nursing - Nursing
See attached instructions for week 6. Week 4s paper and practice problem is also attached.
Needs to be at least 10 slidesPractice Problem Title Here
Name and Credentials Here
NR 706 Week 6 Practice Problem Analysis Assignment
Instructor’s Name Here
Revised 9/12/2019
Practice Problem Identification
State the Practice Problem in PICOT format (1 slide)
Identify all PICOT components
2
Background/Significance
Evidence from research explaining background/significance of practice problem (no more than 1-2 slides – cited in APA)
Include inclusion criteria for population of interest
Include exclusion criteria for population of interest
Failure Mode & Effect Analysis (FMEA)
Place FMEA form here, answer questions below, and summarize analysis. (1-2 slides)
Place diagram on slide and then answer:
Which step is the most important to focus resources? The one with the highest risk profile number?
How did this analysis benefit your understanding of your practice problem.
Summarize analysis
4
Ishikawa (Fishbone) Diagram
Place diagram here, answer questions below, and summarize analysis. (1-2 slides)
Place diagram on slide and then answer:
Of the five categories which are the most important to focus on for your practice problem and why?
How did this analysis benefit your understanding of your practice problem.
Summarize your analysis
Conclusion
Summarize the purpose and findings of the analysis
Provide and justify the main conclusions
Draw inferences from the quality improvement analysis
6
References
Includes in-text citations throughout the PowerPoint Presentation
Provides complete matching references in APA format
Grammar and Mechanics throughout the PowerPoint Presentation are free of errors
Note: This presentation should be submitted to the assignment link
7Week 6: NR706 Practice Problem Analysis and Presentation Guidelines
Purpose
The purpose of this assignment is to critically evaluate a practice problem. This assignment builds on the Week 4 assignment: Translation Science Project. Information used in the Week 4 assignment may be used as the basis for this assignment. The goal of the assignment is to develop a deeper understanding of the practice issue, using continuous quality improvement tools; specifically, a failure mode & effect analysis (FMEA) of the selected practice problem and an Ishikawa (fishbone) cause and effect diagram to analyze, improve, or mitigate related risks. This assignment will allow for the application of the DNP Essential IV sub-competencies through sequential development of workflow steps in relation to a practice problem and promotion of presentation skills. Assignment content supports the professional formation, communication, and dissemination skills relevant to the DNP practice scholar.
This assignment has four components:
· first, identify a practice problem stated in PICOT format;
· second, conduct a failure mode & effect analysis of the practice problem;
· third, develop an Ishikawa (fishbone) cause and effect diagram to analyze, improve, or mitigate related risks
· and fourth, create a professional power point presentation with speaker notes for each slide to disseminate this information.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
· CO 4: Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the impact on patient safety, quality of care and outcomes measurement. (PO 7)
· CO 5: Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PO7)
Due Date(s)
The assignment title is due by Sunday 11:59 p.m. MT at the end of Week 6. The Late Assignment Policy applies to this assignment.
Total points possible: 250
Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
Consider using the same practice problem identified in Week 4: Translation Science Project, including the practice problem, PICOT construction, and background/significance of the problem. Be sure to incorporate faculty feedback from the Week 4 assignment to maximize performance.
2) Review the examples of the Failure Mode and Effect Analysis (FMEA) and Ishikawa (fishbone) Diagram in Week 4, Explore page 2, Evidence-Based Practice: Improving Outcomes.
Use the
Week 6 Practice Problem Analysis PowerPoint Template to complete the PowerPoint Presentation. (Links to an external site.)
Use the
Failure Modes and Effects Analysis (FMEA) (Links to an external site.)
and
Ishikawa (fishbone) Diagram template A (Word 2016 or higher) (Links to an external site.)
or
Ishikawa (fishbone) Diagram template B (Older version of Word) (Links to an external site.)
or create your own f8
Esophageal cancer and smoking
Name
Chamberlin University
PICOT Question
Are men 45 years of age and older (P) who have a one-year history of smoking or less (I) at an increased risk of developing esophageal cancer (O) compared with men age 45 and older (P) who have no smoking history (C)?
Evidence Synthesis of Literature to Address Practice Problem
According to the Cancer Research UK (2020), cancer of the esophagus is more common in older people. Around 40\% of the members of the population develop esophageal cancer at the age of 75 and above. The Cancer Research UK (2020) equally notes that an estimated lifetime risk of being diagnosed with esophageal cancer us 2\% for males and 1\% for females in the United Kingdom. The findings of the Cancer Research UK (2020) indicate that 59\% of esophageal cancer cases are preventable, but the condition is associated with a number of risk factors such as tobacco smoking, alcohol intake, and radiation exposure among other risk factors.
According to a cohort study conducted by Fan et al. (2008), tobacco smoking and alcohol consumption were established as the major risk factors for esophageal squamous cell carcinoma (ESCC), especially in the western population. The study reports many retrospective studies that have demonstrated a synergic effect of alcohol and smoking in ESCC risk. Nevertheless, prospective studies on esophageal cancer especially in high incidence regions are scare and their results have been inconsistent. Fan et al. (2008) equally reports a cohort study that was conducted in Linxian, China, which found a week association between smoking and ESCC but failed to demonstrate statistical significance association with alcohol intake. The study observed association between smoking and esophageal adenocarcinoma (EAC), but the risk is weaker than that for ESCC.
Fan et al. (2008) states that there is little information from the prospective studies on the potential role of tobacco in esophageal cancer in the high-risk populations, especially older men. The researchers examined the association between the risk factor to the development of esophageal cancer alone and in combination and the risk of development of esophageal cancer in the Shangai Cohort study, which enrolled more than eighteen thousand middle aged and older men and found a week association between smoking and development of esophageal cancer.
Contrary to the findings of Fan et al. (2008), a systematic review and Meta-analysis conducted by Wang et al. (2017) indicates that smoking strongly increases the risk of esophagus squamous cell carcinoma and moderately increases the risk of esophageal adenocarcinoma. Nevertheless, the researchers were quick to point out that the manner with which smoking cessation influence esophageal cancer risk across histological subtypes, geographical regions and time latencies is not clear. The studies analyzed by Wang et al. (2017) were systematically searched on Embase, Medline, WTemplate: Failure Modes and Effects Analysis
Step in Process
Failure
Mode
Failure Cause
Failure Effect
Occurrence Likelihood
Detection
Likelihood
Severity
Risk Profile Number
Actions to Mitigate Risk
Occurrence Likelihood rate 1-10 (10 means most likely to occur)
Detection Likelihood rate 1-10 (10 means least likely to be detected)
Severity rate 1-10 (10 means most likely to cause severe harm)
To calculate Risk Profile Number:
Multiply Occurrence Likelihood times Detection Likelihood times Severity = Risk Profile Number
Submit completed FMEA form to assignment link for grading, place on presentation slide, and summarize FMEA findings in your presentation slide. (see Practice Problem Analysis Guidelines and Rubric)
9/12/2019 VersionFishbone Diagram Template
Name: Cause Effect
To complete click on grey box and type.
People
Environment
Methods
Equipment
Materials
How to develop your cause and effect diagram: 1. Identify practice problem you are trying to improve in the effect box. 2. In each category of causes, (a) people, (b) environment, (c) materials, (d) methods, and (e) equipment input causes for the effect. (See example and rubric).
8/19/2019 VERSION A
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