Chamberlain College of Nursing NR451 RN Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets
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Course
NR 451
Institution
Chamberlain College Nursing
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
Student Name: Date: 5/15/2017
DIRECTIONS
1. Refer to the guidelines for specific details on how to complete this assignment.
2. Type your answers directly into the worksheets below.
3. Submit to the Dropbox by th...
nursing nr451 rn capstone project milestone 1 practice issue and evidence summary worksheets
practice issue and evidence summary wo
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NR 451
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Chamberlain College of Nursing
NR451 RN Capstone Course
Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets
Student Name: Date: 5/15/2017
DIRECTIONS
1. Refer to the guidelines for specific details on how to complete this assignment.
2. Type your answers directly into the worksheets below.
3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
4. Post questions about this assignment to the Q & A Forum. You may also email questionsto the
instructor for a private response.
Practice Issue Worksheet
List the topic and include the citation for the systematic review you have selected:
Promoting breastfeeding
Sinha, B., Chowdhury, R., Sankar, M. J., Martines, J., Taneja, S., Mazumder, S., ... Bhandari, N. (2015).
Interventions to improve breastfeeding outcomes: A systematic review and meta-analysis. Acta
Paediatrica, 104, 114-134. doi:10.1111/apa.13127.
What is the practice issue you have identified related to the topic you have chosen?
In health neonates, what effect does immediate skin to skin contact have on promoting and initiatingbreastfeeding
compared with delayed contact during a six month pilot.
The facility where I work does not promote skin-to-skin immediately after delivery. After orienting on my new unit I
noticed that healthy newborns were not immediately being given to the mothers after birth.
Instead, they were taken away for assessment and placed in open cribs or radiant warmers. By the timethey were
reunited with the mother they had already been clothed and wrapped. I have noticed that many mothers want their
babies to be placed on their bare skin immediately after a vaginal or cesarean section. Evidence shows that
neonates who are provided immediate skin-to-skin contact initiate breastfeeding sooner and are more likely to have
a successful breastfeeding experience and continue exclusive breastfeeding longer.
Define the scope of the practice issue:
The Registered Nurse scope of practice is to:
-Support normal breastfeeding
NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 4/22/17 GH 1
, Chamberlain College of Nursing
NR451 RN Capstone Course
-Encourage and support mothers to breast feed when difficulties occur
-Promote practices that improve breast feeding outcomes such as: initiating skin to skin contactimmediately
following childbirth
-Refer to lactation nurse, when needed
-Advocate for a breastfeeding friendly environments
-Perform an assessment of mother and baby to facilitate a breastfeeding plan
-Provide education on breastfeeding
What is the practice area?
_X Clinical
Education
Administration
Other (List):
How was the practice issue identified?
(check all that apply)
Difference between hospital and community practice
Safety/risk management concerns
Clinical practice issue is a concern
_X Unsatisfactory patient outcomes
Procedure or process is a time waster
_X Wide variations in practice
Clinical practice issue has no scientific base
Significant financial concerns
_X_ Other: Patient preferences
Describe the rationale for your checked selections:
-Some patients are complaining that there is no immediate bonding or skin to skin contact initiated withtheir
newborns allowing for the natural innate newborn behavior of breastfeeding
-There is little education provided about the importance and benefits of breastfeeding
NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 4/22/17 GH 2
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