Submit Milestone One of your final project, your topic proposal.

Identify your topic. How does it relate to a nursing problem or issue in clinical practice? Please find one or two research articles that addresses your topic.

• Explain your interest and purpose. Why did you choose this topic?
• Explore the background and significance. What do you hope to gain by researching this topic?
• Analyze the relationship between research and evidence-based practice. How will your research on this topic contribute to evidence-based nursing practice?
• Incorporate one or more peer-reviewed sources to support the proposal

For additional details, please refer to and follow the MILESTONE ONE GUIDELINE AND RUBRIC FOR further instructions carefully!

Comment 1

One weakness that I have with regards to professional presentations is pressured speech and tendency to skip information because of pressure and timing. All the “professional presentations” (nursing school) that I have been in, there is always a time limit. I then feel that I need to talk faster to be able to present all the information. If I feel the audience knows some of the information, then I will skip some bullet points and move on to another. I have come to realize this takes away from other individual’s learning experience. One personal strength that I have with regards to professional presentations is enthusiasm. No matter what the topic, I always put 100% into all my work. This information could change someone life. I also like to personalize the presentation in some way or another. Your personal experience could help someone in the future, or spark inspiration in someone to achieve one of their dreams.

One method of improvement for my weakness would include patience and non-assumption. I need to understand that the information being presented is important and to take time to present the material. I need not to assume that everyone’s knowledge base is the same, and need to present all the information that is one the PowerPoint. Working on these methods will make me as an individual seem more professional and that I have knowledge about the topic. Why would someone take information and use it in their practice if the presenter is unsure of themselves? One method of improvement for my strength would be limiting my personal experiences and know that not everything you say will change a situation forever. Too much personal experience takes away from the validity and importance of the presentation. Not every presentation will change a life, but it could expand their knowledge and understanding.

Comment 2

Professional presentations are not my favorite topic, I do not like being center of attention by any means. I tend to get nervous and anxious when I have to get in front of a group of people or present to an audience. One of my weaknesses giving professional presentations is my speech, I talk very fast when I get nervous, sometimes forgetting what just came out of my mouth and repeating myself. One way to improve this would be to create an outline of my presentation, write down notes on note cards, numbering each note card, turning them over after each point is covered, to make sure I do not repeat myself. Practicing the presentation in front of other people would also help reduce my anxiety. However, one of my strengths is using power point presentations and other visual aids. I enjoy being creative, using designs, graphs, and clip art to communicate important points. I have also found, that when I use power points in my presentations, it takes away some of the anxiety and fear that I am feeling. I am no longer the center of attention in my professional presentation, the power point I created becomes the focus.

It is important that I work on my speech and presentation, if I want to present my findings in a more formal setting, so other professionals will visualize me as being strong confident in my knowledge. Part of professional presentations, is understanding your audience, and determining what they want and expect to get from your presentation (Mind Tools, 2019). I know from experience, when presenters come across as nervous and anxious, the audience becomes bored and loses interest. A professional presentation, should engage an audience and make them feel important, providing information in a well-structured format, identifying key points, and using examples to support findings. Reading from note cards and a lecture, can also detour audiences from being engaged, losing their interest.  According to Mind Tools (2019) “you owe it to yourself, and your organization, to develop the skills you need to present your ideas clearly, purposefully, engagingly, and confidently” (p. 1). It would me in my best interest to take a class on public speaking, to help decrease my anxiety and give me the confidence and skills to become a better speaker and presenter.

Commant 3 DQ 2

Two potential barriers that may prevent my EBP change proposal from continuing past the 6 months to one-year interval would be time devoted to implementation and preparation and knowledge of the EBP being implemented according to Ginex (2018).

Time should be devoted to preparation of the staff and unit and also  including knowledge of why this practice is being changed or improved. The benefits to the staff and patients regarding this EBP should be clear and focused. Time should be allocated to questions and education regarding the concept. Provide opportunity for stakeholders to offer input and observations regarding the implementation.

 According to Ginex (2018), behavior change is not easy. It takes persistence, determination, and a readiness to be open to new options along the way. Working together will promote positive outcomes for both patients and ourselves.

Strategies for overcoming these barriers are according to Wyant (2017) include development of EBP models that address the clinical problem and an approach to ongoing practice change. Wyant (2017) refers to the Iowa Model of Evidence-Based Practice to Promote Quality Care, the Advanced Research and Clinical Practice Through Close Collaboration Model, the Johns Hopkins Nursing Evidence-Based Practice Model, and the Promotion Action on Research Implementation in Health Services (PARIHS) Framework as examples of tools to help implement and EBP change. Each of the models address the sustainability of EBP through cultural change, stakeholder engagement, comprehensive literature review, barrier identification, and outcomes distribution.

Comment 4 DQ 2

Supporting a change can be interesting as well as difficult since many things can affect the process of changing. The two most critical potential barriers that may impact the evidence-based project is the patient’s attitude. A patient of urinary tract infection must involve himself/ herself in physical activity, but if the doctor is not allowing to perform any physical work, so the patient must stop doing it as it will be harmful to their health. The second most significant barriers that may impact the evidence-based project is the practice environment that is provided to the doctors.

I believe one of the most critical issues to support a change is to do self, require it from others and to maintain consistency. It seems very often, as judged from the practice at work, that supervisors are complacent and reluctant to require something from staff. I believe in the personal example, if needed to do it by self in the allocated time, then I can require it from others. For example, if management asked to do a procedure, the management must be ready to follow the procedure themselves and to remind staff to use the procedure over and over.

Sometimes doctors are not being facilitated by all the equipment to do the research and cannot find the solution of the new diseases. If doctors do not have enough knowledge of the disease, so it becomes difficult to suggest any solution to their diabetic patients. It is not easy to deal with such kind of barriers, but it is not impossible. One should try to communicate with patients more sensitively and try to convince them on our opinion and try earning their trust so that they can share every problem (Lyon, 2011). If a firm is unable to provide the equipment such as computers and machinery, then the doctors can launch awareness programs and should discuss more ideas with their trainees to have more possible solutions.

  

Directions: 

Please complete the 4 scenarios. Post it in the discussion board and briefly respond to 2 classmates. 

1. A nurse on a medical‑surgical unit is acquainting a group of nurses with the Quality and Safety Education for Nurses (QSEN) initiative. 

a. RELATED CONTENT: List the six QSEN competencies, along with a brief description of each.

2. A nurse is teaching a group of newly licensed nurses about the various nursing roles they can aspire to after they achieve mastery in basic nursing skills. 

a. RELATED CONTENT: Describe at least five types of advance practice nursing roles, including a brief description of their primary responsibilities.

3. A nurse is teaching a group of newly licensed nurses about the process of resolving ethical dilemmas. 

a. UNDERLYING PRINCIPLES: Define the ethical decision‑making process.

b.  NURSING INTERVENTIONS: List the steps of making an ethical decision

4. A nurse is teaching a group of newly licensed nurses about avoiding liability for negligence. Use the ATI Active Learning Template: Basic Concept to complete this item. 

a. UNDERLYING PRINCIPLES: List the five elements necessary to prove negligence.

b. NURSING INTERVENTIONS: List at least four ways nurses can avoid liability for negligence.

The growth, development, and learned behaviors that occur during the   first year of infancy have a direct effect on the individual   throughout a lifetime. For this assignment, research an environmental   factor that poses a threat to the health or safety of infants and   develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker   notes, that outlines a teaching plan. For the presentation of your   PowerPoint, use Loom to create a voice over or a video. Include an   additional slide for the Loom link at the beginning, and an additional   slide for references at the end.

Include the following in your presentation:

1. Describe the selected environmental factor. Explain how the     environmental factor you selected can potentially affect the health     or safety of infants.
2. Create a health promotion plan that     can be presented to caregivers to address the environmental factor     and improve the overall health and well-being of infants.
3. Offer recommendations on accident prevention and safety     promotion as they relate to the selected environmental factor and     the health or safety of infants.
4. Offer examples,     interventions, and suggestions from evidence-based research. At     least three scholarly resources are required. Two of the three     resources must be peer-reviewed and no more than 6 years old.
5. Provide readers with two community resources, a national     resource, and a Web-based resource. Include a brief description and     contact information for each resource.
6. In developing your     PowerPoint, take into consideration the health care literacy level     of your target audience, as well as the demographic of the     caregiver/patient (socioeconomic level, language, culture, and any     other relevant characteristic of the caregiver) for which the     presentation is tailored