The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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. 

This week you will be writing an APA paper to include a title page, level headings, and a reference page

1. Discuss and explain King’s Conceptual System Theory. 
   1. First explain the 3 systems and provide examples of each system
   2. Explain how the systems influence goal attainment
   3. How could King’s theory help define a clinical quality problem? 
   4. Apply this theory to a potential practice quality improvement initiative within your clinical practice.
   5. How could a quality committee align outcomes with King’s Conceptual System Theory? 
   6. What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

 PLEASE READ AND RESPOND TO THIS CLASSMATES WRITING BELOW

The “John Hopkins Nursing Evidence-Based Practice Model” uses a process called PET (Dang & Dearholt, 2017). This stands for practice question, evidence, and translation. With the Institute of Medicine  publication calling for higher educated nurses working at the full extent of their license (Campaign for Action, 2017), this involves understanding how to implement evidence-based practice. However, barriers exist, including, the demands of patient care which limits their time to implement these practices. With the John Hopkins approach the process is simplified and easy to understand, reducing the cost of entry. With the PICO framework, the nurse is able to better identify the problem in the form of a tangible question. Through the evidence phase, research is conducted and critiqued in order to determine strengths and weakness of articles before committing to a practice. Lastly, through the translation phase, nurses are able to determine if the practice is feasible and pilot a project (Parkosewich, 2013).

                I am working on rolling out new psychotropic review for my company. This form is used by the nurses to identify psychotropic and spark conversation with the provider in order to reduce the amount of psychotropic medications used in the facilities. Through this course I have developed a PICO statement and completed a lot of research. By using the John Hopkins model, I would be able to further identify key items such as stakeholder analysis. Additionally, by using this model I would want to identify a project leader and change champions to push the new review forward. Milestones will need to be identified and pre and post measurements taken. Also, barriers would need to be identified with a plan to overcome them. Eventually this form will be added to the EMR but initially it will be a paper form and would not be financially impactful on the company as we do have a form and process already. Barriers may include nurses who are used to the old form and resistant to change. However, with proper dissemination on the evidence of using the new form this could be overcome. Additionally, providers may not be on board when a higher questioning of psychotropic medications is presented. However, as part of the role out process infographics and information on why this is important and what our companies views are will help nurses to have meaningful conversations to overcome this barrier.

References

Campaign for Action. (2017). Infographic – the future of nursing. The National Academies of Sciences, , 1. Retrieved fromhttp://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Infographic.aspx

Dang, D., & Dearholt, S. (2017). Center for evidence-based practice. Retrieved from https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html

Parkosewich, J. A. (2013). An infrastructure to advance the scholarly work of staff
nurses. The Yale Journal of Biology and Medicine, 86(1), 63-77. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584497/

Reply Quote Email AuthorMessage ReadMark as UnreadMessage Not FlaggedSet Flag 1 day agoYraimyth De La Vega RE: u5 DT!COLLAPSE

The Iowa model is an Evidence-Based Practice (EBP) model whose foundational concepts revolve around problem-focused triggers and knowledge-focused triggers. The nurse identifies the area of interest from these two triggers. Problem-focused triggers include issues related to patient care such as increased rate of nosocomial infections and patient falls whereas knowledge-focused triggers focus on identifying new research findings can be applicable in clinical practice (Brown, 2014). Once the nurse has recognized the potential triggers, the next step is to prioritize the identified problems. This ensures that the nurse selects the most important issues that require prompt attention.

Following prioritization, team comprising of members from different disciplines such as nursing, medicine, pharmacy, epidemiology, and infection control is created. The purpose of the team is to oversee the successful implementation of evidence-based practice. The team members will then formulate a research question using the PICOT format (population, intervention, comparison, outcome, and time) (Brown, 2014). The research question will guide the team members during the selection of relevant research articles. Evaluating the significance and relevance of these research articles is mandatory. The findings are then implemented in a pilot study that involves one or two units in the hospital. If the pilot study is successful, the research findings can be applied to the whole organization (Brown, 2014).

Time is a significant barrier that can impede the successful adoption of EBP in any organization. Nurses are often overworked, and they do not have time to go to the databases and look for research evidence. The organization should ensure that the nurses have adequate schedules that support the use of EBP (Tacia, Biskupski, Pheley & Lehto, 2015).

References

Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing, 18(2).

Tacia, L., Biskupski, K., Pheley, A., & Lehto, R. H. (2015). Identifying barriers to evidence-based practice adoption: A focus group study. Clinical Nursing Studies, 3(2), 90.

The Assignment:

Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1 and expanded in Module 2, write a 2- to 3-paragraph analysis that includes the following:

• Explanation for the relationship between academic integrity and writing
• Explanation for the relationship between professional practices and scholarly ethics
• Cite at least two resources that support your arguments, being sure to use proper APA formatting.
• Use Grammarly and SafeAssign to improve the product.
• Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

• identifying and describing strategies you intend to pursue to maintain integrity and ethics of your: (1) academic work as a student of the MSN program and (2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.