Collaborative Learning Community CLC Order Instructions: This is a Collaborative Learning Community (CLC) assignment.

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

Conduct a search of the literature related to this problem.

Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of six peer-reviewed articles must be identified. These can be the same articles from the previous selected literature review or a mixture of new and previous articles. This may also include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.

Include the following components into the presentation:
1. Present the nursing practice problem with the PICOT question.
2. Discuss your appraisal of the literature that addresses the problem.
3. Present the proposed practice changes from an integration of the findings.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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 Turnitin.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Review the PICOT article “Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice” along with the “Chapter 18: Using Research in Evidence-Based Nursing Practice” PowerPoint resource.

http://library.gcu.edu:2048/login?url=http://gateway.ovid.com.library.gcu.edu:2048/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&LSLINK=80&D=ovft

The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed in Topics 1-4.

Following the PICOT format, write a PICOT statement in an area of interest to you, which is applicable to your proposed capstone project.

APA format is not required, but solid academic writing is expected.

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 Turnitin.

Hello group, sorry I was out of the country so couldn’t do the outline. We all should contribute to all parts of the project since it is extensive and one person cannot do all the literature search or all analysis and critical appraisal. We should conduct a literature search together, share our findings, and pick articles that will suit our problem the most. Afterward each one of us will be able to analyze 1-2 articles and pick important points that we can include in the presentation. We all should come up with solutions that can be discussed in our project. I do not know how long the presentation should be.
1. Choose a nursing practice problem with the PICOT question and identify a possible solution
2. Literature search related to the problem ( minimum of 6 peer-reviewed, evidence-based articles)
3. Analyze and critically appraise the literature supporting the solution to the problem
4. Discuss appraisal of the literature
5. Present the proposed practice changes from an integration of the findings

Collaborative Learning Community CLC Sample Answer

Several studies have documented the high prevalence of nurse fatigue and its detrimental effects on the nurses, patients as well as the healthcare organizations (Chen et al., 2014; Martin, 2015).  However, evidence-based practice has outlined interventions that improve nurses physical and mental satisfaction and effectively reducing the associated costs (Hunsaker, Maughan and Heaston, 2015). The following table consists of six articles that were critically appraised:

From critical appraisal of the six articles, it is evident that the issue of nurse fatigue is one of the challenges that face the healthcare providers as it is associated with increased patient safety issues of significant importance such as diagnostic errors, medication errors and patient diagnostic errors (Stewart and Terry, 2014). From the critical appraisal, the most recommended strategies  included introduction of employee assistance programs, employee  motivation  such as  retreats,  fostering self-reflection  through expressive writing,  and psychiatric  programs to improve behavioural interaction  and effective  communication skills to foster safe working environments that fosters communication that is candid (Barbara, 2014; Domen, Connelly and Spence, 2015).

Collaborative Learning Community CLC References

Barbara, H. (2014).  Nursing Burnout interventions; What is being done? Clinical Journal of Oncology Nursing • Volume 18, Number 2

Domen, R., Connelly, C., and Spence, D. (2015). Call shift fatigue and use of countermeasures and avoidance strategies by Certified Registered Nurse Anesthetists: A National survey. AANA Journal 83: 2, 123-133

Hunsaker, S., Chen, H., Maughan, D and Heaston, S. (2015). Factors that influence the development of compassion fatigue, burnout and compassion satisfaction in emergency department nurse. Journal of Nursing Scholarship, 47:2, 186–194.

Martin, DM. (2015). Nurse fatigue and shift length: A pilot study. Nursing Economics 33:2; 81-90

Stewart, W., and Terry, L. (2014).  Reducing burnout in nurses and care workers in secure in settings. Nursing standard 28, 34, 37-45.