NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Help
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing Specialties
NURS 8410 Entire Course Weekly Discussions And Assignments
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 1: Developing a Focus in Your Specialty Area
As a nurse and a doctoral student, you have already developed a set of skills and the expertise that have enabled you to contribute to the nursing profession and to those you serve. Yet, your call to advanced practice warrants a deeper understanding of issues and approaches, particularly in your area of specialty practice. To practice at the highest level, you must be able to analyze a health care problem using reasoning, theory, research, and experience.
As you move forward in this course, you will create an Evidence-Based Practice (EBP), in which you will evaluate the scientific foundations of a health care issue in your specialty area, apply effective practices, identify and evaluate outcomes, and develop new practice guidelines. This week, you will become familiar with the requirements of the EBP Assignment, which will be completed as part of your practicum experience. To help you prepare for your practicum, this week you reflect on your own potential for professional growth and create learning objectives to guide your experience. The EBP Assignment must be completed during this practicum experience and is not the same as your DNP project that you are developing with the guidance of your DNP faculty chair and committee in the mentoring courses.
Learning Objectives : Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
Students will:
- Formulate a EBP Assignment question incorporating theory, knowledge, research, reasoning, and nursing practice
- Assess areas for professional growth within the practicum experience
| Looking Ahead
You are required to keep a log of the time you spend related to your practicum experience. You can access your time log from the Welcome page in your Meditrek account. Please make sure to continuously input your hours throughout the term. Time logs are reviewed by your instructors in weeks 3, 7, and 11. |
Discussion: Developing an Evidence-Based Practice (EBP) Assignment 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 Assignment 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 Assignment 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 Assignment 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 Assignment 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 Day 3
Post a cohesive scholarly response that addresses the following:
- Share your project question, as you have developed it thus far.
- Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.
- 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.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues by providing feedback on their project question:
- Consider the following when providing feedback:
- Is the project question easily understood?
- Is the answer to the project question not immediately obvious?
- Can the project question be answered in the time available to the researcher?
You may also respond to your colleagues in the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective, using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C 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) Assignment 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 Assignment—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. This issue provides the foundation for future development of the project.
Learning Objectives
Students will: Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
- Apply reasoning strategies in a nursing specialty area
- Evaluate outcomes in a specialty practice area that differ from the research evidence
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 Assignment question.
To prepare:
- Consider the definition of clinical reasoning and 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 process you 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 Assignment question(s).
- Reflect on your EBP Assignment 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 Assignment question(s)?
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective, using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 3: Translating Science in Advanced Nursing Practice
Health care is an increasingly complex field fueled by the explosion of information available at one’s fingertips. As technology, medical research, and information systems continue to evolve, more emphasis is being placed on incorporating science and effective practices into health care. Nurses are increasingly called upon to implement best practices based on scientifically sound evidence.
This week, you examine the current state of science in your specialty area. This is an essential step for being able to assess and promote evidence-based practice, whether or not you are directly involved in the delivery of patient care. For instance, you may investigate the latest research in leadership, economics, management, education, and so on, and apply that research in your specialty practice area.
Also this week, you submit your time log and a journal entry for your practicum experience.
Learning Objectives
Students will: Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
- Evaluate the state of the current context of science in your specialty area in nursing and health care
- Assess the practicum experience
- Evaluate current literature pertaining to an issue in a specialty area
Discussion: The State of the Science in Practice
The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?
Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?
To prepare:
- Bring to mind an issue related to your practice. You may use the issue you are exploring for your EBP Assignment, or another current issue in your specialty area.
- If possible, examine practices and/or practice guidelines established to address your selected issue and determine how current the evidence is that supports them.
- Using the Walden Library, locate recently published articles that discuss research translated into evidence that applies to your selected practice issue. If you are unable to locate current articles (within the last five years), use the Internet to find evidence-based practice articles on this topic.
- Consider the following questions:
- How current is the science that supported the practice or practice guidelines?
- What new evidence has emerged since the practice guidelines were crafted and adopted?
By Day 3
Post a cohesive scholarly response that addresses the following:
- Discuss the state of the scientific underpinnings that relate to your selected issue.
- How current is the science that supported the practice or practice guidelines?
- What new evidence has emerged since the practice guidelines were crafted and adopted? Provide one or two examples that support your assessment.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 4: New Practice Approaches, Part I
As underscored in Week 3, science provides a foundation for nursing practice and practice guidelines—yet, it can be surprising to realize that the latest research evidence is often not applied in practice, or that practice guidelines may not be updated based on new evidence.
The aim of evidence-based practice is to ensure that the most current science is used to promote the highest quality of health care. This is accomplished through the analysis, synthesis, and application of research, theory, and knowledge to nursing practice.
This week, you explore the interrelationships between theory, knowledge, research, and nursing practice and how this influences evidence-based practice. You also continue your EBP Assignment, as you initiate work on Application 2.
Learning Objectives
Students will: Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
- Analyze the interrelationships between theory, knowledge and research, and evidence-based practice
- Evaluate evidence-based approaches based on theories from non-nursing disciplines
- Evaluate research designs for addressing a specific issue in a specialty area
- Defend the selection of a research design
Discussion: The Interrelationship Between Theory, Knowledge, and Research and Evidence-Based Practice
Fawcett and Garity (2009) present an overview of the relationship between theory, knowledge, research, nursing research, and evidence-based practice. As you prepare for this Discussion, reflect on your own specialty area and consider how the authors’ definitions of evidence-based practiceand of research align with your understanding of these concepts based on your professional experiences and your experiences as a doctoral student embarking on your EBP Assignment.
To prepare:
- Reflect on Fawcett and Garity’s definitions of knowledge, theory, research and evidence-based practice presented in the Learning Resources. How do these definitions align with your understanding of the concepts?
- How does this interrelationship support or guide your EBP Assignment?
By Day 3
Post a cohesive scholarly response that addresses the following:
- How do Fawcett and Garity’s definitions align with your understanding of knowledge, theory, research and evidence-based practice? Support your response with evidence from the literature.
- Discuss the interrelationship between theory, knowledge, research and evidence-based practice.
- How does this interrelationship support or guide your EBP Assignment?
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 5: New Practice Approaches, Part II
A hallmark of the DNP-prepared nurse is the ability to go into a health setting, identify a problem, examine the evidence, and develop new approaches in practice to improve outcomes for patients, populations, and/or organizations. This, in turn, can lead to the development of new models of evidence-based practice.
This week you examine evidence-based practice models and frameworks that assist with the adoption of new practice approaches. You apply this focus as you continue your practicum experience.
Learning Objectives
Students will: Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
- Evaluate the use of evidence-based practice models and change theories and frameworks for facilitating the adoption of new practice approaches
- Appraise current evidence for addressing a practice issue
- Evaluate the quality of evidence using the GRADE guidelines
Discussion: New Models for Evidence-Based Practice
A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Assignment, keep this aim in mind. What could help to facilitate the acceptance of new practices?
As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.
To prepare:
- Reflect on your practicum setting and the use of evidence-based practice models. How are these models used? If they are not used, how might the integration of an evidence-based practice model change practice?
- Review the Rosswurm and Larrabee article presented in the Learning Resources focusing on the model they present for integrating new evidence-based practices.
- Research and locate an evidence-based practice model from nursing or another discipline that could be used in your specialty area to lead a systematic change to evidence-based practice approaches. You may also use a model or framework discussed in your course text, Translation of Evidence Into Nursing and Health Care Practice.
- Consider how using a model for evidence-based practice can facilitate adoption of new approaches to practice.
By Day 3
Post a cohesive response that addresses the following:
- Discuss the use of evidence-based models in your practicum setting.
- Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.
Read a selection of your colleagues’ postings.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Provide specific feedback on your colleague’s chosen research method and selected evidence-based practice model.
- Suggest another model if appropriate.
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 6: The Application of New Practice Approaches, Part I
The first several weeks of this course have presented the foundational information necessary for you and your colleagues to develop new practice strategies. Think of the EBP Assignment issue that you have been addressing in this course. How could you synthesize the evidence you reviewed for Application 2 and what you have learned in this course to create a new approach?
This week you formulate evidence-based practice strategies designed to promote health care quality, and develop a plan for evaluating these strategies as well. As you begin Application 3, you consider the financial and economic impact of implementing these new strategies. As you continue your practicum experience, you are asked to reflect on your leadership skills and your ability to integrate business, finance, and health policy principles in the development of initiatives that will improve the quality of care delivered.
Learning Objectives
Students will:
- Integrate theoretical foundations in the development of evidence-based practice strategies
- Evaluate the potential economic impact of new practice strategies that address a selected specialty issue
- Appraise personal growth in leadership skills
Discussion: Developing and Evaluating New Practice Approaches
One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Assignment issue you identified in Week 2.
To prepare:
- Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Assignment (identified during Week 2).
- Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.
- What are the theoretical bases for your proposed strategies?
- What might be the economic impact of implementing your proposed strategies?
By Day 3
Post a cohesive response that addresses the following:
- Briefly summarize your selected issue and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.
- Discuss the potential economic impact of your suggested strategies.
- How could the new practice strategies improve health care quality?
Read a selection of your colleagues’ postings.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 7: The Application of New Practice Approaches, Part II
The first several weeks of this course have presented the foundational information necessary for you and your colleagues to develop new practice strategies. Think of the EBP Assignment issue that you have been addressing in this course. How could you synthesize the evidence you reviewed for Application 2 and what you have learned in this course to create a new approach?
This week you formulate evidence-based practice strategies designed to promote health care quality, and develop a plan for evaluating these strategies as well. As you begin Application 3, you consider the financial and economic impact of implementing these new strategies. As you continue your practicum experience, you are asked to reflect on your leadership skills and your ability to integrate business, finance, and health policy principles in the development of initiatives that will improve the quality of care delivered.
Learning Objectives
Students will:
- Integrate theoretical foundations in the development of evidence-based practice strategies
- Evaluate the potential economic impact of new practice strategies that address a selected specialty issue
- Appraise personal growth in leadership skills
Discussion: Developing and Evaluating New Practice Approaches
One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Assignment issue you identified in Week 2.
To prepare:
- Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Assignment (identified during Week 2).
- Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.
- What are the theoretical bases for your proposed strategies?
- What might be the economic impact of implementing your proposed strategies?
By Day 3
Post a cohesive response that addresses the following:
- Briefly summarize your selected issue and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.
- Discuss the potential economic impact of your suggested strategies.
- How could the new practice strategies improve health care quality?
Read a selection of your colleagues’ postings.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing Specialties | Week 8
“What health care needs most are effective leaders who understand innovation and how it spreads, who respect the diversity of change itself, and who can nurture innovation in all its rich and many costumes” (Hyrkäs & Harvey, 2010, p. 1).
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. Yet, even with the worthwhile goal of translating evidence into practice, barriers present a formidable challenge in many settings in today’s health care system.
This week you examine barriers that may inhibit the adoption and implementation of evidence-based practice. You also explore change theories and consider how they can be applied to help create an environment that facilitates practice grounded in evidence and, ultimately, to promote the achievement of outcomes related to quality and safety.
In addition, you continue your practicum experience and begin Application 4 this week.
Learning Objectives
Students will:
- Assess the readiness for change in a practice environment
- Develop theory-based strategies to facilitate the implementation of change in a practice environment
Discussion: Preparing for Change
What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes? How does theory provide a framework? What barriers might you encounter?
To prepare: Get NURS8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing-Specialties Essay Assignment Help
- Review the theories and frameworks (i.e., change, organizational, behavioral) presented in Chapter 3 of the course text, Translation of Evidence Into Nursing and Health Care Practice, and conduct additional research of your own. What insights do these theories provide regarding how to take your practice issue from development and design through implementation to the realization of positive outcomes?
- Think about your practicum setting and evaluate the readiness for change in this environment. Identify barriers and facilitators for change.
- Consider strategies to address the barriers, and assess why they might be effective based on theory.
By Day 3
Post a cohesive scholarly response that addresses the following:
- Assess the readiness for change in your practicum environment. Discuss those factors (barriers and facilitators) that need to be considered.
- Identify a theory or framework that will guide your change efforts.
- Discuss strategies to address barriers, and provide one or more insights regarding why you think they might be effective based on theory.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings 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. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing Specialties | Week 9
“In a large, complex organization…the primary consequences of our actions may well be in the distant future or in a distant, but interrelated, part of a larger system in which we operate. For this reason, we are often puzzled by the underlying causes of current problems within our organizations. We are unable to look at underlying structures or patterns of behavior that may have resulted in less than stellar outcomes” (Zaccagnini & White, 2011, p. 45).
How can the perspective described above be shifted to provide a fuller view of the dynamics in today’s health care organizations? And, in doing so, how could this promote the achievement of positive outcomes related to quality and safety?
In previous courses you have examined systems theory, as well as the interrelationships of various areas within an organization. This week, you revisit these concepts as you assess an issue within an organization—analyzing the system at the macro- and the micro-level. You also identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality. In addition, you develop outcomes related to quality and safety.
This week you continue to engage in your practicum experience and on Application 4.
Reference: Zaccagnini, M. E., & White, K. W. (2011). The doctor of nursing ractice essentials: A new model for advanced practice nursing. Sudbury, MA: Jones and Bartlett.
Learning Objectives
Students will:
- Apply systems theory to the evaluation of quality improvement and patient safety initiatives
Discussion: Quality Improvement and Patient Safety Initiatives
The vice president of nursing, Dr. Sasha Mendez, has had a lot of complaints from patients and their families about the difficulties they experience navigating the system at her organization; e.g., going from the E.R. to admissions. Dr. Mendez’s nursing specialty area is psych/mental health. As such, she is very concerned about the stress this is causing the patients.
What are the macro systems that are affecting patient satisfaction at Dr. Mendez’s facility? What micro systems should she also analyze to look at how the patient moves through—from entry, to possible admission, to possible discharge? How do these systems relate? What impacts each system?
The concepts presented in Week 8 serve as a foundation for this week as you continue to look at factors within an organization’s environment that are barriers and facilitators for implementing change. In this Discussion, you examine the macro and micro systems within the organization (of your practicum setting) and identify changes that may need to take place to facilitate quality improvement and achievement of patient safety outcomes.
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- Reflect on the issue you have been addressing through your EBP Assignment.
- Identify the macro and micro systems that influence the issue. Review the McClusky and Middleton (2010) article for an example of this process.
- Determine the desired outcomes of resolving the EBP Assignment issue and how resolving it will improve quality and patient safety. (Note: Next week you will evaluate these outcomes. You may want to view the Week 10 Discussion as you prepare.)
- What procedures/processes would need to be modified to achieve the desired outcomes?
- Develop a 5-slide Microsoft PowerPoint presentation for the business unit team and leadership within the organization, sharing your issue, strategies for resolving the issue, and how it will improve quality and patient safety. Note: The purpose of the presentation is to persuade the business unit team and leadership to accept your recommendations.
By Day 3
Post your PowerPoint presentation.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues using the following scenario:
Imagine you are a manager from the business unit or leadership team who is also involved in your organization’s quality management committee. Employing this perspective, critique at least three of your colleagues’ presentations.
When critiquing your colleagues’ presentations be sure to:
- Determine the extent to which the PowerPoint presentation convinces you that the appropriate systems were examined and that the identified outcomes are attainable
- Provide feedback on whether you believe the suggested modifications to the systems will lead to the desired outcomes
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C: Best Practices In Nursing Specialties | Week 10
“One of the great mistakes is to judge policies and programs by their intentions rather than their results.”
—Milton Friedman
How do you measure the success of a translation project to determine if new practice approaches actually make a difference? Evaluating the results or outcomes of the translation of evidence into practice is the key. Only by evaluating the outcomes can you ensure the effectiveness and sustainability of your new practice approaches.
During Week 9, you outlined desired outcomes for the issue you have been addressing through your EBP Assignment. In the Discussion, you suggested changes at the micro and/or macro systems level to improve quality outcomes.
This week, you determine how the success of the new practice approaches can be evaluated. Then, you explore the next steps of translating research evidence into new guidelines for practice, and ultimately, standards of care. You also continue your practicum experience.
Reference: Friedman, M. (Guest). (1975). Living within our means [Television series episode]. In The Open Mind. New York, NY.
Learning Objectives
Students will:
- Evaluate the outcomes of new practice approaches in a specialty area
- Develop guidelines for practice based on the evaluation of outcomes of new practice approaches in a specialty area
- Recommend new standards of care to address a health issue in a specialty area
Discussion: Evaluation of Outcomes
As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.
As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.
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- The course text, Translation of Evidence Into Nursing and Health Care Practice, provides a list of questions that should be considered when planning for evaluation. See page 239 for this list of questions.
- Review the Learning Resources focusing on the various evaluation frameworks presented. Select a framework and determine how you would evaluate the outcomes you identified in the Week 9 Discussion.
- Based on the possible results of your evaluation, envision new practice guidelines you would develop.
- What new standards of care might this lead to?
By Day 3
Post a cohesive scholarly response that addresses the following:
- In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion).
- How would you evaluate the outcomes? Support your response with evidence from the literature.
- What new practice guidelines would you create based on your evaluation of those outcomes?
- Discuss any new standards of care that would be appropriate based on the new practice guidelines.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
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NURS 8410/8410A/8410F/8410M/8410S/8410W/8410C Week 11: Dissemination, Part I
One of the chief purposes of translating evidence into practice is to advance the field of nursing. Dissemination is a critical step in this process.
It is important to disseminate and share the information gained from a translation-of-evidence project to enhance the body of knowledge within the profession, thus furthering the science of nursing. Yet how does one prepare to disseminate research findings? What is required to engage in this form of scholarship?
This week, you assess the role of dissemination in scholarship. You also complete your practicum experience and submit your time log and final journal entry.
Learning Objectives
Students will:
- Analyze the role of the DNP-prepared nurse in scholarship
- Assess the practicum experience
Discussion: Defining Scholarship
A hallmark of your education at Walden University is your development as a scholar-practitioner. As a doctoral student, you have been actively engaged in scholarly activities that support your growth as a scholar-practitioner. As you continue to develop, implement, and evaluate your EBP assignment, you will be applying scholarship as you translate research into practice. A key element of scholarship is dissemination.
As you prepare for this Discussion, consider the role of evaluation and dissemination in scholarship. If research is not disseminated, can it be considered scholarship?
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- Reflect on the definitions and criteria for scholarship presented in the Learning Resources.
- Consider AACN’s definition of scholarship and their vision of the role of the DNP-prepared nurse in furthering nursing scholarship.
By Day 3
Post a cohesive scholarly response that addresses the following:
- What is the role of the DNP-prepared nurse in scholarship? Provide at least two specific examples.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in your small group in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
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