Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing

Week 1 -Assignment 2 Discussion

Week 1 – Assignment 2 Discussion

In the realm of evidence-based practice (EBP), Melnyk and Fineout-Overholt (2011) outline a seven-step process, with the initial step being the cultivation of a spirit of inquiry. To foster this spirit, this discussion prompts you to:

Identify a problem or issue within your specialty area that warrants improvement. The Doctor of Nursing Practice site (http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/) offers numerous project examples. The following list can assist in narrowing your focus:

  • Educational program
  • Evidence-based healthcare policy change
  • Evidence-based clinical issue or protocol for a specific disease/condition

Discuss the relevance of the issue from your perspective, focusing on your selected advanced role option.

Share what sparked your interest in this particular issue or problem.

Explain how it relates to your area of specialization.

Elaborate on what led you to believe that evidence supports the need for change (refer to the “note” below).

Provide a rationale for why this project aims to be evidence-based to enhance outcomes rather than generate new research evidence.

Note: Please be mindful that the project implementation will not occur during this course, and no data will be collected. The objective is to complete a project proposal by the end of this course. Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing

Week 2 – Assignment 1 Discussion

Melnyk and Fineout-Overholt (2011) delineate seven steps in the evidence-based practice (EBP) process, with the first step emphasizing the cultivation of a spirit of inquiry. To instill this spirit, this discussion tasks you with:

Briefly describing the problem or issue selected as the topic for your project proposal to orient your peers and faculty.

Indicating how it relates to your area of specialization.

Stating your PICOT question and providing a breakdown of each segment, indicating the relevant PICOT component in parentheses.

Discussing which process model resonates with you and will help maintain focus during the project. Several process models are outlined in your text (Melnyk & Fineout-Overholt, 2011), including:

  • Clinical scholar model
  • Stetler model of evidence-based practice
  • Iowa model of evidence-based practice to promote quality care
  • Model for evidence-based practice change by Rosswurm and Larrabee
  • Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model

Offering constructive feedback to your classmates, with a focus on the correct PICOT format and whether the question aligns more with a clinical research question or one suitable for an evidence-based practice project.

Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing – South University

Week 3 – Assignment 1 Discussion

In this discussion, you will share the strategies you’ve employed in your search for evidence for your study. For this discussion:

State your PICOT question and discuss if the terms used in this question led you to useful research studies.

Share the MESH terms you have tried and evaluate their effectiveness in finding additional studies. Discuss whether MESH terms have proven useful in expanding or limiting your search.

Discuss the relevance of the articles you have found and explain any modifications you made to your search to enhance productivity.

Indicate the databases you utilized, highlighting those that were beneficial and those that were not.

Identify the levels of evidence represented by the studies you have found.

Post any questions or concerns you may have and offer feedback and recommendations to your peers. Collaborating on and exchanging search strategies can be highly beneficial.

Use the Search Tracker to document your search terms.

Utilize the appropriate Rapid Clinical Appraisal (RCA) Tools to appraise one or two articles, and integrate the information into your Evaluation Table to receive faculty feedback. Note that your table is still a work in progress, and you will complete it in Week 4. The RCA Tools and Evaluation Table in Word for you to fill out can be found in the Week 3 Overview section. Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing

Week 4 – Assignment 1 Discussion

Share your experience in completing the rapid critical appraisal process.

Discuss whether the process truly felt “rapid” or if it was more laborious than anticipated.

Reflect on whether reading the abstracts helped you make quick decisions about including or excluding the studies.

Share what worked best for you in terms of the approach you chose to complete the appraisal and Evaluation Table, and highlight aspects that didn’t work as effectively.

Post any questions or concerns you may have and provide feedback and recommendations to your peers. Collaborating on and sharing search strategies can be invaluable.

Week 5 – Assignment 1 Discussion

This week’s discussion centers on creating Synthesis Tables to summarize and organize the body of evidence from the Evaluation Table. The Synthesis tables will be appended to your formal proposal, with the “keeper” studies described in the narrative within the paper.

Include the following in your discussion:

  1. Share your approach to synthesizing the evidence, identifying the variables of interest.
  2. Practice summarizing two articles from the Synthesis Table that are relevant to your proposal. Include the level of evidence, study design, and evidence of rigor. Apply appropriate APA citation in text and references. Incorporate feedback from peers and faculty into your Dropbox assignment.
  3. Consider patient preference and clinical expertise in addition to research studies. Discuss how you plan to integrate these perspectives into your project proposal.

Week 6 – Assignment 1 Discussion

For this week’s discussion, please address the following:

  1. Briefly describe the clinical issue or problem for your project, along with the setting and population of interest, to orient your classmates and faculty.
  2. Write your clinical question.
  3. Describe the intervention you plan to test.
  4. Specify the type of study you will conduct—experimental or quasi-experimental. Provide a rationale for your choice.
  5. Offer feedback on the clinical questions of your colleagues.

Week 7 – Assignment 1 Discussion

This discussion centers on the measurement tools to evaluate change from the intervention. Fine-tune your evaluation thinking by receiving feedback from colleagues and faculty. Include in your discussion:

  1. Write a brief project description starting with your clinical question and succinctly explaining your planned intervention to orient everyone.
  2. Discuss whether you need to develop your own evaluation tools or if valid and reliable tools are available.
  3. If you create your own tools, share your thoughts on pilot testing them and your approach.
  4. Explain if you will gather baseline data, use pre- and posttests, and how you will measure change.
  5. Describe how you will identify participants for your study and how the chosen sampling method further defines the study type.
  6. Discuss measures to ensure the confidentiality of study participants.

Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing

Week 8 – Assignment 1 Discussion

This week’s discussion revolves around the analysis phase of your project. Include the following points:

  1. Start with a brief project description, highlighting your clinical question, planned intervention, study type, and how outcomes will be evaluated.
  2. Specify the statistical analysis you will employ.
  3. Propose a reasonable timeline for your project.
  4. Consider various expenses, including both apparent costs like materials and hidden costs like time, equivalent to part of your salary.
  5. Discuss the potential need for a funding source for your project.

Week 9 – Assignment 1 Discussion

Even though you won’t implement your project in this course, it’s crucial to understand the necessary steps. Formulate your strategic plan for implementing your change project and discuss the following:

  1. Identify stakeholders by role or job within the organization. Look for potential champions.
  2. Anticipate potential barriers and outline strategies to prevent or overcome them.
  3. Decide on the change theory that will guide your project.

Week 10 – Assignment 1 Discussion

For this discussion question, review the student learning outcomes and discuss how you met them. Reflect on your learning and if you haven’t met the objectives, share your plans for future success.

By the course’s end, you should:

  1. Demonstrate synthesis of knowledge and skills acquired in preceding graduate nursing core and specialty curriculum content.
  2. Evaluate current health policy, legal, and ethical considerations in addressing health promotion and disease prevention.
  3. Integrate this synthesis in creating a scholarly project, either an evidence-based practice proposal or a research proposal that generates new nursing knowledge.
  4. Disseminate significant components of the project through a written paper and oral presentation.

Evidence-Based Project (EBP) & PICOT Question: NSG6999 Graduate Project in Nursing

Week 1 Assignment 3: Evidence-Based Project Proposal

Project Overview:

Title: Evidence-Based Project Proposal

Description:

  • Over 11 weeks, learners will develop a scholarly project showcasing evidence application for substantial practice change. Emphasis on critical appraisal, evidence-based research application, scholarly writing, and critical thinking. The project will be submitted in APA format, and learners will orally present or create a PowerPoint summary.

Types of Projects:

  • Learners choose projects related to their advanced role and target population:
    • Educational program
    • Evidence-based healthcare policy change
    • Evidence-based clinical issue or protocol

Overview of the EBP:

  • Week 1: Identify the area of inquiry for practice change.
  • Week 2: Develop a clinical question in PICOT format.
  • Week 3: Begin literature search and rapid critical appraisal (RCA).
  • Week 4: Complete evidence review, resulting in an Evaluation Table.
  • Week 5: Synthesize evidence to determine the best for the project.
  • Faculty mentors guide students through the remaining steps.

Weekly Submissions:

  • Monitor progress with weekly submissions.
  • Revise work based on faculty feedback to build the final paper progressively.

EBP Project Criteria:

  • Formal project proposal in APA format.
  • Outline for the final paper, with indicated weeks for each section.
  • Weekly Dropbox assignments for each part of the outline.
  • Build the paper progressively, adding revised sections where they belong.

Abstract

Part 1: Introduction – Week 2

Practice Issue:

  • Summarize the practice issue, offering background information about the organization and emphasizing the problem’s perceived significance and severity.
  • Clearly outline the specific aims of the project and the improved outcomes you aim to achieve.

PICOT Question:

  • State the PICOT question, labeling each part with P-I-C-O-T in parentheses.

Significance:

  • Discuss the significance of the issue, highlighting its impact on outcomes, costs, etc.

Part 2 – Week 3, 4, & 5

Evidence Review and Synthesis:

  • List the databases searched, specifying the timeframe if limited.
  • Summarize the “keeper” studies.
  • Provide a concise synthesis of the body of evidence.

Part 3 – Week 6

Purpose of the Project:

  • Clearly articulate the purpose of the project, incorporating the intervention.

Theoretical Framework:

  • Introduce the theoretical framework guiding your project.
  • Present clinical questions relevant to your study.

Part 4 – Week 7

Study Design:

  • Define the study design employed.
  • Clarify the setting and sample characteristics.
  • Discuss confidentiality measures.
  • Outline the procedure and intervention.
  • Specify instruments, scales, and outcome measurements.
  • Describe the data collection process.

Part 5 – Weeks 8 & 9

Data Analysis:

  • Present the data analysis plan.

Outcomes Expected:

  • Clearly outline the expected outcomes of your project.

Aligning Stakeholders:

  • Discuss strategies for aligning stakeholders with your project.

Appendices:

  • Include the Evaluation Table (submitted in Weeks 3 & 4) and the Synthesis Table (submitted in Week 5).

Oral or Poster Presentation:

  • Develop a professional PowerPoint presentation summarizing your project.

Criteria:

  • Ensure the presentation covers all required EBP project proposal criteria.
  • Demonstrate professional quality and evidence of graduate-level scholarship.

This Week’s Dropbox Assignment:

  • Identify the problem within your specialization that requires improvement.
  • Share your idea for the evidence-based project proposal, explaining its EBP focus.
  • Briefly describe the issue, the intervention, and the expected outcomes.
  • Discuss the relevance of the project to your role specialization.

Week 2 Assignment 2: Evidence-Based Project Proposal

Part 1: Introduction

In this week’s Dropbox assignment, a one-page APA-formatted paper (excluding the cover page and reference page) will be submitted. Reflecting on feedback from faculty and classmates, include:

  • Summarization of the practice issue requiring change, providing background information and highlighting the perceived significance of the problem.
  • Description of the specific aims of the project, outlining the improved outcomes expected.
  • Presentation of the PICOT question in the format (P-I-C-O-T), labeling each part appropriately.
  • Discussion of the significance of the issue concerning poor outcomes, cost implications, etc.

Week 3 Assignment 2: Evidence-Based Project Proposal

This week initiates the submission of Part 2 of the project proposal in APA format. In a one-page APA paper, present a narrative describing your literature search for evidence, incorporating:

  • List of databases searched.
  • Clarification if limited to a specific timeframe (i.e., less than 5 years old).
  • Utilization of Rapid Clinical Appraisal Tools to appraise one or two articles. Include this information in your Evaluation Table for faculty feedback.
  • Submission of the Evaluation Table with the two appraised studies and the Search Tracker for feedback on your search strategies.

Ensure to maintain a professional writing style in your narrative and, after faculty feedback, incorporate this week’s work into Part 1 to commence building your project proposal paper.

Week 4 Assignment 2: Evidence-Based Project Proposal

This week’s submission includes the completed Evaluation Table featuring only the “keeper” studies. This table will be appended to your final paper. Additionally, submit the Search Tracker for feedback on the search strategies, which will not be integrated into your paper but serves for feedback purposes. As you proceed, maintain a professional writing style in your narrative, and incorporate this week’s work into Part 1 of your project proposal paper.

Week 5 Assignment 2: Evidence-Based Project Proposal

For this week’s Dropbox assignment, you will finalize Part 2 of your project proposal, the evidence review and synthesis section. Comprising narrative descriptions of each study forming the body of evidence, the length of this section will vary based on the included studies. Written in a scholarly fashion using APA format, include in the narrative for each article:

  • Authors’ names and date of publication (included in the citation).
  • Quality and level of evidence.
  • Significance (or lack thereof) of the evidence, along with the rationale for your judgment. Explain how these articles relate to changing practice or policy within your specific practice site and population. If a study lacks significance and is included, mention how your clinical expertise influenced this decision.

Ensure your synthesis section’s summary clearly indicates the intervention planned for your project proposal. The completed Synthesis Table(s) will also be submitted, forming part of your Appendix in the final paper.

Week 6 Assignment 2: Evidence-Based Project Proposal

For this week’s Dropbox assignment, complete Part 3 of your project proposal in a one- to two-page APA-formatted paper. Include:

  • Your clinical question.
  • How the clinical question indicates the type of study to be conducted (quasi-experimental vs. experimental). Provide a description of the chosen study type.
  • Theoretical framework(s) chosen, accompanied by a rationale for your choice.

Week 7 Assignment 2: Evidence-Based Project Proposal

This week’s Dropbox assignment involves writing Part 4, the Methods section of your project proposal, detailing plans for conducting the intervention study and methods of evaluation. Use the specified titles in your paper and, in a two- to three-page APA-formatted paper, cover:

  • Study design: Briefly describe the study design suggested by the question (experimental, quasi-experimental, descriptive).
  • Setting/sample: Provide a brief description of the study setting, the study participants, and the participant selection methodology. Specify whether random sampling or convenience sampling will be used.
  • Confidentiality: Outline how participant confidentiality will be safeguarded.
  • Procedures/intervention: Discuss the intervention and procedures with enough detail for replication.
  • Instruments/scales and measurement of outcomes: Describe the instruments used for measurement, specifying if they are quantitative, qualitative, or of mixed design. If these instruments have been previously tested, include reliability and validity data.
  • Data collection: Explain the data collection plans, including methods and frequency (e.g., baseline data collection, pre- and posttests).

Week 8 Assignment 2: Statistical Analysis

For this week’s Dropbox assignment, you will initiate the development of Part 5 of your project proposal, focusing on analyzing change. In your discussion, cover the following aspects:

  1. State your clinical question.
  2. Briefly outline the intervention to be implemented.
  3. Specify the outcomes to be analyzed and describe the planned analytical methods, connecting them to the data collection tools.
  4. Indicate the types of demographic data you intend to report on your participants.
  5. Provide a brief discussion on the expected outcomes should the project be implemented.

After obtaining faculty feedback, integrate the relevant content into your project proposal.

Week 9 Assignment 2: Evidence-Based Project Proposal

For this Dropbox assignment, expand on Part 4 of your Methods section, initiated in Week 7. In a paragraph or two in APA format, include the following:

  1. Identify your stakeholders by job title and elucidate how their involvement is pivotal to the project.
  2. Briefly discuss potential barriers to project implementation that stakeholders may pose, and propose strategies to prevent or address these barriers.

After receiving faculty feedback, incorporate this paragraph into the Methods section of your paper, following the “Procedures/intervention” section and preceding the “Instruments/scales and measurement of outcomes” section.

Week 10 Assignment 2: Evidence-Based Project Overview

This week’s assignment involves crafting an evidence-based project in your area of specialization, serving as the culmination of the scholarly activity undertaken over the past 11 weeks. Following APA format and a professional writing style, the proposal should encompass the following sections:

  1. Abstract
  2. Part 1 – Introduction – Week 2
    • Introduction
    • Practice issue
    • Specific aims of the project
    • PICOT question
    • Significance of the issue
  3. Part 2 – Evidence Review and Synthesis – Week 3, 4, & 5
    • List of searched databases
    • Summarized “keeper” studies
    • Synthesis of the body of evidence
  4. Part 3 – Purpose of the Project – Week 6
    • Purpose of the project, including intervention
    • Theoretical framework
    • Clinical questions
  5. Part 4 – Methods – Week 7
    • Study design
    • Setting/sample
    • Confidentiality
    • Procedure/intervention
    • Aligning stakeholders
    • Instruments/scales and measurement of outcomes
    • Data collection
  6. Part 5 – Data Analysis – Weeks 8 & 9
    • Outcomes to be analyzed and methods
    • Expected outcomes (hypothesized)
  7. Appendices
    • Evaluation Table (submitted in Weeks 3 & 4)
    • Synthesis Table (submitted in Week 5)
  8. Oral and/or PowerPoint Presentation
    • For on-ground campus students: a 20-minute oral presentation
    • For online campus students: PowerPoint presentation with speaker notes, defended in a discussion board.

Criteria:

  • Assemble the presentation to address all required criteria sections of the EBP project.
  • Demonstrate a professional presentation quality reflecting graduate-level scholarship.

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