August 2, 2024

Walden NURS4100 Complete Course Latest 2024

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 1 Discussion

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare for this Discussion

Review the following from this week’s resources:

Discussion Rubric (To access the Week 1 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.)

This week’s Writing Resources

This week’s articles and media

BY DAY 3

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; referencing the NDNQI list. 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 evidenceLinks to an external site. from the readings and include in-text citationsLinks to an external site.. Utilize essay-levelLinks to an external site.writing practice and skills, including the use of transitional materialLinks to an external site. and organizational framesLinks to an external site.. Avoid quotes; paraphraseLinks to an external site. to incorporate evidence into your own writing. A reference listLinks to an external site. is required. Use the most current evidenceLinks to an external site. (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.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare for this Discussion

Review the following from this week’s resources:

Discussion Rubric (To access the Week 2 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.)

This week’s Writing Resources

This week’s articles and media

BY DAY 3

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.

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.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

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.

RESOURCE

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare for this Discussion

Review the following from this week’s resources:

Discussion Rubric (To access the Week 3 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.)

This week’s Writing Resources

This week’s articles and media

BY DAY 3

Post the following:

After viewing the Week 3 Webinar: Critical Appraisal of Quantitative Research, review 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?

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.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

BY DAY 3

Post the following:

Like Week 3, after viewing the Week 4 Webinar: Critical Appraisal of Quantitative Research, review 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.

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.

To access the Week 4 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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?

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.

To access the Week 5 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.)

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

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 discuss your EBP project with your classmates in the Discussion.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare for this Discussion

Review the following from this week’s resources:

Discussion Rubric (To access the Week 6 Discussion Rubric, locate and click the Options icon top right of this discussion and click Show Rubric.)

This week’s Writing Resources

This week’s articles and media

BY DAY 3

Post the following:

Prepare a summary of your EBP Project that covers the following:

Describe the change

Describe the evidence that supported the change

Explain how you evaluate whether the change was successful

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.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 1 Assignment

EVIDENCE-BASED PROBLEM AND QUESTION

To begin your EBP project for the course, you will develop your PICO question using the Evidence-Based Problem and Question template in this week’s resources. The template covers all three parts of this assignment:

Identify one nurse sensitive indicator that you think is a problem in your workplace. Focus on everyday nursing practice issues such as, falls, pressure ulcers, unsafe work environment, pain assessment, peripheral intravenous, physical restraints, healthcare associated infections, or education.

Use the four PICO categories to describe this clinical problem. For the purposes of this class it is not recommended students attempt to select the topics of staff ratios/mix or turnover, job satisfaction, nursing care hours provided per patient day, or insurance issues.

Develop an answerable EBP PICO format question.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

BY DAY 7

Submit your Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK1Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 2 Assignment

INDING THE RESEARCH EVIDENCE

Continuing on with step one of the Impact Model is the need to search for the studies to support your project. There are different classes of evidence that can guide changes in clinical practice.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare for this Assignment

Review the following:

Walden paper template

Write a 2-page paper (excluding title page and reference page) to address the following:

For each article/source of evidence:

Summarize the article/source in your own words without the use of direct quotes.

Using the Peterson et al., (2014) article located in Week 2 Resources, describe where each of your sources fit in the level of evidence (hierarchy) and explain why. Then discuss the usefulness of the evidence from the article/source in addressing the identified practice problem. Be sure to site evidence in-text and in a final reference page.

Describe the usefulness or strength of these two sources in better understanding and addressing your evidence-based problem.

Use the writing template to follow APA formatting.

Note: Before you submit any final paper in the course for grading, submit it to Safe Assign within the course in the Turnitin Drafts area located in the Start Here module. Use the information provided in the Similarity Report (Walden University, n.d.) to revise your paper. Paraphrasing and citing your sources in-text will decrease the Similarity Score. Revise your paper before submitting it.

BY DAY 7

Submit your Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK2Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 4 Assignment

APPRAISAL GUIDE

The assignment for this week is to submit Appraisal Guides for two of the resources that you have selected for your Evidence-Based Practice Project. You will need to select the Appraisal Guide that is appropriate for the type of study that was conducted. The Appraisal Guide: Findings of a Qualitative Study and the Appraisal Guide: Findings of a Quantitative Study are located in this week’s resources.

Access the Appraisal Guide that is appropriate for the study that was conducted

Complete the sections of the Appraisal guide for each of the two resources you have selected for your Evidence-Based Practice Project

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

BY DAY 7

Submit your completed Appraisal Guides.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK4Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 5 Assignment

EBP PROJECT PAPER

For this Assignment

Review the following:

Walden paper template.

Submit a 3- to 4-page paper (not including the title page, and reference list) on your EBP project including:

A brief statement of the topic and the PICO clinical question with a purpose statement

Recommended change in practice citing high-level evidence to support your suggested change in practice.

Explain the recommended EB change including the setting, health care consumers affected, and the rationale for the change

Include how the recommended change would be implemented, who will be involved, and how information/change will be provided to those involved, supporting your responses with scholarly literature

Evaluation strategies and outcome measures

Describe how outcomes will be measured and how data will be collected to clearly identify if the plan once implemented has had a positive, negative, or neutral impact, supporting your responses with scholarly literature

Conclude your paper with a summary

Use at least 5 sources of evidence from the following categories: (a) systematic reviews, (b) national clinical guidelines and/or (c) peer-reviewed quantitative / qualitative studies.

Paraphrase, avoid direct quotes, and use your own words supported by evidence to exhibit scholarly writing. Do not use articles older than 5 years unless they have been confirmed as seminal articles by your Instructor. At least 5 sources of evidence are required for your paper.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

BY DAY 7

Submit your Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK5Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 3 Quiz

Question 1

The purpose of the study was to:

Evaluate the effectiveness of a process for providing patient report

Evaluate the effectiveness of a process for decreasing medication errors

Test the effectiveness of the “Patient Views on Nursing Care” survey

Test the effectiveness of the “Nursing Assessment of Shift Report” survey

Question 2

The research design for the study was:

Correlational

Ethnographic

Experimental

Quasi-experimental

Question 3

The literature review indicated there were gaps in knowledge:

About the effectiveness of using the “Patient Views on Nursing Care” survey with acute inpatients.

About quantitative patient and nurse outcomes related to patient report

About the usefulness of bedside report in promoting nurse staff retention

About the family perception of bedside reporting

Question 4

The Patient Views on Nursing Care survey was reported to have a Cronbach’s alpha of 0.96. This means that the survey tool:

Has face validity

Has content validity

Needs to be used carefully since the value is not 1.00

Provides consistent results with repeated use

Question 5

The nursing sample were recruited by:

E-mail and flyers

Employee number

Personal invitation

Supervisor recommendation

Question 6

The type of sample selection used in the study was:

Convenience

Purposive

Random

Snowball

Question 7

The significant results of the Patient Views on Nursing Care survey over the three administration times were:

Help me feel comfortable

Listen carefully without interrupting

Made sure I knew who my nurse was

Tell about plans for discharge

Question 8

Significant results can be identified in Table 1, “Patient Views on Nursing Care Survey”, by a p value of:

>1.00

<1.00

0.50

Question 9

The results of the data collection indicated:

The fall rate decreased during the 13 months while the study was being conducted.

The medication error rate increased after the first three months of implementing the change.

The overtime rate for the nursing staff increased significantly after the implementation of the new process.

There was no change in any of the patient safety outcome measures during the study period.

Question 10

Table 3, “Nurse Perceptions of the Report Format”, provide which of the following results?

Combined mean values for the three survey times

Mean values for each of the three survey times

Only non-significant items from the survey

Only significant items from the survey

Question 11

Limitations of the study included

Changing the way overtime was calculated during the study

Lack of education on the change in the reporting process

Only one acute care unit was used for the study

Use of a convenience sample

Question 12

Recommendations for future research are to:

Conduct a pilot study to be sure the survey instruments can be answered by the patients

Identify change champions and nursing staff who support the blended bedside report

Include one or more items in both the patient and nurse surveys that would help quantify any inconsistencies in implementation of the practice change

Repeat the study using different survey tools

Question 13

The statistical test used to analyze the differences among the three groups of responses was:

ANOVA

Means and standard deviation

Pearson Correlation

T-Test

Question 14

The authors indicated the findings of the practice change evaluation:

Are relevant to clinical practice

Are not relevant to clinical practice

Need additional study before relevance to clinical practice can be determined

Need to include all members of the health care in order to be relevant to clinical practice

Question 15

The authors recommend outcome measures need to be monitored for at least: __________months to determine if the change in practice has been sustained.

NURS-4100-1/NURS-4100C-1/NURS-4100A-1 Quality & Safety Thru Practice-Spring 2024

Week 4 Quiz

Question 1

The purpose of this study was to:

Describe patient safety incidents from emergency call records

Explore patient safety incidents as described by patients in hospice care

Explore patient safety incidents as described by health care team members

Extract patient safety incidents from documentation in medical records

Question 2

The methodology used in this qualitative study is appropriate because:

Administering a questionnaire with open-ended questions is the best method to described lived experiences

Broad interview questions are the best method to describe lived experiences

Observing patients and families in the hospice environment is the best method to describe patient safety issues

Using focused interview questions requiring a yes or no answer is the best method to describe lived experiences

Question 3

The study design is:

Ethnography

Exploratory descriptive

Grounded theory

Historical

Question 4

The subjects selected to participate:

Are a convenience sample which is appropriate for qualitative research

Should have been randomly selected from the hospice agencies

Should have been purposely selected based on years of experience in home hospice

Would have provided better descriptions of issues if they had been identified through the snowball method

Question 5

The research team was described as meeting to discuss and corroborate on the coding. This method:

Introduces bias into the data analysis process

Is an accurate process in qualitative research

Is a threat to the internal validity of the study

Should have included several of the interviewees to expand the perspective of how to code the results

Question 6

The phase 2 data review panel is an appropriate process because it strengthens the ____________________ of the phase 1 results.

Credibility

Reliability

Sustainability

Validity

Question 7

The results of the study are presented as themes that emerged from the data analysis. To provide an accurate reflection, they need to be supported by:

A table listing the number of times the theme was mentioned by the interviewees

Direct quotes from previous studies that reported the same theme

Direct quotes and examples from the interview transcription

Paraphrased quotes from the interview transcription

Question 8

The summary of common patient safety harms and contributing factors that were categorized under the themes in Table 1 includes all but:

Caregiver’s physical and/or cognitive limitations

Medical errors made by the health care providers

Patient or caregiver difficulty in understanding care instructions

Poor or physically hazardous living conditions

Question 9

The most commonly cited contributing factor for patient safety incidents discussed in the phase 1 interviews was:

Frail or debilitated patients living alone, or being left alone by caregivers

Injuries from falls

Medication diversion by family members or caregivers

Non-adherence to instructions provided by the hospice team

Question 10

The limitations of the study were identified as:

Sample size

Selection of interview process

The type of opening questions may have prompted responses from the interviewees

The data analysis process

Question 11

The authors recommend additional research should be conducted.

This is an expected result of qualitative research

This should only be discussed in quantitative research articles

This should be presented as a hypothesis to be tested

This skews the results of the data analysis

Question 12

The researchers controlled bias and preconceptions by:

Asking the interviewees to critique and recommend changes to the questions

Recruiting participants from the Population-based Palliative Care Research Network

Selecting interview questions from a national data bank of qualitative interview questions

Using the International Classification for Patient Safety definition as a guide when developing the interview questions

Question 13

The data collection method was appropriate for qualitative research because it used:

Administration of a questionnaire to families of hospice patients

Extraction of patient safety incidents from medical records

Interviewing health care providers about experiences with home hospice patient safety incidents which gives first- hand knowledge

Participant observation of care being provided to home hospice patients

Question 14

Which of the following qualitative appraisal credibility criteria would be of concern to the nurse evaluating the results?

Conducting the participant interviews by telephone

Improving the interview guide to probe for additional types of patient safety incidents in the home

The study was published in a non-peer reviewed journal

Using a computer program with qualitative analysis software to assist in the data analysis

Question 15

Which statement accurately reflects analysis of the sample of 62 hospice workers in Phase 1?

The sample is too small for qualitative research to provide any significant results.

The sample is too large for the study to be classified as a qualitative study.

Sample size isn’t of concern as sampling continues until data saturation is met.

Sample size isn’t of concern as sampling continues until all interested persons have the opportunity to be interviewed.

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Walden NURS4100 Complete Course Latest 2024

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