NUR504 GCU Treating Hospice & End of Life Patients With Optimal Pain Management TOPIC -Treating Hospice and End of Life Patients with Optimal Pain Manageme
NUR504 GCU Treating Hospice & End of Life Patients With Optimal Pain Management TOPIC -Treating Hospice and End of Life Patients with Optimal Pain Management
State your topic in the form of a foreground question and a problem statement of 250-500 words. Provide an initial reference list of a minimum of five resources your CLC group has consulted during the selection process.
Refer to the “CLC Assignment: Evidence-Based Practice (EBP) Project Student Guide” (ATTACHED)for additional guidance. Must follow all instructions
Prepare this assignment according APA 6.
You can use following references for this and foreground question and a problem statement must be based on topic
American Nurses Association. (2018). Nurses’ roles and responsibilities in providing care and support at the end of life. Retrieved from https://www.nursingworld.org/practice-policy/nursi…
Coyne, P., Mulvenon, C., & Paice, J. A. (2018). American society for pain management nursing and hospice and palliative nurses association position statement: Pain management at the end of life. Pain Management Nursing, 19(1), 3-7. doi:10.1016/j.pmn.2017.10.019
Glod, S. (2017). The other victims of the opioid epidemic. New England Journal of Medicine, 376, 2101-2102. DOI: 10.1056/NEJMp1702188
Harrison, K. L., & Connor, S. R. (2016). First Medicare demonstration of concurrent provision of curative and hospice services for end-of-life care. The American Journal of Public Health, (8), 1405. Retrieved from http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/…
Hunnicutt, J. N., Tjia, J., & Lapane, K. L. (2017). Hospice use and pain management in elderly nursing home residents with cancer. Journal of Pain and Symptom Management, (3), 561. doi:10.1016/j.jpainsymman.2016.10.369
Kirby, E. G. (2018). Patient centered care and turnover in hospice care organizations. Journal of Health & Human Services Administration, 41(1), 26. Retrieved from http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/…
National Hospice and Palliative Care Organization. (2018). NHPCO facts and figures: Hospice care in America. Retrieved from https://www.nhpco.org/hospice-statistics-research-…
Reddy, A., Yennurajalingam, S., & Bruera, E. (n.d). “Whatever my mother wants”: Barriers to adequate pain management. Journal of Palliative Medicine, 16(6), 709-712. doi:10.1089/jpm.2012.0189
Reynolds, J., Drew, D., & Dunwoody, C. (2013). American society for pain management nursing position statement: Pain management at the end of life. Pain Management Nursing, (3), 172. doi:10.1016/j.pmn.2013.07.002
Sanders, S., Herr, K. A., Fine, P. G., Fiala, C., Tang, X., & Forcucci, C. (2013). An examination of adherence to pain medication plans in older cancer patients in hospice care. Journal of Pain and Symptom Management, (1), 43. https://doi.org/10.1016/j.jpainsymman.2012.01.007 CLC Assignment: Evidence-Based Practice (EBP) Project
The final course of your program will require you to develop and implement an evidence-based
practice (EBP) guideline. This is your opportunity to learn the process and perhaps even identify
an area of interest. Your choice of a topic for the capstone course should be related to your area
Each course you take will provide you with the opportunity to investigate theory and empirical
literature to identify the relevant evidence you will need to complete this project. In NUR-504,
students engage in an EBP group project throughout the course.
Group work has benefits and liabilities. Everyone assigned to a Collaborative Learning
Community (CLC) is expected to participate equally in the work in terms of time and quality of
effort. The assignment should be apportioned to make the best use of the strengths of individual
Honest communication is critical to effective group work. The best way to avoid conflict is to set
very clear expectations at the outset. If a group member does not do what is expected (previously
agreed to), the group member should be referred to the original agreement for clarification, rather
than engaging in a confrontation that may become personal.
At the end of the project, students will have an opportunity to evaluate each other. These peer
evaluations will be taken into consideration when grading individuals within the group. Course
faculty are able to observe the process in the CLC Forum. If your work takes place outside the
forum, this information will not be available. Be certain, even if you communicate via e-mail,
phone, or face-to-face, to record the communication in the CLC Forum.
EBP Project Outline
The outline below includes the key deliverables for the CLC group project. Individual
assignments and discussion requirements are provided on the course syllabus. If you have
questions after reviewing the course materials, please contact your instructor for clarity.
No CLC project assignments are due in Topic 1.
Check into your CLC group. Describe your prior experience with evidence-based practice (EBP)
including participation in developing EBP guidelines or protocols for changing practice.
Prepare for your upcoming Topic 2 assignment, the Collaborative Learning Community (CLC):
EBP Agreement, by reviewing the “CLC Agreement.” In the CLC Forum, discuss and provide
responses for each component of the “CLC Agreement.”
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Group members should provide contact information and determine tasks in the Project
Management Specifics section for which they will be responsible.
Complete the “CLC Agreement,” except for the CLC Group Review Process section, which will
be completed at the end of the project.
Choose one member to input the CLC’s responses for all sections of the form. Submit the
completed CLC Agreement to the instructor at the end of Topic 2.
The Collaborative Learning Community (CLC): EBP Agreement is due in Topic 2.
Prepare for your upcoming Topic 4 assignment, Collaborative Learning Community: EBP
Identification of Clinical Question, by brainstorming and initiating conversation regarding
potential topics of interest. Remember to record all communication in the CLC Forum.
The project should focus on a nursing-related problem related to nursing practice, advance
practice, leadership, or education. Identify several topics of interest and have individual group
members do a quick survey of the literature to be sure that there is sufficient evidence available.
In order to develop a guideline/protocol, you will need credible resources. The course readings
include all of the information needed to complete this project. Chapters 1 and 2 of the Nursing
Research: Generating and Assessing Evidence for Nursing Practice textbook provide the
necessary information regarding EBP and how to find evidence. In Nursing Research:
Generating and Assessing Evidence for Nursing Practice, the section “Resources for EvidenceBased Practice” in Chapter 2 will be very valuable. Chapter 5 provides strategies for locating and
assessing credible information. The sooner you read these chapters with the project in mind, the
easier it will be to complete the project.
No CLC project assignments are due in Topic 3.
Continue to prepare for your upcoming Topic 4 assignment, Collaborative Learning Community:
EBP Identification of Clinical Question. Remember to record all communication in the CLC
Refer to Figure 2.2 in the Nursing Research: Generating and Assessing Evidence for Nursing
Practice textbook for the EBP process model you will use to complete this project. Please note
that you will not complete the entire process in this model. You will reach the step that begins
“Pilot the change in practice.”
As a group, finalize your choice of topic. Make sure to review the literature regarding clinical
problems presented in the previous topic in order to ensure that there is adequate evidence for
State your topic in the form of a foreground question and a problem statement. Chapter 4 in the
Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook will serve
as an appropriate resource for framing the foreground question and problem statement.
Choose one group member to submit the completed assignment and the initial reference list to
the instructor by the end of Topic 4.
The Collaborative Learning Community: EBP Identification of Clinical Question assignment is
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP
Literature Search/Appraisal of Evidence. Remember to record all communication in the CLC
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating
and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in
your reference list.
Locate case studies, relevant clinical articles written by experts, research articles, evidence-based
guidelines, protocols, and theories that may guide the identification of appropriate solutions. This
can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows
them to have a level assigned to them. This does not mean they are not good theories. A true
proposal would require a comprehensive review of the literature and inclusion of all relevant
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and
Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references
that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter
5 provides guidance on how to synthesize the article findings.
Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the
findings. Limit the articles to no more than 10 (two per student in the CLC group would be
reasonable). Choose one group member to submit the completed assignment by the end of Topic
The Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence
assignment is due.
No CLC project assignments are due in Topic 6.
Prepare for your upcoming Topic 7 assignment, Collaborative Learning Community: EBP
Develop Clinical Guideline and Implementation Plan, by initiating development of a guideline or
protocol based on your search of the literature. Remember to record all communication in the
Consider how to implement the intervention to test the protocol. Identify potential barriers and
describe strategies to gain cooperation from individuals who will be implementing the change.
Refer back to the foreground question and problem statement you developed and submitted
earlier in the course, as well as the research synthesis. Use these components to develop the
clinical protocol and the implementation plan, including a timeline with criteria for evaluating
The Collaborative Learning Community: EBP Development Guidelines and Implementation
Plan assignment is due.
Prepare for your upcoming Topic 8 discussion—Topic 8 DQ 1: EBP Project Forum—by
identifying one CLC group member who will post the completed assignment in Topic 8
Topic 8 DQ 1: EBP Project Forum is due in the Main Forum, as directed by the course syllabus.
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