Laying The Foundation For New Approaches To Practice

 

Laying The Foundation For New Approaches To Practice

As frequently noted in the literature, there is often a gap between research evidence and practice. This is not a new phenomenon; however, with the rapid growth of knowledge, it is essential that nurses hone their ability to identify this gap, determine best practices based on the evidence, and then apply this evidence to practice through the development of new approaches. In order for that to transpire, nurses must be skilled in leading change efforts so that adoption of new practice approaches can be successful.
For your EBP Project in Week 2 (Application 1 [SEE ATTACHED FILES] ), you identified an issue in your practicum setting in which the outcome is different from what would be expected according to the research literature. This week continue to explore current research literature looking for new evidence to address the problem. In addition, you build on the work you began in this week’s Discussion and select an evidence-based practice model ( The Iowa Model of Evidence-Based Practice to Promote Quality Care” Or you can use the Johns Hopkins Model) and change theory (USE THE THEORY OF PLANNED BEHAVIOR) or framework that will support your efforts.
To prepare for Application 2 address the following:
  • How      current is the science underlying the practices related to your EBP      Project issue?
  • Consider      possible causes of the difference in outcomes from what would be expected      according to the research literature.
  • Evaluate      the effect the EBP Project issue is having in practice.
  • Using      the Walden Library and other credible sources, locate current research      evidence of new practices that are effective in addressing the issue.
  • Use      the GRADE model presented in the      Guyatt et al. (2011) article to evaluate the research evidence (see      attached file for the article)

The full Application 2 is due by Day 5 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 4.
To complete:
Write a 3- to 5-page paper, in APA format with a minimum of 6 scholarly references. PLEASE CITE OFTEN. include the following level one headers as numbered below:
1) Introduction
2) A brief summary of the currency of the science underlying the practices used to address your EBP Project issue
3) Possible causes of the difference in outcomes from what would be expected according to the research literature
4) The effect the EBP Project issue is having in practice
5) Current research evidence on new practices for addressing the EBP Project issue
6) A summary of the evidence-based practice model (including models from other disciplines as appropriate) and/or change theory or framework you will utilize to systematically integrate new approaches to practice to address the issue
7) Summary
PLEASE FOLLOW THE EXACT FORMAT IN THE GRADING RUBRIC. WRITE THE HEADERS EXACTLY AS IN THE GRADING RUBRIC AND ADD AN INTRODUCTION AND SUMMARY. INSERT MY PIICOT QUESTION IN THE BEGINNING OF THE PAPER.

  • Please do not go       over 5 pages. Being concise, but scholarly       and well-cited is a skill. Make sure each word is needed and refrain from       using unnecessary verbiage.  CITE OFTEN
  •  
  • Use       level 1 APA headers for each component of the assignment! See assignment       directions and grading rubric for components graded and note the items in       blue should be your headers.
  •  
  • You will need a theory to guide your work. For more information on theories… (for mine, please use the theory of       planned behavior that you chose on the first assignment).
  •  
  • You will need to EBP model to frame your course-related (6410) EBP project EBP models give you steps       for proceeding in a logical manner. I would recommend you look up the       following article to help you.
    • Schaffer, M. A.,  Sandau, K. E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: Overview and practical applications.  Journal of Advanced Nursing, 69(5), 1197-1208.  doi:10.1111/j.1365-2648.2012.06122.x        (see attached article)

P.S. I’M ATTACHING THE PREVIOUS PAPER TO HELP REFRESH YOUR MEMORY AND ALSO SEE THE CORRECTIONS THE PROFESSOR MADE SO THAT YOU DON’T REPEAT THE SAME MISTAKES. I DIDN’T GET A GOOD GRADE ON THAT PAPER, PLEASE PAY CAREFUL ATTENTION TO EACH AND EVERY INSTRUCTION HERE. I NEED AN ‘A’ ON THIS PAPER TO MAKE UP THE FIRST ONE.
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
REQUIRED READINGS
 
Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice changeAmerican Journal of Nursing, 111(3), 54-60.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).
Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

  • attachment

    W5App2GradingRubricAnnouncement.docx
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    Assignment1forproject.docx
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    RosswurmLarrabee.A_model_for_change_to_evidence.pdf
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    TheGuyattetal2011article.pdf
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    Schaffer_et_al-2013-Journal_of_Advanced_Nursing.pdf

 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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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.

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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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