Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

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DQ 1

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

1. “Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

2. Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.

Here is something to think about.

· Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)

· Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)

· Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)

· Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)

· Time:  What is the time frame? (This element is not always included.)

Example: 

Prevention:

For________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

In acute care cancer patients, does the use of scheduled pain medication regimes reduce the risk of uncontrolled pain compared with non-scheduled pain medication regimes.

DQ 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

As a Christian nurse will you focus on one particular genre of literature more than others. or will you be looking at specific topics related to your practice.

RESOURCES

1. Evidence-Based Practice Resources on the World Wide Web

Read “Evidence-Based Practice Resources on the World Wide Web,” by Stevens, from the Academic Center for Evidence Based Practice, located on the Wayback Machine archive website.

1. Evidence-Based Nursing

Access “Evidence-Based Nursing.” Use all issues of the journal to further explore your individual PICOT topic.

2. Joanna Briggs Institute EBP Database

Use the Joanna Briggs Institute EBP Database to search for EBP resources related to your capstone project.

Website

1. Centre for Evidence-Based Medicine

Explore the Centre for Evidence-Based Medicine (CEBM) website.

2. Cochrane Database of Systematic Reviews

Access the full text of “Cochrane Database of Systematic Reviews,” located on The Cochrane Library website.

3. Cochrane Library Database

Explore the Chochrane Library Database.

4. Guide to Clinical Preventive Services

Explore the Agency for Healthcare Research and Quality website. Be sure to access the “Guide to Clinical Preventive Services,” located on the Agency for Healthcare Research and Quality website.

 

 

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What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?

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DQ 1

Discovering the right information to answer a given question often requires using more than one resource. When nurses explore only one resource and find no evidence, they may incorrectly assume that there is no evidence to answer their question. Additionally, when nurses search for randomized control studies to answer a clinical question, and use only web-based search engines they will not find the information they need and miss evidence that is crucial to their research.  Therefore, when searching for answers to clinical questions, all evidence should be considered; however, caution must be used when deciding about practice changes that are based solely on evidence that may have substantial bias.

What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?

DQ 2

In addition to the knowledge gained from clinical practice, nurses are compelled to create and use evidence from research when determining effective strategies for implementing change for improving care practices and patient outcomes.

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

RESOURCES

Electronic Resource

1. About Cochrane Reviews

Read “About Cochrane Reviews,” located on the Cochrane Library website.

 

2. Critical Appraisal

Study “Critical Appraisal,” located on the Centre for Evidence Based Medicine website.

3. Important Information about Clinical Practice Guidelines: Key Tools for Improving Quality of Care and Patient Outcomes 

Read “Important Information about Clinical Practice Guidelines: Key Tools for Improving Quality of Care and Patient Outcomes,” Melnyk from Worldviews on Evidence-Based Nursing (2015).

 

4. Is All Evidence Created Equal?

Read “Is All Evidence Created Equal?” located on the University of Illinois Library website.

 

5. Nursing Best Practice Guidelines

Investigate “Nursing Best Practice Guidelines,” located on the Registered Nurses Association of Ontario website.

 

6. Study Designs

Review “Study Designs,” located on the Centre for Evidence Based Medicine website.

 

 

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What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

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DQ 1

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

Can you think of possibly a different paradigm (the other side of the story) for the barriers or obstacles you identified?  Or have you found additional barriers or obstacles in your readings that could be pertinent to your organization?

DQ 2

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.

Do you think that human subjects are needing protection as they did maybe in the 1930-1970’s?  And why would you think this?

RESOURCES

1. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Chapters 7, 9, 10, and 12.

e-Library Resource

1. The role of a research nurse in translating evidence into practice

Read “The role of a research nurse in translating evidence into practice” by Houlston, from Nursing Management (2012).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104555531&site=eds-live&scope=site

Website

1. Office for Human Research Protections

Explore the Office for Human Research Protections (OHRP) website.

http://www.hhs.gov/ohrp/

 

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Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

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DQ 1

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

DQ 2

Consider an obstacle or barrier to the implementation of evidence-based practice you identified in last week’s discussion. What are two ways to address this problem?

RESOURCES

Textbook

1. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read chapters 11, 18, and 20.

Electronic Resource

1. 30 Safe Practices for Better Health Care

Read “30 Safe Practices for Better Health Care,” located on the Agency for Healthcare Research and Quality website.

http://archive.ahrq.gov/research/findings/factsheets/errors-safety/30safe/30-safe-practices.html

2. Diffusion of Innovation in Health Care

Study “Diffusion of Innovation in Health Care,” located on the California Healthcare Foundation website.

http://www.chcf.org/publications/2002/05/diffusion-of-innovation-in-health-care

e-Library Resource

1. An example of qualitative comparative analysis in nursing research

Read “An example of qualitative comparative analysis in nursing research,” by Donnelly and Wiechula, from Nurse Researcher (2013).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107955325&site=eds-live&scope=site

2. Mechanisms which help explain implementation of evidence-based practice in residential aged care facilities: A grounded theory study

Read “Mechanisms which help explain implementation of evidence-based practice in residential aged care facilities: A grounded theory study,” by Masso, McCarthy, and Alison, from

International Journal Of Nursing Studies (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=96521319&site=eds-live&scope=site

Website

1. The Theory of Change

Explore The Theory of Change Community website.

Center for Theory of Change

 

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Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

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Please, kindly cover all aspects of the questions (No Plagiarism)

Topic: Making the Case for Evidence-Based Practice

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Details:

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

2. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

3. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section B: Problem Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6. Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

NUR699.R.SearchMethod_student.docx ATTACHED

  • attachment

    NUR699.EBP_Module2Assign
 

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Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?

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Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following: With whom did you interact? Which forms of communication did you use? What issues were communicated about—did they seem to be light-hearted or sensitive? Straightforward or complicated? How would you describe the pace of the interactions and your work?

As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise?

To prepare:

· Review the information in Chapter 19 of the course text, as well as the assigned articles.

· Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text.

· What barriers contributed to this incident? What other challenges may have influenced this situation?

· Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?

Post a summary of an incident involving ineffective communication. Describe communication barriers and other challenges that contributed to the incident. Propose one or more strategies that could have been employed to promote a better outcome. Be sure to refer to elements of the communication process.

 

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Written document should conform to American Psychological Association (APA) 6th Edition

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Medication error in a selected healthcare facility such as providing the wrong dosage of medication or the wrong medication to a patient. A bow-tie analysis places the critical incident at the center of the framework and identifies in graphic format the root cause leading up to the incident on the left side of the critical incident. On the right side of the incident, key preventive measures are graphically represented. In one image, you will capture the incident (at the center), the causes for failure in quality, and (on the right) preventive measures a manager can put in place to stop this failure from happening in the future. The final graphic will appear as a bow-tie.

Articles and resources on the application of a bow-tie analysis have been provided in this week’s readings for the student’s reference.

Title Page

1 page (double spaced) Page should clearly articulate what the critical incident is and provide background.

1 page Page should include the bow-tie analysis

Reference Page (2 references minimum)

Written document should conform to American Psychological Association (APA) 6th Edition

 

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Choose two scholarly, peer-reviewed nursing articles about research studies. One article must be an example of a qualitative research study; the other must be a quantitative example.

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Quantitative and Qualitative Research Review 

Choose two scholarly, peer-reviewed nursing articles about research studies. One article must be an example of a qualitative research study; the other must be a quantitative example.

These articles will be utilized for assignments in Topics 3, 4, 6 and 8; they can be found using the GCU Library or any of the sources recommended in the readings.

Write a 350-500-word statement which includes:

  1. A description of why each research study is categorized as quantitative or qualitative.
  2. A justification for your selections.
  3. Rationale for choosing the journal(s) in which the articles were published.
  4. A link to the selected articles or an attached copy of each article.

While APA style is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

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select a multi-system complex health alteration of your choice such as diabetes with kidney involvement, an autoimmune disorder with system involvement, or COPD with hypertension and discuss the following: The physiological factors associated with the selected multi-system complex health alteration.

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In this 3-4 page written assignment, select a multi-system complex health alteration of your choice such as diabetes with kidney involvement, an autoimmune disorder with system involvement, or COPD with hypertension and discuss the following:

  1. The physiological factors associated with the selected multi-system complex health alteration.
  2. The psychological factors associated with the selected multi-system complex health alteration. Review and include the factors described in the reading for this module.
  3. Provide one evidence-based source that supports “best practice” care for this client. Include the source in your submission.
  4. Include a discussion of key issues that would be faced by the client”s family/significant others.

This assignment must have accurate spelling and grammar and use APA Editorial Format.

 

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