NSG6999 Graduate Project in Nursing Discussion Assignments

Week 1 – Assignment 2 Discussion

According to Melnyk and Fineout-Overholt (2011), the evidence-based practice (EBP) process involves seven steps, with the initial step being the cultivation of a spirit of inquiry. For this discussion, you are tasked with fostering this spirit of inquiry by:

Identifying a problem or issue within your specialty area that you believe requires enhancement. Examples of such projects can be found on the Doctor of Nursing Practice site (http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/). The following list may aid in narrowing your focus:

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

Discussing the relevance of the issue from your personal perspective, rather than relying on the existing literature at this point, in relation to your chosen advanced role option.

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

Detailing how it correlates with your specialization area.

Describing the basis for your belief that evidence exists to support this proposed change (refer to the “note” below).

Providing a rationale for why this project will be an evidence-based initiative to enhance outcomes rather than generating new evidence through research.

It is essential to note that the implementation of the project will not occur during this course, and no data will be collected. The objective of this course is solely to complete a project proposal.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 2 – Assignment 1 Discussion

Melnyk and Fineout-Overholt (2011) outline seven steps in the evidence-based practice (EBP) process, with the initial step involving the cultivation of a spirit of inquiry. To foster this spirit and encourage discussion, kindly consider the following:

  1. Introduction: Briefly describe the problem or issue chosen as the topic for your project proposal, offering orientation to your classmates and faculty.
  2. Connection to Specialization: Indicate how the chosen problem or issue relates to your area of specialization.
  3. PICOT Question: State your PICOT question, specifying in parentheses the corresponding segments of PICOT. For example: “In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (I) compared to no calls (C) decrease readmission rates (O) over a one-year period (T).”
  4. Preferred Process Model: Discuss which process model resonates with you and will serve as a guiding framework for your project. Process models provided in your text (Melnyk & Fineout-Overholt, 2011) include:
    • 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
  5. Feedback for Classmates: Provide feedback to your peers, focusing on:
    • The correct utilization of the PICOT format to structure the question for guiding the literature search.
    • Assessment of whether the formulated question reflects a clinical research question or one suitable for an evidence-based practice project.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 3 – Assignment 1 Discussion


n this discussion, you are invited to disclose the search strategies employed to discover evidence for your study. Consider the following prompts:

  1. PICOT Question: State your PICOT question and assess whether the terms utilized in this question led you to valuable research studies.
  2. MESH Terms: Share the MESH terms you’ve experimented with and evaluate their effectiveness in uncovering additional studies. Discuss whether MESH terms are aiding in expanding or narrowing your search.
  3. Relevance of Articles: Report on your success in finding relevant articles. If not, elucidate how you adjusted your search to enhance productivity.
  4. Database Usage: Specify the databases you utilized—highlighting those deemed useful and those that were not.
  5. Levels of Evidence: Determine the levels of evidence represented by the studies you’ve discovered.
  6. Collaboration and Feedback: Share any questions or concerns you may have and offer constructive feedback and recommendations to your peers. Collaborating and exchanging search strategies can be beneficial.
  7. Search Tracker: Utilize the Search Tracker to keep a record of your search terms.
  8. Rapid Clinical Appraisal (RCA) Tools: Utilize the appropriate RCA Tools to appraise one or two articles. Add the acquired information to your Evaluation Table, acknowledging that it is a work in progress at this stage. Complete the table in Week 4. The RCA Tools and Evaluation Table in Word can be accessed in the Week 3 Overview section.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 4 – Assignment 1 Discussion

Reflect on your experience completing the rapid critical appraisal process:

Efficiency of the Process:

  • Was the process truly “rapid,” or did it prove to be more laborious than anticipated?

Use of Abstract:

  • Did reading the abstract facilitate quick decisions regarding the inclusion or exclusion of the study?

Approach to Appraisal and Evaluation Table:

  • What worked best for you in terms of the approach you decided to use in completing the appraisal and Evaluation Table?
  • Conversely, what aspects of your chosen approach did not work as well?

Questions or Concerns:

  • Share any questions or concerns you may have encountered during the process.

Feedback and Recommendations:

  • Provide constructive feedback and recommendations to your classmates based on your experience.
  • Collaborating and sharing insights into the appraisal process can enhance understanding and effectiveness.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 5 – Assignment 1 Discussion

This week’s discussion centers on the creation of Synthesis Tables to effectively summarize and organize the body of evidence derived from the Evaluation Table. These Synthesis Tables will later be included in the formal proposal’s Appendix, while the body of the paper will feature a narrative description of the key studies.

Discussion Points:

  1. Approach to Synthesizing Evidence:
    • Share your approach to synthesizing the evidence, highlighting the identified variables of interest.
  2. Summarizing Articles:
    • Practice the scholarly skill of summarizing two articles identified from the Synthesis Table that are relevant to your proposal.
    • Include details such as the level of evidence, study design, and evidence of rigor.
    • Apply proper APA citation in both text and references.
    • Integrate feedback from peers and faculty obtained during this week’s Dropbox assignment.
  3. Incorporating Patient Preference and Clinical Expertise:
    • Acknowledge the significance of including patient preference and clinical expertise alongside research studies in your project proposal.
    • Discuss the strategies you plan to employ to incorporate these crucial perspectives into your overall project proposal.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 6 – Assignment 1 Discussion

In this week’s discussion, kindly cover the following points:

  1. Clinical Issue Description:
    • Offer a brief description of the clinical issue or problem chosen for your project, along with details about the setting and the population of interest. This serves to orient both classmates and faculty.
  2. Clinical Question:
    • Formulate and present your clinical question, providing clarity on the specific focus of your inquiry.
  3. Intervention Description:
    • Describe the intervention you intend to test as part of your project.
  4. Study Type and Rationale:
    • Specify the type of study you plan to conduct—whether it will be experimental, quasi-experimental, or another design. Justify your choice with a rationale.
  5. Feedback on Colleagues’ Clinical Questions:
    • Provide constructive feedback on the clinical questions presented by your colleagues, contributing to the collaborative learning environment.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 7 – Assignment 1 Discussion

This discussion aims to delve into the measurement tools employed for assessing change resulting from the intervention. The primary objective is to refine your evaluation approach through collaborative feedback from colleagues and faculty. Your discussion should encompass the following elements:

  1. Project Overview:
    • Commence with a succinct description of your project, initiating with your clinical question and providing a concise explanation of your planned intervention to orient everyone.
  2. Evaluation Tool Considerations:
    • Determine whether existing valid and reliable tools are suitable for your evaluation, or if the need arises to develop custom tools.
  3. Creation of Evaluation Tools:
    • If there’s a necessity to create your own tools, share your thoughts on the potential pilot testing of these tools and outline your approach to this process.
  4. Data Collection Strategies:
    • Discuss your plans regarding baseline data collection, exploring the use of pre- and posttests, and elucidate how you intend to measure change.
  5. Participant Selection:
    • Clarify how you will identify participants for your study and expound on the sampling method chosen, emphasizing how it defines the type of study you will be conducting.
  6. Confidentiality Assurance:
    • Describe your strategies to ensure the confidentiality of study participants, emphasizing the ethical considerations in place.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 8 – Assignment 1 Discussion

This week’s discussion will center on the analysis phase of your project. Please address the following points in your discussion:

  1. Project Overview:
    • Commence with a succinct description of your project, incorporating your clinical question, planned intervention, the type of study you will conduct, and your approach to evaluating outcomes.
  2. Statistical Analysis:
    • Specify the type of statistical analysis you intend to perform to analyze the data collected during your project.
  3. Project Timeline:
    • Outline a reasonable timeline for your project, considering key milestones and deadlines.
  4. Expenses Consideration:
    • Identify expenses associated with your project, including both obvious expenses such as materials and hidden expenses like time, which may account for part of your salary.
  5. Funding Source Consideration:
    • Discuss whether you will need to seek a funding source to support your project, considering the financial resources required for successful implementation.


NSG6999 Graduate Project in Nursing Discussion Assignments – Week 9 – Assignment 1 Discussion

While the implementation of your project is not a requirement in this course, it is crucial to grasp the essential steps involved in the process. As you initiate the development of your strategic plan for implementing your change project, consider the following aspects specific to your proposed project:

  1. Stakeholders Identification:
    • Identify the stakeholders involved, specifying their roles or positions within the organization without disclosing names. Additionally, explore the possibility of identifying any potential “champions” within your organization whom you can convert to advocates for your project.
  2. Anticipated Barriers and Strategies:
    • Anticipate potential barriers to the implementation of your project and outline strategies to prevent or overcome these obstacles. This proactive approach will contribute to the smooth execution of your change initiative.
  3. Change Theory Selection:
    • Deliberate on the change theory that aligns with your project and will guide you through the implementation process. Selecting an appropriate change theory provides a structured framework for navigating organizational transitions effectively.

NSG6999 Graduate Project in Nursing Discussion Assignments – Week 10 – Assignment 1 Discussion

For this discussion question, please review the student learning outcomes for this course and reflect on how you have achieved these objectives. This is an opportunity for you to consider and discuss the learning experiences throughout this term and your successful attainment of these outcomes. If you believe you haven’t entirely met a specific objective, share your plans for achieving it in the future.

By the end of the course, you should be able to:

  1. Synthesis of Knowledge and Skills:
    • Demonstrate the synthesis of the knowledge and skills acquired in previous graduate nursing core and specialty curriculum content.
  2. Health Policy and Ethical Considerations:
    • Evaluate current health policy and consider legal and ethical considerations in addressing the health promotion and disease prevention of a target population.
  3. Creation of Scholarly Project:
    • Integrate the synthesized knowledge and skills into the creation of a scholarly project, choosing either an evidence-based practice proposal or a research proposal that contributes to the generation of new nursing knowledge.
  4. Dissemination of Project Components:
    • Disseminate significant components of the project through both a written paper and an oral presentation.

Reflect on your experiences in achieving these outcomes and discuss any plans you may have for successfully completing any objectives that you feel need further attention in the future.

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