Slide 1: Teaching the Translation of Nursing Science into Practice
Nursing 597A Final Project Andrea M. Yevchak, GCNS-BC, RN
Slide 2: Content Area
• Delirium assessment and management in older adults
Slide 3: Background and Significance
Delirium is contributes to morbidity and mortality in older adults; is distressing to formal and informal caregivers; and is an economic burden.
Slide 4: Target Audience
• Master’s Students in a Gerontological Advance Practice Nurse Tract
▫ Gerontological Clinical Nurse Specialists ▫ Gerontological Nurse Practitioners
Slide 5: Class Objectives
• By the end of this class, students will be able to:
▫ Differentiate symptoms of delirium from dementia ▫ Identify appropriate treatment strategies for delirium ▫ Evaluate assessment tools nurses employ in multiple care settings ▫ Critique and utilize EBP in delirium recognition ▫ Synthesize knowledge into application of an assessment tool in clinical practice
Slide 6: AACN Essential Competencies
• Outline of Essential Curriculum Elements • Graduate Core Curriculum Content
I. II. Research Policy, Organization, and Financing of Health Care A. Health Care Policy B. Organization of the Health Care Delivery System C. Health Care Financing
• Advanced Practice Nursing Core Curriculum
▫ ▫ ▫ ▫ ▫
III. Ethics IV. Professional Role Development V. Theoretical Foundations of Nursing Practice VI. Human Diversity and Social Issues VII. Health Promotion and Disease Prevention
▫ I. Advanced Health/Physical Assessment ▫ II. Advanced Physiology and Pathophysiology ▫ III. Advanced Pharmacology
Slide 7: Class Content
Articles • Young, J. & Inouye, S.K. (2007). Delirium in older adults. • Steis, M. & Fick, D. (2008) Are nurses recognizing delirium? A systematic review. • Wei, L.A.; Fearing, M.A.; Sternburg, E.J.; & Inouye, S.K. (2008). The Confusion Assessment Method: A Systematic Review of Current Usage. Websites • Hartford Try This Website, Article and Video: Confusion Assessment Method (CAM)
http://www.hartfordign.org/trythis http://consultgerirn.org/uploads/File/tr
ythis/issue13_cam.pdf
• Clinical Toolbox for Geriatric Care:
http://www.hospitalmedicine.org/geriresou rce/toolbox/confusion_assessment_metho d.htm
Slide 8: Teaching Plan
Slide 9: Teaching Plan
• Detailed Description and Instructions
▫ Critique the Evidence ▫ Answering the PCD Question ▫ Discussion Forum
Identification of EBP Individual and Organizational Factors
Slide 10: Teaching Plan
Theory of Translation
Slide 11: Practice Model
Practice Model
Slide 13: Learner Evaluation
Slide 14: Learner Evaluation
• Assignments
▫ Group Assessment
Discussion Forum Postings, Interaction
▫ Individual Assessment
Participation in Discussion Forum
Slide 15: Educator Evaluation
• Goals must be established
▫ Self-Evaluation ▫ Generic Evaluation
Slide 16: References
• Bucknall, T. (2007). A Gaze through the Lens of Decision Theory Toward Knowledge Translation Science. Nursing Research, 56(4s), 260-266. • Inouye, S.K. (2006). Delirium in older persons. The New England Journal of Medicine, 354,1157-1165. • Kitson, A.; Harvey, G. & McCormack, B. (1998). Approaches to implementing research in practice. Quality in Health Care, 7, 149– 159. • Levine, R. F. & Feldman, H. R. (2006). Teaching Evidence-Based Practice in Nursing. Springer: New York, NY. • Steis, M. & Fick, D. (2008) Are nurses recognizing delirium? A systematic review. Journal of Gerontological Nursing, 34(9), 40-8.
Slide 17: References
• Stetler, C.B. (2001). Updating the Stetler Model of Research Utilization to Facilitate EvidenceBased Practice. Nursing Outlook, 49, 272-279. • Mulitple Authors-American Association of Colleges of Nursing. ( The Essentials for Master’s Education for Advance Practice Nursing. Retrieved April 18, 2009 from http://www.aacn.nche.edu/Education/pdf/MasEssentials96.pdf. • Wei, L.A.; Fearing, M.A.; Sternburg, E.J.; & Inouye, S.K. (2008). The Confusion Assessment Method: A Systematic Review of Current Usage. Journal of the American Geriatrics Society, 56(5), 823-830. • Young, J. & Inouye S.K. (2007). Delirium in older people. BMJ, 334(7598), 842-846.
