As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately.

As a DNP, you have been asked to identify why the patients that are undergoing surgery are complaining that pain experienced after a surgical procedure has not been managed adequately. The patients’ need of narcotics is around the clock until the pain subsides. The lack of staff in the surgical floor is a problem the institution has been dealing with for the last year and the problem still has not been corrected. The patient’s satisfaction is compromised, and the nurse patient ratio is high.  Step 1: Identify the problem – Cultivate a spirit of inquiry  Explain, in your own words, what is the problem?  What are the data and sources that validate the problem?

Safety   Quality indicators   Practice observations   Patient satisfaction   Other   Why is the problem is relevant?   What is the current practice?

Create the clinical question utilizing the PICOT format – Ask clinical questions utilizing the PICOT format  P = Patient Population  I = Intervention or issue  C = Comparison Intervention or Status  O = Outcome  T = Timeframe to accomplish the O  Final Clinical Question: _________________________________________

Searching for the best evidence The student will look at the different databases to search for the strongest evidence that will be used to answer the clinical question.

Critically appraise the evidence – Summarize the evidence  The student will evaluate the evidence and will choose the ones that will help to answer the clinical question. They will create a summary of the best information found and synthesize the findings.

Integrate the evidence with clinical expertise  Develop best evidence recommendations  Create an action plan   Implement action plan   Reports results to stakeholders Create a report to the stakeholders   Disseminate findings  Hospital administration meeting – PowerPoint   General Instructions

Remember that your work must be original and must not contain material copied from books or the internet, has to be not greater than 10% of plagiarism or AI text. 9 pages References within the past 5 years and with DOI# FORMAT APA, double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12.  Pay attention to grammar rules (spelling and syntax).  When citing the work of other authors, include citations and references using APA style to respect their intellectual property and avoid plagiarism.

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