Nursing Research and Evidence-Based Practice

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

• Consider a recent clinical experience in which you were providing care for a patient.
• Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
• What questions have you thought about in a particular area of care such as a  procedure or policy? 
• Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
• Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
• Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

Post on or before Day 3:

• (1)  an evaluation of the use, or lack thereof, of EBP in a recent clinical experience.
• (2) Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale.
• (3) List your background questions and PICOT question about this nursing topic.
• (4) Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices.
• (5) Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization

 REQUIRED RESOURCES

Readings

• Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
• Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”

  This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.

• Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”

  The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.

• Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research”

  In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized. 

• Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277.
  Retrieved from the Walden Library databases.  

  This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.

• Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286.
  Retrieved from the Walden Library databases.

  This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care.

• Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook, 58(6), 309–317.
  Retrieved from the Walden Library databases.

  In this article, the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP translation across disciplines.

• Shaheen, M., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229–236.
  Retrieved from the Walden Library databases.

  This article reviews a study that sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption.

• Shivnan, J. C. (2011). How do you support your staff? Promote EBP. Nursing Management, 42(2), 12–14.
  Retrieved from the Walden Library databases.

  This article explores the role of the nurse manager in supporting evidence-based practice. The article also explains barriers and strategies to promote EBP for a nurse manager.

• Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360

Media

• Laureate Education, Inc. (Executive Producer). (2012).Timeline of nursing research. Baltimore, MD: Author.

  This multimedia piece features a timeline of major events in nursing research. The timeline highlights how historical events and seminal research have contributed to nursing practice.

Capstone Project Topic Selection and Approval 

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Attempt Start Date: 02-Dec-2019 at 12:00:00 AM

Due Date: 08-Dec-2019 at 11:59:59 PM

Maximum Points: 50.0

Benchmark – Teaching Diverse Learners Presentation      

 Details: 

 For this assignment you will prepare a 10-12-slide PowerPoint presentation on teaching techniques for diverse learners.  

Presentation Criteria:  

Prepare a plan for designing and delivering instruction that addresses both the needs of the selected population as well as other diverse students.

 1.Select a population that represents a type of diversity, which may include ethnic, learning styles, age, or cognitive ability. The selected population may be nursing students, staff members, or patients. 

2.Explain how your selected population’s characteristic impacts their learning styles. 

3.Provide three teaching strategies an educator could use with that particular group of learners.

 4.Include a rationale for each strategy as to why it would be effective. 

5.Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials.  

Presentation Requirements:  

Online students are required to provide comprehensive speaker notes.  

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.

Training and development prompts change within an organization. The goal of training is to identify areas for improvement and to develop growth opportunities that support the employees in their professional career.

For this assignment, you are required to develop a small training exercise in the form of a PowerPoint presentation. Review previous needs assessments and training observations conducted at your workplace to help identify one area for improvement that would benefit your organization. This training exercise does not need to be implemented but should include at least one deliverable that you could use during the training exercise. As you are reviewing your organization, consider employee engagement, systems and procedures, communication, resources, succession planning, and the culture within the organization. These are suggestions for possible areas that could benefit from a training exercise.

Create an 8-10 slide PowerPoint presentation of your training exercise, with speaker notes, and include the following:

• What are the overall goals for the training or the benefit to the selected organization?
• What are two specific objectives for the training exercise?
• What processes or procedures will change after the training has been completed?
• Describe the strategies or actions involved in the training exercise to meet the established goals and objectives. What is the expected employee performance or application after the training? How will the strategies drive successful business results and improve employee performance?
• How will the organization provide support to the current employees receiving this training? To new employees? How will the effectiveness of the training exercise be measured to confirm the anticipated improvement of employee performance?

While APA style 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 documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. 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 LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance. 

Benchmark Information:
This benchmark assignment assesses the following programmatic competency:
MBA-Strat HR Mgmt
5.2 Recommend strategies for utilizing the workforce to enhance an organization’s human capital talent in order to drive successful business results.

Since then, additional quality improvement methods have evolved:

• Shewhart Cycle (PDCA)
• Six Sigma (DMAIC)
• Lean (5S)

Directions

1. Describe the steps in each of the three quality improvement methods listed above.
2. While evolving from industry, describe how each quality improvement method can be applied to achieve quality improvement in healthcare organizations.
3. For the analysis of each quality improvement method, the discussion should be a minimum of three (3) paragraphs, with a maximum of five (5) paragraphs.

2. Use APA format and cite sources, as necessary. 

1. Student’s must use a minimum of 3 scholarly references – scholarly references can include peer-reviewed articles, textbooks, journals, and scholarly news articles. No YouTube videos.

No plagiarism

Textbook Title: Applying Quality Management in Healthcare: A Systems Approach

Edition:4

Author:Patrice L. Spath and Diane L. Kelly 

Publisher (Year): 2017