NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem

Sample Answer for NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem Included After Question

Assessment Description

Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The
Page 8 Grand Canyon University 2023 © Prepared on: Feb 10, 2023, 11:55 PM
project will be completed in sections, beginning in NUR-550 and culminating in a fnal written paper detailing
the evidence-based practice proposal in NUR-590.
The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based
practice project proposal. To identify a relevant problem, consider problems generally faced in nursing
practice (coordination of health care, assessment, education, patient support, trauma prevention, recovery,
health screenings, etc.). Use the “PICOT Draft” template to complete this assignment.
Use a national, state or local population health care database to research indicators of disparity. Choose a
mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a
population of focus. Use this indicator to begin to formulate a PICOT statement.
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 one peer-reviewed source to complete this assignment. Sources must be published
within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and
documentation of sources should be presented using APA formatting guidelines, which can be found in the
APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.

A Sample Answer For the Assignment: NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem

Title: NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem

Part 1: Medication errors in nursing as a result of staffing shortage

The selected nursing issue for the evidence-based practice (EBP) project is medication errors in nursing that happen due to staffing shortage. Medication errors are a significant problem in healthcare sector, especially at this time when there is nursing shaortage and high nurse turnovers. With reduced number of nurses working in the healthcare sector, the susceptibility of patients to medication errors increases, particularly adverse drug events that can lead to death and prolonged stays in hospitals (Buerhaus et al., 2017).

The project will focus on the effectiveness of implementation of health information technology compared to the conventional ways of medication management to mitigate medication errors in critically ill patients. The selection of critically ill patients as the population of interest emanates from their increased vulnerability to injuries that need high-risk medication and more use of intravenous infusions which rises the possibility of medication errors. Health information technology can play an essential role in enhancing efficiency of nurses to offer required care and reduce medication errors.

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem
NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem

While errors are inevitable and lead to detrimental effects on patients, healthcare providers can leverage technological tools to reduce their likelihood through establishing appropriate measures. Health systems and providers can reduce the problem through organization-wide processes and not just through medication administration component alone (Trimble et al., 2017).

Due to the increased demand on healthcare services that has resulted in provider shortage, health information technology can offer solutions to the issue. The EBP project will delve into the issue using evidence-based practice intervention and translational research to provide possible solutions to the health systems and practitioners like nurses.

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Part II:

PICOT Question
PPopulationCritically ill patients
IInterventionIntegration of health information technology in the medication administration process
CComparisonUse of conventional medication management process
OOutcomeReduction of medication errors
TTimeframeDuration of hospital stay
PICOTAmong the critically ill patients (P), does the integration of health information technology (I) compared to conventional methods in medication administration process (C), reduce medication error (O) during hospital stay (T)?
Problem StatementMedication errors remain a critical health challenge which impacts not just the nursing staff but also patients under their care. Medication errors sometimes do not cause harm. However, in most instances, they can be devastating to the nurses and harmful to patients. Nurses play a critical roel in protection of patients against mistakes and errors in the medication administration as they are exclusively responsible for administration, dispensation and monitoring of medications to patients (Trimble et al., 2017). While the healthcare struggles with increased nurse shortage due to high turnover, providers can leverage health information technology to reduce these adverse events and enhance protection of patients under their care.

In their study, Alotaibi et al. (2017) assert that health information technology (HIT) offers numerous chances for enhancing and transforming healthcafe that include reduction of human errors, facilitating effective coordination and improving practice efficiencies. Therefore, through levarging on health information technologies like barcode scanning, electronic medication administration record (eMAR) and patient data management systems, electronic incident reporting and E-prescribing among other interventions, health organizations and providers can reduce medication errors and enhance patient safety despite having nurse staffing shortage. The implication is that these technologies reduce the possibility of errors that are mainly human mistakes by providers during the medication administration process.


Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi

            Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631

Buerhaus, P., Skinner, L., Aurhach, D. & Staiger, D. (2017). Four challenges facing the nursing workforce in

            the United States. Journal of Nursing Regulation, 8(2), 40-46. DOI:10.1016/S2155-8256(17)30097-2

Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens

            to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726

A Sample Answer 2 For the Assignment: NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem

Title: NUR 550 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem

Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem.

Practice problems affect the work environment, increase healthcare costs, and impede healthcare workforce productivity, among other outcomes. The prevalence of type 2 diabetes among older adults is a significant nursing practice problem since it increases patient visits, healthcare costs, and the risk for cardiovascular disease (Evans et al., 2022). I also selected this topic since increased dependence on healthcare increases nurses’ workload, adversely affecting their health and well-being. Therefore, it expands research on interventions essential for improving population health and achieving a healthy workplace for nurses. Research shows that type 2 diabetes is associated with reduced functional performance and independence (Kirwan et al., 2021). As a result, interventions tailored to improve functional capacity among older adults with type 2 diabetes are crucial for improved health outcomes and reduced clinical visits. The article by Pfeifer et al. (2022) explored the link between physical exercise interventions and functional capacity among older adults. The findings underline the significance of a physical activity program to improve glycaemic control, quality of life, and functional capacity.

Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)

PICOT Question
PPopulationOlder adults with type 2 diabetes Older adults are a unique population with complex and highly demanding health conditions. Generally, type 2 diabetes has a high prevalence among older adults, necessitating interventions guided by a clear understanding of how age, diabetes risk, and health outcomes are associated (Cigolle et al., 2022). Older adults occupy the broader population of individuals with diabetes seeking regular care in healthcare settings.
IInterventionTwice-weekly tailored physical exercise training The program includes short physical exercises combining aerobic, flexibility, and balance training. Such programs are highly effective in improving functional fitness and enabling independent living among patients with type 2 diabetes (Kirwan et al., 2021; Gao et al., 2022).
Problem Statement     


Cigolle, C. T., Blaum, C. S., Lyu, C., Ha, J., Kabeto, M., & Zhong, J. (2022). Associations of age at diagnosis and duration of diabetes with morbidity and mortality among older adults. JAMA Network Open5(9), e2232766-e2232766. doi:10.1001/jamanetworkopen.2022.32766

Evans, M., Chandramouli, A. S., Faurby, M., Matthiessen, K. S., Mogensen, P. B., & Verma, S. (2022). Healthcare costs and hospitalizations in US patients with type 2 diabetes and cardiovascular disease: a retrospective database study (OFFSET). Diabetes, Obesity & Metabolism24(7), 1300–1309.

Gao, S., Yu, L., Yi, G., Li, T., Chen, Z., & Ding, J. (2022). Exercise intervention as a therapy in patients with diabetes mellitus and sarcopenia: a meta-analysis. Diabetes Therapy: Research, Treatment and Education of Diabetes and Related Disorders13(7), 1311–1325.

Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-based exercise and lifestyle program improves health outcomes in older adults with type 2 diabetes. International Journal of Environmental Research and Public Health18(11), 6147.

Pfeifer, L. O., De Nardi, A. T., da Silva, L. X. N., Botton, C. E., do Nascimento, D. M., Teodoro, J. L., … & Umpierre, D. (2022). Association between physical exercise interventions participation and functional capacity in individuals with type 2 diabetes: a systematic review and meta-analysis of controlled trials. Sports Medicine-Open8(1), 1-22.