intro1 - Nursing
Select a hospital-acquired condition (HAC) that is relevant to a health care context with which you are familiar. Create a two to three page report that includes the research-based explanation of the background of a problem associated with your chosen HAC, as well as develop appropriate research problem and purpose statements.
Introduction
Note: The assessments in this course build upon each other. Therefore, you are strongly encouraged to complete them in the order in which they are presented.
A research problem statement expresses the issue or phenomenon that a project is seeking to solve or improve. It also helps to show readers the importance of the issue and defines the context for the study. To make problem statements more compelling, we can use the past research of others to improve care and inspire further research. A review of the literature can provide knowledge about what others found useful in addressing problems that are similar to the ones you face. By leveraging this evidence base, you can create clearer and more compelling problem statements.
The purpose statement tells the reader the intent of your research. The context of this course is to make improvements related to one or more hospital-acquired conditions (HACs) of your choice. Take, for instance, the case of a hospital-acquired infection resulting from the insertion of a central line. You may determine through the literature search that there are other methods to prevent infections.
Perhaps you note that the staff in your organizations were not properly using sterile techniques and outlining a sterile field. Your new process may involve adopting better sterilization protocols prior to inserting a catheter. In order to make the change, you will need to provide evidence that this practice is based on research and is clearly accepted as the standard practice.
Instructions
This assessment has three distinct parts.
Part 1: Background and Evidence
Relevant Scoring Guide Criteria:
· Explain the background of a given research problem based on information in the literature.
· Apply evidence-based information to support the development of a given research problem.
· Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.
For this section, you will need to select one or more hospital-acquired conditions (HACs) from the list of
Hospital-Acquired Conditions
created by the Centers for Medicare and Medicaid Services (CMS). From your readings and independent research you will compose a background explanation of the HAC and how it is manifesting as an issue in a health care setting of your choice. You will also be creating an evidence-based rationale for why it is important to further study this particular HAC.
This first section should be one to two pages, with support from the literature for the background of the issue, the importance of the problem withiHospital-Acquired Conditions
Section 5001(c) of Deficit Reduction Act of 2005 requires the Secretary to identify conditions that are: (a) high cost or high volume or both, (b) result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis, and (c) could reasonably have been prevented through the application of evidencebased guidelines.
On July 31, 2008, in the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule, CMS included 10 categories of conditions that were selected for the HAC payment provision. Payment implications began October 1, 2008, for these Hospital Acquired Conditions. The IPPS FY 2009 Final Rule is available in the Statute/Regulations/Program Instructions section, accessible through the navigation menu at left.
These 14 categories of HACs listed below include the HACs from the IPPS FY 2013 Final Rule which are Surgical Site Infection Following Cardiac Implantable Electronic Device (CIED) and Iatrogenic Pneumothorax with Venous Catheterization. For FY 2014 through FY 2020, there are no additional HAC categories added:
· Foreign Object Retained After Surgery
· Air Embolism
· Blood Incompatibility
· Stage III and IV Pressure Ulcers
· Falls and Trauma
· Fractures
· Dislocations
· Intracranial Injuries
· Crushing Injuries
· Burn
· Other Injuries
· Manifestations of Poor Glycemic Control
· Diabetic Ketoacidosis
· Nonketotic Hyperosmolar Coma
· Hypoglycemic Coma
· Secondary Diabetes with Ketoacidosis
· Secondary Diabetes with Hyperosmolarity
· Catheter-Associated Urinary Tract Infection (UTI)
· Vascular Catheter-Associated Infection
· Surgical Site Infection, Mediastinitis, Following Coronary Artery Bypass Graft (CABG):
· Surgical Site Infection Following Bariatric Surgery for Obesity
· Laparoscopic Gastric Bypass
· Gastroenterostomy
· Laparoscopic Gastric Restrictive Surgery
· Surgical Site Infection Following Certain Orthopedic Procedures
· Spine
· Neck
· Shoulder
· Elbow
· Surgical Site Infection Following Cardiac Implantable Electronic Device (CIED)
· Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE) Following Certain Orthopedic Procedures:
· Total Knee Replacement
· Hip Replacement
· Iatrogenic Pneumothorax with Venous Catheterization
The ICD-10 HAC Lists for FY 2016 through the current FY year are available in the ICD-10 HAC List section, accessible through the navigation menu at left8/7/22, 2:22 PM Research Problem and Purpose Statements Scoring Guide
https://courserooma.capella.edu/bbcswebdav/institution/BHA-FPX/BHA-FPX4010/220100/Scoring_Guides/a01_scoring_guide.html 1/1
Research Problem and Purpose Statements Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the
background of a
given research
problem based on
information in the
literature.
Does not
describe the
background of
a given
research
problem based
on information
in the
literature.
Describes the
background of
a given
research
problem based
on information
in the
literature.
Explains the background of
a given research problem
based on information in the
literature.
Explains the background of a
given research problem based
on information in the literature,
providing specific examples.
Apply evidence-
based information to
support the
development of a
given research
problem.
Does not
explain
evidence-
based
information to
support the
development
of a given
research
problem.
Explains
evidence-
based
information to
support the
development
of a given
research
problem.
Applies evidence-based
information to support the
development of a given
research problem.
Applies evidence-based
information to support the
development of a given
research problem, providing
specific examples.
Develop a problem
statement based on
relevant literature.
Does not
describe a
problem
statement
based on
relevant
literature.
Describes a
problem
statement
based on
relevant
literature.
Develops a problem
statement based on
relevant literature.
Develops a problem statement
based on relevant literature,
providing specific examples.
Formulate a purpose
statement supported
by a review of the
literature.
Does not
describe a
purpose
statement
supported by a
review of the
literature.
Describes a
purpose
statement
supported by a
review of the
literature.
Formulates a purpose
statement supported by a
review of the literature.
Formulates a purpose
statement supported by a
review of the literature,
providing specific examples.
Communicate in a
manner that is
scholarly,
professional, and
respectful of the
diversity, dignity,
and integrity of
others and is
consistent with
expectations for
health care
professionals.
Does not
communicate
in a manner
that is
consistent with
expectations
for the health
care
profession.
Communicates
in a manner
that is
consistent with
expectations
for the health
care
profession.
Communicates in a manner
that is scholarly,
professional, and respectful
of the diversity, dignity, and
integrity of others and is
consistent with
expectations for health care
professionals.
Communicates with exceptional
clarity in a manner that is
scholarly, professional, and
respectful of the diversity,
dignity, and integrity of others
and is consistent with
expectations for health care
professionals.
CATEGORIES
Economics
Nursing
Applied Sciences
Psychology
Science
Management
Computer Science
Human Resource Management
Accounting
Information Systems
English
Anatomy
Operations Management
Sociology
Literature
Education
Business & Finance
Marketing
Engineering
Statistics
Biology
Political Science
Reading
History
Financial markets
Philosophy
Mathematics
Law
Criminal
Architecture and Design
Government
Social Science
World history
Chemistry
Humanities
Business Finance
Writing
Programming
Telecommunications Engineering
Geography
Physics
Spanish
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