DNP 810 Topic 3 Case Study: Part 2

DNP 810 Topic 3 Case Study: Part 2

Case Study 3

How Genetics Influence Policy Issues

Genetics have a significant influence on policy issues. Genetic revolutions have raised the need for the consideration of healthcare policy issues that include genetic privacy, gene patenting, education, and regulation as well as standardization of genetic tests. Over the past few years, there has been a lack of adequate policy to address these issues. For example, a significant variation exists in the legislations adopted by countries to address the issue of genetic privacy. The use of the currently existing genetic tests also faces the challenge of the lack of testing regulation as well as assessment. As a result, not all the tests that are conducted are beneficial for clinical assessment (Glasner & Rothman, 2017). Therefore, policy interventions that aim at strengthening the legislations on these policy areas should be adopted.

Genetics also raises the need for public participation on issues surrounding genetic tests, use, and their significance. Governments have to ensure that the publics are informed about the different issues surrounding genetics. The issues include federal spending on the different genetic studies and the need of or lack of clinician involvement in the direct-to-consumer testing in genetics. Accordingly, public opinion is important since it shapes the policies that should be adopted in undertaking genetic testing. Accordingly, it not only influences the political decisions made by the politicians but also the designing of studies and interactions with patients by the clinicians. Based on this information, genetics influence the adoption of policies that safeguard the interests of various stakeholders in the society (Glasner & Rothman, 2017). An example is the Genetic Information Nondiscrimination Act that was adopted to provide strict oversight on clinical, laboratory, as well as in vitro genetic tests.

Social, Legal, and Ethical Implications of Genetic Testing

Genetic testing is associated with significant social, legal, and ethical implications that healthcare providers and policymakers must consider. Equity is one of the social issues that influence genetic testing in the modern world. Genetic testing should take into consideration the issues of fairness, justice, and equity. However, concerns have been raised on whether genetics will be used for discriminatory practices. In this case, a diagnosis of a genetic disorder in a population should not form the basis of discrimination in the access to the existing social resources. The other social issue arising from genetic testing is its social benefits. Accordingly, genetic testing should promote social wellbeing. The results should be used to inform positive social developments. Despite this, there are concerns genetic testing might act as the basis of violation of ethical principles of safety, informed consent, justice, non-maleficence and benevolence (Pitini et al., 2019). Therefore, it is essential that genetic testing consider these issues.

Genetic testing is also associated with significant legal implications. One of them is the promotion of privacy and confidentiality of genetic data and results. Genetic testing should be conducted with the protection of patient’s privacy. The privacy includes the patient or participant’s ability to provide informed and independent decisions on what and whether others should be informed about their genomic results. Confidentiality must also be promoted by ensuring that sensitive information is only accessed by authorized parties. It includes non-disclosure of the patient’s data. Therefore, healthcare providers, researchers, and institutions of healthcare are required by the law to protect privacy and confidentiality of the data as a way of ensuring safe use of genetic data and results (Quinn & Quinn, 2018). Cumulatively, the above findings demonstrate that genetic testing has ethical implications too. They include the need for the consideration of ethical principles that include justice, privacy, confidentiality, and informed consent and decision-making in genetic testing.

Nutritional Influences for the Cause of Huntington’s Disease

Huntingtin gene (HTT) gene with the expanded CAG repeats causes Huntington’s disease. The HTT gene is found in the liver and is attributed to deficiencies in the urea cycle. The disruption of the urea cycle occurs due to the influence of argininosuccinase acid lyase and arginosuccinic acid synthase enzymes. The activity of these enzymes can be regulated through dietary modification. For example, restriction of dietary proteins has been shown to result in the normalizing of blood citrulline and ammonia levels in Huntington’s disease. The consequence is the minimal aggregation of the HTT genes in the liver, enhanced rotarod activity alongside elevated striatal brain-derived neurotropic factor (Chen et al., 2015). Therefore, these changes reduce incidences of deficiencies in the urea cycle, hence, reduction in the severity of the disease.

Despite the above evidence on the positive influence of restricted protein intake, some dietary interventions have been associated with the development of Huntington’s disease in asymptomatic patients. For example, the consumption of dairy products is attributed to a two-fold rise in the risk of the development of the disease. The risk is attributed to the elevated phenoconversion. There is also the evidence that individuals who consume Mediterranean diet have increased risk of developing Huntington’s disease due to high rate of phenoconversion (Khan et al., 2020). Therefore, nutritional guidance, assessment, and counseling should be utilized to improve the health outcomes of patients suffering from the disease.

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Topic 5 DQ 2

Jul 7-11, 2022
Choose one disorder of malnutrition that is found in your clinical setting or community. What are
the genetic and environmental influences on this disorder, including prevalence rates, testing,
treatment, and prognosis? How can the doctoral-prepared nurse apply this information into
practice? Explain. Support your rationale with a minimum of two scholarly sources.

REPLY TO DISCUSSION

JM
Jennifer Murillo
Jul 11, 2022, 8:23 PM
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Replies to Jennifer Murillo
Recognized as a developmental disorder, cerebral palsy affects individuals at a very young age.
Cerebral palsy can directly impact nutrition because the condition often adversely impacts the
muscles necessary for chewing and swallowing (Aydin et al., 2018). Malnutrition in children with
CP is usually caused by poor oral-motor function, which impairs the child’s ability to consume
calories and nutrients required to support growth (Aydin et al., 2018). Moreover, children need
adequate nutrition when concerning the promotion of both development as well as growth. A
healthy diet also improves energy levels and body functions, which can positively affect
performance during physical therapy (Aydin et al., 2018). Unfortunately, the condition can also
require specific medications, making children lose their appetite or interest in food or water.

Individuals falling within the majority that possess Cerebral Palsy, 93%, will experience feeding
difficulties. Since CP results in impairment of muscle groups, facial muscles can be affected. The
facial muscles are one of the most important muscle groups in the body. Impairment hampers a
child’s ability to chew, suck, or swallow, creating a high risk for undernourishment, failure to thrive,
malnutrition, growth delay, and digestive difficulties (Aydin et al., 2018). Medical professionals may
potentially suggest brain imaging tests, such as x-ray computed tomography (CT scan) or

magnetic resonance imaging (MRI) (Morgan et al., 2019). In addition, an electroencephalogram
(EEG), genetic testing, metabolic testing, or a combination of these might also undergo enactment
(Morgan et al., 2019). Moreover, in a generalized manner, CP undergoes diagnosis during the first
or second year after birth. Furthermore, primary treatment options for cerebral palsy are
medication, therapy, and surgery (Morgan et al., 2019).

Cerebral palsy treatment aims to manage symptoms, relieve pain, and maximize independence to
achieve long, healthy life (Novak et al., 2017). When the life expectancy of those with CP, this
specific life expectancy undergoes calculations in which a child’s condition severity is considered.
Mobility issues, intellectual disabilities, vision/hearing impairments, etc., all impact the lifespan of
those with CP (Novak et al., 2017). Most children with milder forms of cerebral palsy have average
survival times similar to those of the general population. However, multiple impairments may also
lower cerebral palsy life span. According to Dr. Ananya Mandal, children with mild cerebral palsy
possess a heightened likelihood (ninety-nine percent chance) of living to 20 years old (Novak et
al., 2017). The two factors that have the most significant impact concerning a child’s lifespan with
the inclusion of cerebral palsy are addressed to be intellectual and motor developmental
challenges (Novak et al., 2017). As these impairments undergo an increase in severity, a child’s
life expectancy can see a decline.

The importance of DNP-prepared nurses recognizing and managing cerebral palsy’s many
significant comorbidities is as vital as treating motor disabilities and working with the patient’s
families to adjust diet, nutrients, and supplements to contribute significantly to an individual’s
overall health. Recent advances in understanding cerebral palsy include new ways of thinking
about disability, casual pathway recognition, and improvements rooted in measurement,
classification, and prognostication (Novak et al., 2017). Challenges entail family as well as child
well-being, tackling the lifelong issues faced by individuals with cerebral palsy, as well as the
persisting need for tertiary, secondary, as well as primary prevention of the impact that cerebral
palsy contributes regards to the daily livelihoods of others (Novak et al., 2017). With most
individuals with CP reporting feeding or digestive difficulties, a dietary counseling program can be
highly beneficial.

References
Aydin, K., Akbas, Y., Unay, B., Arslan, M., Cansu, A., Sahin, S., … & Sarioglu, A. A. (2018). A
multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of
children with cerebral palsy. Clinical Nutrition ESPEN, 26, 27-34.

Morgan, C., Romeo, D. M., Chorna, O., Novak, I., Galea, C., Del Secco, S., & Guzzetta, A. (2019).
The pooled diagnostic accuracy of neuroimaging, general movements, and neurological
examination for diagnosing cerebral palsy early in high-risk infants: a case-control study. Journal
of clinical medicine, 8(11), 1879.

Novak, I., Morgan, C., Adde, L., Blackman, J., Boyd, R. N., Brunstrom-Hernandez, J., … & Badawi,
N. (2017). Early, accurate diagnosis and early intervention in cerebral palsy: advances in
diagnosis and treatment. JAMA pediatrics, 171(9), 897-907.

Nutritional Assessment and Counseling

Adequate nutrition is important for patients suffering from Huntington’s disease. Patients are often wasted and underweight for their

age and height. Their being underweight requires that they take more calories in their diets when compared to their daily intake to meet the energy needs due to their physical activity. It is therefore important that these patients be assessed on a regular basis to determine their nutritional needs. Nutritional assessment should focus on multiple aspects. They include their eating habits and patterns since the disease can interfere with their eating. The assessment should also determine the severity of dysphagia using relevant tools such as the Swallowing Disturbance Questionnaire (Domino et al., 2019). The patient also needs observation for any signs of food aspiration upon consuming liquid foods.

Nutritional counseling plays a critical role in the promotion of health of patients suffering from Huntington’s disease. Patients should be educated on the importance of adequate nutrition to overcome the risks of malnutrition and its associated morbidities. Patients should be counseled on the need to take food that supplies at least 25 to 35 kcal.kg/day’s total energy. The ratio of carbohydrates and fat in the diet should remain normal as in the case of healthy beings. The patient should also consume animal protein, with the diet supplying proteins ranging between 0.8 and 1.5 g protein.kg/day (Essa et al., 2018). However, the dietary needs are revised based on the different stages of the disease in patients.

Prevalence Rates, Testing, Treatment, and Prognosis

The prevalence rate of Huntington’s disease due to nutritional causes remains unknown. However, it is estimated that about 5 to 10 people are affected by it in a population of 100,000 people. Global statistics reveal that about 189700 people are affected by the disease globally (Rodríguez-Quiroga et al., 2013). Genetic testing is often done to diagnose an individual with Huntington’s disease. A direct genetic test is done to count the number of the CAG repeat strains in the genes of the disease. A diagnosis is confirmed with the presence of at least 36 CAG repeats in the gene. The treatments that are used in Huntington’s disease depend largely on the symptoms that the patient present with to the hospital. Chorea, akathisia, and rigidity are treated with drugs that include tetrabenazine and neuropletics. Dystonia is treated with physiotherapy to maintain motion of joints. Myoclonus is treated with clonazepam, levetiracetam, and benzodiazepines. Balance disorders are managed with physiotherapy interventions while bruxism is treated with the injection of botulin toxin into masseter muscle (Bachoud-Lévi et al., 2019). The symptoms of Huntington’s disease worsen over time. The worsening is attributed to the progressive nature of the disease. However, it is estimated that people with the disease have a lifespan of about 15 to 25 years when diagnosed with it.

References

Bachoud-Lévi, A. C., Ferreira, J., Massart, R., Youssov, K., Rosser, A., Busse, M., … & Squitieri, F. (2019). International Guidelines for the treatment of Huntington’s Disease. Frontiers in neurology, 10, 710.

Chen, C. M., Lin, Y. S., Wu, Y. R., Chen, P., Tsai, F. J., Yang, C. L., … & Soong, B. W. (2015). High protein diet and Huntington’s disease. PLoS One, 10(5), e0127654.

Domino, F. J., Baldor, R. A., Golding, J., & Stephens, M. B. (2019). The 5-minute Clinical Consult 2020. Lippincott Williams & Wilkins.

Essa, M. M., Manivasagam, T., Justin-Thenmozhi, A., & Hamid, Q. A. (2018). Food for Huntington’s disease. Nova Science Publishers, Inc..

Glasner, P., & Rothman, H. (2017). Splicing Life?: The New Genetics and Society. Taylor & Francis.

Pitini, E., D’Andrea, E., De Vito, C., Rosso, A., Unim, B., Marzuillo, C., … & Villari, P. (2019). A proposal of a new evaluation framework towards implementation of genetic tests. PloS one, 14(8), e0219755.

Khan, H., Ullah, H., Tundis, R., Belwal, T., Devkota, H. P., Daglia, M., … & Du, M. (2020). Dietary Flavonoids in the Management of Huntington’s Disease: Mechanism and Clinical Perspective. eFood, 1(1), 38-52.

Quinn, P., & Quinn, L. (2018). Big genetic data and its big data protection challenges. Computer law & security review, 34(5), 1000-1018.

Rodríguez-Quiroga, S. A., Gonzalez-Morón, D., Garretto, N., & Kauffman, M. A. (2013). Huntington’s disease masquerading as spinocerebellar ataxia. Case Reports, 2013, bcr2012008380. doi: 10.1136/bcr-2012-008380.

DNP 810 Topic 5 Case Study: Part 3

You will be creating a case study in stages over four course topics. This assignment will add to your previous work in Topic 3. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy, Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

For this assignment (Part 3 of the “Case Study”), write a paper (1,000-1,250 words) incorporating genetics information learned from assigned readings in Topics 1-5.

Include the following:

1. Examine how genetics can influence policy issues.
2. Discuss any nutritional influences for the cause of this disease.
3. Discuss the process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.
4. Discuss the prevalence rates, testing, treatment, and prognosis as they relate to human nutrition.

It may be possible to earn portfolio practice immersion hours for this assignment. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-810

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure all approvals are in place from my faculty and practice mentor.

Environmental considerations affect the quality of life, health years, and health disparities. Any physical, chemical, or biological factors external to an individual as defined by the World Health Organization (Thomas, 2016). Protecting a person’s environmental health is the prevention or control of injuries and disabilities that may occur due to their interactions with these environmental factors. Thus, the control or maintenance of the hygiene of the environment will increase the quality and the years of life. Specific environmental factors include exposure to hazardous materials in air, water, soil, and food, natural and technological disasters, climate change, and occupational hazards. If controlled, they may reduce the probability of exposure and disease (HealthyPeople.gov, 2020). Hence, including information on environmental influences in a health and physical assessment gives practitioners a more overall picture of a person’s risk for developing diseases when viewed in combination with genomic influences.

DNP nurses can integrate environmental information and the genomic influences of physical and health assessment in the patient care plan. Armed with environmental and genomic information, the DNP nurse can assist the patient by recommending environmental modifications to positively impact their health, illness, or disease. They can steer patients towards changes in their environmental relationships that will support their health.

Reference

Environmental conditions. Environmental Conditions | Healthy People 2020. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health/interventions-resources/environmental

Thomas, A. (2016). Environmental Public Health Week. Environmental Health Review, 59(4), 112–112. https://doi.org/10.5864/d2016-030

Rubric Criteria

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. DNP 810 Topic 3 Case Study: Part 2

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. DNP 810 Topic 3 Case Study: Part 2

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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DNP 840 Full Course Assignments

DNP 840 Full Course Assignments

DNP 840 Topic 1 Individual Success Plan (ISP)

The Individual Success Plan (ISP) assignment in this course requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed-upon specific deliverables for your programmatic requirements. Programmatic requirements are (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, and (3) work associated with completion of your Direct Practice Improvement Project.

General Requirements:

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course:

• Locate and download Individual Success Plan (ISP) document in the DC Network.
• Review the DNP Program Milestones document in the DC Network and identify which milestones apply to this course. Note: Not all courses have milestones.
  Determine what practice experiences you plan to seek in order to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice and are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
• Use the Individual Success Plan to develop a personal plan for completing your practice hours and how competencies will be met. Show all of the major milestones and deliverables.

Within the Individual Success Plan, ensure you identify specific deliverables which can include the following: individualized DNP practice immersion contracts; comprehensive clinical log of hours applied to doctoral level learning outcomes; learner evaluations; mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and mentor approvals of course goals and documented practice immersion hours; and DPI project milestones.

• Identify the specific deliverables you will complete throughout this course from those defined above or others negotiated with your faculty. And you need to turn in a new Individual Success Plan for all courses.
• Identify the remaining deliverables you will complete in the upcoming courses.
• List the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course? How might you overcome these challenges?
• You can renegotiate these deliverables with your faculty throughout this course and update your Individual Success plan accordingly.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are not required to submit this assignment to LopesWrite.

Directions:

Complete the Contact Information table at the beginning of the ISP resource, and type in your signature and the date on which you completed the table.

Read the information in the ISP document including the following:

1. Learner expectations.
2. Derivation of the ISP.
3. Instructions for completing the ISP.
4. Follow the instructions and complete the ISP.

DNP 840 Topic 3 Care Delivery or Nursing Model Change

General Requirements:This assignment will give you practice with presentation software along with preparing you to provide specific information for your proposed changes. This is a two-part assignment that will also give you practice in presenting to administrators.There will be times when the doctorally prepared advance practice nurse will need to suggest a nursing model change or a change in care delivery. It will be important for the doctorally prepared advanced practice nurse to have an understanding of how to deliver information and what information should be shared with an audience.

Use the following information to ensure successful completion of the assignment:

• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are not required to submit this assignment to LopesWrite.

Directions:

Part One:

Create a 12-15 slide presentation (PowerPoint, include slide notes or voice over; Prezi, include voice over) that presents a proposed care delivery or nursing model change for a department that aligns costs, quality, and health that supports the care of patients across the continuum.

Include the following:

1. Background of issue
2. The proposed solution
3. How solution meets need of population (stakeholders, cost, and payer to proposed change)
4. Proposed change process to implement delivery model
5. Expected outcomes
6. Implications that are realistic and aligned with current and future health care financing

Part Two:

1. Present your presentation to at least one administrator.

2. Write a brief summary, 100-250 words, of the feedback given to you by the administrator(s).

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives and is application based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the syllabus by a Portfolio Practice Hours statement, which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-840

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 840 Topic 4 Comprehensive Assessment Part One: Competency Matrix

The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes an evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating the achievement of programmatic outcomes. In Part One of the assessment, learners are required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners will be required to synthesize and reflect on their learning and prioritize work for their DPI project.

General Requirements:

Use the following information to ensure the successful completion of the assignment:

• Doctoral learners are required to use the APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are not required to submit this assignment to LopesWrite.

Directions:

To complete Part One of the DNP Comprehensive Assessment:

Use the “Comprehensive Assessment Part One: Competency Matrix” to collect evidence from your completed program coursework to demonstrate how you have met selected competencies of the DNP program. Coursework to review includes:

Programmatic Coursework:

1. Reflective Journals
2. Case Reports
3. Scholarly Activities (DNP 810, DNP-820, DNP-830, and DNP-840)
4. 10 Strategic Points (DNP-820)
5. DPI Project Draft Prospectus (DNP-830)
6. Literature Review (DNP-830)
7. Course-based assignments from prior courses (DNP-805 through DNP-840) are eligible for Practice Immersion Hours.

As you complete the matrix, be sure to select key, specific evidence from your coursework and briefly summarize (no more than 1-2 sentences) how selected assignments demonstrate your achievement of program competencies. As you review your work, take time to review your instructor feedback regarding areas that may have been weak or lacking, or where points were not fully addressed or supported in your submission. You will need this information for a discussion question in Topic 4.

Your completed matrix will provide you with a “road map” to focus and direct you in the completion of Comprehensive Assessment Part Two. Before you begin Part Two, take time to note any “blank spaces” in the matrix; these spaces indicate competencies left unmet by your coursework to-date. You will need this information for a discussion question in Topic 4 as well.

DNP 840 Topic 5 Political Activism

Many careers are influenced by government regulations. Health care is one of those careers, similar to education, where the workers are hesitant to be involved in the political process. If we are to advance the cause of quality patient care it becomes imminent that doctorally prepared advanced practice nurses get involved in the political process.

This assignment will prepare you to determine what policy you may want to be involved in changing by creating an objective policy brief. A policy brief is a concise summary of a particular issue, the policy options to deal with it, and some recommendations on the best option. This assignment will be in two parts.

General Requirements:

Use the following information to ensure the successful completion of the assignment:

• Doctoral learners are required to use the APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Part One:

Write a policy brief regarding an issue relevant to health policy of 1,000-1,250 words.

Include the following:

1. Executive summary
2. Introduction
3. Approaches and results
4. Conclusion
5. Implications and recommendations
6. Graphics and tables may be included as appropriate

Part Two:

1. Locate the contact information for a state, local, or federal official for your area.

2. Locate information regarding the official’s stance on the issue you discuss in your policy brief.

3. Send the official a letter or e-mail that explains your position and offers suggestions on how the official should move forward with the agenda from your policy brief. Include the brief as an attachment.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives and is application based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the syllabus by a Portfolio Practice Hours statement, which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-840

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 840 Topic 6 Comparison of Leadership Models and Styles

Leadership models abound. For this assignment, you will have two parts submitted as one assignment. In Part One you will review an assortment of models and styles and make a comparison of servant leadership to other models of leadership, including at least one model of transformational leadership. Also, contrast how these models bring about change in organizations. In Part Two you will look at leadership styles, determine yours, and compare the results of the personal model inventory and your personal leadership style.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Complete the “Personal Model of Leadership” tool to find your personal model.
• Complete the Leadership Development Questionnaire (“Leadership Development – Test One – What is your leadership style?”).
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Write a 1,250-1,500 word paper that discusses how your personal model of leadership and leadership style may be applied in your work and how it compares to servant leadership and other models.

Part One:

1. Discuss your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse.

2. Analyze how your personal model reflects a practice of servant leadership.

3. Compare servant leadership to two other leadership models.

4. Discuss how leaders implement each of the models and how they fit with your personal model.

5. Contrast the effectiveness of these models to bring about change in an organization.

Part Two:

1. Evaluate how your personal model of leadership works in conjunction with your leadership style.

2. Develop an action plan using SMART goals (Specific, Measurable, Actionable, Relevant, and Timely) with an evaluation of personal development to work on two areas of personal improvement for your leadership style. The plan must include at least two SMART goals.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives and is application based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the syllabus by a Portfolio Practice Hours statement, which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

To earn portfolio practice hours, enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-840

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 840 Topic 7 Benchmark Assignment Comprehensive Assessment Part Two: Outcomes and Reflection

The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes. In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI project.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

To complete Part Two of the DNP comprehensive assessment:

Use the information collected in the competency matrix from Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Review the rubric for this assignment prior to responding to the prompts. Your responses should specifically address the competencies included on the rubric.

Outcome 1:

A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches.

In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 2:

A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations.

In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 3:

A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes.

In what ways have you successfully applied data analysis to the improvement of information systems, patient care, and organizational outcomes during your course of study? How will you apply what you have learned to your DPI project?  Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 4:

A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management.

In what ways have you articulated, deployed, or advocated for such strategies in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 5:

A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care.

In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Self-Reflection:

Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI project. How has what you learned in your coursework and practice immersion hours and application of learning in your practice informed your approach to your project? What do you need to revise in your 10 Strategic Points document and/or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB) in DNP-955.

Practice Hours Completion Statement DNP-840

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 840 Topic 8 Reflective Journal

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

In your journal, reflect on the personal knowledge and skills gained in the this course and address a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, and/or health disparities. Outline what you have discovered about your professional practice and the personal strengths and weaknesses that have surfaced. What additional resources and abilities could be introduced to a given situation to influence optimal outcomes? Finally, how did you meet the competencies aligned to this course?

Additional information regarding your reflective journal is found in the DC Network.

Submit your reflective journal both to the instructor and in the Typhon Tracking System under the corresponding course section. Failure to submit your journal in both the classroom and Typhon system may result in a grade of Incomplete for the course.

You are not required to submit this assignment to LopesWrite.

DNP 840 Topic 8 Scholarly Activities

Examples of scholarly activities include attending conferences, seminars, grand rounds, participating in policy and quality improvement committees, writing scholarly publications, participating in community planning, serving as a guest lecturer, etc. Involvement in and contribution to interdisciplinary initiatives are also acceptable scholarly activities.Throughout the DNP program, learners are required to provide a report documenting participation in a minimum of four scholarly activities outside of clinical or professional practice. These reports will be due in specific courses throughout the program, as described below, and must be documented in your Practice Portfolio by the end of each course in which an activity report is due.

Documentation of these activities is required in DNP-810, DNP-820, DNP-830, and DNP-840.

A summary report of the scholarly activity, including who, what, where, when and take home points, will be submitted as the assignment. Include the appropriate program competencies associated with the scholarly activity and future professional goals related to the activity. Use the “Scholarly Activity Summary” template to help guide this assignment.

Comprehensive Assessment Part Two: Outcomes and Reflection

DNP 840 Topic 7 Benchmark Assignment – Comprehensive Assessment Part Two: Outcomes and Reflection

The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes.

In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI project.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

To complete Part Two of the DNP comprehensive assessment:

Use the information collected in the competency matrix from Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice.

You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Review the rubric for this assignment prior to responding to the prompts. Your responses should specifically address the competencies included on the rubric.

Outcome 1:

A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches.

In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 2:

A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations.

In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 3:

A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes.

In what ways have you successfully applied data analysis to the improvement of information systems, patient care, and organizational outcomes during your course of study? How will you apply what you have learned to your DPI project?  Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 4:

A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management.

In what ways have you articulated, deployed, or advocated for such strategies in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 5:

A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care.

In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Self-Reflection:

Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI project. How has what you learned in your coursework and practice immersion hours and application of learning in your practice informed your approach to your project? What do you need to revise in your 10 Strategic Points document and/or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB) in DNP-955.

Practice Hours Completion Statement DNP-840

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Comprehensive Assessment Part Two: Outcomes and Reflection

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EBP Change Process Assignment Progression Guide Using the ACE Star Model

EBP Change Process Assignment

EBP Change Process Assignment Progression Guide Using the ACE Star Model

Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.).
3. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
4. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
5. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
6. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
7. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
8. Work on a portion of the process each week, as the illustration unfolds.

Best Practices

• Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
• Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations

• Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
• Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

EBP Change Process Assignment Week 1 Star Point 1 (Discovery): Identify Topic and Practice Issue

Please download the EBP Change Process worksheet form found on the Week 6 assignment page.

Use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete your own information on the form. This form is due at the end of Week 6.

For further details, please see the Week 6 Module Evidence-Based Practice Change Process assignment guidelines, tutorial, and rubric. Begin filling out Start Point 1 of the worksheet.

EBP Change Process Assignment Week 2 Star Point 2 (Evidence): Evidence to Support Need for Change

Please watch this short EBP Change Process Update video to guide your worksheet activities in week 2 located in the Week 2 Welcome Announcement.

Read about the ACE Star Model in the Week 2 lesson to understand the Star Points/Steps covered in the worksheet.

Read the Required article in Week 2 to better understand systematic reviews.

Aromataris, E., & Pearson, A. (2014). The systematic review: An overview. American Journal of Nursing, 114(3), 53-58. 

The Week 2 Illustration section of the lesson contains more information to assist with systematic reviews (short video and comparison slide)

Begin filling out Star Point 2 of the worksheet. After choosing a topic and nursing practice issue, develop your PICOT and check in with your instructor for feedback. This Check-In is not required, but highly recommended to be successful with the assignment. Begin searching for your systematic review in the CU Library.

EBP Change Process Assignment Week 3 Star Point 3 (Translation into Practice): Action Plan

Please watch this short EBP Change Process Update video to guide your worksheet activities in week 3 located in the Week 3 Welcome Announcement.

This is a great optional article listed in our Week 3 readings in which to think about change.

Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes. The Online Journal of Issues in Nursing, 21(3).

Be sure to watch the video about Stakeholders in the Week 3 lesson. There are 2 areas on your worksheet form to speak to these important people and their roles in your change process.

EBP Change Process Assignment Week 4 Star Point 4 (Integration): Implementation Plan

Follow Nurse Daniel in the lesson to learn how he continues to gather and integrate evidence using the ACE Star Model.

Please watch this short EBP Change Process Update video to guide your worksheet activities in week 4 located in the Week 4 Welcome Announcement.

In the Illustration portion of our lesson in week four, Nurse Daniel mentions that he will also perform a cost analysis for his change project.  Cost analysis is an area you will be asked to address on your EBP Change Process assignment worksheet, although you are not required to actually perform this analysis.

Please locate the Cost Analysis article listed below in the Week 4 Announcements.

Hampton, D.  (2019).  Cost analysis and nurse leadership, Utah Nurse, 28(1). 

https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.581865589&site=eds-live&scope=site

https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.581865589&site=eds-live&scope=site

https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.581865589&site=eds-live&scope=site

EBP Change Process Assignment Week 5 Star Point 4 (Integration): Implementation Plan, cont.

Nurse Daniel continues developing his final Action Plan for implementation based on interprofessional collaboration and the evaluation process. Be sure to follow him this week in the lesson.

Please watch this short EBP Change Process Update video to guide your worksheet activities in week 5 located in the Week 5 Welcome Announcement.

Week 6 Start Point 5 (Evaluation): Evaluation Plan; 1-5: Complete details/Submit

Continue to follow Nurse Daniel this week as he completes final steps in his change process. Your EBP Change Process worksheet form is due at the end of this week, Sunday, 11:59 PM MT. The form for this assignment is a REQUIRED form for submission.

Please watch this short EBP Change Process Update video to guide your worksheet activities in week 6 located in the Week 6 Welcome Announcement.

Reflect on the TEACH Values that Chamberlain College of Nursing (CCN) supports throughout the organization (Adtalem Global Education, n.d.) at the end of the Week 6 lesson as a way to consider leading a change.

Week 6 Assignment: EBP Change Process Assignment form

ACE Star Model of Knowledge Transformation

Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.

Name: _____________________

Star Point 1: Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)

Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.

Star Point 2: Summary (Evidence to support need for a change)

Describe the practice problem in your own words and formulate your PICOT question.

List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.

List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format .

Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.

Outline one or two evidence-based solutions you will consider for the trial project.

Star Point 3: Translation (Action Plan)

Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).

List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).

What specifically is your nursing role in the change process? Other nursing roles?

List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project?

What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?

Star Point 4: (Implementation)

Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leader involved?

Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.

Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).

List the measurable outcomes based on the PICOT. How will these be measured?

What forms, if any, might be used for recording purposes during the pilot change process. Describe.

What resources are available to staff (include yourself) during the change pilot?

Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?

Star Point 5: (Evaluation)

How will you report the outcomes of the trial?

What would be the next steps for the use of the change process information?

NR451 Week 6 Transcript for EBP Change Process assignment

NR451 Transcript for EBP Change Process assignment (Week 6)

Hi Class. This is Diane Parry, NR451 Course Leader and I would like to welcome you to a short tutorial to assist you in completing your Week 6 EBP Change Process assignment.

You will be prompted in Week 1 to download the EBP Change Process form and view the tutorial. You will use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information on the form. This form is due at the end of Week 6. For more information and details on this assignment, click on the link indicated to view assignment guidelines, tutorial, and rubric. The assignment guidelines and rubric are located under the Week 6 module and this specific form is required and due at the end of Week 6.

As you can see, the form contains prompts to assist you in your descriptions. Use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information. Your writing is not limited to the space provided and the boxes should expand as needed. You should be succinct in your writing but very clear with many details and complete sentences. No quotes are permitted in this assignment and paraphrasing and your own wording is required. Please cite any sources in APA format.

The purpose of this assignment is:

To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.

The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project. You are encouraged to work through the sections of the form each week starting in Week 1 by following Nurse Daniel as he works through this same process.

Find a systematic review on your topic from any database in the Chamberlain Library. Be sure this involves nursing actions. If you need assistance or want to check on the value of your chosen review, please consult your instructor by calling or sending an email.

To find out more about the use of systematic reviews, in general, please refer to the required article reading in Week 2.

The EBP Change Process assignment rubric is located in the guidelines area. It is a good final step to check the rubric prior to submission to assure you have included all vital parts of the assignment. There are prompts under each listed Criteria on the rubric to assist you when completing this form.

This assignment is worth 225 points. Please read through the directions carefully and reach out to your instructor with any questions.

As always, please contact your 451 instructor with questions. Consulting with your instructor early on the choice of: your topic, the systematic review, and the PICOT question will help ensure your success with this assignment.

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. EBP Change Process Assignment

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. EBP Change Process Assignment

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. EBP Change Process Assignment Progression Guide Using the ACE Star Model

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• Essay paper writing
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• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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NR451 Week 6 Transcript for EBP Change Process assignment

NR451 Week 6 Transcript for EBP Change Process assignment

NR451 Transcript for EBP Change Process assignment (Week 6)

Hi Class. This is Diane Parry, NR451 Course Leader and I would like to welcome you to a short tutorial to assist you in completing your Week 6 EBP Change Process assignment.

You will be prompted in Week 1 to download the EBP Change Process form and view the tutorial. You will use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information on the form. This form is due at the end of Week 6. For more information and details on this assignment, click on the link indicated to view assignment guidelines, tutorial, and rubric. The assignment guidelines and rubric are located under the Week 6 module and this specific form is required and due at the end of Week 6.

As you can see, the form contains prompts to assist you in your descriptions. Use this form to follow Nurse Daniel in the lessons each week (Weeks 1-6) and progressively complete the information. Your writing is not limited to the space provided and the boxes should expand as needed. You should be succinct in your writing but very clear with many details and complete sentences. No quotes are permitted in this assignment and paraphrasing and your own wording is required. Please cite any sources in APA format.

The purpose of this assignment is:

To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.

The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project. You are encouraged to work through the sections of the form each week starting in Week 1 by following Nurse Daniel as he works through this same process.

Find a systematic review on your topic from any database in the Chamberlain Library. Be sure this involves nursing actions. If you need assistance or want to check on the value of your chosen review, please consult your instructor by calling or sending an email.

To find out more about the use of systematic reviews, in general, please refer to the required article reading in Week 2.

The EBP Change Process assignment rubric is located in the guidelines area. It is a good final step to check the rubric prior to submission to assure you have included all vital parts of the assignment. There are prompts under each listed Criteria on the rubric to assist you when completing this form.

This assignment is worth 225 points. Please read through the directions carefully and reach out to your instructor with any questions.

As always, please contact your 451 instructor with questions. Consulting with your instructor early on the choice of: your topic, the systematic review, and the PICOT question will help ensure your success with this assignment.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NR451 Week 6 Transcript for EBP Change Process assignment

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NR451 Week 6 Transcript for EBP Change Process assignment

• Guarantee

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

NRS 490 Topic 3 Assignment: PICOT Statement Paper

NRS 490 Topic 3 Assignment: PICOT Statement Paper

Assignment: PICOT Statement Paper

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.Make sure to address the following on the PICOT statement:

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NRS 490 Topic 3 Assignment: PICOT Statement Paper

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NRS 490 Topic 3 Assignment: PICOT Statement Paper

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NRS 490 Topic 3 Assignment: PICOT Statement Paper

• Guarantee

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Write a 6 page analysis of two nursing research articles

Write a 6 page analysis of two nursing research articles. One article must be quantitative in nature. One article must be qualitative in nature. Capella Nursing Quantitative & Qualitative Developing Insights Discussion

INTRODUCTION

The master’s-prepared nurse must become a critical consumer of research, as contemporary and emerging research helps to shape the present and future of the profession’s practice. Additionally, as evidence-based practice is becoming foundational for decision-making and practice strategies, it is important that nurses understand how to analyze research sources and mine them for the most relevant and significant pieces of information for their circumstances and practice environments.

QUALITATIVE RESEARCH

Qualitative research uses the scientific method to answer clearly articulated research questions from a subjective perspective. EBP is based on research outcomes that may not include qualitative studies, which may be more appropriate for developing theory and testing hypotheses. Generally, EBP reviews use carefully defined criteria to evaluate the quality of a study and research outcomes. While EBP reviews may be informed or enhanced by qualitative research, they are not based solely on qualitative research outcomes, because of a lack of generally accepted criteria for judging the merit of qualitative studies.

The epistemology of qualitative research incorporates the following views, which are particularly applicable to nursing practice. These views acknowledge (Grove et al., 2015):

• That reality or ways in which we define what we know are socially constructed, containing many points of views and perspectives.
• That what we know is linked intrinsically to who we are.
• That how we approach research is defined by what we value.
• That all knowledge is bound by time and context.

Because the approach to qualitative research is subjective, the research design and approaches are unique and to some, controversial. The extent to which qualitative studies are credible is the degree of rigor that the study has in relationship to data collection and thoroughness of analysis (Grove et al., 2015). There are four commonly accepted approaches used in nursing research—phenomenology, grounded theory, ethnography, and historical. Qualitative research methodologies include coded observations, interview, surveys, focus groups, and questionnaires. Data analysis occurs in three stages—description, analysis, and interpretation. It is presented in narrative or visual format with a focus on the identification of key themes or trends in the data.

Quantitative Research

Quantitative research is a formal and objective process for generating new knowledge about a research topic, sometimes used to test hypotheses. Qualitative research is more subjective and is used to generate theories or develop hypotheses that can be tested quantitatively.

The four types of quantitative research are:

• Descriptive.
• Correlational.
• Quasi-experimental.
• Experimental.

Each of these approaches to research has applications in the health care industry. The differences among these approaches to research are based on the stated objective of the research and the level of measurement used to gather data for analysis. Research design will vary, but each type includes the same steps of the research process defined for qualitative research (Grove et al., 2015):

• Identify the research problem and research purpose.
• Conduct a literature review to determine the evidence base for the problem.
• Identify the study framework or theoretical foundation (for example, Orem, Pender, Watson, et cetera).
• Identify the research objective and state research questions and hypothesis.
• Clarify the study variables and level of measurement.
• State any assumptions that the researcher may make that could impact data analysis (for example, assumptions regarding sampling strategies, population characteristics, et cetera).
• State the limitations to research (for example, sampling limitations, data collection challenges, et cetera).
• Identify the research design.
  • Descriptive.
  • Correlational.
  • Quasi-experimental.
  • Experimental.
• Define the population and sample, including sampling strategies.
• Describe the methods of measurement.
• Collect data.
• Analyze data.
• Describe the outcomes and recommendations.

The master’s-prepared nurse must become a critical consumer of research, as contemporary and emerging research helps to shape the present and future of the profession’s practice. Additionally, as evidence-based practice is becoming foundational for decision-making and practice strategies, it is important that nurses understand how to analyze research sources and mine them for the most relevant and significant pieces of information for their circumstances and practice environments.

Reference

Grove, S. K., Gray, J. R., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). Elsevier/Saunders.

PREPARATION

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

• What are the key characteristics of quantitative research?
• How can you identify a research study that is using quantitative methodology?
• Which topics, issues, or areas of quantitative research are the most relevant to your current or future practice?
• What are the key characteristics of qualitative research?
• How can you identify a research study that is using qualitative methodology?
• Which topics, issues, or areas of qualitative research are the most relevant to your current or future practice?
• What are strategies that you could use to help break down a research study?
• How can you identify and address ethical implications within a research study?

SCENARIO

Some of the most significant current information on patient care in nursing comes from scholarly, peer-reviewed journals and articles. Within this category of information sources, we can further categorize the studies into qualitative and quantitative sources, each with their own set of methods and standards. Within each of these categories, nurses must be able to differentiate between sources of published data that are used to develop evidenced-based practices (EBP).

INSTRUCTIONS

Part 1

For the first part of this assessment, choose a topic, an issue, or a phenomenon that informs nursing practice and that has been researched quantitatively. Select a nursing quantitative research article, published in a peer-reviewed journal within the past five years on your chosen topic, issue, or phenomenon.

After selecting the article, complete the following (Note: The main bullet points below correspond to the assessment grading criteria, while the sub-bullets may help guide you to ensure that you are fully addressing the criteria):

• Analyze the strengths and weaknesses of a quantitative research study.
  • Summarize the quantitative research study.
  • Describe the problem, purpose, and hypothesis of the study.
  • Identify and describe the quantitative study methodology (experimental, quasi-experimental, non-experimental, descriptive, or clinical trial).
  • Describe the data collection, data analysis, and reporting procedures.
  • Critique the entire study.
• Analyze the ethical implications of a quantitative research study when applied to the patient care setting.
  • Why are ethical standards important in research when applied to patient care in a health care setting?
  • To what extent do any ethical considerations impact human subjects?
• Analyze the significance of a research problem in a quantitative research study.
  • How is the research problem significant to nursing practice?
  • How could study of the research problem lead to improvements in health care?
• Evaluate a quantitative research study as an appropriate source of information for informing patient care decision making.
  • How does the study provide information related to patient care?
  • To what extent is the information in the study valid, reliable, and aligns with best practices?

Part 2

For the second part of this assessment, choose a topic, an issue, or a phenomenon that informs nursing practice and that has been researched qualitatively. Select a nursing qualitative research article published in a peer-reviewed journal within the past five years on your chosen topic, issue, or phenomenon. Please view the Qualitative Versus Quantitative Analysis Quiz to help you find an appropriate qualitative research article.

After selecting the article, complete the following (Note: The main bullet points below correspond to the assessment grading criteria, while the sub-bullets may help guide you to ensure that you are fully addressing the criteria):

• Analyze the strengths and weaknesses of a qualitative research study.
  • Summarize the qualitative research study, including the problem, purpose, and hypothesis of the study.
  • Identify and describe the qualitative study methodology (ethnography, phenomenology, grounded theory, or case study).
  • Describe the data collection, data analysis, and reporting procedures.
  • Critique the entire study.
• Analyze the ethical implications of a qualitative research study when applied to the patient care setting.
  • Why are ethical standards important in research when applied to patient care in a health care setting?
  • To what extent do any ethical considerations impact human subjects?
• Analyze the significance of a research problem in a qualitative research study.
  • How is the research problem significant to nursing practice?
  • How could study of the research problem lead to improvements in health care?
• Evaluate a qualitative research study as an appropriate source of information for informing patient care decision making.
  • How does the study provide information related to patient care?
  • To what extent is the information in the study valid, reliable, and aligns with best practices?

Assessed Throughout

• Write clearly and concisely, with correct use of spelling, grammar, punctuation, and mechanics.
• Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using current APA style.

Additional Requirements

• Length of submission: 6–8 typed, double-spaced pages, not including the title and reference pages. Your report should be thorough, but concise. No abstract is required for this assessment.
• Number of references: Cite a minimum of three sources of scholarly or professional evidence. Resources should be no more than five years old.
• APA formatting: Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis.

COMPETENCIES MEASURED

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze how research can be used to improve nursing practice.
  • Analyze the strengths and weaknesses of a quantitative research study.
  • Analyze the significance of a research problem in a quantitative research study.
  • Evaluate a quantitative research study as an appropriate source of information for informing patient care decision making.
  • Analyze the strengths and weaknesses of a qualitative research study.
  • Analyze the significance of a research problem in a qualitative research study.
  • Evaluate a qualitative research study as an appropriate source of information for informing patient care decision making.
• Competency 4: Explain how ethical protections can be implemented in research and evidence-based nursing practice.
  • Analyze the ethical implications of a quantitative research study when applied to the patient care setting.
  • Analyze the ethical implications of a qualitative research study when applied to the patient care setting.
• Competency 5: Communicate effectively across disciplines, demonstrating respect for self and others.
  • Write clearly and concisely, with correct use of spelling, grammar, punctuation, and mechanics.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using current APA style.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Write a 6 page analysis of two nursing research articles

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Write a 6 page analysis of two nursing research articles

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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NSG 3029 Clinical Research and EBP

NSG 3029 Clinical Research and EBP

For this assignment, you will post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and articles from the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources for your responses to other classmates. Complete your participation for this assignment by the end of the week.

Clinical Research and EBP

You will identify if clinical research is the same as EBP or consider the obstacles to nursing research in a clinical environment.

Using the South University Online Library find research articles on clinical research and EBP.

Based on your research, respond to one of the following discussion questions:

Discussion Question 1

How does your facility incorporate EBP in a clinical setting to promote patient outcomes? Do you have recommendations on how your facility can improve its use of EBP?

We can also assist you with:

Discussion Question 2

How can you use EBP in your practice? Discuss some impediments to creating a program of nursing research in your clinical environment.

Identify and discuss strategies for promoting EBP in your practice.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NSG 3029 Clinical Research and EBP

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

• Guarantee

• Zero Plagiarism
• On-time delivery
• A-Grade Papers
• Free Revision
• 24/7 Support
• 100% Confidentiality
• Professional Writers

• Services Offered

• Custom paper writing
• Question and answers
• Essay paper writing
• Editing and proofreading
• Plagiarism removal services
• Multiple answer questions

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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NURS 8410 Week 8: Creating an Environment for EBP

NURS 8410 Week 8: Creating an Environment for EBP

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 for Discussion: Preparing for Change:

• 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. NURS 8410 Week 8: Creating an Environment for EBP.

By Day 3 of Discussion: Preparing for Change

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 of Discussion: Preparing for Change

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. NURS 8410 Week 8: Creating an Environment for EBP.

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.

Submission and Grading Information