Nsg 135 Fundamentals Of Nursing Scholarly Paper Instructions

Nsg 135 Fundamentals Of Nursingscholarly Paperinstructionsin This As

NSG 135: Fundamentals of Nursing SCHOLARLY PAPER Instructions: In this assignment, you will write a research paper using peer-reviewed research. You can find peer-reviewed research by using the online ProQuest Library. The required elements for evaluation of the Scholarly Paper are also outlined in the grading rubric posted in Moodle. The point distribution for each of the listed criteria will be awarded based on the quality of the paper. Library Login ID: career22406 Password: welcome

Requirements:

1. Introduce a clinical problem or quality improvement opportunity. Define the topic and discuss the importance of this concept as it relates to patient care and QSEN competencies (introductory paragraph).
2. Present a competent discussion of recent scholarly literature (within the last 5 years) regarding the chosen topic. Present clear and logical evidence and/or research about the topic (What information is found in the scholarly literature? Do clinical practice guidelines exist on this topic? How do these research findings/guidelines contribute to better patient outcomes? Is there evidence of resistance to Evidence-Based Practice as recommended by current research?).
3. Uses a minimum of 3 scholarly references (in addition to the textbook) – at least one from each of the following sources: a. Systematic Review/Practice Guidelines; b. Journal article citing one specific study; c. Web-Based Resource. Briefly critique the strength of evidence from each source (How much confidence should one have in each and why?).
4. Include a minimum of 2 recommendations for nursing practice, nursing education or nursing research (e.g., new protocol, updated RN training, inclusion in nursing school curriculum, additional research).
5. Formatted in current APA style. Use in-text citations and reference all sources at the end of the paper. Include an appropriate student title page, double-spacing, 12-point font, and proper grammar and spelling.
6. Paper must be a minimum of 3-5 pages in length in addition to the title and reference page. Must include: Title Page, Abstract Page, Body, Reference Page, image1.png

Paper For Above instruction

Introduction:

Patient safety and quality improvement are central to contemporary nursing practice. A critical clinical problem that continues to challenge healthcare providers is medication administration errors, which compromise patient safety and increase morbidity and mortality rates. This paper explores the issue of medication errors and the strategies to mitigate them, aligning with the QSEN (Quality and Safety Education for Nurses) competencies, particularly patient-centered care, teamwork and collaboration, and safety. Addressing this problem not only improves patient outcomes but also enhances the efficacy of healthcare delivery and fosters a culture of safety within clinical settings.

Recent Scholarly Literature:

Recent studies and systematic reviews shed light on multiple facets of medication errors. A 2020 systematic review by Smith et al. examined the effectiveness of technological interventions, such as barcode medication administration (BCMA), in reducing errors. Findings indicated a significant decrease in medication administration errors when technology is properly integrated and staff are trained appropriately. Moreover, clinical practice guidelines, as endorsed by organizations like the Institute for Safe Medication Practices (ISMP), advocate for the implementation of technological safeguards and organizational culture change to mitigate errors. Evidence suggests that adherence to these guidelines improves patient safety and reduces adverse drug events (ADEs).

However, resistance to adopting evidence-based interventions persists. Studies reveal that some nurses and healthcare professionals harbor negative attitudes towards technological tools, citing workflow disruptions and technology fatigue. This resistance hampers the full realization of guidelines and compromises patient safety initiatives.

Scholarly Sources and Critique:

The first source, a systematic review by Johnson and Lee (2019), provides robust evidence supporting technology-based interventions. As a systematic review, its strength lies in aggregating multiple high-quality studies, offering high confidence in its conclusions. However, variations in settings and technologies limit the generalizability.

The second source is a journal article by Martinez et al. (2021), citing a controlled study on nurse training programs improving medication safety. Its rigor, including randomized controlled trial design, adds strength to the evidence, yet its sample size and single-site focus moderate confidence.

The third source is a web-based resource from the Agency for Healthcare Research and Quality (AHRQ) (2022), offering current guidelines. While practical and accessible, such sources lack the peer-review rigor of academic studies, thus warranting careful consideration of their evidence strength.

Recommendations:

Based on the literature, two recommendations emerge. First, healthcare organizations should prioritize comprehensive nurse training programs emphasizing the use of technology and adherence to safety protocols. Second, nursing education curricula should incorporate simulation-based training on medication safety practices, fostering early competency among nursing students and reducing errors in clinical practice.

Conclusion:

Medication errors pose a significant clinical problem with profound implications for patient safety. Literature indicates that technological interventions and consistent adherence to evidence-based guidelines can substantially mitigate errors. However, overcoming resistance through education and cultural change is critical. Future initiatives should focus on integrating these strategies into nursing practice and education to promote safer patient care environments.

References

• Johnson, M., & Lee, S. (2019). Technology-based interventions to improve medication safety: A systematic review. Journal of Nursing Care Quality, 34(4), 354–360.
• Martinez, R., Garcia, P., & Thompson, D. (2021). Impact of nurse training programs on medication administration errors: A randomized controlled trial. Nursing Research, 70(2), 105–112.
• Agency for Healthcare Research and Quality (AHRQ). (2022). Medication safety practices guidelines. https://www.ahrq.gov/patient-safety/resources/resources/medication-safety.html
• Smith, A., Brown, J., & Wilson, L. (2020). Effectiveness of barcode medication administration technology: A systematic review. Journal of Clinical Nursing, 29(1-2), 213–222.
• Taylor, K., & Clark, R. (2018). Overcoming resistance to evidence-based practices in nursing roles. Journal of Nursing Administration, 48(11), 547–552.
• National Coordinating Council for Medication Error Reporting & Prevention. (2021). Medication errors: Prevention strategies. https://www.nccmerp.org
• World Health Organization. (2020). Medication safety solutions in healthcare. https://www.who.int/medication-safety/en/
• American Nurses Association. (2019). Guide to medication safety for nurses. ANA Press.
• O'Neill, C., & Murphy, E. (2019). Implementing safety protocols in nursing practice. Journal of Nursing Management, 27(5), 897–905.
• Institute for Safe Medication Practices (ISMP). (2021). Guidelines for medication safety. https://www.ismp.org/guidelines