Clinical Question of Inquiry

Directions Respond to the following questions in your initial post: What is your clinical question of inquiry? What EBP model would best fit to use as a framework and why? What barriers do you see in conducting this project? Post your original response by the end of Day 3. Then, by the end of Day 6, respond to at least two of your classmates' posts. I am also attaching the initial post to follow through with answering this question. Following is the Rubric of the initial assignment Mariea Snell (Teacher) Clinical Question of Inquiry Rubric Clinical Question of Inquiry Rubric Criteria Ratings Pts Identification of Clinical Problem 30 pts Exemplary Identifies 3 clinical problems observed in practice with exceptional clarity and insight into the potential to be impacted by EBP. 25 pts Advanced Identifies 3 clinical problems observed in practice clearly articulating potential to be impacted by EBP. 22 pts Proficient Identifies 2 or 3 clinical problems observed in practice with some clarity around the potential to be impacted by EBP. 15 pts Developing Identifies 1 or 2 clinical problems observed in practice but lacks clarity or depth connecting to EBP. 0 pts Nothing submitted No assignment provided. 30 / 30 pts Total Points: 30 Following is the assignment completed from the above Rubric. Page 4 of 7 Projected DNP Project NURS 712: DNP EBP/RESEARCH UTILIZATION Professor Mariea Snellen September 1, 2024 Projected DNP Project DNP projects typically center around quality improvement, program assessments, or applying evidence into practice. Evidence-based practice (EBP) is widely recognized as a crucial tool for improving the safety and quality of healthcare in clinical settings. EBP improves patient outcomes by leveraging the most effective treatment interventions (McNett et al., 2021). Nurse researchers have the ability to generate evidence on effective strategies and results for healthcare teams to effectively integrate EBP into routine treatment. This paper highlights three key issues identified in clinical practice impacted by the EBP project. It explains the rationale for selecting these problems and how creating change in these areas could impact patient outcomes. Medication Adherence in Patients Medication adherence, as defined, is the ratio of medication taken during a specified period compared to the ratio of medication prescribed during the same period (Walsh et al., 2019). One rationale for selecting this issue is its prevalence in elderly patients. According to Liu et al. (2023), medication adherence remains a challenge for older adults in geriatric care. Older adults frequently handle numerous chronic ailments that necessitate intricate prescription schedules. EBP methods such as patient education, medication schedule simplification, and caregiver involvement can improve adherence and reduce drug-related hospitalizations (Aremu et al., 2022). Following prescribed medications improves chronic illness management and reduces elder mortality (Emadi et al., 2022). Pressure Ulcers (PrUs) Prevention in ICU Patients Pressure U’s (PrUs) are common in patients with extreme illnesses and thus contribute to more illness and cost of care. Isfahani et al. (2024) found that PrUs are a common occurrence in an ICU among patients who are sedated or immobile for a long duration. PrUs are difficult to treat and manage, which increases patient discomfort, hospital stays, and costs since hospital resources are overused. Repositioning patients frequently, doing thorough skin examinations, and employing improved pressure relief surfaces have been shown to minimize pressure ulcers (Huang et al., 2023). Considering that the expense of treatment is calculated to be 2.5 times higher than prevention (Shiferaw et al., 2020), it is crucial to adopt a pressure ulcer prevention program. Cortés et al. (2021) state that implementing effective measures to avoid pressure ulcers can lead to several benefits, including reducing patient distress, shortening hospital stays, lowering healthcare expenses, and enhancing overall patient outcomes by averting severe consequences of pressure ulcers. Pain Management in Pediatric Oncology Patients In pediatric oncology, efficient pain management is essential to minimizing treatment- related suffering and enhancing overall well-being. Hall et al. (2024) state that opioids are crucial for treating pediatric cancer patients' pain. However, to achieve optimal results, opioids need to be administered at certain doses, and adverse effects need to be closely watched. Children receiving cancer therapy frequently endure excruciating pain, which has a detrimental effect on their physical and emotional well-being (Duran et al., 2019). EBP initiatives like the combination of nonopioid medications and integrative non-pharmacological therapy can effectively control both acute and chronic pain in multidisciplinary analgesia treatments. Wren et al. (2019) state that this EBP approach enhances patients' overall health and quality of life. Enhancing pain management for young cancer patients can lead to improved psychosocial adjustment, fewer hospital stays, increased treatment compliance, and overall quality of life. In conclusion, EPB interventions can enhance patient outcomes in elderly medication adherence, ICU pressure ulcer prevention, and pediatric cancer pain management. Healthcare providers can improve outcomes, hospitalizations, and quality by introducing tailored interventions such as patient education, simplified drug regimes, regular repositioning, and personalized pain management. These evidence-based methods improve clinical management and patient well-being, maximizing healthcare resources. The assignment that has been continued focused on is Medication Adherence to the adult patient 50 and above. Feel free to focus on any of the three for the research. For any further concerns, do not hesitate to ask.