Research of Best Practice and Application to Nursing Care

Research of Best Practice and Application to Nursing Care
•Research best practice nursing related to a trend/issue in medical-surgical nursing.
•Apply research of best practice to a nursing care plan to promote health for a medical-surgical client.
•Demonstrate critical thinking applicable to care of medical/surgical client.

Through this assignment, you will write a scholarly paper on a procedure or trend/issue that impacts the health of a medical-surgical client. You will apply your research by describing how the evidence best supports the change of nursing procedure or changing trend/issue and the impact of the change on the health outcomes of the medical-surgical. This evidence will be applied in a nursing care plan for a medical-surgical client. Include health teaching that is promotes the health of the medical-surgical client.

1.This assignment must be typewritten (word-processed) and follow APA 6th edition format.
2.Part A: Research. The research portion of this assignment should identify the impact of the procedure or trend/issue on the medical-surgical client and how the evidence supports best practice of nursing care. Reference at least three (3) sources published within the last threeyears – current journal articles, reputable medical websites or textbooks. This section of theassignment should not be more than three (3) pages long.
3.Part B: Care Plan. Develop a care plan that incorporates your research and best practice nursing. The care plan may be completed using the forms provided or in a scholarly paper format (maximum 3 pages). If you choose to submit your plan in a scholarly paper, use APA 6th edition format.
4.Submit the marking guide with your assignment.



Select one of the topics below, or select a topic that interests you. Ensure your topic addresses a procedure or a trend/ issue that impacts the medical-surgical client. If you choose a topic that is not listed below, you are strongly encouraged to discuss the topic with your instructor/tutor prior
to starting this assignment.

Research the topic of your choice. Compare previous and current practice and include evidence based practice (“best practice”) that promotes the health of the medical-surgical client in hospital or following discharge home. Finally, consider teaching information that is important for the medical-surgical client to learn.

Potential Topics
•Care and use of different types of chest tubes (e.g., wet/dry/Heimlich valves)
•Different types of wound dressings (Adaptic, VAC wound care, All Dress, etc.) and their impact on wound healing
•Increasing incidents of super-infections ( ESBL, VRE, MRSA, etc.) in the acute-care setting and how these can be avoided
•Types and trends of post-op infections in the acute-care setting in Alberta
•Clean vs. sterile techniques for tracheostomy care, bladder irrigation, or intermittent catheterization
•Preventing complications such as DVTs, respiratory complications, and skin breakdown in the immobilized client (skeletal traction, external fixators, strict bed rest, etc.)
•Issues of early discharge of the post-op client from the acute-care setting


Apply the evidenced-based practice research to a care plan for a medical-surgical client.
•Write three (3) nursing diagnoses •One addressing a priority
•One addressing a potential complication
•One addressing an educational need

•Write one goal for each nursing diagnosis, and one expected outcome for each goal using the SMART criteria
•Write three (3) nursing interventions for each goal. Support each intervention with evidence from the literature.
•Include interventions applicable to the care of the client, and health promotion teaching that is applicable to the acute-care setting as well as the home setting after discharge.
•Write one evaluative statement for each goal to indicate how each goal could be met.