NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments

As a nurse and a doctoral student, you’ve already honed a set of skills and acquired expertise that contribute to the nursing profession and the individuals you serve. However, advancing to the level of advanced practice necessitates a deeper understanding of issues and methodologies, especially within your specialty area. To excel in practice, you must adeptly analyze healthcare problems using a combination of reasoning, theory, research, and experience.

In the forthcoming weeks of this course, you’ll embark on an Evidence-Based Practice (EBP) Project, where you’ll scrutinize the scientific underpinnings of a healthcare issue within your specialty, apply effective practices, evaluate outcomes, and develop new practice guidelines. This week, you’ll acquaint yourself with the prerequisites of the EBP Project, which constitutes an integral part of your practicum experience. To prepare for your practicum, you’ll reflect on your potential for professional growth and formulate learning objectives to steer your journey. It’s essential to note that the EBP Project must be completed during the practicum experience and is distinct from your DNP project, which you’re developing under the guidance of your DNP faculty chair and committee in mentoring courses.

Learning Objectives

  • By the end of this week, students will:
  • Formulate an EBP Project question integrating theory, knowledge, research, reasoning, and nursing practice.
  • Evaluate areas for professional growth within the practicum experience.
  • Looking Ahead
  • Throughout the term, you’re required to maintain a log of the time invested in your practicum experience. This log can be accessed from the Welcome page in your Meditrek account. Ensure regular updates of your hours as they’ll be reviewed by your instructors in weeks 3, 7, and 11.

Learning Resources

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

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.

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.

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

Documents:

  • Clinical Time Log and Journal (Word document)
  • Literature Review Matrix (Word document)
  • NURS 8410 Practicum Journal Template (Word document)
  • Discussion: Developing an Evidence-Based Practice (EBP) Project Question
  • Reflect on issues pertinent to your nursing practice. What aspects of your specialty area capture your attention? Which questions or concerns do you believe warrant significant attention, and why? How do you envision contributing to the knowledge base of your profession?
  • The EBP Project offers a substantial opportunity to advance the nursing profession. Crafting a specific, applicable question serves as a critical initial step in project development. This question delineates the focus of the EBP Project and informs your selection of research methodologies and tools. Reflect on elements within your specialty area and commence formulating a question relevant to your nursing practice.
  • The primary aim of this Discussion is to establish a platform where you and your peers can provide mutual support in shaping a practice-related question.

To prepare:

  • Utilize the PICO (Patient, Intervention, Comparison, Outcome) method described in Chapter 2 of Clinical Research for the Doctor of Nursing Practice (p. 29) and other resources to formulate your EBP Project question. Depending on your specialty area, you may need to adapt the PICO method to suit your target population.
  • Initiate the completion of the Literature Review Matrix by reviewing at least four to six research articles pertinent to your specialty area and EBP Project question. Take note of any challenges encountered and share any strategies or insights that may benefit others.
  • Reflect on the insights presented in the McCurry, Revell, and Roy article provided in the Learning Resources.
  • What questions or concerns, if any, do you have regarding the development of your project question and/or enhancing your expertise within your specialty area?

By Day 3

As I delve into formulating my project question, I’ve developed the following inquiry:

“In adult oncology patients undergoing chemotherapy (P), does the implementation of mindfulness-based stress reduction (I) compared to standard supportive care (C) lead to a reduction in anxiety levels (O)?”

This project question has been informed by various elements:

  • Theory: Drawing from the theory of mindfulness, which posits that practicing mindfulness techniques can alleviate stress and anxiety, I aim to explore its application in the context of oncology care.
  • Current Research: Reviewing recent studies on mindfulness-based interventions and their effects on anxiety levels in cancer patients has provided a foundation for my project question.
  • Nursing Practice: Reflecting on my experiences in oncology nursing, I’ve observed the significant impact of anxiety on patients undergoing chemotherapy. This highlights the relevance and importance of addressing anxiety within this population.
  • Specialty Knowledge: Leveraging my expertise in oncology nursing, I’ve recognized the gap in implementing holistic interventions to address psychosocial aspects of care, which has led to the formulation of this project question.

While developing this question, I’ve encountered some concerns regarding the feasibility of conducting research on mindfulness-based interventions within the constraints of a practicum. Additionally, I’m curious about potential challenges in recruiting participants and ensuring adherence to the intervention protocol.

By Day 6

Response to Colleague 1:

Your project question is clearly articulated and addresses an important aspect of nursing practice. The use of the PICO framework makes it easy to understand and highlights the specific population, intervention, comparison, and outcome of interest. However, I wonder if you’ve considered the potential challenges in measuring anxiety levels accurately and consistently among adult oncology patients, given the subjective nature of this outcome measure.

Response to Colleague 2:

Your project question is thoughtfully constructed and aligns well with your specialty area. It’s evident that you’ve carefully considered the theoretical underpinnings and current research literature to inform your inquiry. One suggestion I have is to explore potential confounding variables that may influence anxiety levels in oncology patients, such as disease severity or prior psychological support received, to ensure a comprehensive understanding of the intervention’s impact.

Overall, both project questions demonstrate a clear focus and present valuable opportunities for contributing to evidence-based practice within your respective specialty areas.

Submit Your Practicum by Day 7

To submit your Practicum:

  • Click on the “Week 1 Practicum” link.
  • Upload your Clinical Time Log and Journal located in the Week 1 Learning Resources.
  • Ensure that your journal entry is week-based and sequential, containing all journal entries in one file.
  • Describe the observed activity.
  • Apply an evidence-based approach to analyze the problem, issue, or situation.
  • Reveal how the real-world might mirror or diverge from program-related evidence, concepts, and/or theories.
  • Submit your Time Log.
  • Reflect on the week’s activities.

Week in Review:

This week, you formulated an EBP Project question and assessed areas for professional growth within the practicum experience.

Next week, you will develop your small-scale Evidence-Based Practice (EBP) Project in your practicum setting.

Week 2: Applying Complex Reasoning Strategies

You likely make countless decisions in your day-to-day practice—many with significant consequences. How do you gather and assess information? Evaluate its significance? Weigh possible actions? As a DNP-prepared nurse, it is essential to engage in self-reflection and further your awareness of how your decision-making processes and use of professional judgment can promote the application of effective practices in your specialty area.

Reasoning strategies guide current practice as well as the development and adoption of new, innovative approaches to improve practice in the specialty areas—a topic that will be explored in depth during upcoming weeks of this course.

This week you begin to develop your small-scale Evidence-Based Practice (EBP) Project in your practicum setting. In Application 1—the first in a series of assignments in which you will convey your insights and analysis of the EBP Project—you are asked to identify an issue related to practice in which an outcome is different from what would be expected according to the research literature.

Learning Objectives:

Apply reasoning strategies in a nursing specialty area.

Evaluate outcomes in a specialty practice area that differ from the research evidence.

Learning Resources:

Required Readings:

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

Chapter 1, “The Importance of Research in the Doctor of Nursing Practice Degree”

Read pages 12-18 beginning with “The DNP Graduate With an Aggregate Focus”

In this section of Chapter 1, the author explains relationship between the DNP clinician, the research process, and developing an effective evidence-based practice. The author also discusses facilitating change in practice based on critically appraised and validated evidence. In addition, Carper’s four essential patterns of “knowing” in nursing and Rosswurm and Larrabee’s six-phase model for reviewing research are highlighted.

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Note: You will access this article from the Walden Library databases.

Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43.

Note: You will access this article from the Walden Library databases.

Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.

Note: You will access this article from the Walden Library databases.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

Note: You will access this article from the Walden Library databases.

Discussion: Reasoning in a Specialty Area

Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?

Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?

In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.

To prepare:

Consider the definition of clinical reasoningand how it is distinguished from other terms in the Simmons article.

Bring to mind key characteristics of your specialty area. Is the concept of clinical reasoning relevant and sufficient to describe the processyou utilize as you make decisions and solve problems in your area of specialization? Why or why not? If not, what terminology would be more useful for defining or characterizing this process?

Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s).

Reflect on your EBP Project question(s). Reexamine your project question(s) through this lens of clinical, or alternately termed, reasoning.

By Day 3

Post a cohesive scholarly response that addresses the following:

How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.

How can you apply reasoning strategies to the refinement of your EBP Project question(s)?

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 2 Discussion

Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.

For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.

Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment.

To prepare for Application 1:

Consider the specifics of your practicum setting, as well as practice-related challenges in your specialty area that interest you. Brainstorm practice issues in which an outcome is different from what would be expected according to the research literature.

Select one issue to focus on for this assignment. This will be your issue for the entire EBP Project, so be sure it is one that will enable you to fulfill the project requirements (e.g., you can develop new approaches to practice). You may wish to speak with your Practicum Mentor about your selection.

Explore the research literature on this issue.

To complete:

In a 1- to 2-page paper, address the following:

Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note: The issue you select must be suitable for completing the entire EBP Project.)

By Day 7

Submission and Grading Information

To submit your completed Assignment for review and grading, please follow these steps:

  • Save your Assignment using the following naming convention: “WK2Assgn+last name+first initial.(extension)”.
  • Review the Grading Criteria for the Assignment by clicking on the Week 2 Assignment Rubric.
  • Click on the Week 2 Assignment link to access the submission area.
  • From the Attach File section, click on Browse My Computer to find the document you saved using the naming convention mentioned earlier.
  • Once you’ve selected your file, click Open.
  • If applicable, check the box for “I agree to submit my paper(s) to the Global Reference Database” in the Plagiarism Tools section.
  • Finally, click the Submit button to complete your submission.

Grading Criteria

To access the rubric for your assignment, please click on the Week 2 Assignment Rubric.

Check Your Assignment Draft for Authenticity

To ensure the authenticity of your Assignment draft, please follow these steps:

  • Submit your Week 2 Assignment draft.
  • Review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment, access the Week 2 Assignment submission area.

Practicum

As you embark on your practicum activities, ensure that all necessary paperwork has been submitted and approved. Remember to keep track of your practicum hours using the provided time log.

By Day 7 of Week 3

A reminder: submit your time log and a journal entry during Week 3. Please refer to the Practicum Guidelines in the Practicum area of the Course Overview page for a comprehensive description of the practicum requirements.

Week in Review

This week, you delved into evaluating outcomes in a specialty practice area that deviates from research evidence and applied reasoning strategies in a nursing specialty area.

Looking ahead to next week, you’ll explore the current state of science in your specialty area.

Week 3: Translating Science in Advanced Nursing Practice

In the ever-evolving landscape of healthcare, the integration of scientific evidence and effective practices is paramount. Nurses, as frontline healthcare providers, are increasingly tasked with implementing evidence-based practices grounded in rigorous scientific research. This week, we delve into assessing the current state of scientific knowledge within your specialty area of nursing.

Learning Objectives

  • Evaluate the current context of scientific knowledge in your nursing specialty area.
  • Assess your practicum experience.
  • Review current literature relevant to an issue in your specialty area.

Learning Resources

Required Readings

  • White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
    • Chapter 1: Evidence-Based Practice
    • Chapter 2: The Science of Translation and Major Frameworks
  • Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
    • Pages 15-18: The Process of Translating Evidence Into Clinical Practice
    • Chapter 3: Conducting a Literature Review
  • Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
  • Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.
  • Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.
  • Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51
  • Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.
  • 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.
  • Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.
  • Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.

Discussion: The State of the Science in Practice

The term “evidence-based practice” is often associated with clinical settings, yet its relevance extends across all nursing specialty areas. Reflect on the types of research evidence that support your work environment and how this evidence informs your practice.

Consider the current status of scientific knowledge underlying your practice. Assess the currency of evidence supporting your specialty practice guidelines.

To prepare:

  • Identify an issue pertinent to your practice, whether related to your EBP Project or another current concern.
  • Examine existing practices or guidelines addressing your chosen issue and evaluate the timeliness of the supporting evidence.
  • Utilize the Walden Library to locate recent articles discussing research translated into evidence applicable to your practice issue. If recent articles are unavailable, explore evidence-based practice resources online.
  • Reflect on the following questions:
    • How up-to-date is the scientific foundation supporting existing practices or guidelines?
    • What new evidence has emerged since the establishment of these guidelines?

Week 3: Translating Science in Advanced Nursing Practice

By Day 3

In your scholarly response, address the following points:

Discuss the state of the scientific underpinnings related to your selected issue.

Evaluate the currency of the science supporting the practice or practice guidelines.

Provide examples of new evidence that has emerged since the adoption of practice guidelines.

By Day 6

Engage with two colleagues’ responses using the following approaches:

Pose probing questions supported by additional information or research.

Offer insights derived from your colleagues’ postings, synthesizing the information to offer fresh perspectives.

Present alternative perspectives supported by classroom readings or personal research.

Validate ideas with your own experiences and supplementary research.

Make suggestions based on additional evidence drawn from readings or synthesized from multiple responses.

Expand on colleagues’ postings by providing additional insights or contrasting perspectives grounded in readings and evidence.

Submission and Grading Information

Review the grading criteria provided in the Week 3 Discussion Rubric.

Post your response by Day 3 and engage with colleagues’ posts by Day 6.

Practicum: Journal and Time Log

By Day 7

Submit your journal entry and time log for Weeks 1-3 following the instructions provided:

Save your assignment using the naming convention “WK3Practicum+last name+first initial.(extension)”.

Attach the file and submit it.

Ensure authenticity by reviewing the originality report for your Practicum draft.

Submit your Practicum by Day 7.

Week in Review

This week, you assessed your practicum experience and reviewed current literature to evaluate the state of science in your nursing specialty. In the next week, you’ll explore the interplay between nursing practice and evidence-based practice.

By Day 3

In your scholarly response, address the following points:

  • Analyze how Fawcett and Garity’s definitions of knowledge, theory, research, and evidence-based practice align with your understanding, supported by evidence from the literature.
  • Discuss the interrelationship between theory, knowledge, research, and evidence-based practice, drawing on relevant scholarly sources.
  • Explain how this interrelationship supports or guides your EBP Project, providing specific examples or insights from your own experience or research.

By Day 6

Engage with two colleagues’ responses using the following approaches:

  • Pose probing questions backed by additional background information, evidence, or research.
  • Share insights derived from colleagues’ postings, synthesizing the information to offer new perspectives.
  • Offer and justify an alternative perspective using readings from the classroom or your own research in the Walden Library.
  • Validate ideas with your own experience and additional research.
  • Make suggestions based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Submission and Grading Information

Refer to the grading criteria outlined in the Week 4 Discussion Rubric.

Post your response by Day 3 and engage with colleagues’ posts by Day 6.

Assignment: Application 2: Laying the Foundation for New Approaches to Practice

This week, you’ve explored the interplay between theory, knowledge, research, and evidence-based practice. For Application 2, consider how evidence-based approaches from disciplines outside nursing could inform your EBP Project.

To prepare:

  • Utilize the Walden Library and other scholarly resources to find evidence-based practice approaches based on theories from non-nursing disciplines.
  • Evaluate these approaches and determine their potential to support your EBP Project.
  • Incorporate this information into Application 2 as you continue its development next week.

By Day 7 of Week 5

Submit Application 2.

Practicum

Continue maintaining your time log and journal of practicum experiences. Refer to the Practicum Guidelines in the Practicum area of the Course Overview page for complete details.

By Day 7 of Week 7

Remember to submit your time log and journal entry in Week 7.

Week in Review

This week, you explored evidence-based approaches from non-nursing disciplines and research designs relevant to your specialty area.

Next week, delve into evidence-based practice models and frameworks that facilitate the adoption of new practice approaches.

Week 6: Innovating New Practice Approaches, Part I

The initial weeks of this course have furnished the foundational knowledge essential for you and your peers to craft novel practice strategies. Reflect on the EBP Project issue you’ve been tackling throughout this course. How can you synthesize the evidence reviewed for Application 2 and integrate the insights gained to devise innovative approaches?

This week, you’ll devise evidence-based practice strategies aimed at enhancing healthcare quality and formulate an evaluation plan for these strategies. In conjunction, as you embark on Application 3, you’ll contemplate the financial and economic implications of implementing these novel strategies. Concurrently, you’ll be encouraged to reflect on your leadership capabilities and your capacity to amalgamate business, financial, and health policy principles to formulate initiatives that enhance care quality.

Learning Objectives:

Integrate theoretical underpinnings in crafting evidence-based practice strategies.

Assess the potential economic ramifications of novel practice strategies targeting a chosen specialty issue.

Evaluate personal leadership development.

Learning Resources:

Required Readings:

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

Chapter 6, “Translation of Evidence for Leadership”

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practice education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.

Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.

Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.

Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.

Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.

Discussion: Crafting and Evaluating Novel Practice Approaches

In the dynamic healthcare field, the constant exploration of innovative techniques, treatments, and technologies is pivotal for enhancing care quality and health outcomes. As an advanced nursing practitioner, you possess the opportunity to seek fresh solutions to challenges within your specialty area. What tools can facilitate this discovery process? What factors need to be considered while devising novel practice approaches to tackle healthcare issues? This week, reflect on new avenues to address the EBP Project issue identified in Week 2.

To prepare:

Reflect on the evidence base analyzed for your chosen EBP Project issue (identified during Week 2).

Utilizing methods delineated in the Learning Resources, devise fresh evidence-based practice strategies to tackle the issue and enhance healthcare quality.

What theoretical frameworks underpin your proposed strategies?

What are the potential economic ramifications of implementing your suggested strategies?

By Day 3

Post a cohesive response addressing the following:

Summarize your chosen issue briefly and propose novel evidence-based practice strategies. Explain the theoretical foundation for your strategies.

Discuss the potential economic implications of your suggested strategies.

How might these novel practice strategies enhance healthcare quality?

By Day 6

Respond to two colleagues using one or more of the following approaches:

Pose probing questions backed by additional background information, evidence, or research.

Share insights derived from colleagues’ posts, synthesizing the information to offer new perspectives.

Offer and justify an alternative viewpoint using readings from the classroom or your research in the Walden Library.

Validate ideas with your own experience and additional research.

Make suggestions based on additional evidence drawn from readings or after synthesizing multiple posts.

Expand on colleagues’ posts by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Reflect on what you learned and any insights gained from your colleagues’ comments.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Assignment: Application 3: Pioneering Leadership in Evidence Translation

Embarking on Application 3, you, as an advanced practice nurse, wield the transformative potential to lead the translation of evidence into practice. In this initial phase of Application 3, delve into the economic and financial implications of addressing your EBP Project issue. Furthermore, introspect on your leadership acumen. As a DNP-prepared nurse, leveraging principles from business, finance, and health policy is imperative in devising initiatives aimed at enhancing care quality.

Prepare for this week’s segment of Application 3 as follows:

Continue evaluating the new strategies developed in this week’s Discussion to tackle your selected issue and their potential economic impact.

Refer to Chapter 6 in the course text, “Translation of Evidence Into Nursing and Health Care Practice.” Reflect on how these activities augment your leadership skills. Consider how translating evidence empowers you, as a leader, to influence or fortify healthcare delivery and your nursing practice.

You will expand upon this Application next week as you explore advancing new practice paradigms through the policy process.

By Day 7 of Week 7

Application 3 is due. You do not need to submit anything this week.

Practicum

Maintain a time log and journal of your practicum experiences. Refer to the Practicum Guidelines in the Practicum area of the Course Overview page for a comprehensive overview.

By Day 7 of Week 7

Reminder: Submit your time log and a journal entry in Week 7.

Week in Review

This week, you assessed the economic impacts of novel practice strategies and integrated theoretical foundations into the development of evidence-based practice strategies. Additionally, you evaluated your personal growth in leadership skills.

Next week, explore how to advocate for healthcare policy utilizing the concepts presented in earlier weeks to enhance health-related outcomes.

Week 7: Implementing New Practice Approaches, Part II

“Engagement in the process of policy development is central to creating a health care system that meets the needs of its constituents” (AACN, 2006, p. 13).

As a professional nurse, you wield significant influence in shaping health care policies. Nurses frequently testify before Congress or its committees on crucial health care matters, presenting scientific evidence to inform policy formation. This week, you explore leveraging the concepts learned to advocate for health care policy, aiming to enhance health-related outcomes. Additionally, you’ll submit your time log and a journal entry for your practicum experience.

Learning Objectives

Develop strategies for advocating health policy to enhance health care outcomes

Analyze personal growth and development as a leader in evidence-based practice

Assess the practicum experience

Learning Resources

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

Chapter 4, “Translation of Evidence to Improve Clinical Outcomes”

Chapter 5, “Translation of Evidence for Improving Safety and Quality”

Chapter 7, “Translation of Evidence for Health Policy”

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3

Note: Accessible via Walden Library databases.

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.

Note: Accessible via Walden Library databases.

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1

Note: Accessible via Walden Library databases.

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966

Note: Accessible via Walden Library databases.

Discussion: Advocating for New Practice Approaches Through Policy

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.” —Florence Nightingale

Through the policy process, nurses can transform feelings, experiences, and expertise into actions with tangible outcomes. In this course, you’ve sharpened skills to critically assess evidence, aiming to enhance practice and develop innovative approaches. As a DNP-prepared nurse, you possess the capacity to influence health care outcomes at the population or aggregate level. Leading policy development is a crucial avenue to achieve this.

Prepare:

Select one of the new practice approaches from the Week 6 Discussion.

Review the Trautman (2009) article in the Learning Resources. Evaluate strategies for engaging in the policy process.

Consider barriers to using evidence to effect changes in health care policy as discussed in the course text.

Brainstorm ideas for leading policy development regarding your chosen practice approach and for addressing these barriers.

By Day 3

Post a coherent response addressing:

Identify your proposed practice approach in the first line.

How would you lead policy development for your selected issue?

What strategies could you use to overcome barriers while engaging policymakers? (Select two or more strategies to focus on.)

By Day 6

Respond to two colleagues in one or more of the following ways:

Pose a probing question, substantiated with additional background information, evidence, or research.

Share insights from colleagues’ postings, synthesizing information to provide new perspectives.

Offer an alternative perspective using readings from the classroom or your own research.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence or multiple postings.

Expand on colleagues’ postings by providing additional insights or contrasting perspectives.

Return to this Discussion later to note what you learned from colleagues’ comments.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Assignment: Application 3: Advancing Leadership in Evidence Translation

As you reflect on your journey towards obtaining your Doctor of Nursing Practice (DNP) degree, consider the growth you’ve experienced both professionally and personally. The American Association of Colleges of Nursing (AACN) highlights the enhancement of leadership skills as a key benefit of a practice doctorate, aiming to fortify practice and health care delivery (2006, p. 5). Throughout your practicum experience, be mindful of your development in these areas.

In Week 6, you commenced your reflection on leadership for this Assignment. This week, you further delve into this reflection, contemplating how you can lead the translation of evidence into practice by contributing to policy development.

To prepare:

Building on the groundwork laid in Week 6 for this Application, revisit the insights shared in this week’s Discussion forum. Consider how you can spearhead policy development to address the issue identified in your Evidence-Based Practice (EBP) Project.

The complete Application 3 is due by Day 7 of this week. Instructions for prior sections of this Application were provided in Week 6.

To complete:

Compose a 3- to 5-page paper that encompasses:

Your personal vision of leadership, including:

Strategies for continuously enhancing your comprehension of financial, economic, and other pertinent factors associated with new practice approaches

How leveraging evidence translation would empower you to influence or reinforce health care delivery and nursing practice

Your advocacy plans for promoting the adoption of novel evidence-based practice approaches within the policy realm

Practicum: Journal and Time Log

By Day 7

For Weeks 4-7, you are required to submit a journal entry along with your time log. Your journal entry should connect your prior professional experiences with your current practicum, integrating program competencies, concepts, and relevant literature. Ensure your journal entry is organized by week for sequential clarity.

Describe the observed activity during each week.

Analyze the problem, issue, or situation using an evidence-based approach, addressing any questions posed in the weekly practicum pages.

Discuss how the real-world scenario may align with or diverge from evidence, concepts, and theories learned in the program.

Submit your time log along with your journal entry according to the provided instructions.

Submission and Grading Information:

Save your Practicum using the format “WK7Practicum+last name+first initial.(extension)” and follow the submission steps.

Check for authenticity using the provided tools.

Submit your Practicum by Day 7.

Review the rubric for assessment criteria.

Week in Review:

During this week, you reflected on your professional growth and development as a leader in evidence-based practice, devising strategies to advocate for health policy improvements that enhance health care outcomes.

In the upcoming week, you will explore barriers that may impede the adoption and implementation of evidence-based practice.

Week 8: Creating an Environment for Evidence-Based Practice

“As a nurse engaged in advanced practice, you are uniquely positioned to motivate your colleagues and contribute toward the development of a culture that embraces change.” (Hyrkäs & Harvey, 2010, p. 1).

In the pursuit of translating evidence into practice, nurses face various barriers within the healthcare system. This week, we delve into the examination of these obstacles, explore change theories, and devise strategies to foster an environment conducive to evidence-based practice, aiming to enhance quality and safety outcomes.

Learning Objectives:

Assess the readiness for change in a practice environment.

Develop theory-based strategies to facilitate the implementation of change in a practice environment.

Learning Resources:

Required Readings:

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

Review Chapter 3, “Change Theory and Models: Framework for Translation”

Chapter 14, “Creating a Culture That Promotes Translation”

Chapter 15, “Best Practices in Translation: Challenges and Barriers in Translation”

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.

Discussion: Preparing for Change

To prepare:

Review the theories and frameworks presented in Chapter 3 of the course text and conduct additional research. Reflect on insights provided by these theories on navigating practice issues through development, implementation, and achieving positive outcomes.

Evaluate the readiness for change in your practicum setting. Identify barriers and facilitators.

Consider strategies to address barriers and assess their potential effectiveness based on theory.

By Day 3

Post a cohesive scholarly response addressing:

Assessment of readiness for change in your practicum environment, including factors like barriers and facilitators.

Identification of a theory or framework guiding your change efforts.

Discussion of strategies to address barriers, accompanied by insights on their potential effectiveness based on theory.

By Day 6

Respond to two colleagues, offering:

Probing questions supported by additional evidence or research.

Insights synthesizing information from their posts.

Alternative perspectives from readings or personal research.

Validation or suggestions based on additional evidence.

Expansions or contrasts based on readings and evidence.

Return to the Discussion to learn from your peers’ responses and note any insights gained.

Ensure your responses are supported by specific citations from this week’s Learning Resources and additional sources as necessary.

Assignment: Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Planning for Change

Implementing new practices based on evidence can be challenging. This week, you will explore how to effectively prepare your work environment for change and consider the factors that need to be taken into account, such as financial, legislative, and systemic considerations.

This section of Application 4 builds on the discussions from this week, continuing the exploration of your Evidence-Based Practice (EBP) Project. You will analyze the factors impacting stakeholders or end users as you initiate change and implement a new process or project to address your EBP issue.

To prepare:

Analyze the impact of implementing change in your practice environment, considering factors related to stakeholders or end users. Reflect on how you would communicate with them to address questions or concerns and how you would enlist their support.

Develop a summary of methods to ensure that these factors are adequately addressed.

By Day 7 of Week 10

Submission of Application 4 is due.

Practicum

Continue to maintain a time log and journal of your practicum experiences.

By Day 7 of Week 11

Reminder: Submit your time log and a journal entry.

Week in Review

This week, you assessed readiness for change in a practice environment and developed theory-based strategies for change implementation.

Next week, you will evaluate an issue within an organization, analyzing the system at both macro- and micro-levels, and identifying strategies for assessing the clinical environment and associated nonclinical units supporting quality provision.

Assignment 1: Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Implementing EBP Projects

In moving forward with Evidence-Based Practice (EBP) projects, it is crucial to understand the systems that either hinder or facilitate change within healthcare organizations. Recognizing the interconnectedness of these systems is key to advancing an EBP project.

Reflect on the feedback received from your colleagues regarding your Microsoft PowerPoint presentation in this week’s Discussion. What new perspectives did you gain? How might you adjust your strategies for addressing the issue?

To prepare:

Refine the desired outcomes and strategies for resolving the issue based on the insights gained from your colleagues’ feedback.

Evaluate how resolving the issue will enhance quality and patient safety.

Integrate this information into your Application paper (not in PowerPoint format).

By Day 7 of Week 10

Submission of Application 4 is due.

Assignment 2: Application 5: Disseminating the EBP Project

Dissemination of EBP projects is vital for advancing the field of nursing and contributing to the collective knowledge within the profession. To prepare for this week’s section of Application 5:

Continue to analyze the role of the DNP-prepared nurse in scholarship.

The full Application 5 is due by Day 6 of week 11.

For this assignment, you will create a scholarly product to report the results and implications of your project to a specified audience. Your product may take the form of a project summary, a poster presentation, a program evaluation report, or a media or technology-based deliverable. Regardless of the format, your scholarly product must include the following components:

Background, Purpose, and Nature of the Project

Describe the larger problem or issue addressed in your DNP Project, including your practice-focused question. Explain how this issue impacts nursing practice and the healthcare system, and detail how your DNP Project explored potential strategies for resolution.

Evidence

Outline the practice setting and context of your project, summarize the evidence supporting your project, and delineate the process for implementation and evaluation.

Presentation of Results

Present the findings of your DNP Project and the recommendations for organizational change.

Note: Up to 2 points may be deducted for grammar, spelling, and/or APA errors.

This Application is due by Day 6 of Week 11.

Practicum

Continue to maintain a time log and journal of your practicum experiences.

By Day 7 of Week 11

Reminder: Submit your time log and a journal entry.

Week in Review

This week, you focused on evaluating outcomes of new practice approaches and developing guidelines for practice based on these evaluations.

Next week, you will explore the next steps in translating research evidence into new practice guidelines and standards of care.

Assignment 1: Application 4: Planning for Change, Implementing, and Evaluating EBP Projects

Evaluating EBP Projects

The successful implementation and evaluation of an Evidence-Based Practice (EBP) Project are influenced by various factors. Utilizing a translation framework, as discussed in this week’s Learning Resources, can aid in effective implementation and outcome evaluation.

As you finalize Application 4, reassess the evidence-based practice model or framework chosen for your EBP Project (Application 2). How does this model or framework facilitate outcome evaluation? Would another model or framework better suit your project’s needs?

To prepare for this week’s section of Application 4:

Continue refining the method for evaluating your outcomes as discussed in this week’s Discussion.

Develop new practice guidelines based on potential evaluation results.

Consider, if necessary, formulating new standards of care aligned with the new practice guidelines.

Application 4 is due in its entirety by Day 7 of this week. Refer to instructions provided in Weeks 8 and 9 for preparation details for previous sections of this Application.

Write a 4- to 8-page paper covering the following:

Planning for Change

Analyze the impact of implementing change in your practice environment, including considerations for stakeholders and end-users.

Summarize the methods to ensure adequate addressing of these factors.

Implementing EBP Projects

Identify the desired outcomes of your EBP Project.

Describe any macro or micro systems issues hindering implementation and strategies to resolve them.

Explain how resolving your EBP Project issue will enhance quality and patient safety.

Evaluating EBP Projects

Describe evaluation strategies.

Formulate new practice guidelines based on potential evaluation outcomes.

Describe, if applicable, new standards of care relevant to the updated practice guidelines.

By Day 7

Submit Application 4.

Submission and Grading Information

To submit your completed Assignment for review and grading:

Save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)”.

Click on the Week 10 Assignment Rubric to review the Grading Criteria.

Click on Week 10 Assignment submission link.

Click Browse My Computer and find your file.

Click Open and then Submit.

Grading Criteria

Access the rubric through the Week 10 Assignment Rubric link.

Check Your Assignment Draft for Authenticity

Check your Assignment draft for authenticity using Turnitin.

Submit Your Assignment by Day 7

Submit your Assignment by Day 7 through the Week 10 Assignment submission link.

Assignment 2: Application 5: Disseminating the EBP Project

The objective of translating evidence into practice is to advance nursing. Dissemination is a pivotal step in this process, enhancing the profession’s knowledge base. To prepare for this week’s section of Application 5:

Continue analyzing the DNP-prepared nurse’s role in scholarship, as discussed in this week’s Discussion.

Application 5 must be submitted in full by Day 6 of Week 11.

Prepare a scholarly product to report your project’s results and implications to a specified audience. Your product may take various forms, such as a project summary, a poster presentation, a program evaluation report, or a media/technology-based deliverable. Regardless of the format, ensure your scholarly product includes:

Background, Purpose, and Nature of the Project

Describe the larger problem or issue addressed in your DNP Project, along with your practice-focused question. Explain the issue’s impact on nursing practice and the healthcare system, as well as how your DNP Project explored potential solutions.

Evidence

Identify the practice setting and context of your project, summarize supporting evidence, and outline the implementation and evaluation process.

Presentation of Results

Explain your DNP Project’s results and the recommendations for organizational change.

Up to 2 points may be deducted for grammar, spelling, or APA errors.

Submission is due by Day 6 of Week 11.

Practicum

Continue maintaining your time log and journal of practicum experiences.

By Day 7 of Week 11

Submit your time log and final journal entry.

Week in Review

This week, you evaluated outcomes of new practice approaches and developed guidelines accordingly. You also recommended new standards of care.

In the final week, you will assess dissemination’s role in scholarship, complete your practicum experience, and submit your final time log and journal entry.

Proceed to Week 11 for further instructions.

Week 11: Dissemination, Part I

This week, you will evaluate dissemination’s role in scholarship, complete your practicum experience, and submit final time log and journal entry.

Practicum: Journal and Time Log

Week 8:

Observed Activity: Participated in a quality improvement (QI) meeting focusing on reducing hospital readmissions among heart failure patients.

Analysis: Utilized an evidence-based approach to review current readmission rates and identify potential contributing factors. Discussed strategies such as patient education, medication reconciliation, and follow-up care to address the issue.

Reflection: Real-world challenges, such as limited resources and staff turnover, may hinder the implementation of evidence-based interventions discussed in the program. However, aligning with program concepts, emphasizing patient-centered care, and interdisciplinary collaboration are crucial for success.

Week 9:

Observed Activity: Conducted a root cause analysis of medication errors in the clinical setting.

Analysis: Applied an evidence-based framework to identify system-level factors contributing to medication errors, including communication breakdowns and workflow inefficiencies.

Reflection: Despite program emphasis on error prevention strategies, such as barcode scanning and standardized protocols, real-world challenges such as time constraints and staff workload impact implementation. Addressing these barriers requires ongoing collaboration and support from leadership.

Week 10:

Observed Activity: Implemented a falls prevention program in collaboration with the interdisciplinary team.

Analysis: Utilized evidence-based guidelines to assess fall risk factors, develop personalized care plans, and implement fall prevention interventions.

Reflection: While program concepts emphasize comprehensive assessment and multifactorial interventions, the real-world context may present challenges such as staff resistance to change and variability in patient compliance. Adapting interventions to fit individual patient needs is essential for program success.

Week 11:

Observed Activity: Presented findings from the falls prevention program at a departmental meeting.

Analysis: Applied evidence-based strategies to disseminate program outcomes, including visual aids, data analysis, and recommendations for future improvement.

Reflection: Despite program focus on knowledge translation and dissemination, real-world dissemination efforts may face barriers such as time constraints and competing priorities. However, emphasizing the impact of the program on patient safety and quality of care can garner support from stakeholders.

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