NRS465 Applied Evidence-Based Project and Practicum
Week 1 Discussion
DQ 1
The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based by 2020. A recent systematic review of the published literature indicates that evidence-based practice (EBP) implementation remains deficient despite an ongoing effort to increase implementation. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which the identified barriers may be addressed.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
In preparation for your assignment this week, brainstorm two to three clinical practice problems or issues you can develop into a nursing practice change. What indicates these as clinical issues in nursing practice? Support your discussion with two peer-reviewed journal articles.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 2 Discussion
DQ 1
Once you have selected a topic for your capstone project, you will need to examine research articles to explore viable solutions. The GCU Library has various resources to support students during this process.
Based on the first letter of your first name, you are assigned the following GCU Library resource:
A-F: GCU Library Nursing and Health Sciences Research Guide
G-L: GCU Library: Find Journal Articles
M-S: GCU Library: What Are Empirical/Research Articles?
T-Z: GCU Library: Capstone and Evidence-Based Projects
Please note: each of these links can be found in the topic Resources.
Describe the resource assigned to you including two examples of how this resource will support your successful completion of the capstone project.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Differentiate between research and EBP. Discuss a peer-reviewed article that you have located that supports the need for a change in nursing practice.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 3 Discussion
DQ 1
Develop a PICOT question using your approved nursing practice problem. Post a draft of your PICOT question in the following format:
In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?
This should be the same question you will be using in your "PICOT Question Development" assignment. Give and receive feedback to refine your PICOT question.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 9.3
DQ 2
Define the role of the Institutional Review Board (IRB) when conducting research. Provide an example of a peer-reviewed research article involving human subjects and addressing a nursing practice issue. Discuss the ethical considerations the researchers considered when conducting the study.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 4 Discussion
DQ 1
Assess the culture of the clinical site/organization and organizational policies for potential challenges in implementing the nursing practice intervention. Why is understanding the health care system and clinical system at the local level important to consider when planning an EBP implementation?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Compare and contrast two change and/or nursing theories. Explain which theory would best support the implementation of your specific evidence-based intervention. Provide rationale for your choice. Gather feedback on applying this theory to your clinical setting from your preceptor and share their insights in your post.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 5 Discussion
DQ 1
Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Based on your assessment, identify two internal and two external stakeholders. Why is their support necessary to the success of your change proposal? Identify one unique strength (as a person/nurse) that would help you secure support from stakeholders in order to develop effective interprofessional relationships.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 3.5, 6.2, 9.1
DQ 2
Technology is integral to successful implementation in many projects, through either support or integration or both. Name two information/communication technologies that could improve the implementation process and the outcomes of your capstone project. How would this technology be appropriately applied during the implementation phase of your project? Describe one potential barrier that could prevent the use of this technology.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 8.1, 8.3
NRS465 Applied Evidence-Based Project and Practicum
Week 6 Discussion
DQ 1
After discussion with your preceptor, describe how leadership and economic models of health care can be used to optimize EBP to improve patient outcomes.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Provide an overview of your implementation plan developed in Topic 5 and discuss any modifications that need to be made.
In responses to your peers, provide suggestions on how the implementation plan can be improved.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 7 Discussion
DQ 1
In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Based on faculty feedback from your Topic 5 implementation plan, make updates to your objectives and outcomes. List one objective and its associated outcome. How will you be able to evaluate whether or not this outcome was met? Discuss how using this process of evaluation will allow you to evaluate whether your project made a difference in practice.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Look ahead at the Topic 8 Benchmark - Capstone Project Change Proposal assignment. What additional information do you need to complete your capstone project paper in Topic 8? Describe your plan to obtain it. Identify one area of the Topic 8 assignment that you will need to review and potentially revise. Discuss the aspects that you might want additional feedback on from your peers and post it here.
In responses to your peers, provide feedback on areas classmates identified in their initial DQ response and suggest ways to improve or additional considerations to take into account.
Initial discussion question posts should be a minimum of 200 words. References will not be required. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Please note: Criterion 2 on the "RN-BSN DQ Rubric" will only assess for word count.
NRS465 Applied Evidence-Based Project and Practicum
Week 8 Discussion
DQ 1
Based on your Topic 7 Capstone Change Project Evaluation Plan, explain the dependent variable that is being measured and the independent variable that is being manipulated. Hypothesize the results of the manipulation of the independent variable and the change you expect to occur in the dependent variable.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Not all EBP projects result in statistically significant results. Explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 9 Discussion
DQ 1
Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to improve on these skills based on self-awareness if you want to present your findings in a more formal setting.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization's culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your evidence-based change proposal from continuing to obtain the same desired results 6 months to a year from now and your strategies for overcoming these challenges.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
NRS465 Applied Evidence-Based Project and Practicum
Week 10 Discussion
DQ 1
Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Include in your discussion how professional accountability affects EBP implementation and utilization. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN DQ Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 9.3
