The world of professional nursing practice and health policy is ever evolving to meet the new dynamics of care needs in every setting. As a registered nurse, you
are accountable and responsible for making decisions that are consistent with safe, competent, and ethical practices on a daily basis. You also face a variety of
complex issues that impact the delivery of your nursing care.

A professional practice issue is any issue or situation that either compromises client care or service by placing a client at risk or affects a nurse’s ability to provide
care or service consistent with standards and guidelines and agencies’ and organizations’ policies or procedures.
The final project for this course is a formal written paper that addresses a professional nursing practice issue of your choosing, with your instructor’s approval.
You will use evidence-based, peer-reviewed journals and professional databases to identify current literature about the professional practice issue you choose.
In addition, you will use literature sources to identify a relevant nursing conceptual framework (or model) that is relevant to the nursing issue that you have
chosen. A summation of the literature will be provided. Following this, you will write about the relationships that exist between the literature review of the issue
and the current state of nursing practice. Conversely, you might also write about points of contrast between the literature and the actual state of nursing
practice. In concluding the paper, you should reiterate the professional nursing practice issue and identify the most salient points of the literature review. The
nursing framework will be briefly summarized in terms of how it was related to the practice issue. Finally, you will be asked to briefly reflect upon the writing and
identify whether or not the literature review provided support for the issue. Implications of the research for your own practice will complete the paper.
In this assignment, you will demonstrate your mastery of the following course outcomes:
? Analyze advanced nursing practice roles in investigating potential professional development opportunities
? Employ appropriate scholarly healthcare resources in researching clinical practice issues
? Employ nursing conceptual frameworks in informing evidence-based clinical practice solutions
? Assess the implications of licensure, certification, and scope of practice on professional nurses’ ability to deliver safe, quality care
? Assess the impact of changing healthcare delivery systems on nursing practice for improving client care
This project is a formal paper that addresses a professional nursing practice issue of your choice (see the American Association of Colleges of Nursing’s website
for topic ideas). You may also consider topics such as staffing ratios, the merits of the BSN degree, delegation to unlicensed assistive personnel, or the role of the
professional nurse in assisted suicide, with your instructor’s approval. To cover the appropriate range of the research, you should consider using between three
and five scholarly or professional sources that establish context for your issue, literature review, legal and ethical implications, relevance to nursing practice, and
your conclusion. For this assignment, use the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database and Cochrane database to identify
current information on the topic. Current peer-reviewed, scholarly journals may also be use
Specifically, the following critical elements must be addressed:
I. Introduction
a) Identify your selected nursing practice issue.
b) Provide a brief explanation of why you selected it.
II. Literature Review: In order to cover the appropriate range of the research, you should consider using between three and five peer-reviewed journals
and/or scholarly or professional databases as your sources of information.
a) Identify the current journals, databases, or other sources you have chosen to serve as the basis of your paper.
b) Justify why you feel the sources you have chosen are the most appropriate ones for your issue.
c) Discuss how you selected the research material from those sources that most appropriately address your issue.
d) Summarize the information you have collected from your research with regard to your issue. In other words, read your chosen articles and
summarize what the authors are saying. Be sure to use proper APA format for your citations.
III. Drawing Connections