Identify a current nursing practice within your healthcare setting that requires change (alarm fatigue- nurses becoming desensitized to alarms due to the many devices with alarms that are often false).
A. Identify a current nursing practice within your healthcare setting that requires change (alarm fatigue- nurses becoming desensitized to alarms due to the many devices with alarms that are often false).
1. Describe the current nursing practice.
2. Discuss why the current nursing practice needs to be changed.
B. Identify the key stakeholders within your healthcare setting who are part of the current nursing practice.
1. Describe the role EACH identified key stakeholder will play to support the proposed practice change (examples of key stakeholders: nurses, CNA’s, patients, family, physicians etc)
C. Create an evidence critique table (see “Sample Evidence Critique Table”).
1. Identify 5 SOURCES from scholarly peer-reviewed journals, which adhere to the following standards:
a. Each source must be published within the PAST FIVE YEARS.
b. Each source must relate to the change identified in part A.
c. Each source must be listed in the table using APA format.
2. Identify the evidence strength of each chosen source- see the description below under C3.
3. Identify the evidence hierarchy of each chosen source, using the Evidence Hierarchy Table below.
(Description here:Strength of Evidence and Evidence Hierarchy:
Level I Hierarchy: Meta-analysis, Systematic Reviews, Integrative Reviews, National Practice guidelines
This level includes; research designs of Meta-Analyses, Systematic Reviews, Integrative Reviews, and EBP Guidelines which are developed from systematic reviews and housed in national repositories. Level I Examples
Level II Hierarchy: Randomized Controlled Trial (RCT) and Experimental
This level represents evidence from studies using a true experimental design. Level II RCT Example
Level III Hierarchy: Quasi-Experimental
This level represents evidence obtained from experimental studies without randomization. Level III Quasi-Experimental Example
Level IV: Hierarchy: Non-experimental
This level represents evidence from well-designed non experimental designs such as retrospective, case-control, cross-sectional, cohort-comparison, prospective, descriptive and correctional single studies. Level IV Non experimental Examples
Level V Hierarchy: Meta-Synthesis
This level represents evidence from systematic reviews of studies using qualitative methods. Level V -Meta-Synthesis Example
Level VI Hierarchy: Single Qualitative Study
This level represents single studies using a qualitative research method. Level VI Single Qualitative Studies Examples
Level VII Hierarchy: Expert Opinions
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