PLEASE SEPARATE EACH UNIT FROM EACH OTHER AND PROVIDE INDIVIDUAL REFERENCES AND VOID PLAGIARISM

                                                        UNIT 1

DQ 1

What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP? And how can EBP change the way you practice as a professional nurse?

DQ 2

There are many roles in nursing but how would a nurse practitioner and a nurse manager differ about how they use and incorporate EBP in their areas of practice?

What paradigm does the nurse leader have that the nurse practitioner may not have?  Why is the focus of the nurse Practioner so different and is that good or bad?

                                                           UNIT 2

DQ 1

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

1. “Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

2. Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.

Here is something to think about.  

· Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)

· Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)

· Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)

· Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)

· Time:  What is the time frame? (This element is not always included.)

Example: 

Prevention:

For________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

In acute care cancer patients, does the use of scheduled pain medication regimes reduce the risk of uncontrolled pain compared with non-scheduled pain medication regimes.

DQ 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

As a Christian nurse will you focus on one particular genre of literature more than others. or will you be looking at specific topics related to your practice. 

                                                      UNIT 3

DQ 1

Discovering the right information to answer a given question often requires using more than one resource. When nurses explore only one resource and find no evidence, they may incorrectly assume that there is no evidence to answer their question. Additionally, when nurses search for randomized control studies to answer a clinical question, and use only web-based search engines they will not find the information they need and miss evidence that is crucial to their research.  Therefore, when searching for answers to clinical questions, all evidence should be considered; however, caution must be used when deciding about practice changes that are based solely on evidence that may have substantial bias.  

What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?

DQ 2

In addition to the knowledge gained from clinical practice, nurses are compelled to create and use evidence from research when determining effective strategies for implementing change for improving care practices and patient outcomes.  

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

                                                          UNIT 4

DQ 1

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

Can you think of possibly a different paradigm (the other side of the story) for the barriers or obstacles you identified?  Or have you found additional barriers or obstacles in your readings that could be pertinent to your organization?

DQ 2

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.

Do you think that human subjects are needing protection as they did maybe in the 1930-1970’s?  And why would you think this?

UNIT 5

DQ 1

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

DQ 2

Consider an obstacle or barrier to the implementation of evidence-based practice you identified in last week’s discussion. What are two ways to address this problem?

RESOURCES

Textbook 

1. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice  

  

Developing an Evidence-Based Practice (EBP) Project Question

Consider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession?

The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. Think about aspects of your specialty area and begin to formulate a question that relates to your nursing practice.

The primary purpose of this Discussion is to provide a forum in which you and your colleagues can support each other in cultivating a practice-related question.

To prepare:

• Develop      your EBP Project question using the PICO (patient group, issue      or intervention, comparison, outcome) method as described in Chapter 2      of Clinical Research for the Doctor of Nursing Practice (p.      29) and other resources. Depending on your specialty area, you may modify      the PICO method as necessary to be appropriate for your target population.
• Begin      to complete the “Literature Review Matrix,” reviewing at least four to six      research articles relevant to your specialty area and      your EBP Project question. Note any areas of difficulty that you      encounter, as well as any strategies or insights that might be beneficial      to others.
• Reflect      on the information presented in the McCurry, Revell, and Roy article      listed in the Learning Resources.
• What      questions or concerns, if any, do you have about how to develop your      project question and/or expand your expertise in your specialty area?

By tomorrow 08/28/18 10pm write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Answer the questions as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Share your project question, as you have developed it thus far (Write the questions exactly as the PIICOT Template provided in the attached file area).

2) Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.

3) Pose any questions or concerns you may have related to developing your project question or literature review. You may also include any other issues related to expanding your expertise within your specialty area.

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 2, “Developing the Researchable Problem”

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdf

Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. 

McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.

Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186. 

Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/

Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available at

http://ojni.org/issues/?p=2860

Find an article on a societal factor that is affecting nursing/patient education curriculum. Summarize your article for your classmates in one or two paragraphs. Discuss why you chose the article and what can be learned from this trend – how would you use it to improve the quality of nursing/patient education? This article and those posted by your classmates may become the foundation of your paper due in Topic 2. Be sure to include the entire citation in APA format. The article you select cannot be from any of the course materials or supplemental readings. Please note: It is a violation of copyright law to post the entire text of the article to an online discussion board. So be sure to post only the citation information so that the article can be located if someone is interested in reading more. The article should come from a graduate-level journal, like an advanced practice journal or nursing education journal – not an entry-level journal like AJN, RN, Nursing, etc.

  

NR 447 Paper Direction

Directions

Read your text, Finkelman (2016), pp- 111-116 (see attached word doc).

Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

Identify the model of nursing care that you observed (see different models in attached word document and select one). Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

Write a 5-7-page paper that includes the following:

1) Write an introduction ending with a purpose statement (e.g. the purpose of this paper is…)

2) Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

3) Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

4) Discuss your observations about how the current nursing care model is being implemented. Be specific.

5) Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

6) Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

Write your paper using APA format using Microsoft Office 2010 or later.

Submit this paper no later than 5 p.m. on Sunday February 4, 2018.