Nursing Informatics Essay Assignment
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My project, hospice misconceptions, was based on the critical appraisal of current evidence-based research findings. Utilizing the information gleaned from the research findings, I was able to develop and implement my project. I began my project with an educational introductory voice recorded powerpoint that explained what hospice misconception is and introduced my project to potential participants. This powerpoint to be played in the lobby, when admitting new hospice patients, to the new admitted hospice patients families, and employees such as nurses, aids, PT/OT etc. My project was virtual/remote. When my preceptor admitted a new hospice patient I was on the phone with her and she asked what questions the patients and families members had before the powerpoint was played. I wrote down some of the most common questions.
1. Hospice is giving up
2. Hospice is only for cancer patients
3. Hospice is where you go to die
4. Hospice means I’m going to die soon
5. You can’t keep your own doctor if you enter a hospice program
6. It is the doctor’s responsibility to bring up hospice
7. Once you chose hospice care there is no turning back
8. If you choose hospice care you won’t get othr medical care
9. Hospice requires a DNR order
10. All hospices are the same
11. Disabled people can’t receive hospice care
My preceptor implemented a survey of the developed post-intervention survey as a hyperlink during patient hospice admissions so that were assessable to all participants via workplace, which was designed to measure how informative and effective the powerpoint was, where the nurses sought support and the collection of demographic information.
The Essentials of Master’s Education in Nursing (2011) published by The American Association of Colleges of Nursing (AACN) define the expected outcomes for all master’s nursing program graduates. My project addresses Essentials I – III as hospice misconceptions may contribute to both the decrease in the quality of care and safety (Hiler et al., 2018). Essentials IV was addressed during the literature search portion of the project as well as the design and distribution of two surveys and seven interventions.
Essential VI will be addressed in the coming months as I intervene at the system level to advocate for patients and families who suffer from hospice misconceptions. Kok et al., (2020) suggested that hospice misconceptions may fade over time, but moral injury may persist which indicates that peer support mechanisms and grassroots dialogues are necessary to decrease hospice misconceptions and prevent moral injury. Essential VII was addressed during the implementation of the project even though I did not include respiratory therapists, intensivists, and other disciplines in my study. Instead, I spent a great deal of time talking with nursing students, families, and patients to understand their views on hospice missconceptions, including what types of situations, caused the greatest burden. This information was valuable during the construction of the surveys.
Finally, Essential IX is addressed throughout the entire project as I attempt to influence the healthcare outcomes for those cared for by those with misconceptions. As hospice misconceptions may cause physical, psychological, and social symptoms, focusing on its reduction may increase both patient safety and patient outcomes (Hiler et al., 2018; Wocial, 2020). I desire that this project will enhance the health of my colleagues and therefore allow them to provide better care to those we serve.
In addition to the template descriptors, consider the following: This chapter does not include discussing other research literature or the implications of your findings. Usually you begin by outlining any descriptive or exploratory/confirmatory analyses (e.g., reliability tests, factor analysis) that were conducted. Next, address the results of the tests of hypotheses, then discuss any ex post facto analysis. Tables and/or figures should be used to illustrate and summarize all numeric information.
For qualitative or historical projects, this chapter usually is organized by the themes or categories uncovered in your research. If you have conducted focus groups or interviews, it is often appropriate to provide a brief descriptive (e.g., demographic) profile of the participants first. Direct quotation and paraphrasing of data from focus groups, interviews, or historical artifacts then are used to support the recommendations made. In some cases, this analysis also includes information from field notes or other interpretative data e.g., life history information).
Discussion of Findings
Data analysis, limitations of project design, conclusions drawn should be included. Discuss limitations of size or sampling. Share what your reviewers/participants said in the evaluation tool. Share actual quotes and how you coded the material. What conclusion can you draw from the data? Did it confirm or contradict research found in your literature review?
Recommendations
What are you going to do in the future with this project? Now that you finished the project, what are you going to do with this information and/or project?
Chapter 4 provides the reader with the results of the feedback from your evaluation tool. Describing the perspective and quotes from your reviewers will be important. You may compare and contrast the feedback findings for your project – keep in mind that you may not always agree with the feedback you have received. In this section, based on the comments and feedback from reviewers, you will make recommendations and potential changes which could be implemented to improve your project. You should add ideas on how to further disseminate your project (creating a DNP Project based on it, poster or podium presentations, inservices, etc.) This is not a chapter where you should be discussing other people’s published work except to say that the feedback from reviewers generally confirmed or were incongruent with previous published work. This chapter is usually 6-8 pages in length.
Discussion of Findings
Feedback analysis, limitations of project approach, and conclusions drawn should be included. Discuss any concerns associated with the number of participants or reviewers. Share what your reviewers/participants said in the evaluation tool. Share actual quotes and how you organized the material. What conclusion can you draw from the feedback? Did it confirm or contradict research found in your literature review?
Recommendations
What are you going to do in the future with this project? Now that you finished the project, what are you going to do with this information and/or project?
*** Please find the attached example of a paper regarding a different topic and the previous assignment that goes with this paper.
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