Advocating for New Practice Approaches Through Policy

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

Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.

For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Project. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.

Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from http://www.nursingschools.net/blog/2010/06/100-entertaining-inspiring-quotes-for-nurses/

To prepare:

  • Select one of the new practices approaches you      developed for the Week 6 Discussion (See attached file)
  • Review the Ridenour and Trautman (2009) and      Stokowski et al. (2010) articles listed in the Learning Resources. Assess      the strategies for engaging in the policy process.
  • Consider the barriers to using evidence to      affect changes in health care policy discussed in the course text.
  • Brainstorm ideas for leading policy development      related to your suggested practice approach, as well as ideas for      addressing those barriers.

, write a minimum of 550 words essays in APA format with at least 3 references (see attached file) from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Identify your proposed practice approach in the first line of your posting (See my PIICOT question below).

2) How would you lead policy development for your selected issue?

3) What strategies could you use to overcome barriers you may encounter while engaging policy makers? (Select three or more strategies to focus on in your posting.) 

Required Readings

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

  • Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter      5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter 7, “Translation of Evidence      for Health Policy” (See attached file)

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

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

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

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

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