NUR 550 Benchmark Evidence-Based Practice Project Literature Review

NUR 550 Benchmark Evidence-Based Practice Project Literature Review – Step-by-Step Guide

The first step before starting to write the NUR 550 Benchmark Evidence-Based Practice Project Literature Review, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NUR 550 Benchmark Evidence-Based Practice Project Literature Review

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded, in sentence sentence care. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NUR 550 Benchmark Evidence-Based Practice Project Literature Review Description:

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

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A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

  1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
  2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
  3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
  4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
  5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
  6. Conclusion – Provide a summary statement of what you found in the literature.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

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 eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NUR 550 Benchmark Evidence-Based Practice Project Literature Review Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

  • MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

Course Code: NUR 550

Class Code: NUR 550-O503

Assignment Title: NUR 550 Benchmark Evidence-Based Practice Project Literature Review Benchmark Information

NUR 550 Benchmark Evidence-Based Practice Project Literature Review

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NUR 550 Topic 7 Benchmark – Evidence-Based Practice Project: Literature Review Example 

The Topic of interest is medication administration errors in critical care. Nurses must often make medication administration errors. Medication errors can occur anywhere between prescription and administration, and healthcare professionals strive to provide development that minimizes these errors. Medication administration constitutes the largest source of medication errors. During medication administration, nurses must confirm the five rights of medications before administering medications.

The process requires knowing the patient, their condition, and the medications to detect mistakes. The medication administration process also filters mistakes made in the previous stages of medication administration. Barcode medication administration is a healthcare technology allowing nurses to administer medications safely. The technology requires nurses to scan medications against the patient’s wristband and to confirm these medications before they are administered quickly.

The wristbands are vital in critical care because patients may not respond to nurses’ questions or participate in care delivery like in other units. IV medications are the most significant culprits of severe medication error consequences, and barcode medication administration eliminates any errors. The technology ensures all the five rights of medication administration and thus helps reduce errors. Studies show that the technology reduces medication administration errors by above 80% (Thompson et al., 2018). This paper analyzes the concept of barcode medication administration and its impact on medication administration errors, patient safety, and healthcare professionals

Search Strategy

When searching for the articles used in the literature review, I used large and reputable databases such as Medline, EBSCO, Cochrane Library, and Google scholar. I also used reputable journals, such as The Journal of Translational Research, dealing with translational research. The search strategy included keywords such as barcode medication administration, attitude towards barcode medication administration, the effectiveness of barcode medication administration, medication administration technologies, and medication error prevention. The keywords and convenience of searching by limiting the years to 2018- 2022 helped ensure the articles with the required content were within the required years. During the search, the primary goal was to locate valuable articles that could provide the desired information on barcode medication administration.

Literature Evaluation

Rishoej et al. (2018) evaluated the various effective interventions in neonatal intensive care units to prevent medication errors. The qualitative study assessed the medication error prevention strategies employed in these units. Exploration of these practices will help nurses and other healthcare professionals replicate these strategies in similar environments and units to prevent medication errors. Among the technologies, sed includes barcode medication administration, CPOE, and CDSS systems. BCMA is the least utilized yet effective technology in healthcare institutions. The study also shows that the technology is accepted in intensive care units, meaning its implementation will face little resistance from the staff. Double-checking technologies such as BCMA are vital in reducing errors in healthcare institutions, and some of the technologies with great.

Greenberg et al. (2018) conducted a study on implementing approved/recommended safe practices in medication administration across an extensive interconnected network of United States neonatal intensive care units (300 units) managed by the Pediatric Medical Group Inc. The study. The technologies featured include CPOEs, CDSS, and BCMA. BCMA receives the least utilization despite its potential to improve medication administration safety.

Lunt and Mathiesen (2020) studied nurses’ attitudes toward barcode medication administration in the emergency department. The emergency department requires urgency in activities and reports the highest medication administration errors in healthcare institutions. The study used 55 members of national emergency nurses members, and the information was collected using self-administered questionnaires. The study showed that BMCA improves emergency nurses’ behavioral intent, anxiety, self-efficacy, effort expectancy, social influence, and facilitating activities. The study thus supports the implementation of BMCA in critical care and shows that nurses have a welcoming attitude towards BCMA due to its effectiveness.

Thompson et al. (2018) evaluated the effects of implementing BCMA in reducing patient harm. The study was conducted in a large Magnet organization hospital in all inpatient nursing units. From the study, BCMA is an effective technology that improves medication administration processes and prevents medication errors. According to the study, BCMA reduces patient harm by reducing medication administration errors in all units and reducing sentinel events in medication administration. The study results showed a 43% reduction in medication errors and a 55.4% reduction in patient harm by medication errors. The study also shows that technology must be used constantly to achieve the desired effects. It shows that BMCA is a viable technology for preventing medication errors in healthcare institutions.

Owens et al. (2020) evaluated the effects of implementing barcode medication administration on nurses’ satisfaction and medication administration errors. The study was conducted in an emergency department using direct observation and questionnaires to determine nurses’ satisfaction. The study showed that medication administration errors pre-implementation of BCMA was 2.78% pre-implementation and 0.79% post-implementation, and the nurses’ satisfaction improved from 2.69 to 2.60. The technology supports barcode medication administration and shows that it reduces medication administration errors and improves nurses’ satisfaction.

Darawad et al. (2019) evaluated nurses’ satisfaction with BMCA and the factors affecting their satisfaction with the technology. The study recruited 217 nurses from three hospitals with at least a bachelor’s degree training. The study revealed that the technology is generally accepted, but nurses were hesitant to implement the technology after some time. These nurses were comfortable with the technology and reported satisfaction. The study also evaluated the factors affecting satisfaction with the technology, including computer skills and training. While assumptions can be made that the technology is easy to use, it is imperative to ensure that nurses have at least basic training before implementing it. The article supports the PICOT by showing the importance of training staff before implementing the technology.

Lin et al. (2018) conducted a qualitative study using 32 nurses in 8 nursing stations in southwestern Taiwan using DeLone and McLean’s model of information systems. The study results showed that errors pre-to post-implementation reduced from 405 to 314, and the leading factor for poor outcomes was the failure to follow standard procedures. The study introduces a vital element of barriers to the success of the interventions. The study results will help in project planning to incorporate interventions that will improve nurses‘ intent to use standard procedures in medication administration.

Barakat and Franklin (2020) evaluated the effects of barcode medication administration on nursing workflow. The study was conducted in a teaching hospital in the UK. The study compared the results of wards utilizing BMCA and those not utilizing it. The results showed that BCMA does not alter the duration of medication administration, streamlines workflow, improves patient identification (74% identification rate), and eliminates errors associated with patient identification.

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Literature Synthesis

The literature discusses various themes in medication administration. The authors work to show the problem’s existence, interactions with other medication error preventive interventions, outcomes in medication error prevention, and nurses’ attitudes toward the technology. The technology also streamlines workflow, improves patient identification processes, and does not alter medication durations (Barakat & Franklin, 2020). The information provided by these resources will help healthcare professionals with care interventions and medication administration error prevention in their respective critical care areas. BCMA is listed as some of the most effective safe medication administration practices.

However, Rishoej et al. (2018) and Greenberg et al. (2018) show that barcode medication administration technology is one of the least implemented technologies due to a lack of knowledge, resources, and extensive evidence of their implementation. Lunt and Mathiesen (2020) show that BCMA technology is well-tolerated and accepted by emergency nurses due to its ability to improve behavioral intent, anxiety, self-efficacy, effort expectancy, and social influence. The information is conflicted by Kung et al. (2020), who show that the intervention is not well-tolerated and there in medical-surgical units due to an increase in time used on a patient, despite increased efficiency and effectiveness of medication administration.

Lin et al. (2018) note that the leading system factor for medication errors is the failure to follow standard procedures due to a lack of knowledge. Darawad et al. (2019) cited a lack of staff knowledge and skills as a leading factor for hesitancy in implementing BCMA. Staff education increases self-efficacy and promotes self-confidence. Thus, staff education on BCMA and standard procedures are thus integral to the success of BCMA, especially because, as seen, BCMA requires prolonged and consistent use to produce the desired effects.

Suggestions for Future Research

BCMA implementation faces varying attitudes depending on the departments. It is imperative to assess nurses’ attitudes toward technology and evaluate the causes of the underutilization of technology. More research into the underutilization of the technology and staff attitude towards it is necessary before the implementation of the technology in any healthcare institution. Other gaps in care include the evaluation of the cost-effectiveness of these technologies in terms of the purchase and maintenance of the devices and data used in implementing these technologies. In addition, medication administration errors in intensive care units and step-down units should be explored further due to the scarcity of resources showing the efficacy of the technology in these units. Future research is also necessary for the effects of BCMA on care coordination and interprofessional collaboration.

Conclusion

BCMA technology is one of the most effective technologies in reducing medication administration errors and improving patient outcomes. The technology faces reluctance due to a lack of nurses’ knowledge and skills in the technology and the failure of nurses to follow standard procedures. BCMA technology reduces medication administration errors and patient harm, reduces patient harm, and complements other technologies in the medication administration process. Future research gaps include the cost-effectiveness of the intervention, research in intensive care units and step-down units, and factors leading to the underutilization of the technology because scanty information exists in these areas. From the literature, BCMA technology can potentially improve the medication administration process and reduce medication errors in healthcare institutions.

References

Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148

Darawad, M. W., Othman, E. H., & Alosta, M. R. (2019). Nurses’ satisfaction with barcode medication‐administration technology: Results of a cross‐sectional study. Nursing & Health Sciences, 21(4), 461-469.https://doi.org/10.1111/nhs.12620

Greenberg, R. G., Smith, P. B., Bose, C., Clark, R. H., Cotten, C. M., & DeRienzo, C. (2018). National survey of neonatal intensive care unit medication safety practices. American Journal of Perinatology, 35(14), 1419-1422.https://doi.org/10.1055/s-0038-1660837

Küng, K., Aeschbacher, K., Rütsche, A., Goette, J., Zürcher, S., Schmidli, J., & Schwendimann, R. (2021). Effect of barcode technology on medication preparation safety: a quasi-experimental study. International Journal For Quality In Health Care, 33(1), mzab043. https://doi.org/10.1093/intqhc/mzab043

Lin, J. C., Lee, T. T., & Mills, M. E. (2018). Evaluation of a barcode medication administration information system. CIN: Computers, Informatics, Nursing, 36(12), 596-602. http://dx.doi.org/10.1097/CIN.0000000000000459

Lunt, C., & Mathieson, K. (2020). Emergency Department Nurses Attitudes Toward Barcode Medication Administration. Canadian Journal of Emergency Nursing, 43(1), 6-11. https://doi.org/10.29173/cjen17

Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The effect of implementing barcode medication administration in an emergency department on medication administration errors and nursing satisfaction. Journal of Emergency Nursing, 46(6), 884-891. https://doi.org/10.1016/j.jen.2020.07.004

Rishoej, R. M., Lai Nielsen, H., Strzelec, S. M., Fritsdal Refer, J., Allermann Beck, S., Gramstrup, H. M., Christesen, T. H., Kjeldsen, L. J., Hallas, J., & Almarsdóttir, A. B. (2018). Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group study. Therapeutic Advances In Drug Safety, 9(7), 343-353.https://doi.org/10.1177/20420986187715

Thompson, K. M., Swanson, K. M., Cox, D. L., Kirchner, R. B., Russell, J. J., Wermers, R. A., Storlie, C. B.,  & Naessens, J. M. (2018). Implementation of barcode medication administration to reduce patient harm. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(4), 342-351. Https://doi.org/10.1016/j.mayocpiqo.2018.09.001