Writing a clear evidence-based practice (EBP) question using the PICO format is the first step in developing a change in practice. In this Discussion, you will explore the steps involved in EBP and develop a researchable EBP
Identify a Practice Problem
Writing a clear evidence-based practice (EBP) question using the PICO format is the first step in developing a change in practice. In this Discussion, you will explore the steps involved in EBP and develop a researchable EBP question in the PICO format that addresses a patient quality and safety issue.
To prepare for this Discussion,
Review the following from this week’s resources:
AWE Checklist (Level 4000)
Discussion Rubric, provided in the Course Information area
This week’s Writing Resources and Program Success Tools (link to e-guide)
This week’s articles and media
Post the following:
In this Discussion you will identify three clinical practice problems in your current (or past) practice as a nurse that risk compromise to quality of care and patient safety. You will select one of these problems to clearly define the risk and ask a question using the PICO format. Asking the question and selecting the problem is the first step of the Impact Model that is discussed in the textbook. Evidence-based practice questions are asked and written in the PICO format and you will use this process as you develop an evidence-based practice project that will be completed in steps during the course.
Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphraseto incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)
NURS4100
Week 2 Discussion
Levels of Evidence to Change Practice
What are the different types of evidence and how does one evaluate a source’s reliability?
Understanding the different levels, or hierarchy, of research evidence and how they relate to your research question will help you in determining the appropriate levels of support when engaged in the research process. To that end, you must consider how primary and secondary sources contribute to research as well as the meaningfulness of peer-reviewed articles and meta-analyses for promoting future research.
To prepare for this Discussion,
Review the following from this week’s resources:
· AWE Checklist (Level 4000)
· Discussion Rubric, provided in the Course Information area.
· This week’s Writing Resources and Program Success Tools (link to e-guide)
· This week’s articles and media
Post the following:
Explain the challenges of performing a literature search. Then, describe the databases and the search terms that you used in your online search related to your specific clinical problem for your EBP Project. Explain what went well, what were the challenges, and the amount of time needed to complete the search. In the responses to classmates’ posts please discuss what recommendations that you would give your classmates to improve their searches.
Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.
Post a Discussion entry on 3 different days of the week. See the Discussion Rubric found in the Course Information area.
NURS4100
Week 3 Discussion
Common Flaws in Quantitative Studies
When nurses have a question about a clinical practice issue that they can turn to the literature to see what scientific evidence is available that addresses their question. However, as discussed in Week 2, not all evidence is created equal. When looking at the literature, it is important to evaluate each research study. Before assumptions can be made about the applicability of a study’s results, specific elements of a research design must be evaluated.
This week, you will examine elements of the strength of a quantitative research study’s design, including sample size, generalizability, statistical analysis and conclusions. Keep in mind all studies have flaws or are not valid for your population. Consequently, one study by itself will not warrant a change in practice. It is important to find a number of studies to support your change in practice.
To prepare for this Discussion,
Review the following from this week’s resources:
AWE Checklist (Level 4000)
Discussion Rubric, provided in the Course Information area
This week’s Writing Resources and Program Success Tools (link to e-guide)
This week’s articles and media
By Day 3
Post the following:
After viewing the Week 3 Webinar: Critical Appraisal of Quantitative Research, complete the Appraisal Guide: Findings of a Quantitative Study in this week’s resources. Of the questions discussed on the second page of the critique form, titled Credibility, which ones were identified in the article reviewed during the webinar? Describe one of the most serious flaws in this study and why it leaves you wondering if the study findings should be used as evidence in an assessment of patient handoff?
Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.
Post a Discussion entry on 3 different days of the week. See the Discussion Rubric found in the Course Information area.
NURS4100
Week 4 Discussion
Evaluation of Qualitative Research
Qualitative research provides evidence from the individual/family/group/culture perspective. It is vital to understand that life experiences are an important source of evidence. The rich evidence gathered with qualitative research provides an in-depth examination of the human experience and cultural health beliefs of individuals and families. This week, you will be analyzing a qualitative research design including problem, data collection and analysis, and conclusions.
By Day 3
Post the following:
Like Week 3, after viewing the Week 4 Webinar: Critical Appraisal of Quantitative Research, complete the Appraisal Guide: Findings of a Qualitative Study in this week’s resources. Of the questions discussed on the second page of the critique form, titled Credibility, which ones were identified in the article reviewed during the webinar? Describe one of the most serious flaws in this study and why it leaves you wondering if the study findings should be used as evidence in an assessment of patient safety in the home.
Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.
Post a Discussion entry on 3 different days of the week. See the Discussion Response and Grading Rubric found in the Course Information area.
NURS4100
Week 5 Discussion
Using Evidence-Based Practice Models to Guide Practice Change and Developing a Plan for the Evidence-Based Practice Project
Facilities often establish EBP committees who are charged with reviewing the evidence and proposing changes in practice. The committees work together to synthesize plans and engage in activities that will promote EBP in to promote quality care and patient safety. Integral to developing and implementing EBP change are the need to utilize effective communication and leadership skills.
The required readings this week provide an overview of different evidence-based models that can be used as guides to conducting evidence-based practice change projects. In the videos for Week 5, an EBP committee discusses the evidence-based steps they used to identify, assess, propose and implement a practice change in their work settings. For this Discussion, you will see a committee as it completes it work. There are two scenarios with the videos. In the first one, there are issues that develop that need to be resolved. You will be asked to pause the video and identify how you would address the conflict that seems to be developing over the EBP change. In the second scenario, you will see how leadership skills are utilized to help focus the committee on the EBP project.
By Day 3
Post the following:
After viewing the videos, use the flow chart in the [Iowa EBP Model to Promote Quality Care] found in the Grove, Gray, and Burns text, to discuss how closely the EBP project did or did not follow each step in this model. In what ways do you think the project would have benefited from implementing any step(s) that were not used?
Note Initial Post: A three-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5-years-old.)
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.
Post a Discussion entry on 3 different days of the week. See the Discussion Rubric found in the Course Information area.
NURS4100
Week 6 Discussion
Implementing and Evaluating Evidence-Based Practice Change in Health Care Settings
You have reached the final step of the EBP process. You have submitted the final evidence-based practice project paper to your Instructor. This week, you will develop a voice-over PowerPoint presentation on your EBP project to present to your classmates in the Discussion.
To prepare for this Discussion,
Review the following from this week’s resources:
· AWE Checklist (Level 4000)
· Discussion Rubric, provided in the Course Information area
· This week’s Writing Resources and Program Success Tools (link to e-guide)
· This week’s articles and media
· Prepare a PowerPoint Presentation on your EBP project (see Rubric for guidelines)
By Day 3
Post the following:
Post the voice-over PowerPoint presentation on your EBP Project to the Discussion. Students will discuss projects with each other, asking for clarification as needed, offering suggestions to prep, and offering support and encouragement to each other.
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues.
Post a Discussion entry on 3 different days of the week. See the Discussion Rubric found in the Course Information area.
Note: Please be advised that you will be graded for both your final PowerPoint presentation as well as your Discussion posts.
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