NSG 416 Wk 5

Learning Goal: I’m working on a nursing and need to help me learn.

Case Study

Read the following case study:

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old African American man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.

Assignment

Identify the theory-practice gap in the case study above and describe how this potential gap can impact nursing practice and patient care.

Create a very detailed concept map that depicts your assumptions and findings of the theory-practice gap. Show alignment of nursing theory and its relation to the nursing process (including alignment with critical thinking and clinical decision-making) for an improved nursing care plan.

Write an 875- to 1,050-word summary explaining how the concepts in nursing theory align to the nursing process, including alignment with critical thinking and clinical decision-making for an improved nursing care plan.

Include the following in the summary:

  • The theory-practice gap that you identified in the case study and how this potential gap can impact nursing practice and patient care
  • A plan to close the gaps in this scenario which will consist of how theory, research, and practice interact to create positive patient outcomes

Use visual presentation software Bubbl.us to create your concept map.

Include at least 2 scholarly resources from the University Library to support you work.

Cite and format your sources according to APA guidelines.

Use grading rubric located on the right side of the assignment to self-grade assignment and ensure all grading criteria are met.

For the Week 5 assignment, the plan is to address the nursing theory gap(s) in this case study. Therefore, you may need to research evidence-based practice (research and theory) related to care of patients on the ventilator. The care plan should ensure the best patient outcome by incorporating theory, research, and resolving any problems or gaps.

First you must identify the gaps in care and describe how the gap influences nursing care. All this goes in a concept map.

Be sure to address each area mentioned in the grading rubric clearly in the concept map showing various connections between research-practice-theory. This means you need to include what specific nursing theory should be used to guide care for this patient and how it would improve the outcome (this should be to resolve gap and different from the Week 2 assignment).

The purpose of the assignment is to show a connection between nursing theory, nursing research, and nursing practice. Therefore, you may start with any component if you make the connections between all three. A word of caution, keep the focus on nursing practice and not medicine!

Submit your concept map and summary as an attachment to the same attempt for grading.

Wk 5 – Summative Assessment: Critical Thinking Case Study 3 [due Mon]

Rubric Details

  • 1. Create a concept map that depicts your assumptions and findings of the theory-practice gap.

    20% of total grade

  • 2. In the concept map, show alignment of nursing theory and its relation to the nursing process (including alignment with critical thinking and clinical decision-making) for an improved nursing care plan.

    15% of total grade

  • 3. Write a summary explaining the concept map and how the concepts in nursing theory align to the nursing process, including alignment with critical thinking and clinical decision-making for an improved nursing care plan.

    15% of total grade

  • 4. Include in the summary the theory-practice gap that you identified in the case study.

    15% of total grade

  • 5. Include in the summary how the potential gap can impact nursing practice and patient care.

    15% of total grade

  • 6. Include in the summary a plan to close the gaps in this scenario, which will consist of how theory, research, and practice interact to create positive patient outcomes.

    15% of total grade

  • 7. Include at least 2 scholarly resources from the University Library to support you work.

    3% of total grade

  • 8. APA Guidelines

    2% of total grade

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