Topic Search Strategy On Selecting Quality And Resource Use Measures

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Topic Search Strategy On Selecting Quality And Resource Use Measures

The purpose of this initial paper is to briefly describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest which is Selecting Quality and Resource Use Measures

NR449 Evidence-Based Practice
RUA: Topic Search Strategy Guidelines
NR449_RUA_Topic_Search_Strategy_Guidelines_Sept20 1
Purpose
The Topic Search Strategy paper is the first of three related assignments. The purpose of this initial paper is to briefly
describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest.
Course outcomes: This assignment enables the student to meet the following course outcomes.
CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
this assignment. Topic Search Strategy On Selecting Quality And Resource Use Measures
Total points possible: 160 points
Preparing the assignment:
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Students will be placed into groups by the end of the second week of the session. The groups will work together to
select a practice problem of interest as the focus for the three RUA assignments in this course. The practice topic of
interest will also be used to complete week 3 and week 5 independent student assignments, as well as a group
PowerPoint presentation in week 7.
a. Individuals will complete this assignment independently for weeks 3 and 5.
b. Teams must assure that members do not use the same articles when completing this assignment.
c. Please make sure you do not duplicate articles within your group.
d. Paper should be 3-4 content pages in length. Title and reference pages are required but are excluded from 3-4
page length.
2) The paper will include the following sections:
a. Clinical Question (45 points/28%)
• Describe the problem. What is the focus of your group’s work?
• Explain the significance of the problem in terms of patient outcomes. What health outcomes result from
your problem? Or what statistics document this is a problem? You may find support on websites for
government or professional organizations.
• PICOT question in support of the group topic.
• State the purpose of your paper. What will your paper do or describe? This is similar to a problem
statement. “The purpose of this paper is to . . .”
b. Levels of Evidence (20 points/13%)
• Identify the type of question being asked (therapy, prognosis, meaning, etc.).
• What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)?
c. Search Strategy (65 points/41%)
• List search terms and results.
• Databases used (start with the CU library). Link your search with the PICOT question described above.
• Refinement decisions. As you did your search, what decisions did you make in refinement to get your
required articles down to a reasonable number for review? Were any limits used? If so, what?
• Identification of two (2) most relevant articles (primary sources published within the last 5 years).
d. Format (30 points/18%)
• Correct grammar and spelling.
• Include a title page.
• Use of headings for each section.
▪ Clinical Question, Levels of Evidence, Search Strategy, and Conclusion
• Adheres to current APA formatting and guidelines.
2
NR449 Evidence-Based Practice
RUA: Topic Search Strategy Guidelines
NR449_RUA_Topic_Search_Strategy_Guidelines_Sept20 2
• 3-4 pages in length, excluding title and reference pages.
For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully
understand the concepts learned. Topic Search Strategy On Selecting Quality And Resource Use Measures
NR449 Evidence-Based Practice
RUA: Topic Search Strategy Guidelines
NR449_RUA_Topic_Search_Strategy_Guidelines_Sept20 3
Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

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Assignment Section and
Required Criteria
(Points possible/% of total points available)
Highest Level of
Performance
High Levelof
Performance
Satisfactory
Level of
Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
Clinical Question (45 points/28%) 45 points 40 points 37 points 33 points 0 points
Required criteria
1. Describe the problem. What is the focus of your group’s work?
2. Explain the significance of the problem in terms of patient outcomes. What health
outcomes result from your problem? Or what statistics document this is a problem?
You may find support on websites for government or professional organizations.
3. PICOT question in support of the group topic.
4. State the purpose of your paper. What will your paper do or describe? This is similar
to a problem statement. “The purpose of this paper is to . . .”
Includes 4
requirements.
Includes 3
requirements.
Includes 2
requirements.
Includes 1
requirement.
No
requirements
for this section
presented.
Levels of Evidence (20 points/13%) 20 points 16 points 10 points 0 points
Required criteria
1. Identify the type of question being asked (therapy, prognosis, meaning, etc.).
2. What is the best type of evidence to answer that question (e.g., RCT, cohort study,
qualitative study, etc.)?
Includes 2
requirements.
Includes 1
requirement.
Incomplete or
inaccurate
information
presented.
No requirements for this section
presented.
Search Strategy (65 points/41%) 65 points 58 points 54 points 48 points 0 points
Required criteria
1. List search terms and results.
2. Databases used (start with the CU library). Link your search with the PICOT question
described above.
3. Refinement decisions. As you did your search, what decisions did you make in
refinement to get your required articles down to a reasonable number for review?
Were any limits used? If so, what?
4. Identification of two (2) most relevant articles (primary sources published within the
last 5 years).
Includes 4
requirements.
Includes 3
requirements.
Includes 2
requirements.
Includes 1
requirement.
No
requirements
for this section
presented.
Organization and APA Style (30 points/18%) 30 points 27 points 25 points 15 points 0 points
Required criteria
1. Correct grammar and spelling. Topic Search Strategy On Selecting Quality And Resource Use Measures
2. Include a title page.
3. Use of headings for each section.
4. Clinical Question, Levels of Evidence, Search Strategy, and Conclusion
5. Adheres to current APA formatting and guidelines.
6. 3-4 pages in length, excluding title and reference pages.
Includes 6
requirements.
Includes 5
requirements.
Includes 3-4
requirements.
Includes 1-2
requirements.
No
requirements
for this section
presented.
Total Points Possible = 160 points

Module 4: Assignment N494

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Module 4: Assignment N494

Assignment:

Evidence-Based Practice Guideline

Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Sources are not required; however, if sources are used make sure to cite using the APA writing style for the essay and complete a reference page. The cover page is required. Review the rubric criteria for this assignment. Module 4: Assignment N494

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Utilize the databases identified in the text to locate an Evidence-Based Practice Guideline, related to your topic identified in Module 1. Perform a rapid critical appraisal of the Evidence-Based Guideline by answering the following questions in APA format. All questions should be answered in detail and explanations offered according to guideline content when applicable.

  • Who      were the guideline developers?
  • Were      the developers of the guideline representative of key stakeholders in this      specialty (inter-disciplinary)?
  • Who      funded the guideline development?
  • Were      any of the guideline developers funded researchers of the reviewed      studies?
  • Did      the team have a valid development strategy?
  • Was an      explicit (how decisions were made), sensible, and impartial process used      to identify, select, and combine evidence?
  • Did      its developers carry out comprehensive, reproducible literature review      within the past 12 months of its publication/revision?
  • Were      all important options and outcomes considered?
  • Is      each recommendation in the guideline tagged by the level/strength of      evidence upon which it is based and linked to the scientific evidence?
  • Do the      guidelines make explicit recommendations (reflecting value judgments about      the outcomes)?
  • Has      the guideline been subjected to peer review and testing?
  • Is the      intent of use provided (i.e. national, regional, local)?
  • Are      the recommendations clinically relevant?
  • Will      the recommendations help me in caring for my patients?
  • Are      the recommendations practical/feasible? Are resources (people and      equipment) available?
  • Are      the recommendations a major variation from current practice? Can the      outcomes be measured through standard care? Module 4: Assignment N494

Be sure to include the database from which the guideline was obtained and please submit a copy of the guideline with your paper.

Your APA formatted paper fully answer each question in complete sentences.

Assignment Expectations:

Length: Clearly and fully answer all questions; include database; attach a copy of the guideline
Structure: Include a title page and reference page (if sources were used) in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. No minimum sources are required for this assignment; if sources are used APA format is required. Module 4: Assignment N494

Nursing Research Paper

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Nursing Research Paper

This paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present).
Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country. Nursing Research Paper

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  • Page 1: Title page Create a title for your paper. Refer to your APA Manual.
  • Page 2: Abstract The abstract should open with a sentence that will serve as an introduction to and purpose of the paper. Then describe what is in each part of the paper. An abstract is usually a brief outline of the contents of the paper that typically does not exceed 250 words. At the end of the abstract place the phrase Key Words, and denote 3-4 keywords that would describe your paper (as for publication and indexing in CINAHL or PubMed).
  • Pages 3-11: Narrative
    • Heading: Significance and Background: Start the paper with a short paragraph that introduces the health problem in your PICOT question. (Approximately ½-page).
    • Heading: Purpose: Clearly define the global health problem, and discuss why it is important for nursing (why you are discussing this topic).  Discuss what is known about this problem in the United States and in a non-USA country.  For example, if the focus is adult hypertension, discuss guidelines for defining hypertension in the US and in a non-USA country.  (Approximately 1 page).
    • Heading: Methods: Discuss the methods used to select the following research studies.
      Next use the subheading:

      • Sub-headings: Study #1: Nursing research Study in the USA (Approximately 1½ pages)
      • Sub-headings: Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #3: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
      • Sub-headings: Study #4: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
    • Heading: Conclusion.  Summarize the key points from your discussion. How would you translate (use) the new evidence found from your appraisals to change practice or answer your PICOT question? (Approximately 1 page).
  • Page 12+: Reference page: Refer to your APA Manual. Nursing Research Paper

Nursing homework help

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Respond  using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

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Group B

Inferential Statistics- Based on probability; used to draw conclusions or make generalizations about a given population or problem.

Example: “What can I infer about 5-minute Apgar scores of premature babies (the population) after calculating a mean Apgar score of 7.5 in a sample of 300 premature babies?” (McGonigle & Mastrain, p. 376, 2017).

Sampling Distributions- A sampling distribution is the frequency distribution of a statistic over many random samples from a single population.

Sampling Distribution of the Mean – as an example we randomly draw test scores from 25 students out of a total group of 5,000. We then calculate the mean, then draw a new group and repeat; each mean will serve as one datum, or data point.  Nursing homework help

Hypothesis Testing- is the use of statistics to determine the probability that a given hypothesis is true.

Null Hypothesis- the hypothesis that there is no significant difference between specified populations; or differences can be attributed to sampling or experimental error

Type 1 Error- This error occurs when we reject the null hypothesis when we should have retained it.

Type 2 Error- This error occurs when we fail to reject the null hypothesis. In other words, we believe that there isn’t a genuine effect when actually there is one.

Parametric statistics – A class of statistical tests that involve assumptions about the distribution of the variables and the estimation of a parameter.

Nonparametic statistics – A class of statistical tests that do not involve stringent assumptions about the distribution of variables. Between-subject design – A research design in which separate groups of people are compared (e.g. smokers and nonsmokers; intervention and control group subjects). Within-subject design – A research design in which a single group of participants is compared under different conditions or different points in time (e.g. before and after surgery).

Two classes of Statistical Tests:

Parametric tests – tests involving an estimation of a parameter, the use of interval or ratio-level data, and the assumption of normally distributed variables. Include t-tests and ANOVA.

Nonparametric tests – used when the data are nominal or ordinal or when a normal distribution cannot be assumed. Include the Mann-Whitney U test, Wilcoxon signed – rank test, and Kruskal – Wallis test.

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Statistical Tests

 

T-test parametric procedure identifying mean differences for two independent groups, like experiment versus control or dependent groups, like pretreatment and post-treatment scores. Nursing homework help

One – way ANOVA – tests the relationship between one categorical independent variable, such as different interventions, and a continuous dependent variable.

 

Independent t-test – used to compare mean values of a single group to a hypothesized value.

Two- way ANOVA – tests multiple hypotheses with two independent variables

Paired t -test – Obtaining two measurements from the same people or from a paired set of participants. This measures the difference between two related groups. Used when the means for two sets of scores are not independent.

Repeated – measures ANOVA – tests the same group using three or more measures of the same dependent variable.

 

ANOVA – parametric procedure for testing differences between means when there are more than three groups.

 

Chi-Square test – used to test hypothesis about group differences in proportions. It is computed by comparing observed frequencies and expected frequencies, in which there was no relationship between variables.

 

One-tailed test – A statistical test in which only values in one tail of distribution are considered in determining significance. A one-tailed test allots all of your alpha to testing the statistical significance in the one direction of interest.

 

Two-tailed test – Statistical tests in which both ends of the sampling distribution are used to determine improbable values. A two-tailed test allots half of your alpha to testing the statistical significance in one direction and half of your alpha to testing statistical significance in the other direction. Nursing homework help

There are different types of statistical methodologies, inferential statistics are based on probability. Ali and Bhaskar (2016) define probability as “the likelihood that an event will occur” (para. 21). According to Hyatt, Powell, Johnson, and Caldwell (2017) a working knowledge of inferential statistics is needed to understand, interpret, and critically evaluate research studies. The basic premise of inferential statistics is to generate data from random samples and use it to describe or make inferences about an entire population (Ali & Bhaskar, 2016). A basic understanding of inferential tests will help nurses implement research into evidence-based pracitce.

While there are various inferential tests, it is important to understand that they all use probability to infer meaning; that meaning is subsequently applied mathematically to a larger population. For example, Polit and Beck (2017) report that the T-tests is a hypothesis testing tool which compares two groups of data sets to find the difference between them. In nursing research, this test can be utilized to determine if there is causality or any relationship between data sets. Analysis of variance (ANOVA) involves mathematically analyzing data. This test is useful in comparative analysis. For example, the efficacy of interventions, such as different ambulation protocols can be compared with through ANOVA. Inferential statistics also facilitate comparisons of proportions; this is achieved with the Chai Square test. This test is often used to compare differences between the interventional and the control groups (Polit, Beck 2017). While it is unlikely that non-researchers will retain knowledge of the various statistical tests, being able to identify the statistical methodology will help them to better interpret research results.

References

Ali, Z., & Bhaskar, S. B. (2016). Basic statistical tools in research and data analysis. Indian journal of anaesthesia, 60(9), 662–669. doi:10.4103/0019-5049.190623

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for Nursing practice (10th Ed.). Philadelphia, PA: Wolters Kluwer.Chapter 17, “Inferential Statistics”

Hayat, M. J., Powell, A., Johnson, T., & Cadwell, B. L. (2017). Statistical methods used in the public health literature and implications for training of public health professionals. PloS one, 12(6), e0179032. doi:10.1371/journal.pone.0179032. Nursing homework help

NURS 5052 – Week 1 Discussion Paper

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NURS 5052 – Week 1 Discussion Paper

Please see the attached document with complete instructions

Where in the World Is Evidence-Based Practice?

Instructions:

1. Post a description of the healthcare organization website you reviewed.

2. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website).

3. Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not.

4. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

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** At least 3 References**

**THIS DISCUSSION IS DIVIDE IN TWO PARTS –

 

  1. MAIN DISCUSSION POST BY TUESDAY 03/02/2021 BEFORE 8:00 PM EST

 

  1. TWO REPLIES BY FRIDAY 03/05/2021 BEFORE 8:00 PM EST

 

Discussion: Where in the World Is Evidence-Based Practice?

 

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world. NURS 5052 – Week 1 Discussion Paper

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

 

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

Please use a Healthcare Organization in South Florida example: Jackson Health System or Memorial Healthcare System

  • Explore the website to determine where and to what extent EBP is evident.

 

Instructions:

  1. Post a description of the healthcare organization website you reviewed.
  2. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website).
  3. Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not.
  4. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

 

** At least 3 References**

**DEADLINE FRIDAY 3/5/2021 BY 08:00 PM EST**

 

Instructions: Respond to your colleague by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

** use at least 2 references**

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Ethel Uzoma 

Top of Form

Healthcare Organization Website Review

Studies support that evidence-based practice (EBP) can enhance the health outcomes of patients, minimize costs, and empower healthcare professionals. So, healthcare organizations should strive to employ EBP in their clinical practice. In that connection, I selected the website of Mayo Clinic as the healthcare organization to review. Mayo Clinic is a not-for-profit healthcare organization dedicated to education, clinical practice, research, and delivering holistic care to every individual in need of healing (Mayo Foundation for Medical Education and Research, 2021). The website provides extensive information pertinent to what the organization does and the services it offers.

EBP Utilization

The concept of EBP appears on the website under the mission values of Mayo Clinic. The mission statement is “Inspiring hope and promoting health through integrated clinical practice, education and research” (Mayo Foundation for Medical Education and Research, 2021).

Grounding of EBP

The work of this organization is grounded in EBP. An organization’s work is said to be grounded in EBP if it integrates the following components in healthcare delivery: 1) external evidence (well-designed research evidence), 2) healthcare professional expertise, and 3) preferences and values of a patient (Melnyk et al., 2010; Melnyk et al., 2014; Melnyk & Fineout-Overholt, 2018). According to Mayo Foundation for Medical Education and Research (2021), this organization has scientists who conduct research that is translational, epidemiological, basic, and clinical. As the scientists conduct the research, they collaborate with clinicians to create new as well as enhanced treatment protocols and medications, bringing patients proven therapy/treatment, while prioritizing their needs (Mayo Foundation for Medical Education and Research, 2021). The components of EBP are present in this organization’s work.

Perception of Healthcare Organization

The discovered information on the website has changed my perception concerning this healthcare organization. Initially, I thought this organization centered on providing health information and care services traditionally, but after analyzing the website in-depth, I have discovered that the organization strives to improve patient care and enhance healthcare quality by integrating external evidence and clinician’s expertise. NURS 5052 – Week 1 Discussion Paper

 

References

Mayo Foundation for Medical Education and Research. (2021). About Mayo Clinic. https://www.mayoclinic.org/about-mayo-clinic?_ga=2.104229568.1762067221.1614496386-862540562.1613620473https://www.mayoclinic.org/about-mayo-clinic?_ga=2.104229568.1762067221.1614496386-862540562.1613620473

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Melnyk, B. M., & Fineout-Overholt, E. (2018). Chapter 1: “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., pp. 35-62). Philadelphia, PA: Wolters Kluwer.

Bottom of Form

 

**DEADLINE FRIDAY 3/5/2021 BY 08:00 PM EST**

 

Instructions: Respond to your colleague by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

** use at least 2 references**

 

Evelyne mantab 

Top of Form

Discussion Main Post

The Centers for Medicare and Medicaid Services (CMS) is a healthcare company that helps provide coverage to more than 100 million people (U.S. Government Services and Information, 2021). CMS aims to provide affordable as well as high-quality healthcare. The Centers for Medicare and Medicaid Services delivers its mission and philosophy on the company website’s welcome page. On the website, they state their commitment to quality patient care through the use of innovative technology as well as state their dedication to providing meaningful information about the quality and costs of their services (Centers for Medicare & Medicaid Services, 2021).

Evidence-based practice is exercised in the “Research, Statistics, Data and Systems” section of the company website, where the organization provides information about the information technology and computer systems that are utilized and statistics and trends observed in their medical general healthcare practices. The organization offers detailed studies, statistics, and evidence within each subsection, such as systematic-reviewed studies and randomized trials. For example, in the “Chronic Illness” subsection, the company links a study that observed variations and classifications of chronic illnesses and tested the prevalence of chronic illness in US adults. The study included randomized control trials, which are practical uses of Evidence-based practice, as well as systemic reviews (American Speech-Language-Hearing Association, 2021). As outlined in the company’s mission, the organization also uses Evidence-based practice when discussing the technology utilized in their health practices. For example, the company provides statistical data about the efficiency of the Healthcare Integrated General Ledger Accounting System (HIGLAS), stating that “as of January 31, 2021, [HIGLAS] recouped a cumulative total of over $818.05 million in tax levy offsets” (Centers for Medicare & Medicaid Services, 2021).

The organization utilizes Evidence-based practice through systematic-reviewed studies and statistics to further the company mission and provide reliable information to patients. As a result, this healthcare organization’s work is grounded in evidence-based practice. The information provided by the company further strengthens my belief in the company’s credibility and dedication to provide meaningful and trustworthy information to patients.

References

Centers for Medicare & Medicaid Services. (2021). Home – Centers for Medicare & Medicaid Services | CMS. Retrieved from https://www.cms.gov/

U.S. Government Services and Information. (2021). Centers for Medicare and Medicaid Services | USAGov. Retrieved 2021, from https://www.usa.gov/federal-agencies/centers-for-medicare-and-medicaid-services

American Speech-Language-Hearing Association. (2021). Evidence-Based Practice (EBP). Retrieved 2021, from https://www.asha.org/research/ebp/

Centers for Medicare & Medicaid Services. (2021). Healthcare Integrated General Ledger Accounting System (HIGLAS) | CMS. Retrieved 2021, from https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/HIGLAS

Bottom of Form. NURS 5052 – Week 1 Discussion Paper

 

Evidence-Based Practice Change Process

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Evidence-Based Practice Change Process

Purpose

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. Evidence-Based Practice Change Process

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Directions

EBP Change Process (form)

1. Download the EBP Change Process form (Links to an external site.)Links to an external site. during Week 1. (Attached)

2. The use of this specific form is REQUIRED and is due at the end of Week 6.

3. A short tutorial with tips for completing this assignment may be viewed in the short video above.

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 Cochrane Database of Systematic Reviews located in the Chamberlain Library. 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.

9. Please reach out to your instructor for feedback or assistance with your PICOT question as needed.

10. 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. Evidence-Based Practice Change Process

11. 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!

12. For questions about this assignment, please contact your instructor.

13. Use the grading rubric as a final way to check that all components of the form have been completed. The rubric is the tool your instructor will use to assess your content.

Textbooks:

American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.

Week 6 Assignment:  EBP Change Process form

ACE Star Model of Knowledge Transformation

Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.

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 Cochrane Database of Systematic Reviews from the Chamberlain library. 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). Evidence-Based Practice Change Process

 

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 leaders 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? Evidence-Based Practice Change Process

 

 

 

Assignment: Evidence-Based Project, Part 4: Critical Appraisal Of Research

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Assignment: Evidence-Based Project, Part 4: Critical Appraisal Of Research

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 an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

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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 Tool Worksheet Template provided in the Resources. Assignment: Evidence-Based Project, Part 4: Critical Appraisal Of Research

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 Evaluation Table within the Critical Appraisal Tool Worksheet Template.

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. Assignment: Evidence-Based Project, Part 4: Critical Appraisal Of Research

Ethics and Evidence-Based Research Paper

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Ethics and Evidence-Based Research Paper 

 

 Ethics and Evidence-Based Research

1250–1500-word addressing each of the following points. There should be three main sections, one for each bullet below. Separate each section with a clear heading that allows you to know which bullet you are addressing in that section of your paper. Support your ideas with at least two sources using citations. Make sure to cite using the APA writing style. The cover page and reference page in correct APA do not count towards the minimum word amount.

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2:  Review the sectioned titled Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Part 3: Identify which ethical principles may conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.  Ethics and Evidence-Based Research Paper

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Length: 1250 – 1500 words

Include a title page and reference page in APA format. These do not count towards the minimum word count for this. Must include an introduction and a conclusion.

Use appropriate APA style in-text citations and references for all resources utilized to answer the. A minimum of two (2) scholarly sources are required for this.

FYI: BELOW FROM PAGE 2 IS THE TEMPLATE OF HOW THE PAPER SHOULD BE WRITTEN. OUTLINE PLEASE FOLLOW. NO RUNNING HEAD. WILL ATTACH THE SCANNED PAGES. START WITH TITLE PAGE. Ethics and Evidence-Based Research Paper

 

This is where you will write out your introduction. Briefly discuss what you will be covering in this paper, which is 1) a description of why ethical safeguards designed for clinical research may not be feasible for evidence-based practice or evidence-based practice implementation projects, 2) a discussion of three main ethical controversies related to implementing evidence-based quality improvement (EBQI) initiatives and how these controversies relate to the four core ethical principles, and 3) identification of which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare” and how these conflicts may be resolved. You will need to review the Melnyk (2015) text to help with writing this paper.

Ethical Safeguards for Evidence-Based Practice

For this section, describe to readers why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Ethical Controversies

In this section, introduce to the reader that you will be discussing three main ethical controversies related to implementing evidence-based quality improvement (EBQI) initiatives and describing how these controversies relate to the four core ethical principles. Read pages 518-519 in Melnyk (2015) to help with this section.

Controversy One

            Discuss the controversy. Describe how it relates to the four core ethical principles.

Controversy Two

            Discuss the controversy. Describe how it relates to the four core ethical principles.

Controversy Three

            Discuss the controversy. Describe how it relates to the four core ethical principles.

Ethical Responsibility of Patients

            Here you will address if patients have an ethical responsibility in improving healthcare. Identify and discuss which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

Conclusion

            Almost done! Provide a summary of your paper in three or more sentences.

 

References

Melnyk, B.M. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia, PA: Wolters Kluwer. Ethics and Evidence-Based Research Paper

 

Telehealth Medicine Assignment

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Telehealth Medicine Assignment

For this assignment, answer the following questions:

  • What are the Pros and Cons to telehealth?
  • How will you approach and perform a telehealth assessment?
  • What are the limits to telehealth?
  • What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?

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Submission Instructions

  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • The paper should be formatted per current APA and 2-5 pages in length, excluding the title, abstract, and references page.
  • Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Telehealth Medicine Assignment

 

Protecting Seniors From Health Care Fraud Act

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Protecting Seniors From Health Care Fraud Act

To Prepare: Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy (H.R. 4401 protecting seniors from health care fraud act). Review the health policy you identified and reflect on the background and development of this health policy. Post a description of the health policy you selected(protecting seniors from health care fraud act) and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.  Protecting Seniors From Health Care Fraud Act

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Require reading