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The DNP Project Literature Synthesis
The DNP Project Literature Synthesis
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
- The DNP Project Literature Synthesis
Born,
The DNP Project: Literature Synthesis
“For adult patients, on a medical-surgical unit, does implementation of the Enhanced Recovery After Surgery (ERAS) protocol, as compared to current practice, impact surgical site infection (SSI) rates in 8-10 weeks?”
The DNP Project Literature Synthesis
Paragraph Example
The DNP Project Literature Synthesis
A surgical site infection is ” an infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure or within 90 days if a prosthetic material is implanted at surgery” (U.S.
Department of Health and Human Services, 2019). In the United States, surgical site infections affect as many as 300,000 patients annually and account for nearly 1 million additional inpatient days (Loyola University Health
Systems, 2017; Centers for Disease Control and Prevention, 2021). The risk of surgical site infection following colorectal surgery is one of the highest when compared to any surgical specialty.
The DNP Project Literature Synthesis
Colorectal surgery places a considerable burden on health care systems related to high complication risks, notably surgical site infections, and contributes to poor outcomes and increased readmission rates (Leaper et al., 2020;
Turner & Migaly, 2019). In 2020, 3,062 acute care hospitals reported a total of 6,094 surgical site infections related to colorectal surgery (Centers for Disease Control and Prevention, 2020).
The DNP Project Literature Synthesis
An increased length of stay not only causes a direct cost to the health care system and payer but also causes patient and social-economical ramifications from the cost of supplies, nursing care, and loss of work and productivity
(Turner & Migaly, 2019).
The DNP Project Literature Synthesis
Decreasing the incidence of surgical site infections in colorectal surgery patients is a common theme of all research studies evaluated. These studies all looked at outcomes on surgical site infection rates with the
implementation of the Enhanced Recovery After Surgery (ERAS) protocol.
The DNP Project Literature Synthesis
According to one observational study, it was found that participants who underwent colorectal surgery with the implementation of the ERAS protocol, had fewer complications and decreased length of stay (Arrick et al., 2019).
The second independent study found that with the implementation of the ERAS protocol, patients had a decreased length of stay with a decrease in readmissions, and a reduction in postoperative complications (Johnson &
Fogel, 2017).
The DNP Project Literature Synthesis
Implementation Plans
The DNP Project Literature Synthesis
I will continue to participate in the case study for this DNP project. It is my hope to be able to present this case study in the future to the organization in which I work once I have completed the case study and have solid evidence
from my literature synthesis and data from research to present this to major stakeholders in hopes that the Enhanced Recovery After Surgery (ERAS) protocol can be implemented.
The DNP Project Literature Synthesis
References:
The DNP Project Literature Synthesis
Arrick, L., Mayson, K., Hong, T., & Warnock, G. (2019). Enhanced recovery after surgery in colorectal surgery: Impact of protocol adherence on patient outcomes. Journal of Clinical Anesthesia, 55, 7-12.
doi:10.1016/jcliniane.20.18.12.034
The DNP Project Literature Synthesis
Centers for Disease Control and Prevention. (2020). Colon surgical site infections. bhttps://arpsp.cdc.gov/profile/infections/colon (Links to an external site.)
The DNP Project Literature Synthesis
Leaper, D., Holy, C., Spencer, M., Chitnis, A., Hogan, A., Wright, G., Po-Han Chen, B., & Edmiston Jr., C. (2020). Assessment of the risk and economic burden of surgical site infections following colorectal surgery using a US
longitudinal database: Is there a role for innovative antimicrobial wound closure technology to reduce the risk of infection? Dis Colon Rectum, 63, 1628-1638. https://doi.10.1097/DCR.0000000000001799
The DNP Project Literature Synthesis
Loyola University Health System. (2017, January 19). Surgical site infections are the costliest of hospital infections: Guidelines for preventing surgical site infections are updated.
The DNP Project Literature Synthesis
Turner, M. & Migaly, J. (2019). Surgical site infection: The clinical and economic impact. Clin Colon Rectal Surg, 32(3), 157-165. https://doi.10.1055/s-0038-1677002
The DNP Project Literature Synthesis
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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The DNP Project Literature Synthesis
