NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review – Online Nursing Essays

NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 “Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:
Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
Conclusion – Provide a summary statement of what you found in the literature.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.
Course Code Class Code Assignment Title Total PointsNUR-550 NUR-550-O503 Benchmark -Evidence-Based Practice Project: Literature Review 175.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)Content 70.0%Introduction 5.0% The clinical issue or problem and PICOT statement are omitted. The clinical issue or problem and PICOT statement are incomplete or incorrect. The clinical issue or problem and PICOT statement are presented. Some aspects are vague. There are minor inaccuracies. The clinical issue or problem and PICOT statement are adequately described. The clinical issue or problem and PICOT statement are thoroughly described. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
Search Methods 10.0% The search strategy and criteria used in choosing and searching for articles are omitted. The search strategy and criteria used in choosing and searching for articles are only partially described. The search strategy and criteria used in choosing and searching for articles are summarized. More information is needed. The search strategy and criteria used in choosing and searching for articles are described. Some detail is needed for clarity or accuracy. The search strategy and criteria used in choosing and searching for articles is thoroughly described.
Synthesis of Literature 10.0% A paragraph for one or more article is missing. All articles are presented, but the synthesis of literature is incomplete. A summary for each article is presented. The main components (subjects, methods, key findings) are generally discussed. General rationale for how each article supports the PICOT is provided. More information is needed. A paragraph for each article is presented. The main components (subjects, methods, key findings) are adequately discussed, and rationale for how each article supports the PICOT is provided. Some detail is needed for clarity or accuracy. A well-developed paragraph for each article is presented. The main components (subjects, methods, key findings) are thoroughly discussed, and substantial rationale for how each article supports the PICOT is clearly provided.
Comparison of Articles 10.0% One or more article is missing in the comparison. All articles are presented, but the comparison is incomplete. A general comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is presented. Some aspects are unclear. More information is needed. A comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is adequately presented. Some detail is needed for clarity or accuracy. A detailed comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is thoroughly presented.
Suggestions for Future Research 10.0% Identified gaps and areas requiring further research are omitted. Identified gaps and areas requiring further research are only partially presented. Some identified gaps and areas requiring further research are generally discussed. The narrative is generally based on the analysis of the literature. More information is needed. Identified gaps and areas requiring further research are adequately discussed. The narrative is based on the analysis of the literature. Some detail is needed for clarity or accuracy. Identified gaps and areas requiring further research are thoroughly discussed and clearly based on the analysis of the literature. The narrative is insightful and demonstrates an understanding of research analysis necessary for future study. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
Conclusion 5.0% The conclusion is omitted. A conclusion is presented but fails to present a summary statement of what was found in the literature. The conclusion presents a vague summary statement of was found in the literature. There are inaccuracies. The conclusion presents an adequate summary statement of what was found in the literature. The conclusion is well-developed and presents a clear and accurate summary statement of what was found in the literature.
Ability to Analyze (C3.2) 10.0% The literature review presented does not demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented does not consistently demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates a general ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates an adequate ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates a strong ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
Appendix 5.0% The appendix and required resources are omitted. The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the APA Writing Checklist during development The APA Writing Checklist is attached and in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality. The APA Writing Checklist is attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper. The APA Writing Checklist is attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness 20.0%Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Format 10.0%Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Topic 7 DQ 1
Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?
Re: Topic 7 DQ 1Two major policy issues that affect the current state of health care delivery and population health equity in the United States are the Affordable Care Act (ACA) and Medicare reform. When the ACA was enacted in 2010, 46.5 million people, or 17.8% of the total nonelderly population were uninsured, with people of color compared to White people at the highest risk of lacking coverage (Artiga et. al., 2021). Post pandemic, the American Rescue Plan Act (ARPA) further increased access to healthcare coverage by expansions in eligibility to buy health insurance through the marketplaces. Research shows that a key difference in whether, when, and where people get medical care is impacted by having health insurance and ultimately how healthy they are. Future trends in coverage will have a significant impact on disparities in health access and use. The Medicare for All Act addresses health equity by eliminating all financial barriers to care, and everyone would eventually be automatically enrolled (The Medicare for all act of 2021, 2021). All medically necessary care: medical, mental, dental, vision, and hearing care; hospitalizations, prescription drugs, and long-term care would be covered services. Both initiatives ethically impact the advanced nursing practice and how and to whom care is delivered.
The advanced nursing practice (APRN) has the publics’ trust, and nurses have the education and healthcare expertise to provide credible information to legislators and regulatory agencies, proposing solutions (DeNisco, 2021). On many different levels, policy decisions are ethical decisions, and the advanced nursing practice is compelled to implement policies that support the needs of the public and the profession. Patient advocacy must include APRNs’ advocacy in reforming healthcare, ensuring healthcare is cost-effective and accessible, eliminating inequality.
Resources
Artiga, S., Hill, L., Orgera, K., & Samico, A. (2021, July 16). Health coverage by race and ethnicity, 2010-2019. KFF. https://www.kff.org/racial-equity-and-health-policy/issue-brief/health-coverage-by-race-and-ethnicity/.
DeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.
The Medicare for all act of 2021. (2021, May 18). PNHP. https://pnhp.org/the-medicare-for-all-act-of-2021/.
Topic 7 DQ 2
Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development.
Re: Topic 7 DQ 2In 2010 a comprehensive healthcare reform, the Affordable Care Act (ACA), also known as Obamacare, was passed under former President Barack Obama. This marked a historical achievement in American history because a major healthcare reform law had not been implemented since the enactment of Medicare. The ACA was developed to provide access to health insurance, manage or decrease health care costs, and improve delivery of care (as cited in French et al., 2016). By the end of 2016, ACA reduced the nation’s uninsurance rate to 9 percent and increased coverage for nearly 28 million Americans via the Medicaid expansion and marketplace exchanges (as cited in French et al., 2016). Recent studies, as cited in Chen et al., (2016) demonstrate that the implementation of the ACA has increased insurance coverage for the uninsured, thereby providing access to primary care and medications. One component of this legislation that is especially beneficial for young adults is the provision that allows dependents up to age 26 to remain on their parent’s plans, which results in increased coverage for a group at risk of being uninsured. Although not a perfect solution, the ACA represents a meaningful path towards healthcare system reform. NUR 550 Benchmark -Evidence-Based Practice Project: Literature Review
References
Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. Medical Care, 54(2), 140–146. https://doi.org/10.1097/MLR.0000000000000467
French, M. T., Homer, J., Gumus, G., & Hickling, L. (2016). Key provisions of the Patient Protection and Affordable Care Act (ACA): A systematic review and presentation of early research findings. Health Services Research, 51(5), 1735–1771. https://doi.org/10.1111/1475-6773.12511
Re: Topic 7 DQ 2The Hospital Readmissions Reduction Program (HRRP), an Affordable Care Act initiative, requires the Centers for Medicare and Medicaid Services (CMS) to reduce payouts to care facilities that experience excessive patient readmissions. The program launched in late 2012 and defines readmissions as ‘repeat patient admissions among participating CMS hospitals in a 30-day period; allowing exceptions for specific conditions, such as heart failure and pneumonia, as well as factors such as poor health and multiple illnesses.’ (Regis college, n.d)
Hospital readmissions are associated with unfavorable patient outcomes and high financial costs. Causes of readmissions are multi-factorial and rates vary substantially by institution. Historically, nearly 20% of all Medicare discharges had a readmission within 30 days. The Medicare Payment Advisory Commission (MedPAC) has estimated that 12% of readmissions are potentially avoidable. Preventing even 10% of these readmissions could save Medicare $1 billion. Therefore, reducing hospital readmissions has been made a national priority. In 2008, MedPAC recommended to Congress that the Centers for Medicare and Medicaid Services (CMS) begin confidentially reporting readmission rates and resource usage to hospitals and physicians. In 2009, CMS began publicly reporting hospital-level readmission rates, which were added to the Hospital Compare website. For Medicare beneficiaries with inpatient stays, hospitals receive payment using the inpatient prospective payment system (IPPS). In order to provide direct financial incentive to hospitals participating in the IPPS to reduce readmission rates, the ACA added section 1886(q) to the Social Security Act establishing the HRRP. Since October 1, 2012, the HRRP has required CMS to reduce payments to IPPS-participating hospitals with excess readmissions (Mcllvennan, 2015).
Reference
Regis college (n.d). 8 Important Regulations in United States Health Care. https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/
McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015). Hospital readmissions reduction program. Circulation, 131(20), 1796–1803. https://doi.org/10.1161/CIRCULATIONAHA.114.010270
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