Week 5 Evidence-based Practice; Population-focused Clinical Project Proposal

Name:

Clinical hours and Description of Work

Date(s)	Hours	Activity	Description of work
	3	Evidence-based practice and application	Researched two articles applicable to intervention
	5	Population-focused Clinical Project	Developed proposal for an intervention
Last week’s total*
This week’s hours
Semester total

*Semester total as reported on Week 4.

Synthesis/Reaction (What did you learn this week? How does this week’s experiences apply to what you’ve read in the book and/or current event? How did you feel during this week’s experiences? Did you meet a clinical or course objective and how?)

Next Week’s Plans (Anticipated meetings and activities for clinical during the next week)

Next Clinical Assignment(s): Culture and Diversity Experience; Midterm Evaluation with Clinical Instructor

Evidence-based Practice and Application

Directions:

1.Identify two research articles that guided or will guide the development of your intervention. The articles can be original research, a meta-analysis, or published practice guidelines based on research. Examples of databases that can be used include PubMed, CINAHL, and the CDC Community Health Improvement Navigator website available at http://www.cdc.gov/CHInav/database/.

2.Briefly summarize the research and discuss how the findings guided or will guide your intervention. Include full citations for both articles at the end of the summaries. Remember to also cite the articles in-text.

3.Download the articles into a pdf or doc format and attach to Canvas along with the assignment. ALSO post a working URL and DOI number in the comments section of Bb. Points will be deducted if we cannot access your research articles when we are grading the papers.

This assignment should be written in a separate Word document using APA format which includes full reference citations, in-text citations, 12 pt Times New Roman font, double-spacing, and 1 inch margins. A title page and reference page are not necessary.

Evidence-based Practice and Clinical Activities Reporting Grading Rubric (100 points)
Grading Criteria	Points Possible	Points Received
Accurate report of clinical hours and activities; thoughtful and reflective synthesis/reaction; inclusion of plans for next week	20
Two research articles are identified that are applicable and relevant to the intervention developed.	10
Article 1 is summarized accurately and discussed as per guidelines; URL and DOI numbers are correctly identified; pdf or doc copy attached	35
Article 2 is summarized accurately and discussed as per guidelines; URL and DOI numbers are correctly identified; pdf or doc copy attached	35
	Points Deducted
Deductions from the total assignment grade for grammar, spelling, and APA errors: 1 point for each grammatical error (deduction for a particular word that is repeatedly misspelled will be taken only once per assignment); 1 point for the use of an incomplete sentence (deduction is for EACH incomplete sentence). 10 points will be deducted from the total score of the assignment per day for each day the assignment is late except in the case of an excused absence or of prior approval from your clinical instructor for late submission. In the case of an excused absence, 10 points will be deducted from the total score per day for each day the assignment is submitted after 1-week from the period of absence. Any clinical assignment received later than 1 week after the due date (or later than 1 week after the period of absence in the case of an excused absence) will result in a clinical unsatisfactory. For each additional week the assignment is late, an additional clinical unsatisfactory will be received. 1 point for each grammatical error (deduction for a particular word that is repeatedly misspelled will be taken only once per assignment); 1 point for the use of an incomplete sentence (deduction is for EACH incomplete sentence). 10 points will be deducted from the total score of the assignment per day for each day the assignment is late except in the case of an excused absence or of prior approval from your clinical instructor for late submission. In the case of an excused absence, 10 points will be deducted from the total score per day for each day the assignment is submitted after 1-week from the period of absence. Any clinical assignment received later than 1 week after the due date (or later than 1 week after the period of absence in the case of an excused absence) will result in a clinical unsatisfactory. For each additional week the assignment is late, an additional clinical unsatisfactory will be received. 1 point for use of margins other than 1 inch (one-time deduction per assignment); 1 point for use of a font other than Times New Roman 12 point font (one-time deduction per assignment); 1 point for use of single spacing instead of double spacing (one-time deduction per assignment) 1 point for each incorrect APA in-text or full reference citation 1 point for each instance of failure to use an in-text citation 1 point for each missing or incorrect full reference citation at the end of the assignment 1 point for use of margins other than 1 inch (one-time deduction per assignment); 1 point for use of a font other than Times New Roman 12 point font (one-time deduction per assignment); 1 point for use of single spacing instead of double spacing (one-time deduction per assignment) 1 point for each incorrect APA in-text or full reference citation 1 point for each instance of failure to use an in-text citation 1 point for each missing or incorrect full reference citation at the end of the assignment
Deductions for late submission of the assignment:
	Total Score

Population-focused Clinical Project Proposal

Directions: Write a proposal using the below headings.

• Introduction (1 -2paragraphs)

Introduce your clinical community site or public health issue that is your focus for the semester. You should provide a general description that includes the following introductory information:

•If you are working with an agency or organization, address the following:

• Identify the name of the agency/organization;
• Identify who the population is that is served by the agency/organization (i.e. a
• Provide information on:

specific neighborhood; a specific group of people in a city with a particular

problem);

1)the sociodemographics of the population (i.e. age, educational level, race/culture, gender, developmental characteristics such as elderly or school age) and

2)the characteristics or attributes of the population served by the agency that confer risk (i.e., low SES is associated with being uninsured which is a barrier to accessing needed healthcare);

• Provide a general description of services provided by the organization to the
• Identify the problem;
• Identify who the population is that is affected by the problem (i.e. 76% of the
• Provide information on:
  • Background Health Information (2 paragraphs)

population served and an approximate number of people to whom these

are provided.

•If you are focusing on a specific issue of concern (and not working with a specific

agency ororganization), address the following:

population in Lexington, KY; 25% of teenage girls in Lexington, KY; 10% of people with mental health disorders);

1)the sociodemographics of the affected population (i.e. age, educational level, race/culture, gender, developmental characteristics such as elderly or school age) and

2)the characteristics or attributes of the population affected by the problem

that confer risk (i.e., infants and children are particularly at risk

because…).

Provide background information on the general health status of the community or health-related factors associated with the issue of concern to which you have been assigned.

Supportive information MUST include data from:

• Your community assessment, windshield survey, and key informant interviews,
• Relevant statistics specific to your population. Look at data from the CDC website, the

as applicable.

BRFSS, websites used in the community assessment assignment and/or other relevant sources.

• If you are assigned to an agency, provide background information on the general
• If you are assigned to focus on a particular issue of concern, provide background
• State the magnitude of the health problem or determinant of health;
• Discuss the health effects;
• Describe the actual or potential role of Public Health Nursing in intervening in response to this;
• Discuss actual or potential resources available to resolve the problem or to improve health outcomes associated with the problem;
• Identify protective factors in the community (such as a strong advocate on the city council or the presence of walkable neighborhoods).

health status of the population served by the agency; you may focus on one health

issue/problem or a determinant of health that you identified (i.e. lack of access to

health services or education)

i.e., If the focus of the agency to which you are assigned is to provide health services to Russian immigrants living in Fayette County, you might include the following:

Several health problems have been noted to particularly affect the Russian population living in the United States. According to data from the CDC (cite), lung cancer rates are higher in this population than in other U.S. ethnic groups. According to information from Mr. during the key informant interview (cite), lung cancer is also problematic among Russian immigrants living in Fayette County and is related to high rates of smoking among members of this community. This concern was supported by data collected during the windshield survey of the community served by the Clinic. As noted in the Windshield survey, convenient stores that sold both packs of cigarettes and individual cigarettes were located on nearly every corner. Also, groups of local residents were observed near the store smoking.

on health factors related to the issue.

i.e., If the focus of the issue of concern you are assigned to farm accidents in rural

areas in and surrounding Fayette County, you might include the following:

Agricultural accidents are among the highest causes of work-related injuries in the U.S. (cite CDC Wonder). Dr. Deborah Reed, whom we interviewed as our key informant, is an expert in injury reduction research in Kentucky (cite). According to Dr. Reed, Kentucky farmers are particularly susceptible to injury and death caused by tractor rollovers. During the windshield survey of farms in Fayette County, several incidents of tractors being used in rough and hilly terrain were noted.

• Health Problem (1-2 paragraphs)
• Intervention Proposal (2-3 paragraphs)
• Program Goal, Objectives, and Evaluation Methods

Based on the background information, identify a priority health-related problem and/or determinant of health related to the clinical population or associated with your issue of concern. Identified problems must be supported by the information you present in the background. Next, provide the following information about this:

• Describe the intervention you plan to implement at your site.
• Discuss how your intervention fills a gap/need for your clinical site.
• Describe what barriers should be anticipated when implementing the intervention in this community.
• Identify “community assets” that could be used as resources to support your intervention.

• Identify the main goal of your intervention and then identify at least 2 objectives of your intervention.

REMEMBER: These should address what the client/community/population will do, NOT what the nurse/student will do.

Example with the 4 parts of the educational objectives

80% of Wilmington High School students (who is expected to exhibit the behavior) will increase STD prevention knowledge (what the expected behavior is) by 10% after interactive lessons (conditions and qualifiers of the behavior) between August and December of 2005 (standards or time).

For each objective identified above, describe how you will determine/measure if that objective was met.

Example: Evaluation method for Objective 1: Wilmington High school students will complete a 5-question test before and after each lesson, which will demonstrate their ability to recall knowledge as well as evaluate comprehension by restating the material in their own words.

This assignment should be written in APA format which includes full reference citations,

in-text citations, 12 pt Times New Roman font, double-spacing, and 1 inch margins. A title page and reference page ARE REQUIRED.

Population-focused Clinical Project and Clinical Activities Reporting Grading Rubric (100 points)
Grading Criteria	Points Possible	Points Received
Accurate report of clinical hours and activities; thoughtful and reflective synthesis/reaction; inclusion of plans for next week	20
Introduction- Provides a general description of the clinical community site or the assigned issue of focus and includes information as outlined in the paper guidelines.	10
Background – Information on the general health status of the community or health-related factors associated with the issue of concern is provided and is supported by information from the community assessment, windshield survey and/or key informant interviews as applicable. Relevant statistical data is included.	15
Health Problem – Identifies an appropriate priority health-related problem or determinant of health related to the population or issue of concern and includes the information addressed in the paper guidelines.	15
Intervention – Proposed intervention is well described and includes all components outlined	20
Program Goal, Objectives, and Evaluation Methods – One intervention goal and 2 measurable objectives are presented and an appropriate method of evaluating each program objective outcome is identified.	20
	Points Deducted
Deductions from the total assignment grade for grammar, spelling, and APA errors:
Deductions for late submission of the assignment:
	Total Score