NR 451 Week 2 Discussion

NR 451 Week 2 Discussion

Student Name

Chamberlain University

NR-451: RN Capstone Course

Prof. Name:

Date

Week 2: The Clinical Question

Your capstone change project begins this week with the identification of a practice issue that requires improvement. This practice issue should relate to a systematic review selected from the List of Approved Systematic Reviews provided in the guidelines for the Week 3 Capstone Project: Milestone 1 assignment. This systematic review will serve as the foundation for your project.

Steps to Develop the Clinical Question

1. Choose a Systematic Review: Begin by selecting a systematic review from the approved list that aligns with your interests or clinical practice scenario.
2. Formulate a Clinical Question: Develop a significant clinical question relevant to the selected topic. This question will guide the focus of your capstone change project.
3. Describe the Process: Reflect on how you developed the clinical question and its connection to the systematic review.
4. Clinical Relevance: Explain the significance of the clinical question to your past, current, or future nursing practice.
5. Research-Practice Gap: Discuss the concept of a research-practice gap and how it relates to your chosen topic.

Clinical Question Examples

Example 1:

• Question: Does the use of antimicrobial dressings and topical antibiotics compared to traditional sterile gauze dressings reduce surgical site infections (SSI)?
• P (Population): Adult patients undergoing surgery
• I (Intervention): Topical antibiotics, including antimicrobial dressings
• C (Comparison): Traditional sterile gauze dressings
• O (Outcome): Reduction in surgical site infections
• T (Timeframe): 30 days postoperatively

Example 2:

• Question: How does early ambulation and nutrition, compared to conventional methods of rest and bowel rest, affect the return of bowel function and hospitalization duration in patients undergoing bowel surgery?
• P (Population): Adult patients undergoing colorectal surgery
• I (Intervention): Early and frequent ambulation with early nutrition
• C (Comparison): Limited ambulation and bowel rest
• O (Outcome): Return of bowel function and reduced hospital stay
• T (Timeframe): 72 hours postoperatively

If deviating from the systematic reviews on the approved list, ensure that the chosen topic addresses a significant practice issue relevant to your clinical experience or patient care environment. For instance, promoting early ambulation in postoperative patients can address challenges posed by cultural beliefs about rest, enhancing recovery outcomes.

Clinical Question Examples

References

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Washington, DC: Author.

NR 451 Week 2 Discussion