NURS 8410 Week 9 Assignment 2: Application 5 – EBP Paper
NURS 8410 Week 9 Assignment 2: Application 5 – EBP Paper
One of the chief purposes of translating evidence into practice is to advance the field of nursing. Dissemination is a critical step in this process. It is important to disseminate and share the information gained from a translation-of-evidence project to enhance the body of knowledge within the profession, thus furthering the science of nursing. To prepare for this week’s section of Application 5:
- Continue (from this week’s Discussion) to:
- Analyze the role of the DNP-prepared nurse in scholarship
The full Application 5 is due by Day 6 of week 11.
For this assignment you will prepare a scholarly product that reports the results and implications of your project to designed audience. The scholarly product for dissemination reports the results and implications of your project to a specified audience. Your scholarly product may be in the form of a project summary and evaluation report, poster presentation, program evaluation report, or a media or technology-based deliverable, Your scholarly product must include the following:
- Background, Purpose, and Nature of the Project (2 points) Describe the larger problem or issue you explored in your DNP Project. Identify your practice-focused question. Explain how this problem or issue affects nursing practice and the overall health care system, and describe how your DNP Project explored possible strategies for addressing the problem or issue.
- Evidence (2 points)
Identify the practice setting and context in which you conducted your project, a summary of the evidence supporting the project, and the process for implementation and evaluation.
- Presentation of Results (2 points)
Explain the results of your DNP Project and recommendations for change that you made to the organization.
Note: Up to 2 points may be deducted for grammar, spelling, and/or APA errors.
This Application is due by Day 6 of Week 11.
Practicum – NURS 8410 Week 9 Assignment 2: Application 5 – EBP
Continue to keep a time log and journal of your practicum experiences. See the Practicum Guidelines located in the Practicum area of the Course Overview page for a complete description of the practicum.
By Day 7 of Week 11 of Assignment 1: Application 4: Planning for Change, Implementing and Evaluating EBP Assignments
Reminder: You will submit your time log and a journal entry in Week 11.
Week in Review
This week, you applied systems theory to the evaluation of quality improvement and safety initiatives.
Next week, you will determine how the success of the new practice approaches can be evaluated and explore the next steps of translating research evidence into new guidelines for practice and, ultimately, standards of care. NURS 8410 Week 9 Assignment 2: Application 5 – EBP.
NURS 8410 Week 9: Identification of Outcomes
“In a large, complex organization…the primary consequences of our actions may well be in the distant future or in a distant, but interrelated, part of a larger system in which we operate. For this reason, we are often puzzled by the underlying causes of current problems within our organizations. We are unable to look at underlying structures or patterns of behavior that may have resulted in less than stellar outcomes” (Zaccagnini & White, 2011, p. 45).
How can the perspective described above be shifted to provide a fuller view of the dynamics in today’s health care organizations? Planning for Change, Implementing and Evaluating EBP Essay Assignments – NURS 8410 And, in doing so, how could this promote the achievement of positive outcomes related to quality and safety?
In previous courses you have examined systems theory, as well as the interrelationships of various areas within an organization. This week, you revisit these concepts as you assess an issue within an organization—analyzing the system at the macro- and the micro-level. You also identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality. In addition, you develop outcomes related to quality and safety.
This week you continue to engage in your practicum experience and on Application 4.
Reference: Zaccagnini, M. E., & White, K. W. (2011). The doctor of nursing ractice essentials: A new model for advanced practice nursing. Sudbury, MA: Jones and Bartlett.
Learning Objectives
Students will:
- Apply systems theory to the evaluation of quality improvement and patient safety initiatives
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Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Brooks, P., Spillane, J.J., Dick, K., & Stuart-Shor, E. (2014). Developing a strategy to identify and treat older patients with postoperative delirium. AORN Journal, 99(2), 256-276.
Note: You will access this article from the Walden Library databases.
Jarden, R.J. & Sutton, L.J. (2014). A practice change initiative to improve the provision of enteral nutrition to intensive care patients. British Association of Critical Care Nurses, 20(5), 242-254.
Note: You will access this article from the Walden Library databases.
McCluskey, A. & Middleton, S. (2010). Delivering an evidence-based outdoor journey intervention to people with stroke: Barriers and enablers experienced by community rehabilitation teams. BMC Health Services Research, 10(18). doi: 10.1186/1472-6962-10-18. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-18
Murfet, G.O., Allen, P., & Hingston, T.J. (2014). Maternal and neonatal health outcomes following the implementation of an innovative model of nursepractitioner-led care for diabetes in pregnancy. Journal of Advanced Nursing, 70(5), 1150-1163.
Note: You will access this article from the Walden Library databases.
NURS 8410 Week 9 Discussion: Quality Improvement and Patient Safety Initiatives
Discussion: Quality Improvement and Patient Safety Initiatives
The vice president of nursing, Dr. Sasha Mendez, has had a lot of complaints from patients and their families about the difficulties they experience navigating the system at her organization; e.g., going from the E.R. to admissions. Dr. Mendez’s nursing specialty area is psych/mental health. As such, she is very concerned about the stress this is causing the patients.
What are the macro systems that are affecting patient satisfaction at Dr. Mendez’s facility? What micro systems should she also analyze to look at how the patient moves through—from entry, to possible admission, to possible discharge? How do these systems relate? What impacts each system?
The concepts presented in Week 8 serve as a foundation for this week as you continue to look at factors within an organization’s environment that are barriers and facilitators for implementing change. In this Discussion, you examine the macro and micro systems within the organization (of your practicum setting) and identify changes that may need to take place to facilitate quality improvement and achievement of patient safety outcomes. NURS 8410 Week 9 Assignment 2: Application 5 – EBP.
To prepare for Discussion: Quality Improvement and Patient Safety Initiatives:
- Reflect on the issue you have been addressing through your EBP Assignment.
- Identify the macro and micro systems that influence the issue. Review the McClusky and Middleton (2010) article for an example of this process.
- Determine the desired outcomes of resolving the EBP Assignment issue and how resolving it will improve quality and patient safety. (Note: Next week you will evaluate these outcomes. You may want to view the Week 10 Discussion as you prepare.)
- What procedures/processes would need to be modified to achieve the desired outcomes?
- Develop a 5-slide Microsoft PowerPoint presentation for the business unit team and leadership within the organization, sharing your issue, strategies for resolving the issue, and how it will improve quality and patient safety. Note: The purpose of the presentation is to persuade the business unit team and leadership to accept your recommendations.
By Day 3 of Discussion: Quality Improvement and Patient Safety Initiatives
Post your PowerPoint presentation.
Read a selection of your colleagues’ responses.
By Day 6 of Discussion: Quality Improvement and Patient Safety Initiatives
Respond to two of your colleagues using the following scenario:
Imagine you are a manager from the business unit or leadership team who is also involved in your organization’s quality management committee. Employing this perspective, critique at least three of your colleagues’ presentations.
When critiquing your colleagues’ presentations be sure to:
- Determine the extent to which the PowerPoint presentation convinces you that the appropriate systems were examined and that the identified outcomes are attainable
- Provide feedback on whether you believe the suggested modifications to the systems will lead to the desired outcomes
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. NURS 8410 Week 9 Assignment 2: Application 5 – EBP.
Submission and Grading Information
Rubric Detail – NURS 8410 Week 9 Assignment 2: Application 5 – EBP.
Select Grid View or List View to change the rubric’s layout.
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| RESPONSIVENESS TO DISCUSSION QUESTION Discussion post minimum requirements: *The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. |
8 (26.67%) – 8 (26.67%)
Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*.
|
7 (23.33%) – 7 (23.33%)
Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*.
|
6 (20%) – 6 (20%)
Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*.
|
0 (0%) – 5 (16.67%)
Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*.
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| CONTENT KNOWLEDGE |
8 (26.67%) – 8 (26.67%)
Discussion postings and responses: -demonstrate in-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; – are well supported by pertinent research/evidence from a variety of and multiple peer- reviewed books and journals, where appropriate; -Demonstrate significant mastery and thoughtful/accurate application of content, applicable skills or strategies presented in the course.
|
7 (23.33%) – 7 (23.33%)
Discussion postings and responses: -demonstrate understanding and application of the concepts and issues presented in the course, presented with some understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; -are supported by research/evidence from peer-reviewed books and journals, where appropriate; and · demonstrate some mastery and application of content, applicable skills, or strategies presented in the course.
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6 (20%) – 6 (20%)
Discussion postings and responses: – demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors; –lack support by research/evidence and/or the research/evidence is inappropriate or marginal in quality; and/or lack of analysis, synthesis or evaluation of topic – demonstrate minimal content, skills or strategies presented in the course. ——-Contain numerous errors when using the skills or strategies presented in the course
|
0 (0%) – 5 (16.67%)
Discussion postings and responses demonstrate: -A lack of understanding of the concepts and issues presented in the course; and/or are inaccurate, contain many omissions and/or errors; and/or are not supported by research/evidence; and/or lack of analysis, synthesis or evaluation of topic -Many critical errors when discussing content, applicable skills or strategies presented in the course.
|
| CONTRIBUTION TO THE DISCUSSION |
8 (26.67%) – 8 (26.67%)
Discussion postings and responses significantly contribute to the quality of the discussion/interaction and thinking and learning by: -providing Rich and relevant examples; discerning and thought-provoking ideas; and stimulating thoughts and probes; – -demonstrating original thinking, new perspectives, and extensive synthesis of ideas supported by the literature.
|
7 (23.33%) – 7 (23.33%)
Discussion postings and responses contribute to the quality of the discussion/interaction and thinking and learning by -providing relevant examples; thought-provoking ideas – Demonstrating synthesis of ideas supported by the literature
|
6 (20%) – 6 (20%)
Discussion postings and responses minimally contribute to the quality of discussion/interaction and thinking and learning by: – providing few and/or irrelevant examples; and/or – providing few if any thought- provoking ideas; and/or -. Information that is restated from the literature with no/little demonstration of critical thinking or synthesis of ideas.
|
0 (0%) – 5 (16.67%)
Discussion postings and responses do not contribute to the quality of interaction/discussion and thinking and learning as they do not: -Provide examples (or examples are irrelevant); and/or -Include interesting thoughts or ideas; and/or – Demonstrate of critical thinking or synthesis of ideas
|
| QUALITY OF WRITING |
6 (20%) – 6 (20%)
Discussion postings and responses exceed doctoral -level writing expectations. They: · Use grammar and syntax that is clear, concise, and appropriate to doctoral level writing; · Make few if any errors in spelling, grammar, and syntax; · Use original language and refrain from directly quoting original source materials; -provide correct APA · Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints.
|
5 (16.67%) – 5 (16.67%)
Discussion postings and responses meet doctoral -level writing expectations. They: ·Use grammar and syntax that is clear and appropriate to doctoral level writing; ; · Make a few errors in spelling, grammar, and syntax; · paraphrase but refrain from directly quoting original source materials; Provide correct APA format · Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints;.
|
4 (13.33%) – 4 (13.33%)
Discussion postings and responses are minimally below doctoral-level writing expectations. They: · Make more than occasional errors in spelling, grammar, and syntax; · Directly quote from original source materials and/or paraphrase rather than use original language; lack correct APA format; and/or · Are less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints.
|
0 (0%) – 3 (10%)
Discussion postings and responses are well below doctoral -level writing expectations. They: · Use grammar and syntax that is that is unclear · Make many errors in spelling, grammar, and syntax; and –use incorrect APA format · Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints.
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Planning for Change, Implementing and Evaluating EBP Assignment
Planning for Change
Change can be difficult—and implementing new practices based on evidence can present challenges. How can you effectively prepare your work environment for change? What factors need to be considered (e.g., financial, legislative, systems)?
This week you begin working on Application 4, which builds on this week’s Discussion and is a continuation of your EBP Assignment. For this first section of the assignment, determine the factors that would impact stakeholders or end users as you create change and implement a new process/project to address your EBP issue.
Prepare for this week’s section of Application 4 as follows:
- Continue (from this week’s Discussion) to analyze the impact of implementing change in your practice environment. What factors need to be considered regarding stakeholders or end users? How would you communicate with them to address their questions or concerns? How would you enlist their support?
- Develop a summary of the methods you would use to ensure that those factors are adequately addressed.
By Day 7 of Week 10 of Planning for Change, Implementing and Evaluating EBP Assignment
Application 4 is due. You do not need to submit anything this week.
Practicum-Planning for Change, Implementing and Evaluating EBP Assignment
Continue to keep a time log and journal of your practicum experiences. See the Practicum Guidelines located in the Practicum area of the Course Overview page for a complete description of the practicum.
By Day 7 of Week 11 of Planning for Change, Implementing and Evaluating EBP Assignment
Reminder: You will submit your time log and a journal entry in Week 11.
Week in Review
This week, you assessed change readiness in a practice environment and developed theory-based strategies to facilitate the implementation of change.
Next week, you will assess an issue within an organization—analyzing the system at the macro- and micro-level—and identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality.