missing
three
criteria
from the
A
column
8.0 pts
Missing
four
criteria
from the
A
column.
0.0 pts
Missing all
five criteria
from the A
column or
none of the
criteria are
present.
2
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeImplications
of Literature
Evidence
Summarizes how the
study is relevant to
your chosen clinical
nursing practice
problem/issue.
Summarizes why
you believe the
nursing evidencebased practice
committee should
focus their next
research study on
this practice
problem.
This criterion is
linked to a Learning
OutcomeLiterature
Search Terms
Identifies 4 (or more)
relevant searchable
terms you used for
your search for
literature.
Ratings
25.0 pts
Thoroughly
summarizes how the
study is relevant to
your chosen clinical
nursing practice
problem/issue.
Thoroughly
summarizes why you
believe the nursing
evidence-based
practice committee
should focus their
next research study
on this practice
problem. Excellent
details provided.
25.0 pts
Identifies 4 (or
more) relevant
searchable terms
used for the
search for
literature.
22.0 pts
Mostly
summarizes
the criteria
in the first
column or
one criteria
lacks details.
22.0 pts
Identifies 3
relevant
searchable
terms used for
the search for
literature.
20.0 pts
Fairly
summarizes
the criteria in
the first
column or
one criteria is
missing. Fair
details are
provided.
20.0 pts
Identifies 2
relevant
searchable
terms used for
the search for
literature.
10.0 pts
Poorly
summarizes
the criteria
in the first
column. Poor
details are
provided.
0.0 pts
Criteria are
not
summarized
or is missing.
2
10.0 pts
Identifies 1
relevant
searchable term
used for the
search for
literature.
0.0 pts
No
Marks
2
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeLiterature
Search Strategies
Identifies 4 (or more)
relevant search
strategies you used
to narrow/limit your
search for literature.
This criterion is
linked to a Learning
OutcomeScholarly
Writing, Mechanics,
Organization,
Spelling, Sentence
Structure, Grammar
Ratings
25.0 pts
Identifies 4 (or
more) relevant
strategies used
to narrow/limit
the search for
literature.
8.0 pts
Excellent
writing,
mechanics,
organization,
spelling,
sentence
structure,
grammar. 1-2
errors noted.
22.0 pts
Identifies 3
relevant
strategies used
to narrow/limit
the search for
literature.
6.0 pts
Good writing,
mechanics,
organization,
spelling,
sentence
structure,
grammar. A
few errors
noted.
20.0 pts
Identifies 2
relevant
strategies used
to narrow/limit
the search for
literature.
3.0 pts
Fair writing,
mechanics,
organization,
spelling,
sentence
structure,
grammar.
Some errors
noted.
10.0 pts
Identifies 1
relevant
strategy used to
narrow/limit
the search for
literature.
2.0 pts
Poor writing,
mechanics,
organization,
spelling,
sentence
structure,
grammar.
Many errors
noted.
0.0 pts
No
strategies
identified
or
strategies
are not
present.
0.0 pts
Very poor
writing,
mechanics,
organization,
spelling,
sentence
structure,
grammar.
Errors
throughout are
noted. Writing
is difficult to
understand or
follow.
2
8
NR439 PPL Worksheet Rubric
Criteria
This criterion is
linked to a Learning
OutcomeAPA InText Formatting for
Cited Sentences
This criterion is
linked to a Learning
OutcomeAssigned
PPL Worksheet
Used
Total Points: 175.0
Ratings
7.0 pts
Excellent APA
formatting.
Uses APA intext citation
formatting
with no errors.
6.0 pts
Good APA
formatting.
Uses APA intext citation
formatting
with 1-2 errors
noted.
4.0 pts
Fair APA
formatting. Uses
APA in-text
citation
formatting with
some errors
noted or does not
use in-text
citation
formatting.
0.0 pts
Assigned PICOT Worksheet form NOT used for this
assignment results in loss of 10% (17.5 points) from
points possible. 17.5 points deducted
3.0 pts
Poor APA
formatting
with many
errors
noted.
0.0 pts
Very poor
APA with
errors noted
throughout.
0.0 pts
Assigned PICOT Worksheet
form used for this assignment. 0
points deducted
7
0
Chamberlain College of Nursing
NR439 PPL Worksheet
Problem/PICOT/Literature Search (PPL) Worksheet
Name:______________________________________________________________________
Date: ______________________________________________________________________
Criteria
Clinical Nursing
Practice Problem
Identify one quality or
safety clinical priority
area from the
assignment guidelines
practice scenario.
Summarize the
independent clinical
nursing practice
problem/issue you
believe is the most
important. Summarize
your rationale (why) for
choosing the problem.
Clinical PICOT
Question
Using the AAACN
Template for Asking
PICOT Questions
located in #5 of the
assignment guidelines,
write out your PICOT
question. You must use
one type of question
from the AAACN
template.
PICOT Elements
Identify each of the
elements for your
PICOT.
P- (Patient or population):
I- (Intervention/Issue):
C- (Comparison with other treatment/current practice):
O- (Measurable outcome):
T- (Time Frame):
Evidence Retrieval
Process
Using only the
Chamberlain College of
Nursing library, locate
an original report/article
NR439 PICOT Worksheet 3/2019 ST
1
Chamberlain College of Nursing
NR439 PPL Worksheet
of a single nursing study
published from a nursing
source/journal within the
last 10 years that is
relevant to your chosen
nursing practice
problem/issue. Provide
a complete APA
reference to the study
and the permalink.
*Meta-analysis, Metasynthesis, Systematic
Reviews should not be
used.
Implications of
Literature Evidence
Summarize how the
study is relevant to your
chosen clinical nursing
practice problem/issue.
Summarize why you
believe the nursing
evidence-based practice
committee should focus
their next research study
on this practice problem.
Literature Search
Terms
Identify 4 (or more)
relevant searchable
terms you used for your
search for literature.
Literature Search
Strategies
List 4 (or more) relevant
search strategies you
used to narrow/limit
your search for
literature.
NR439 PICOT Worksheet 3/2019 ST
2

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