Prepare for the capstone project by listening to the audio interview, "Capstone: Planning Your Project".

Preview and utilize the "Topic 1 Checklist." This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Consider the clinical environment in which you are currently working or have recently worked. Collaborate with a leader or educator in the clinical environment to identify a problem, issue, or educational deficit upon which to build a proposal for change.

In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:

1. The setting and/or context in which the problem, issue, or educational deficit can be observed.

2. Detailed description of the problem, issue, or educational deficit.

3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.

4. Gravity of the problem, issue, or educational deficit and its significance to nursing.

5. Proposed solution to address the problem, issue, or educational deficit.

Prepare for the capstone project by listening to the audio interview, "Capstone: Planning Your Project", located at

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs441v_capstone.php.

Review "Topic 1: Checklist." This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

PICOT QUESTION

In mechanically ventilated adult patients, will intermittent sedation compared to continuous sedation decrease the number of use in mechanical ventilation days by a percentage and drop in hospital expenses and decrease in mechanical ventilator days from the time of admission?

TOPIC

Significance of Daily Interruption in Sedation

Topic 1: Checklist

Identifying a Problem, Developing a Question, and Selecting Sources of Literature

Instructions:

This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback and grading for modules 1-4 will be documented using this checklist.

Topic - Identifying a Problem

Task - Explains setting and/or context in which nursing problem is observed.

- Detailed description of problem, issue, or educational deficit provided.

- Impact of problem on work environment and patient outcomes described.

- Significance to nursing profession discussed.

- Solution to the problem identified.

Rapid Appraisal

Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):

1) How does each article describe the nature of the problem, issue, or deficit you have identified?

2) Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?

3) Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population.

4) Does each article support your proposed change?

PICOT Statement and Question

Identifying a nursing issue or problem in any hospital setting is the start of implementing change. A PICOT question is developed by using nursing research in addition to evidence based practice to resolve the target issue or problem. The format to preparing the PICOT question is as follows:

P (Population of Focus): Mechanically ventilated patients

I (Intervention): Intermittent sedation/Sedation breaks

C (Comparison): Intermittent sedation compared to continuous sedation

O (Outcome): Decrease the number of use in mechanical ventilation days and a decrease in hospital expense

T (Time): Decrease the number of days by 15% and a drop in hospital expense and mechanical ventilator days from the time of admission

Question

In mechanically ventilated adult patients, will intermittent sedation compared to continuous sedation decrease the number of use in mechanical ventilation days by a percentage and drop in hospital expenses and decrease in mechanical ventilator days from the time of admission?

Attachment:- Assignment.rar