NR 451 Week 2 Discussion

NR 451 Week 2 Discussion

Name

Chamberlain University

NR-451: RN Capstone Course

Prof. Name

Date

Week 2: The Clinical Question

Your capstone change project commences this week with the identification of a practice issue that necessitates improvement. This practice issue must be related to a systematic review selected from a designated list of approved systematic reviews for the capstone project. You can find the link to this list in the guidelines for the Week 3 Capstone Project: Milestone 1 assignment page.

To start, select a systematic review from the approved list that aligns with your interests or practice context. From this review, formulate a significant clinical question that will serve as the foundation for your capstone change project. It is essential to articulate how you developed this question and describe its relevance to your clinical practice—whether in the past, present, or future. Additionally, you should explain what a research-practice gap entails.

There appears to be a misunderstanding regarding the nature of your clinical question, as it is perceived to be more medical than nursing-focused. Your intention to highlight nursing interventions, such as reminding physicians about the adherence to the SCIP protocol, is noteworthy. Some physicians have indicated that the responsibility for noticing that antibiotics were not ordered lies with nursing staff. However, it is crucial to ensure that your clinical question relates to the systematic review you selected from the approved list.

NR 451 Week 2 Discussion

You might consider the following clinical question: “Does the use of antimicrobial dressings and topical antibiotics compared to traditional sterile gauze dressings on surgical sites lead to a decrease in surgical site infections (SSIs)?”

• P (Patient, population, or problem): Adult patients undergoing surgery
• I (Intervention): Use of topical antibiotics, including antibiotic dressings
• C (Comparison with other treatment/current practice): Compared to traditional sterile gauze dressings
• O (Desired outcome): Reduction of surgical site infections
• T (Time Frame): 30 days postoperatively

Alternatively, you may choose to deviate from your selected systematic review and explore a different topic. You might encounter patients and their families who believe that rest is critical for healing after surgery. However, early ambulation could be challenging and may impede recovery.

NR 451 Week 2 Discussion

For this scenario, consider this clinical question: “In patients undergoing bowel surgery, how does early and frequent ambulation and nourishment compare to conventional recovery methods of rest and bowel rest, in terms of their impact on the return of bowel function and length of hospitalization within the first 72 hours postoperatively?”

• P (Patient, population, or problem): Adult patients who undergo colorectal surgery
• I (Intervention): Early and frequent ambulation with early nutrition
• C (Comparison with other treatment/current practice): Compared to less ambulation and bowel rest
• O (Desired outcome): Impact on return of bowel function and length of hospital stay
• T (Time Frame): 72 hours postoperatively