Evidence-Based Practice Model And Change Theory

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Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Identify an evidence based practice model and change theory that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Describe in detail how you would utilize the practice model ( The Iowa model of evidence based practice.) and change theory ( Roger’s theory of diffusion of innovations) to implement an evidence-based practice change in your clinical practice environment, related to your research topic. Clinical practice guideline towards the prevention of neck pain among adults. therapy over medication).

Title Slide (1 slide)

Objective Slide (1 slide)

Identify an evidence-based practice model and change theory that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). (2-3 slides).

Describe in detail how you would utilize the practice model and change theory to implement an evidence-based practice change in your clinical practice environment, related to your research topic. (6-8 slides)

References (1 slide)

Assignment Expectations:

Length: 8-14 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

Issues Raised In Using ADR To Resolve Malpractice Claims Without, Or Limiting, Litigation

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In the Research Paper, you will apply the sources from your Annotated Bibliography (and others you may find after submitting the Annotated Bibliography) to explore the legal, social, ethical, and biblical aspects of alternative dispute resolution (ADR) in healthcare, including options for Bible-based dispute resolution. You will specifically address the issues raised in using ADR to resolve malpractice claims without, or limiting, litigation.

Your paper must examine what options you would recommend for your healthcare facility with support from your research and analysis. The final paper must include at least 5 scholarly sources other than the Reading & Study materials and the Bible, cited in-text and in a reference list. You must also integrate biblical analysis of the topic into the paper.

The Research Paper must contain at least 1,500 words and follow current APA format. The title page, abstract, and reference list do not count towards the length requirement. You will submit your paper as a Word document.

Note: Your assignment will be checked for originality via the SafeAssign plagiarism tool.

You may (optional) submit drafts of your paper through the SafeAssign Draft link in

GTPAL stand for: gravida, term, preterm, abortions, living

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Gravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks.

Term: deliver at 37 or greater weeks

Preterm: how many pregnancies between 20-37 (actually 36 and 6/7) wks

Abortion: pregnancy loss at less than 20 weeks. Abortions may also be induced by physicians or spontaneously.

Living: how many children are living now?:

***Multiple births (twins, triplets and higher multiples) count as one birth

  1. This is mom’s 1st pregnancy:
  2. 2nd pregnancy and she had an AB at 8 wks for the 1st pregnancy
  3. 3rd pregnancy. 1st pregnancy delivered at 38 and 2nd pregnancy was twins delivered at 29 wks. 1 of those children died.
  4. 2nd pregnancy. Delivered twins at 37 wks both live pregnancy.
  5. 3rd pregnancy. Delivered triplets at 28 wks and 2 of the babies survived. Had an elective AB at 6 wks.
  6. This is a woman’s 5 pregnancies, births at 41 week, 39 5/7 weeks, 38 6/7 and 36 5/7 weeks 1 induced abortion at 10 weeks , and 4 living children at this time.
  7. a pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children would have a GTPAL annotation of?
  8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as?

Rubric:

This assignment is worth 5 points. 1 point for APA and style of paper.

.5 point for each of the eight cases. Partial points are not awarded if you get part of a case incorrect you get the whole case incorrect. Use page 259 in your text book for further details. Explain your rationale. Demonstrations will be done in class.

Environmental Factors And Health Promotion: Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Capstone Project Topic Selection And Approval

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In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.

A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

· Explains setting and/or context in which nursing problem, issue, suggestion, initiative, or educational need is observed.

· Explains the problem, issue, suggestion, initiative, or educational need.

· Describes the impact of the project topic on a) the work environment, b) the quality of care provision, and c) patient outcomes.

· Discusses the significance of and the implications to the nursing profession.

· Proposes a solution to the identified project topic.

l

· Identified components of PICOT:

P – Population of Focus

I – Intervention

C – Comparison

O – Outcome

(T – Time)

Capstone Presentation

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Purpose

In this assignment, you will assess the impact of health legislation on nursing practice and communicate your analysis to your peers. GovTrack.us provides a list of federal health bills that are currently in process in Congressional Committees.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO#4)

CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO#7)

Points

The assignment is worth 175 points.

Due Date

Submit your completed assignment by Sunday of Week 3 by 11:59 p.m. MT.

Directions

A short tutorial with tips for completing this assignment may be viewed here: Healthcare Policy (Links to an external site.)Links to an external site.

  1. This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).
  2. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
  3. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Links to an external site.
  4. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
  5. Here is a link to our U.S. legislative process (bill to law) for review, if needed.

https://www.congress.gov/legislative-process (Links to an external site.)Links to an external site.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful –

https://support.office.com/office-training-center?redirectSourcePath=%252fen-us%252farticle%252fb8f02f81-ec85-4493-a39b-4c48e6bc4bfb (Links to an external site.)Links to an external site.

Include the following information in your presentation

· Title slide (Your name, NR451, session, Healthcare Policy assignment)

· Bill name and number (indicate either H.B. or S.B.)

· Bill summary (in your own words)

· Address how this bill might impact professional nursing practice standards if passed? If not passed?

· How might the bill impact your own nursing practice?

· How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?

· How might this bill impact your community?

· References slide to include the Bill source in APA format.

· No more than 12 slides

Template

There is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.

Best Practices

The following are best practices in preparing this presentation.

· Review directions and rubric thoroughly prior to beginning assignment.

· Watch short Kaltura video.Incorporate graphics, clip art, or photographs to increase interest.

· Make slides easy to read with short bullet points and large font.

Source Citations

Cite all sources on the appropriate slides with (author, year) as well as on the Reference slide.

· Spell check for spelling and grammar errors prior to final submission.

· Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Academic Integrity Reminder

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Health Care Policy

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In this week’s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients.

In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area. 

                                               To prepare:

Select one public policy that currently is impacting you and your practice. Consider the following:

What health care driver was the policy designed to address: cost, quality, access, or a combination?

Does the policy appear to be achieving its intended results? On what data are you basing your assumption?

What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?

How is this policy affecting your nursing practice?

Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.

Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?

Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development.

                                         Required Readings

Milstead, J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers.

Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. xvi -13)

This chapter explains public policy and the nurse’s role in directing health care issues to the government and securing a response.

Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention” (pp. 16-34)

This chapter provides examples of the process of moving a problem to the attention of the government so the solution can be considered at the state and federal levels.

Chapter 3, “Government Response: Legislation” (pp. 36-54)

This chapter explores the multiple factors that influence the development of public policy through the legislative branch of government.

Article Analysis

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Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, 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. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 27-May-2019 at 12:00:00 AM

Due Date: 02-Jun-2019 at 11:59:59 PM

Maximum Points: 130.0

Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial

Review “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” by Utens et al., from International Journal of Nursing Students (2013).

Review this article in conjunction with the “Article Analysis Example 2” document to help prepare for the article analysis assignment due in this topic.

URL:https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0020748913000941

Article Analysis 2

No of Criteria: 10 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentage1: Unsatisfactory0.00 %2: Less Than Satisfactory65.00 %3: Satisfactory75.00 %4: Good85.00 %5: Excellent100.00 %Content100.0 Two Quantitative Articles10.0Fewer than two articles are presented. None of the articles presented use quantitative research.N/ATwo articles are presented. Of the articles presented, only one articles are based on quantitative researchN/ATwo articles are presented. Both articles are based on quantitative research.Article Citation and Permalink10.0Article citation and permalink are omitted.Article citation and permalink are presented. There are significant errors. Page numbers are not indicated to cite information, or the page numbers are incorrect.Article citation and permalink are presented. Article citation is presented in APA format, but there are errors. Page numbers to cite information are missing, or incorrect, in some areas.Article citation and permalink are presented. Article citation is presented in APA format. Page numbers are used in to cite information. There are minor errors.Article citation and permalink are presented. Article citation is accurately presented in APA format. Page numbers are accurate and used in all areas when citing information.Broad Topic Area/Title10.0Broad topic area and title are omitted.Broad topic area and title are referenced but are incomplete.Broad topic area and title are summarized. There are some minor inaccuracies.Broad topic area and title are presented. There are some minor errors, but the content overall is accurate.Broad topic area and title are fully presented and accurate.Hypothesis10.0Definition of hypothesis is omitted. The definition of the hypothesis is incorrect.Hypothesis is summarized. There are major inaccuracies or omissions.Hypothesis is generally defined. There are some minor inaccuracies.Hypothesis is defined. Hypothesis is generally defined. There are some minor inaccuracies.Hypothesis is accurate and clearly defined.Independent and Dependent Variable Type and Data for Variable10.0Variable types and data for variables are omitted.Variable types and data for variables are presented. There are major inaccuracies or omissions.Variable types and data for variables are presented. There are inaccuracies.Variable types and data for variables are presented. Minor detail is needed for accuracy.Variable types and data for variables are presented and accurate.Population of Interest for the Study10.0Population of interest for the study is omitted.Population of interest for the study is presented. There are major inaccuracies or omissions.Population of interest for the study is presented. There are inaccuracies.Population of interest for the study is presented. Minor detail is needed for accuracy.Population of interest for the study is presented and accurate.Sample10.0Sample is omitted.Sample is presented. There are major inaccuracies or omissions.Sample is presented. There are inaccuracies.Sample is presented. Minor detail is needed for accuracy. Page citation for sample information is provided.Sample is presented and accurate. Page citation for sample information is provided.Sampling Method10.0Sampling method is omitted.Sampling is presented. There are major inaccuracies or omissions.Sampling is presented. There are inaccuracies. Page citation for sample information is omitted.Sampling is presented. Minor detail is needed for accuracy.Sampling method is presented and accurate.How Was Data Collected10.0The means of data collection are omitted.The means of data collection are presented. There are major inaccuracies or omissions.The means of data collection are presented. There are inaccuracies. Page citation for sample information is omitted.The means of data collection are presented. Minor detail is needed for accuracy. Page citation for sample information is provided.The means of data collection are presented and accurate. Page citation for sample information is provided.Mechanics of Writing (includes spelling, punctuation, grammar, and language use)10.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.The writer is clearly in command of standard, written, academic English.Total Percentage 100

Evidence-Based Project: Critical Appraisal Of Research

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Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

PREVIOUS ASSIGNMENT, TEMPLATE, AND THE 4 PEER REVIEW ARTICLES ARE ATTACHED IN THE DOCUMENTS BELOW

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Nursing Research And Evidence-Based Practice

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Nursing Research and Evidence-Based Practice

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

Consider a recent clinical experience in which you were providing care for a patient.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
What questions have you thought about in a particular area of care such as a procedure or policy?
Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

Post on or before Day 3:

(1) an evaluation of the use, or lack thereof, of EBP in a recent clinical experience.
(2) Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale.
(3) List your background questions and PICOT question about this nursing topic.
(4) Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices.
(5) Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization

REQUIRED RESOURCES

Readings

Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”

This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.
Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”

The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.
Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research”

In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized.
Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277.
Retrieved from the Walden Library databases.

This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.
Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286.
Retrieved from the Walden Library databases.

This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care.
Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook, 58(6), 309–317.
Retrieved from the Walden Library databases.

In this article, the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP translation across disciplines.
Shaheen, M., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229–236.
Retrieved from the Walden Library databases.

This article reviews a study that sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption.
Shivnan, J. C. (2011). How do you support your staff? Promote EBP. Nursing Management, 42(2), 12–14.
Retrieved from the Walden Library databases.

This article explores the role of the nurse manager in supporting evidence-based practice. The article also explains barriers and strategies to promote EBP for a nurse manager.
Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360

Media

Laureate Education, Inc. (Executive Producer). (2012).Timeline of nursing research. Baltimore, MD: Author.

This multimedia piece features a timeline of major events in nursing research. The timeline highlights how historical events and seminal research have contributed to nursing practice.