GC HCA699 Week 1 Discussion 1 & 2
Latest 2017 November
dq 1
What is the difference between research and evidence-based
practice (EBP) projects? Provide an example of each one and the reason for the
difference. Why should health care workers be interested in learning about EBP?
dq 2
Many businesses/organizations have performance problems that can
be reevaluated to improve performance. Explain Research Problem and Problem
Statement.
GC HCA699 Week 2 Discussion 1 & 2
Latest 2017 November
dq 1
What strategies will you use in your new role in health care to
review and critique literature pertinent to your practice?
dq 2
"Nobody likes change" is a frequent comment, but
creating a culture that allows for new ways of knowing takes a unique set of
leadership skills. As a leader, how would you create a culture of change?
GC HCA699 Week 3 Discussion 1 & 2
Latest 2017 November
dq 1
What levels of evidence are present in relation to research and
practice and why are they important regardless of the method you use?
dq 2
What factors must be assessed when critically appraising
quantitative studies (i.e., validity, reliability, and applicability)? Which is
the most important? Why?
GC HCA699 Week 4 Discussion 1 & 2
Latest 2017 November
dq 1
Define "methodology" and explain how your research
problem can be studied. Share your methodology.
dq 2
What are some of the obstacles or barriers to implementing EBP
in the health care field? 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 you are providing new information.
GC HCA699 Week 5 Discussion 1 & 2
Latest 2017 November
dq 1
Reliability and validity are related qualities but independent.
They are similar to the terms "precision" and "accuracy,"
respectively. A wind-up clock that does not work is accurate (valid) twice a
day. But it lacks precision (reliability). A digital clock that is always 5
minutes slow is never accurate (valid) but is very precise (reliable).
Elaborate on the assessment instrument used in your project to ensure validity
and reliability.
dq 2
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?
GC HCA699 Week 6 Discussion 1 & 2
Latest 2017 November
dq 1
When reviewing the literature and different types of evidence,
there are often gaps in the findings. Are such gaps a help or a hindrance when
wanting to create a change?
dq 2
What is the difference between statistically significant
evidence and clinically significant evidence? How would each of these findings
be used to advance an evidenced-based project?
GC HCA699 Week 7 Discussion Latest 2017 November
Research and EBP projects can be communicated
in many ways. Which method do you think is most effective to get to the staff
nurse level? To the advance practice nurses? How will you ensure that all appropriate
audiences receive your information?
GC HCA699 Week 8 Discussion 1 & 2 Latest
2017 November
dq 1
Post your Evidence-Based Practice Proposal Project Presentation as
directed by the instructor. Review all of the presentations but provide
critical commentary only to two others posted. This is a peer review of the
proposal project, you will need to address the strengths of the proposal as
well as recommendations for improvement. If a post already has two feedback
posts then move on to another peer review proposal project presentation. You
will be responsible for responding to each peer's feedback that is posted to your
original presentation post.
dq 2
There is power in having data to support change. The EBP process
is one way of advancing improvements in health care. Identify three strategies
that you will now incorporate into your role in health care based on this course.
Explain your rationale.
Section A: Problem Description Assessment
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.
1. Complete
the "Organizational Culture and Readiness for System-Wide Integration of
Evidence-Based Practice Survey," located in the textbook appendix.
2. 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.
3. 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.
4. 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, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
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 A: Organizational Culture and Readiness Assessment
Due
Sept 4, 2017
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, youmusthave
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, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section B: Problem Description" for your final submission.
This will be a continuous process
Search
Method Example
Search Method
A comprehensive electronic search was
completed using the following databases:
Cochrane Central Register of Controlled Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline
The search included English-only published
articles between 1990 and 2005.
Key words used in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials
Search results revealed 75 publications. The
abstracts were screened and 10 studies were relevant to pediatric asthma
education involving self-management, self-monitoring behaviors, self-efficacy,
and educational programs with various interventions. These studies included
three systematic reviews, five randomized control trials (RCT), one cohort
descriptive study, and one qualitative study. Refer to Appendix A for a
complete reference list.
Evidence-Based
Practice Proposal - Section B: Problem Description
NUR699.R.EvidenceBasedPracticeProposalFinalPaperOverview_student.docx
NUR699.R.Evidence-BasedPracticeProjectProposalFormat_student.docx NUR699.R.EBPimplementationPlanGuide_student.docxNUR699.R.EBPStudentExample_Student.docx
Due
Date: Sep 18, 2017 23:59:59Max Points:60
Details:
To begin, work through the reference list that
was created in the "Section B: Problem Description" assignment in
Topic 2. Appraise each resource using the "Rapid Critical Appraisal
Checklists," available in the textbook appendix. The specific checklist
you use will be determined by the type of evidence within the resource.
Develop a research table to organize and
summarize the research studies. Using a summary table allows you to be more
concise in your narrative description. Only research studies used to support
your intervention are summarized in this table. Refer to the "Evaluation
Table Template," available in the textbook appendix. Use the
"Evaluation Table Template" as an adaptable template.
Write a narrative of 750-1,000 words (not
including the title page and references) that presents the research support for
the projects problem and proposed solution. Make sure to do the following:
1. Include
a description of the search method (e.g., databases, keywords, criteria for
inclusion and exclusion, and number of studies that fit your criteria).
2. Summarize
all of the research studies used as evidence. The essential components of each
study need to be described so that readers can evaluate its scientific merit,
including study strengths and limitations.
3. Incorporate
a description of the validity of the internal and external research.
It is essential to make sure that the research
support for the proposed solution is sufficient, compelling, relevant, and from
peer-reviewed professional journal articles.
Although you will not be submitting the
checklist information or the evaluation table you design in Topic 3 with the
narrative, the checklist information and evaluation table should be placed in
the appendices for the final paper.
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section C: Literature Support" for your final submission.
This will be a continuous process throughout the course for each section.
Evidence-Based
Practice Proposal - Section C: Literature Support
Due
Date: Sep 25, 2017 23:59:59Max Points:60
Details:
Write a paper of 500-750 words (not including
the title page and reference page) paper for your proposed evidence-based
practice project solution. Address the following criteria:
1. Proposed
Solution: (a) Describe the proposed solution (or intervention) for the problem
and the way(s) in which it is consistent with current evidence. Heavily
reference and provide substantial evidence for your solution or intervention.
(b) Consider if the intervention may be unrealistic in your setting, too
costly, or there is a lack of appropriate training available to deliver the
intervention. If the intervention is unrealistic, you may need to go back and
make changes to your PICOT before continuing.
2. Organization
Culture: Explain the way(s) in which the proposed solution is consistent with
the organization or community culture and resources.
3. Expected
Outcomes: Explain the expected outcomes of the project. The outcomes should
flow from the PICOT.
4. Method
to Achieve Outcomes: Develop an outline of how the outcomes will be achieved.
List any specific barriers that will need to be assessed and eliminated. Make
sure to mention any assumptions or limitations which may need to be addressed.
5. Outcome
Impact: Describe the impact the outcomes will have on one or all of the
following indicators: quality care improvement, patient-centered quality care,
efficiency of processes, environmental changes, and/or professional expertise.
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section D: Solution Description" for your final submission.
This will be a continuous process throughout the course for each section.
Evidence-Based
Practice Proposal - Section D: Solution Description
Due
Date: Oct 02, 2017 23:59:59Max Points:60
Details:
In 500-750 words (not including the title page
and reference page), apply a change model to the implementation plan. Include
the following:
1. Roger's
diffusion of innovation theory is a particularly good theoretical framework to
apply to an EBP project. However, students may also choose to use change
models, such as Duck's change curve model or the transtheoretical model of
behavioral change. Other conceptual models presented such as a utilization
model (Stetler's model) and EBP models (the Iowa model and ARCC model) can also
be used as a framework for applying your evidence-based intervention in
clinical practice.
2. Apply
one of the above models and carry your implementation through each of the
stages, phases, or steps identified in the chosen model.
3. In
addition, create a conceptual model of the project. Although you will not be
submitting the conceptual model you design in Topic 5 with the narrative, the
conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section E: Change Model" for your final submission. This will
be a continuous process throughout the course for each section.
Evidence-Based
Practice Proposal - Section E: Change Model
Due
Date: Oct 02, 2017 23:59:59Max Points:60
Details:
In 500-750 words (not including the title page
and reference page), provide a description of the methods to be used to
implement the proposed solution. Include the following:
1. Describe
the setting and access to potential subjects. If there is a need for a consent
or approval form, then one must be created. Although you will not be submitting
the consent or approval form(s) in Topic 5 with the narrative, the consent or
approval form(s) should be placed in the appendices for the final paper.
2. Describe
the amount of time needed to complete this project. Create a timeline. Make
sure the timeline is general enough that it can be implemented at any date.
Although you will not be submitting the timeline in Topic 5 with the narrative,
the timeline should be placed in the appendices for the final paper.
3. Describe
the resources (human, fiscal, and other) or changes needed in the
implementation of the solution. Consider the clinical tools or process changes
that would need to take place. Provide a resource list. Although you will not
be submitting the resource list in Topic 5 with the narrative, the resource
list should be placed in the appendices for the final paper.
4. Describe
the methods and instruments, such as a questionnaire, scale, or test to be used
for monitoring the implementation of the proposed solution. Develop the
instruments. Although you will not be submitting the individual instruments in Topic
5 with the narrative, the instruments should be placed in the appendices for
the final paper.
5. Explain
the process for delivering the (intervention) solution and indicate if any
training will be needed.
6. Provide
an outline of the data collection plan. Describe how data management will be
maintained and by whom. Furthermore, provide an explanation of how the data
analysis and interpretation process will be conducted. Develop the data
collection tools that will be needed. Although you will not be submitting the
data collection tools in Topic 5 with the narrative, the data collection tools
should be placed in the appendices for the final paper.
7. Describe
the strategies to deal with the management of any barriers, facilitators, and
challenges.
8. Establish
the feasibility of the implementation plan. Address the costs for personnel,
consumable supplies, equipment (if not provided by the institute), computer
related costs (librarian consultation, database access, etc.), and other costs
(travel, presentation development). Make sure to provide a brief rationale for
each. Develop a budget plan. Although you will not be submitting the budget
plan in Topic 5 with the narrative, the budget plan should be placed in the
appendices for the final paper.
9. Describe
the plans to maintain, extend, revise, and discontinue a proposed solution
after implementation.
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section F: Implementation Plan" for your final submission.
This will be a continuous process throughout the course for each section.
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Top of Form
Evidence-Based Practice
Proposal - Section F: Implementation Plan
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Due
Date:Oct 9, 2017 23:59:59Max Points:60
Details:
In 500-750 words (not including the title page
and reference page), develop an evaluation plan to be included in your final
evidence-based practice project. Provide the following criteria in the
evaluation, making sure it is comprehensive and concise:
1. Describe
the rationale for the methods used in collecting the outcome data.
2. Describe
the ways in which the outcome measures evaluate the extent to which the project
objectives are achieved.
3. Describe
how the outcomes will be measured and evaluated based on the evidence. Address
validity, reliability, and applicability.
4. Describe
strategies to take if outcomes do not provide positive results.
5. Describe
implications for practice and future research.
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor,
refine "Section G: Evaluation" for your final submission. This will
be a continuous process throughout the course for each section.
Evidence-Based
Practice Proposal: Section G: Evaluation of Process
Due OCT
16, 2017
Details:
Throughout this course you will be developing
a formal, evidence-based practice proposal.
The proposal is the plan for an evidence-based
practice project designed to address a problem, issue, or concern in the
professional work setting. Although several types of evidence can be used to
support a proposed solution, a sufficient and compelling base of support from
valid research studies is required as the major component of that evidence.
Proposals are submitted in a format suitable for obtaining formal approval in
the work setting. Proposals will vary in length depending upon the problem or
issue addressed; they can be between 3,500 and 5,000 words. The cover sheet,
abstract, references page, and appendices are not included in the word limit.
Section headings and letters for each section
component are required. Responses are addressed in narrative form in relation
to that number. Evaluation of the proposal in all sections is based upon the
extent to which the depth of content reflects graduate-level critical-thinking
skills.
This project contains seven formal sections:
1. Section
A: Organizational Culture and Readiness Assessment
2. Section
B: Problem Description
3. Section
C: Literature Support
4. Section
D: Solution Description
5. Section
E: Change Model
6. Section
F: Implementation Plan
7. Section
G: Evaluation of Process
Each section (A-G) will be submitted as
separate assignments so your instructor can provide feedback (refer to
applicable modules for further descriptions of each section).
The final paper will consist of the completed
project (with revisions to all sections), title page, abstract, reference list,
and appendices. Appendices will include a conceptual model for the project,
handouts, data and evaluation collection tools, a budget, a timeline, resource
lists, and approval forms.
Use the "NUR-699 EBP Implementation Plan
Guide" and "NUR-699 Evidence-Based Practice Project Student
Example" to assist you. Also refer to "NUR-699 Evidence-Based
Practice Project Proposal Format."
Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is required.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to
Turnitin. Please refer to the directions in the Student Success Center.
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Top of Form
Benchmark -
Evidence-Based Practice Proposal Final Paper
|
|
Details:
Develop a presentation no longer than 10-12
minutes with comprehensive speaker's notes that covers all of the major areas
of your proposal.
You will need to post your Evidence-Based
Practice Presentation to the main forum in Topic 8 as directed by the
instructor for class discussion and peer feedback.
While APA format 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.
This assignment uses a rubric. Please review
the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.
You are not required to submit this assignment
to Turnitin.
Evidence-Based
Practice Presentation
Details:
While APA format 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.
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the expectations for
successful completion.
