In patients receiving chemotherapy who are experienceing mild to moderate nausea and voiting is the us of non-pharmacologic management as effective as pharmacologic medications in reducing nausea and vomiting? (Place in PICO format)

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In patients receiving chemotherapy who are experienceing mild to moderate nausea and voiting is the us of non-pharmacologic management as effective as pharmacologic medications in reducing nausea and vomiting? (Place in PICO format)Paper details:

This is an evidence based practice paper using the John’s Hopkins method.
3. Assignment: Evidence for Holistic Nursing Practice Paper
Course Outcome Fulfilled: 2, 5, 6, 7, 8, 9, 10
Grading Value: 35% of course grade
Class Session(s) Due: Session 5
Description: Students will propose a plan aimed at practice improvement in a clinical setting using an evidence-informed, holistic strategy. Consult with your practicum preceptor for ideas, or use this project as an opportunity to improve something in your own work environment.

Guidelines for the Evidence for Holistic Nursing Practice Paper
• The purpose of this Evidence Based Practice (EBP) Project is to use the principles and context of EBP as an approach to evaluate a holistic healing strategy, nursing practice, policy, or procedure in light of current evidence and make recommendations for change/improvement in your practicum or work environment. (Please peruse several Tables of Contents of the Holistic Nursing Practice and the Journal of Holistic Nursing to get ideas as to the variety of holistic strategies available.)
• You will follow the 18-step Johns Hopkins Nursing EBP (JHNEBP) process to fulfill this project.
• Prepare the final project report using the following sections and guidelines, using the bolded headings given to organize the paper.
• Be sure to quickly review Chapter 34 (Holistic Nursing Research) and then focus on Chapter 35 (Evidence Based Practice) in Dossey & Keegan (2013) Holistic Nursing: A Handbook for Practice to prepare for this project. (You used this book in prior coursework).
• The Tables in Chapter 35 will be especially helpful for you! Copy and paste the following link to access the Johns Hopkins Nursing EBP Process pdf document, which will serve as the template for your project (or, simply Google the document):

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• Before you begin, quickly read pages 15- 26 and carefully read pages 39-47 in this JHNEBP pdf to get an overall sense of the 18 steps involved in the translation of evidence to practice process.
• Please note that while research is given priority as a source of evidence, the Johns Hopkins model affirms the value of other sources of evidence, and includes processes for evaluating these sources- very important to a holistic process.
• http://www.ahna.org/Research/Web-Library/Evidence-Based-Practice

Paper Organization and Content

BACKGROUND (20 points)
• Provide a background of the problem/issue related to holistic nursing and rationale for undertaking this topic using an evidence-based practice research approach
• Provide citations to indicate the need to study this particular holistic nursing issue/problem
• State your PICO question
o Use the Question Development Tool found in Appendix A (page 197) of the JHNEBP document to develop your PICO question
o Pose a specific, focused, answerable question in PICO format (P = patient/population/process/problem of interest; I = an Intervention of interest; C = Comparison with other treatments/approaches; O = Outcomes of interest (see Tables 35-1 and 35-2 in Dossey & Keegan).
• Conclude your introduction with a purpose of the paper statement
• The introduction should be one to two paragraphs – NO more!

REVIEW OF LITERATURE SECTION
THE SEARCH (JHNEBP Step 6) (10 points)
• Briefly describe the search strategy- select research evidence and sources based on relevance and quality, keeping in mind your own clinical expertise and impressions, as well as patient’s preferences and values.

CRITICALLY APPRAISE THE EVIDENCE (JHNEBP Step 7) (20 points).
• Perform a literature review and select the 3-5 best and most relevant articles pertaining to your Problem/Population.
• Explain the information derived from your reviewed evidence.
• Indicate the type of evidence reviewed (quantitative or qualitative research evidence, or non-research evidence – scholarly articles or literature review articles)
• Use Appendix H (page 214) to develop a matrix of the evidence to facilitate evaluation and comparison. Include Appendix H (the Individual Evidence Summary Tool) as Appendix A of your paper
• Use Appendix C, to determine the level of evidence, and Appendices F & G to critique reviewed evidence. Note that Appendices F & G address both Research and Non-Research sources of data (evidence). You evaluate them for strength and quality on separate scales!

SUMMARIZE AND RATE STRENGTH OF THE EVIDENCE (JHNEBP Steps 8 and 9) – (20 points)
• Make a determination of whether sufficient evidence exists to support either the status quo/current practice or whether a practice change is warranted.
• In other words, is the evidence strong enough to support a change or would it be better to conduct an actual research study on the issue/topic/problem, or would it be better to stay with current practice (based on the what you discovered in your review and critique of the literature)

CONCLUSION (10 points)
• Recap your project indicating if the PICO question has been answered.
• Indicate suggestions for further investigation
• This conclusion section should be one or two paragraphs.

REFERENCES (10 points)
• Make sure to note the references cited in the body of your paper on the references pages – in APA format.

APA FORMAT and Grammar (10 points)
Grading Rubric for Evidence for Holistic Nursing Practice Paper
Area and Criteria Comments Points
BACKGROUND and INTRODUCTION
• Background of a problem/issue related to holistic nursing stated
• Rationale for undertaking the problem/issue stated
• Citations used to validate the importance of the topic and need for further study
• PICO question stated in proper format and relevant to the issue/problem related to holistic nursing
• Purpose of the paper statement stated
• Introduction one to two paragraphs /20
REVIEW OF LITERATURE Section
• Briefly describe the search strategy- select research evidence and sources based on relevance and quality, keeping in mind your own clinical expertise and impressions, as well as patient’s preferences and values. /10
• Perform a literature review and select the 3-5 best and most relevant articles pertaining to your Problem/Population.
• Explain the information derived from your reviewed evidence.
• Indicate the type of evidence reviewed (quantitative or qualitative research evidence, or non-research evidence – scholarly articles or literature review articles) /20
ANALYSIS OF FINDINGS Section
• Make a determination of whether sufficient evidence exists to support either the status quo/current practice or whether a practice change is warranted.
• Either propose a practice change or propose NOT to make a practice change based on the strength of the findings
• Justify your reasoning for your decision /20
CONCLUSION
• Recap your project indicating if the PICO question has been answered.
• Indicate suggestions for further investigation
• This conclusion section should be one or two paragraphs. /10
REFERENCES and APA FORMAT
• All references cited in the body of the paper are on the references page and no others
• APA format and grammar and spelling correct throughout the paper /20


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