south nsg6999 full course latest 2017 november

Week 1 -Assignment 2
Discussion

Melynk and Fineout-Overholt (2011) note that there are seven
steps to the evidence-based practice (EBP) process. The first step is to
cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are
asked in this discussion to:

Identify a problem or issue from within your specialty area
that you feel needs to be improved upon. The Doctor of Nursing Practice site
(http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/)
provides many examples of these projects. The list below may help focus your
thoughts.

Educational program

Evidence-based healthcare policy change

Evidence-based clinical issue or protocol for specific
disease/condition

Discuss the relevance of the issue from your perspective
(not the literature at this juncture) in relation to your selected advanced
role option.

What piqued your interest about this issue or problem?

How does it relate to your area of specialization?

What gave you the idea that evidence exists to support this
change? See “note” below.

Provide a rationale as to why this will be an evidence-based
project to improve outcomes and not generate new evidence (research).

Please remember that the project will not be implemented
during this course and no data will be collected. The outcome of this course is
to complete a project proposal only.

Week 2 – Assignment 1
Discussion

Melynk and Fineout-Overholt (2011) note that there are seven
steps to the evidence-based practice (EBP) process. The first step is to
cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are
asked in this discussion to:

Briefly describe the problem or issue that you have decided
to be the topic for your project proposal in order to orient your classmates
and faculty

Indicate how it relates to your area of specialization

State your PICOT question. Indicate in parentheses after
each segment, what part of PICOT the preceding words represent. For example: In
patients recently discharged from the hospital following care for heart failure
(P), do hand-off calls by the nurse to the primary care provider using the SBAR
format (situation, background, assessment, recommendation) (I) compared to no
calls (C) decrease readmission rates (O) over a one year period (T).

Discuss which process model resonates with you and will help
keep you focused during the project. Process models included in your text
(Melnyk & Fineout-Overholt, 2011) are:

Clinical scholar model

Stetler model of evidence-based practice

Iowa model of evidence-based practice to promote quality
care

Model for evidence-based practice change by Rosswurm and
Larrabee

Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model

Provide feedback to your classmates that focuses on:

The use of correct PICOT format for the question to guide
the literature search.

Does the question reflect a clinical research question or
one appropriate for an evidence-based practice project?

Week 3 – Assignment 1
Discussion

In this discussion, you will share your search strategies
that you have employed to find evidence for your study. For this discussion:

State your PICOT question. Did using the terms used in this
question lead you to useful research studies?

What MESH terms have you tried? Did they help you find
additional studies? Are you finding MESH terms useful to expand or delimit your
search?

Are you finding relevant articles? If not, how did you
modify your search to increase productivity?

Indicate which databases you used—those you found useful and
those that were not.

What levels of evidence do the studies you are finding
represent?

Post any questions or concerns you may have and provide
feedback and recommendations to your classmates. Working together and sharing
search strategies is very helpful.

Use the Search Tracker to keep track of search terms.

Using the appropriate Rapid Clinical Appraisal (RCA) Tools,
appraise one or two articles and add the information to your Evaluation Table
to receive feedback from faculty. At this juncture, your table is a work in
progress. You will complete it in Week 4. The RCA Tools and Evaluation Table in
Word for you to complete can be found in the Week 3 Overview section.

Week 4 – Assignment 1
Discussion

Discuss your experience completing the rapid critical
appraisal process.

Was it really “rapid” or was it more of a laborious process?

Did reading the abstract help you make quick decisions about
including or excluding the study?

What worked best for you in terms of the approach you
decided to use to complete the appraisal and Evaluation Table? What didn’t
work?

Post any questions or concerns you may have and provide
feedback and recommendations to your classmates. Working together and sharing
search strategies is very helpful.

Week 5 – Assignment 1
Discussion

This week the discussion focuses on creating a Synthesis Table(s)
as a means to summarize and organize the body of evidence from the Evaluation
Table. The Synthesis tables will be included in your formal proposal in the
Appendix. In the body of the paper, you will describe the “keeper” studies in
narrative format.

For this discussion, include the following:

Share your approach to synthesizing the evidence. What were
the variables of interest you identified?

Learning to write in a scholarly fashion requires that you
are able to succinctly summarize an article in a sentence or two and cite it
appropriately using APA format. In this discussion, practice summarizing 2
articles you have identified from the Synthesis Table as pertinent to your
proposal. Include the level of evidence, study design, and evidence of rigor. Use
appropriate APA citation in text and references. Incorporate feedback from
peers and faculty in your Dropbox assignment for this week.

In addition to research studies, patient preference and
clinical expertise should also be considered. Discuss how you will incorporate
these important perspectives into your project proposal.

Week 6 – Assignment 1
Discussion

For this week’s discussion, please address the following:

Briefly describe the clinical issue or problem for your
project, the setting, and population of interest to orient classmates and
faculty

Write your clinical question

Describe the intervention you plan to test

What type of study will you conduct? Will it be
experimental? Quasi-experimental? Provide a rationale for your answer.

Provide feedback on the clinical questions of your
colleagues

Week 7 – Assignment 1
Discussion

This discussion will focus on the measurement tools you will
use to evaluate change from the intervention. The purpose of this discussion is
to fine-tune your thinking about evaluation by receiving feedback from
colleagues and faculty. Include in your discussion:

Write a brief description of your project that starts by
stating your clinical question and succinctly explaining your planned
intervention in order to orient everyone.

Will you need to develop your own evaluation tools or are
valid and reliable tools available?

If you create your own tools, what are your thoughts on
pilot testing them? How will you go about this?

Will you gather baseline data? Will you use pre- and posttests?
How will you measure change?

How will you identify the participants for your study? How
does the sampling method chosen further define the type of study you will be
doing?

How will you ensure confidentiality of study participants?

Week 8 – Assignment 1
Discussion

The discussion for this week will revolve around the
analysis phase of your project. Include the following points in your
discussion:

Begin with a brief description of your project that includes
your clinical question, your planned intervention, the type of study you will
conduct and how you plan to evaluate the outcomes.

What type of statistical analysis will be done?

What is a reasonable timeline for your project?

What expenses should be considered? Include both obvious
expenses, such as materials, as well as those that are hidden, such as time,
which equates to part of your salary.

Will you need to consider a funding source for your project?

Week 9 – Assignment 1
Discussion

Although you will not implement your project during this
course, it is important that you understand the various steps that are
necessary to do so. As you begin to formulate your strategic plan for
implementing your change project, discuss the following specific to your
proposed project:

Who are the stakeholders? Please identify them by role or
job within the organization, not by name. Can you identify any “champions” or
people within your organization that you can convert to champions?

What potential barriers do you foresee and what strategies
do you envision to prevent or overcome these barriers?

What change theory will you use to guide you?

Week 10 – Assignment
1 Discussion

For this discussion question, you are asked to review the
student learning outcomes for this course and discuss how you met these
outcomes. The intention here is to provide you an opportunity to “reflect” on
the learning achieved during this term and how you successfully met these
learning outcomes. If you do not feel you successfully met the objective,
discuss your plans to successfully complete the objective in the future.

By the end of the course, the student should be able to:

Demonstrate synthesis of the knowledge and skills acquired
in preceding graduate nursing core and specialty curriculum content.

Evaluate current health policy and legal and ethical
considerations in addressing the health promotion and disease prevention of a
target population.

Integrate this synthesis in the creation of a scholarly
project of either an evidenced-based practice proposal or a research proposal
that generates new nursing knowledge.

Disseminate significant components of the project through a
written paper and oral presentation.

Week 1 assignment 3

Evidence-Based Project Proposal

Project Overview:

Title: Evidence Based Project-Proposal

Description:

As the course progresses over the 11 weeks, learners will
develop a scholarly project that demonstrates an application of evidence to
practice for substantive change. This project emphasizes critical appraisal and
application of evidence-based research, scholarly writing, and critical
thinking. The scholarly project will be submitted as a written paper in APA
format/style. In addition, learners will present a summary of the final project
orally or by creating a PowerPoint presentation.

Learners will select one of the following types of projects
related to their specific advanced role specialization and target population:

Educational program

Evidence-based healthcare policy change

Evidence-based clinical issue or protocol

Overview of the Evidence Based Project (EBP):

In Week 1 of the course, students will identify an area of
inquiry as a basis for practice change, and in Week 2, write their clinical
question in PICOT format that will drive the literature search.

Following approval of the practice change idea and the PICOT
question by course faculty, in Week 3 students will begin their literature
search and rapid critical appraisal (RCA) using the RCA checklists available in
Appendix D of the course text (Melynk & Fineout-Overholt, 2011) and in Word
format. The Search Tracker may be useful in organizing and tracking your
search.

Your evidence review will be completed in Week 4, resulting
in a finished Evaluation Table containing only the “keeper” studies.

In Week 5 you will synthesize the evidence to determine best
evidence for your project. Faculty will continue to serve in the role of mentor
as the student progresses through the remaining steps of the project.

Weekly submissions will be used to monitor progress in the
development of your proposal. It is recommended that upon receiving feedback
from faculty on each section, you revise your work and add that section to
build your final paper. Doing so as you proceed through the course will avoid
last-minute work.

When you began your study of evidence-based practice it was
contrasted with the research process. The underlying goal of EBP is to appraise
research and study its application to specific patient populations in order to
identify best practices. In order to accomplish this, what must be included
within your project is a research study. You will most likely compare
pre-intervention data with post-intervention results. In come cases,
statistical analysis will be necessary. Your proposal will include plans for
this study.

EBP Project Criteria

Students will prepare a formal project proposal using APA
format. Below is an outline for the final paper with the weeks where this
content will be covered. Each week you will turn in parts of this outline as
Dropbox assignments. The week each part will be due is indicated in the
outline. After receiving feedback from faculty on each part submitted, it is
recommended that you begin building your paper, adding the pieces where they
belong. Since you will not be implementing this project, the results section
has been omitted. This outline is consistent with the format used for journal
articles when reporting results of evidence-based practice projects.

Criteria and organization of final paper

Abstract

Part 1

Introduction – Week 2

Practice issue

Summarize the practice issue in need of change providing
background information about the organization (setting) and the perceived
significance and severity of the problem

Describe the specific aims of the project – what improved
outcomes do you hope to achieve

PICOT question – State your question in PICOT format,
labeling each part with P-I-C-O-T in parentheses

Significance – what is the significance of the issue in
terms of poor outcomes, cost, etc.

Part 2 – Week 3. 4, & 5

Evidence review and synthesis

List the names of the databases you searched and if limited
to a span of time, i.e., less than 5 years old

Summarize “keeper” studies

Summarize the synthesis of the body of evidence

Part 3 – Week 6

Purpose of the project – include intervention

Theoretical framework

Clinical questions

Part 4 – Week 7

Study design

Setting/sample

Confidentiality

Procedure/intervention

Instruments/scales and measurement of outcomes

Data collection

Part 5 – Weeks 8 & 9

Data analysis

Outcomes expected

Aligning stakeholders

Appendices

Evaluation Table – turned in Weeks 3 & 4

Synthesis Table – turned in Week 5

The paper provides evidence of synthesis of coursework,
professional writing, and graduate level scholarship.

Oral or Poster Presentation

In addition to the written paper, students will present a
summary of their project by submitting a professional Microsoft PowerPoint
presentation.

Criteria:

Organize the presentation to include all required criteria
of the EBP project proposal.

Quality of presentation is professional and provides
evidence of graduate level scholarship.

This week’s Dropbox Assignment

Keep in mind that this proposal will be developed piece by
piece during the course. The Dropbox assignment this week provides you an
opportunity to identify the problem or issue within your specialization that is
in need of improvement and receive feedback from faculty.

Review the grading criteria listed below as you begin this
assignment. Note that you must pass all elements in order to move forward with
your proposal development. Faculty will provide feedback either approving or
asking that you resubmit prior to further development of your project.

For this week’s assignment discuss the following:

State your idea for your evidence-based project proposal
including the rationale as to how it reflects an EBP project vs. a research
project

Very briefly describe the issue you will address, the
intervention that you feel has research evidence (this may change later after
you complete the literature search), and the expected outcomes

Discuss how this project is relevant to your role
specialization

Week 2 assignment 2

Evidence Based
Project Proposal

For this week’s Dropbox assignment, you will submit Part 1
of the project proposal in a one-page APA formatted paper (excluding the cover
page and reference page). Be sure to reflect on feedback from faculty and
classmates from this week’s discussion. Include:

Part 1: Introduction

Summarize the practice issue in need of change providing
background information and the perceived significance of the problem

Describe the specific aims of the project – what improved
outcomes do you hope to achieve

State your question in PICOT format, labeling each part with
P-I-C-O-T in parentheses

Discuss the significance of the issue in terms of poor
outcomes, cost, etc

Week 3 assignment 2

Evidence Based
Project Proposal

This week you will begin the submission of Part 2 of the
project proposal written in APA format. In a one-page APA paper, write a
narrative that describes your search of the literature for evidence, which
includes:

List of the names of the databases you searched

If limited to a span of time, i.e., less than 5 years old

Using the appropriate Rapid Clinical Appraisal Tools,
appraise one or two articles and add the information to your Evaluation Table
to receive feedback from faculty. At this juncture, your table is a work in
progress. You will complete it in Week 4.

You will also turn in the Evaluation Table with two studies
appraised (see below) and the Search Tracker for feedback on your search
strategies.

After receiving feedback from faculty, add what you have
completed this week to Part 1 to begin to build your project proposal paper.
Keep this in mind when completing this assignment, using a professional writing
style in your narrative

Week 4 assignment 2

Evidence Based
Project Proposal

This week you will submit the completed Evaluation Table
that includes only your “keeper” studies. This will be added to your final
paper as an Appendix. You will also turn in the Search Tracker so faculty can
see the steps you took to locate the evidence. This will not become a part of
your paper, but it is for feedback only should faculty deem that necessary.

Week 5 assignment 2

Evidence Based
Project Proposal

For this week’s Dropbox assignment, you will complete Part 2
of your project proposal, the evidence review and synthesis section. This
section consists of narrative descriptions of each study that forms the body of
evidence. The length of this section will vary based on the number of studies
that you include. The paper should be written in a scholarly fashion using APA
format. For each article include in the narrative:

Authors’ names, date of publication (included in the
citation).

Quality and level of evidence

How significant (or not) the evidence is and why you think
so. How are these articles relevant to change practice or policy for your
specific practice site and population? If a study is not significant and you
have included it, mention how your clinical expertise was involved in this
decision.

Your summary the synthesis section should clearly indicate
the intervention you plan to use in your project proposal. You will discuss
this in greater detail in the next section, but do leave the reader with the
understanding of the intervention you chose.

You will also turn in your completed Synthesis Table(s) that
will become part of your Appendix in your final paper.

Week 6 assignment 2

Evidence Based
Project Proposal

For your Dropbox assignment this week, you will write Part 3
of your project proposal. In a one- to two-page paper in APA format, include:

Your clinical question

How the clinical question indicates the type of study that
will be done (quasi-experimental vs. experimental). Describe the type of study.

Theoretical framework(s) chosen including a rationale for
your choice

Week 7 assignment 2

Evidence Based
Project Proposal

For your Dropbox assignment this week, you will write Part
4, the Methods section of your project proposal that consists of plans for
conducting the study of the intervention and methods of evaluation. Use the
titles of each bullet point in your paper.

In a two- to three-page APA formatted paper:

Study design: Briefly describe the study design indicated by
the question (experimental, quasi-experimental, descriptive).

Setting/sample: Briefly describe the setting for the study,
who your study participants will be, and how these participants will be chosen.
Will random sampling or a sample of convenience be used?

Confidentiality: How will you protect the confidentiality of
your participants?

Procedures/intervention: Discuss the intervention you will
implement and the procedures you will use in enough detail that others could
replicate the study.

Instruments/scales and measurement of outcomes: Describe the
instruments you will use to measure changes and whether they are quantitative,
qualitative, or of a mixed design. If they have been tested previously, include
reliability and validity data.

Data collection: Explain plans for data collection including:

Methods of collection, i.e., interviews, paper and pencil
testing, etc.

Testing frequency. Will you gather baseline data prior to
the intervention? Will you employ repeated measures such as pre- and posttests?

Week 8 assignment 2

Statistical Analysis

For this week’s Dropbox assignment, you will begin to
develop Part 5 of your project proposal: Analyzing change. In your discussion,
include the following points:

State your clinical question.

Briefly state the intervention you will implement. While
these two items are not typically included in Part 5, doing so will help orient
faculty so appropriate feedback can be provided.

What outcomes will be analyzed and how they will be
analyzed?

Describe the statistical analysis you will do relating this
to the data collection tools you plan to use.

Indicate the types of demographic data you plan to report on
your participants as well.

Briefly discuss the outcomes expected should this project be
implemented.

After receiving feedback from faculty, incorporate the appropriate
content into your project proposal.

Week 9 assignment 2

Evidence Based
Project Proposal

For your Dropbox assignment, you will write another part of
your Methods section (Part 4) that you began in Week 7. In a paragraph or two
in APA format include the following:

Identify your stakeholders by job title and how their
participation was key to the project.

Briefly discuss potential barriers to project implementation
that stakeholders may present. Include strategies to prevent or address these
barriers.

After receiving feedback from faculty, incorporate this
paragraph into the Methods section of your paper after the
“Procedures/intervention” section and before the “Instruments/scales and
measurement of outcomes” section.

Week 10 assignment 2

Evidence-Based Project

Overview/Description:

Learners will develop a scholarly project that will
demonstrate an application of evidence to practice for a substantive change.
This project emphasizes application of evidence-based methodology, scholarly
writing, and critical thinking. The scholarly project will be submitted as a
written paper in APA format/style. In
addition, learners will present a summary of the final project orally and/or
with a PowerPoint presentation.

Learners will select one of the following projects related
to their specific advanced role specialization that addresses a health
promotion and disease prevention of a target population:

Educational program

Evidence-based healthcare policy change

Evidence-based clinical issue or protocol

Criteria for scholarly EBP project proposal

Over the past 11 weeks, students have developed a proposal
for an evidence-based project in their area of specialization. This final paper
is the culmination of this scholarly activity. All papers must be written using
APA format and a professional writing style. The proposal should include the
following sections and content.

Abstract

Part 1 – Introduction – Week 2

Introduction

Practice issue

Summarize the practice issue in need of change providing
background information about the organization (setting) and the perceived
significance and severity of the problem

Describe the specific aims of the project – what improved
outcomes do you hope to achieve

PICOT question – State your question in PICOT format,
labeling each part with P-I-C-O-T in parentheses

Significance – what is the significance of the issue in
terms of poor outcomes, cost, etc.

Part 2 – Evidence review and synthesis – Week 3, 4, & 5

List the names of the databases you searched and if limited
to a span of time, i.e., less than 5 years old

Summarize “keeper” studies

Summarize the synthesis of the body of evidence

Part 3 – Purpose of the project – Week 6

Purpose of the project – include intervention

Theoretical framework

Clinical questions

Part 4 – Methods – Week 7

Study design

Setting/sample

Confidentiality

Procedure/intervention

Aligning stakeholders

Instruments/scales and measurement of outcomes

Data collection

Part 5 – Data analysis – Weeks 8 & 9

Outcomes to be analyzed and how they will be analyzed

Outcomes expected (hypothesized)

Appendices

Evaluation Table – turned in Weeks 3 & 4

Synthesis Table – turned in Week 5

Oral and/or PowerPoint Presentation

Students will present a summary of their project using
Microsoft PowerPoint.

The presentation for onground campus students will be done
orally in a 20-minute presentation

Online campus students will include speaker notes in their
PowerPoint slides and will defend their presentation in a discussion
board.

Criteria:

Assemble the presentation to present all required criteria
sections of the EBP project.

Quality of presentation is professional and provides
evidence of graduate level scholarship.

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