In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
5. Use at least two references other than your text and those provided in the course.

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

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Evidence based nursing practice is important to be incorporated in order to provide quality patient care. These practices have been studied and researched with the intent to standardize and improve health care. Nurses prepared at a baccalaureate level are expected to be more familiar with current evidenced based practice since evidence based practice is part of the curriculum. The BSN is able to apply the evidence-based practice into their care thus resulting in quality patient care and positive patient outcomes. Two barriers include the nurse’s level of education, and senior nurses not willing to change. The ADN degree focuses more on clinical knowledge and skills whereas the BSN in addition incorporates evidence based practices and focuses on holistic patient care. With continuing education, nurses would be provided with the tools they need to deliver current evidence based care. Applying EBP to the bedside has been proven to improve patient outcomes and satisfaction. According to Melnyk (2016), “A good place to start is by improving the level of education of nurses and investing funds in continuing programs and evidenced-based practice mentors to equip them with the skills needed to consistently deliver evidence-based care.” Another barrier may include nurses of seniority “seasoned nurses” not wanting to change and adapt to the current evidence based practices. For example, the nurse with twenty years experience may not have learned to use the EBP approach and want to stick to their old ways because it is easier for them. This type of behavior may be difficult to change. Wallis (2012), stated that “In order to make a change happen the nurse leaders should place enough EBP mentors at the bedside who can work hand in hand with clinicians to help them learn and implement skills consistently.” Positive encouragement and consistency may be key in creating change with experienced nurses. All nurses should share the same goal of providing the best quality patient care.

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• ProQuest Nursing & Allied Health Source – offers a wide range of materials in nursing, allied health, alternative and complementary medicine and the likes.  It has over 860 titles in full text and over 12,000 full text dissertations. Additionally, it gives access to online reference books, training tools and evidence-based nursing material from The Joana Briggs Institute.  It’s a good source for training videos and cultural reports that contributes to a better understanding of patient care.
• ProQuest’s Nursing & Allied Health Database – offers a mix of scholarly literature, clinical training videos, reference materials, and evidence-based resources, including dissertations and systematic reviews
• CINAHL Complete – is one of the strongest databases for nursing.  It offers research tools and access to nursing and allied journals.  It is comprised of more than 1300 journal titles and covers over 50 specialties in nursing. Additionally, it offers continuing education modules, research instruments and evidence-based care sheets
• Joanna Briggs Institute (JBI), is a recognized global leader in evidence-based healthcare resources with a mission to support evidence-based practice in patient care globally. It is an international non-profit institute with over 70 collaborating centers throughout the globe. JBI has been promoting evidence-based practice to improve health care outcomes for over 10 years. The JBI evidence-based practice (EBP) database includes more than 3,000 records across seven publication types. These types include Evidence Summaries, Evidence-Based Recommended Practices, Best Practice Information Sheets, Systematic Reviews, Consumer Information Sheets, Systematic Review Protocols, & Technical Reports. The JBI EBP database consists of 7 full text publications that are arranged by 17 subject areas. The data base includes evidence summaries which is the largest category in the database and it brings together all the evidence about the search topic. This can be used for decision support and the PICOT approach beginning with a question and ending with a recommendation. Most of the new publications or frequently updated are the recommended practice or evidence summaries. JBI data base also includes systematic reviews written by members of the JBI.

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. 
• A brief (2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

**Template is attached** 

Domestic Violence Initiative Paper

  

Task 1:          

Visit the following website, theduluthmodel.org and review the information provided in order to understand and identify: Students do not need to answer these questions, only reflect on these questions after visiting the website

What steps were used to organize the community in Duluth?

Who were the stakeholders?

What was the underlying belief system?

What strategies were employed?

How was the Power and Control Wheel developed?

Task 2:

Collect data on violence against women on college campuses. A few sources of information arehttps://www.justice.gov/ovw/protecting-students-sexual-assault#sexualviolence  andhttp://feministcampus.org/campaigns/campus-violence/resources/.  Be sure to use other scholarly sources as well to gather adequate information. Collect data on violence against women on campuses across the country including the number of offenses, types of offenses, and demographic data on the victims.

Task 3:

Using the process from the Duluth experience in Task 1, and answer the following questions in the format of a 3 page paper written in APA style, excluding title and reference page:

What steps would you use to organize the community?

Who are the stakeholders?

What is the underlying belief system?

What strategies would you as a campus family nurse practitioner suggest to end violence against women on the campus? Discuss in detail and provide specific examples.

What health policies will you suggest? Discuss in detail either current policies or proposed new policies.

Follow all APA guidelines as well including proper headings and subheadings. Paper must be minimum 3 pages without title and reference page. Must pass turn it in.