NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing
NUR 590 Based on the PICOT you developed for NUR 550
NUR 590 Topic 1 Discussion Question One
Based on the PICOT you developed for NUR-550 summarize the intervention you are proposing.
Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.
Sample Answer
Alzheimer’s patients were disproportionately affected by COVID-19 (Azarpazhooh, 2020; Wang, 2021). While there is a biologic/genetic component to the mortality rates (Wang et al., 2020), it is unknown whether the quarantine induced social isolation contributed to mortality rates. Since COVID-19 vaccines have high efficacy (CDC, 2021) and have increased the safety of the elderly in community settings, it has become more common for facilities to allow Alzheimer’s family member act as a caregiver and advocate.
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The importance of family/friends to Alzheimer’s patients can not be denied. During the initial COVID-19 lock-downs of community settings and long-term care, dementia patients neuropsychiatric symptoms and confusion increased due to the dramatic change and loss of their loved ones (Boutoleau-Bretonnière,2020). Therefore, during the pandemic, caregivers were eventually allowed into the facilities for compassionate visitation.
The question facing the community as it faces future pandemics and lock-downs, is how to keep the Alzheimer’s patients safe without the dramatic social isolation from their family caregivers. Therefore, like paid caregivers and medical staff, family caregivers should receive basic infection control training.
The PICOT is defined by:
Will educating Alzheimer’s’ caregivers in disease transmission control help reduce community acquired infections in Alzheimer’s patients living in community settings (i.e., long term care or assisted living) over a 3-month period?
Population: Alzheimer’s patients
Intervention: disease transmission education
Comparison: education complete versus not
Outcome: reduce community acquired infections (i.e. COVID-19, pneumonia, etc.)
Time period: 3 months
By educating family caregivers, it adds to the resources of the community settings. In the case of long-term care, the patient receives better care from their family member with staff support and reduces demands on staff time. This reduces staff stress and caseload while increasing the availability of staff to other patients.
References
- Azarpazhooh, M. R., Amiri, A., Morovatdar, N., Steinwender, S., Rezaei Ardani, A., Yassi, N., Biller, J., Stranges, S., Tokazebani Belasi, M., Neya, S. K., Khorram, B., Sheikh Andalibi, M. S., Arsang-Jang, S., Mokhber, N., & Di Napoli, M. (2020). Correlations between COVID-19 and burden of dementia: An ecological study and review of literature. Journal of the Neurological Sciences, 416, 117013. https://doi.org/10.1016/j.jns.2020.117013
- Boutoleau-Bretonnière, C., Pouclet-Courtemanche, H., Gillet, A., Bernard, A., Deruet, A., Gouraud, I., Mazoue, A., Lamy, E., Rocher, L., Kapogiannis, D., El Haj, M. (2020). The effects of confinement on neuropsychiatric symptoms in Alzheimer’s disease during the COVID-19 crisis. Journal of Alzheimer’s Disease. 76(1):41-47. doi: 10.3233/JAD-200604. PMID: 32568211.
- Wang Q., Davis P., Gurney M., Xu, R. (2021) COVID‐19 and dementia: Analyses of risk, disparity, and outcomes from electronic health records in the US. Alzheimer’s Dementia, 2021, 1– 10. https://doi.org/10.1002/alz.12296
NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Example 2
Obesity is a growing health issue in the United States that can contribute negative outcomes with to other health conditions. It is seen as primary precursor to unhealthy outcomes and conditions as well as a major risk factor to chronic conditions.
Reducing obesity within populations can be an important intervention in increasing the overall health quality and increase preventative efforts. These efforts would include nutrition changes, weight loss programs, and physical activity programs (Pascual et al., 2019).
Based on this, my PICOT includes providing information and education about nutritious diets that would aim to reduce body mass index and produce a decrease in obesity rates. My formulated PICOT is as follows: In obese adults (P), does an education of nutrient dense diets (I) compared to individuals with no provided education (C) achieve a decrease in Body Mass Index (BMI) (O) within three months (T)?
Research based interventions is important in my role as an advanced registered nurse. Increasing the quality of health and wellness in the population is part of the obligation advanced nurses have to the public or populations. In the case of obesity, interventions to decrease obesity rates could lead to better health outcomes, prevention or treatment of chronic conditions and public health maintenance all of which can be advocated through advanced nurses (Al-Nimr, et al., 2020).
References:
- Pascual, R. W., Phelan, S., La Frano, M. R., Pilolla, K. D., Griffiths, Z., & Foster, G. D. (2019). Diet Quality and Micronutrient Intake among Long-Term Weight Loss Maintainers. Nutrients, 11(12), 3046. https://doi.org/10.3390/nu11123046
- Al-Nimr, R. I., Wright, K. C. S., Aquila, C. L., Petersen, C. L., Gooding, T. L., & Batsis, J. A. (2020). Intensive nutrition counseling as part of a multi-component weight loss intervention improves diet quality and anthropometrics in older adults with obesity. Clinical Nutrition ESPEN, 40, 293–299. https://doi-org.lopes.idm.oclc.org/10.1016/j.clnesp.2020.09.002
Also Read:
NUR 590 Grand Canyon University Health Acquisition Quality Services
GCU NUR 590 Topic 1: Evidence-Based Practice Paper
GCU NUR 590 Topic 2: Making the Case for Evidence-Based Practice
GCU NUR 590 Topic 6: Evaluating Practice Change
NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Responses
Hi Abe,
You have an interesting research here. Obesity is an increasing, global public health issue, so it makes sense that you are researching for ways to curb the epidemic. Patients with obesity are at major risk for developing a range of comorbid conditions, including cardiovascular disease (CVD), gastrointestinal disorders, type 2 diabetes (T2D), joint and muscular disorders, respiratory problems, and psychological issues, which may significantly affect their daily lives as well as increasing mortality risks.
A relatively small and simple reduction in weight, for example, of around 5%, can improve patient outcomes and may act as a catalyst for further change, with sustainable weight loss achieved through a series of incremental weight loss steps (Fruh, 2017).
Reference
- Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3–S14. https://doi.org/10.1002/2327-6924.12510
Hello Reyes,
Obesity is a critical health concern in the United States, especially affecting the minority populations. It is considered one of the greatest risk factors for many chronic illnesses including diabetes, hypertension, and cardiovascular disease (Schetz et al., 2019). Management of this condition does not only prevent an individual from contracting the long-term diseases but also improves quality of life.
Your choice of intervention provides the basis for a research that provides a comparative view between compliance and non-compliance to the lifestyle standards. Educating patients on nutritional guidelines and weight loss programs are essential considerations for decreasing the Body Mass Index (BMI), which in return reduces the risks for developing the chronic health conditions.
As you have stated, advanced practice nurses are obligated to improve population health through the adoption of research-based intervention. Your proposed intervention creates an opportunity for using evidence to address obesity from a population-based setting.
Reference
- Schetz, M., De Jong, A., Deane, A. M., Druml, W., Hemelaar, P., Pelosi, P., … & Jaber, S. (2019). Obesity in the critically ill: a narrative review. Intensive care medicine, 45(6), 757-769.
Topic 1 DQ 2
GO TO DISCUSSION
Start Date
Aug 12, 12:00 AM
Due Date
Aug 16, 11:59 PM
Points – 5
Assessment Description
Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.
NUR-550 Literature Review – Resubmission Instructions
SUBMIT ASSIGNMENT
Points
50
Upcoming
Assessment Description
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment.
You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Week 1 Participation
GO TO DISCUSSION
Start Date
Aug 12, 12:00 AM
Due Date
Aug 18, 11:59 PM
Points
20
Status
Active
Assessment Description
There is no description for this assessment.
Resources
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Advanced Nursing Research: From Theory to Practice
Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice.
View Resource
Evidence Based Medicine Toolkit
Explore the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta w
… Read More
http://www.ebm.med.ualberta.ca/
Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study
Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas
… Read More
http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817
Evidence-Based Practice Tutorial
Read the Evidence-Based Practice tutorial, located on the Duke University website.
http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002
Centre for Evidence Based Medicine: Resources
Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/category/ebm-resources/
Evidence Based Medicine
Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a reso
… Read More
http://researchguides.uic.edu/ebm
Centre for Evidence Based Medicine: About Us
Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/about
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice
Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,” by Ne
… Read More
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft
A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety
Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel
… Read More
https://link.gale.com/apps/doc/A616904277/AONE?u=canyonuniv&sid=AONE&xid=f2d66c7c
Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting
Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,” by Au
… Read More
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=01741002-900000000-99523&PDF=y
NUR 590 Topic 2: Making the Case for Evidence-Based Practice
Aug 19, – Aug 25,
Max Points:130
Objectives:
- Describe effective strategies to create an evidence-based practice culture within a health care setting.
- Identify stakeholders needed for the evidence-based practice project.
- Assess organizational readiness for the evidence-based practice project.
Assessments
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Topic 2 DQ 1
GO TO DISCUSSION
Start Date
Aug 19, 2021 12:00 AM
Due Date
Aug 21, 2021 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.
Topic 2 DQ 2
GO TO DISCUSSION
Start Date
Aug 19, 2021 12:00 AM
Due Date
Aug 23, 2021 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.
Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness
Benchmark
SUBMIT ASSIGNMENT
Requires LopesWrite
Start Date
Aug 19, 12:00 AM
Due Date
Aug 25, 11:59 PM
Points
100
Rubric
View Rubric
Status
Upcoming
Assessment Description
In order to successfully implement a change within an organization, the change agent must assess the organization’s culture and readiness for change. In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed. You will use the assessment of the organization’s culture and readiness in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
- Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.
- Select an organizational readiness tool and assess the level or readiness for change within your organization. Identify the readiness tool and summarize the survey results. Discuss the degree to which the culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources. Provide rationale.
- Discuss what health care process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
- Propose strategies to better facilitate the readiness of the organization.
- Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
- Explain what information and communication technologies are needed for the implementation and how they will be integrated in the setting by the internal stakeholders. Explain how these will help improve nursing practice and care delivery for individuals and populations for your intervention.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
3.1: Assess health care processes and systems to recommend measures for improving quality, safety, and cost-effectiveness across an organization.
3.3: Integrate appropriate information and communication technologies to improve nursing practice and care delivery for individuals and populations.
Upcoming
Assessment Description
There is no description for this assessment.
Resources
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Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice
Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Mat
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104283177&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
Agency for Healthcare Research and Quality
Explore the Agency for Healthcare Research and Quality (AHRQ) website.
http://www.ahrq.gov/
Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice
Read “Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice,” by Ost, Blalock, Fagan, Sweeney, an
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143440827&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
JBI EBP Resources
Use the JBI EBP Resources to search for EBP resources related to your project.
https://jbi.global/ebp
Organizational Readiness Tools for Global Health Intervention: A Review
Read “Organizational Readiness Tools for Global Health Intervention: A Review,” by Dearing, from Frontiers in Public Health</
… Read More
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/
The Checklist: Recognize Limits, but Harness Its Power
Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=125112053&site=ehost-live&scope=site
Cochrane Library
Explore the Cochrane Library website.
http://www.thecochranelibrary.com/view/0/index.html
A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing
Read “A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing,” by Pitmann et al., fr
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137966882&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Readiness Assessment
Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website.
https://www.ahrq.gov/teamstepps/readiness/index.html
Cultivate a Culture of Excellence at the Point of Care
Read “Cultivate a Culture of Excellence at the Point of Care,” by Medeiros, from Nursing Management (2020).
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202005000-00002&LSLINK=80&D=ovft
The Cochrane Collaboration
Explore the Cochrane Collaboration website.
http://www.cochrane.org/
6 Steps for Transforming Organizational EBP Culture
Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management<
… Read More
https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006247-201005000-00004&LSLINK=80&D=ovft
NUR 590 Topic 3: Theoretical Framework and Models for Change
Aug 26, – Sep 01,
Max Points:130
Objectives:
- Apply a change model or framework to the evidence-based practice project proposal.
- Describe the relationship between bias and a framework or model.
Assessments
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Topic 3 DQ 1
GO TO DISCUSSION
Start Date
Aug 26, 12:00 AM
Due Date
Aug 28, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?
Example DQ Response
Research studies are systematic and objective and thus follow a specific structure that informs their design, population of interest, and data collection and analysis and information dissemination processes. Evidence-based practices are also systematic, and their implementation is an organized, complex, and resource-intensive process that requires precision to prevent resource wastage and enhance their success. These processes could benefit from change frameworks or models.
Models and frameworks are integral in evidence-based practice because they give a solid, evidence-based path for action (Speroni et al., 2020). Change models help researchers maintain focus on the project/research and its objectives and prevent deviations from these objectives. They assist with decision-making as they categorize the changes depending on the theory used.
The frameworks provide precision in decision-making and help with precision as they outline assistive steps that help implement change or carry out interventions (Fineout-Overholt, 2022). They also simplify the complex change process hence their significance. Their reliability is grounded on advanced research and experience backing these theories.
Selecting the wrong change framework has various implications in research and can lead to biased results. It makes meeting the set objectives and the desired outcomes challenging (Nilsen, 2020). Biases such as selection bias occur when the wrong framework is selected. It alters research implementation and data collection, analysis, and dissemination.
Nilsen (2020) notes that selecting the wrong framework makes reading and understanding research difficult because they do not resonate. The research findings are thus often weak and hardly usable due to the mismatch in the concepts in the research and the theory or framework. Thus, selecting the suitable model or framework impacts the results and quality of outcomes.
References
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Nilsen, P. (2020). Overview of theories, models, and frameworks in implementation science. In Handbook on implementation science (pp. 8-31). Edward Elgar Publishing. https://doi.org/10.4337/9781788975995.00008
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of Evidence‐based practice models and research findings in Magnet‐Designated hospitals across the United States: national survey results. Worldviews on Evidence‐Based Nursing, 17(2), 98-107. https://doi.org/10.1111/wvn.12428
Topic 3 DQ 2
GO TO DISCUSSION
Start Date
Aug 26, 12:00 AM
Due Date
Aug 30, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.
Example DQ Answer
Various change management models can be used. These models include the IOWA model, Lewin’s 3-stage change theory, McKinsey 7-S, Kotter’s 8 Steps, Nudge theory, Settlers, and the ARCC model. Some models, such as the IOWA, are suited for implementing evidence-based practice, while others, such as the McKinsey 7-s, are suitable for implementing and testing new practices. This essay reviews two change models and selects one for this project.
The Two change models of interest are the IOWA model and Kurt Lewin’s change theory. The theories selected are based on the fact that the project is implementing an evidence-based healthcare practice. The IOWA model, developed in 2015, aims to implement evidence-based practices.
The project guides the project managers to implement evidence-based practices, unlike Lewin’s change theory which focuses on overall organizational changes, including evidence-based practices (Hussain et al., 2018). Kurt Lewin’s theory focuses more on preventing and managing change resistance, while the IOWA model focuses on developing evidence-based practices and implementing and evaluating them.
Speroni et al. (2020) note that the IOWA model is complex and is one of the most applied change models in healthcare to implement evidence-based practices. The IOWA model contains pilot testing in one of its steps. However, Lewin’s theory only implies its possible use, making Lewin’s theory suitable for changes that do not require a pilot study (Collaborative et al., 2017). These two models are widely applied in healthcare to lead change and implement evidence-based practices.
The best model for the change model is Lewin’s change management model. Most of the project’s interventions and validation as an evidence-based project are complete; hence, the model will be vital in implementing and evaluating the EBP. The research in earlier assignments revealed that BMCA is a hardly implemented technology, and some of the reasons include nurses;’ lack of knowledge (Bedot et al., 2019).
The project’s main aim is to ensure BMCA technology is implemented with optimal resource use, is accepted, faces less resistance, and is embedded in the organizational culture to cement its effectiveness. The model will help evaluate the EBP before its implementation and guide it to achieve the desired results.
References
Berdot, S., Boussadi, A., Vilfaillot, A., Depoisson, M., Guihaire, C., Durieux, P., Le Maï, L. M., & Sabatier, B. (2019). Integration of a commercial barcode-assisted medication dispensing system in a teaching hospital. Applied clinical informatics, 10(04), 615-624. https://doi.org/10.1055/s-0039-1694749
Collaborative, I. M., Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on evidence-based nursing, 14(3), 175-182. https://doi.org/10.1111/wvn.12223
Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127. https://doi.org/10.1016/j.jik.2016.07.002
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of Evidence‐based practice models and research findings in Magnet‐Designated hospitals across the United States: national survey results. Worldviews on Evidence‐Based Nursing, 17(2), 98-107. https://doi.org/10.1111/wvn.12428
Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change
Benchmark
SUBMIT ASSIGNMENT
Requires LopesWrite
Start Date
Aug 26, 12:00 AM
Due Date
Sep 01, 11:59 PM
Points
100
Rubric
View Rubric
Status
Upcoming
Assessment Description
Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
- Identify the selected model or framework for change and discuss its relevance to your project.
- Discuss each of the stages in the change model/framework.
- Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
- Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.
Topic 3 Resources
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Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Evidence Based Medicine: Levels of Evidence
Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo
… Read More
http://researchguides.uic.edu/content.php?pid=232200&sid=1921074
A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes
Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121082056&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Iowa Model of Evidence-Based Practice: Revisions and Validation
Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Bas
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Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results
Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Sur
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Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
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Critical Appraisal Tools
Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website.
https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools
Study Designs
Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website.
https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs
Worksheet for Using Practice Guidelines
Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and S
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http://www.ebm.med.ualberta.ca/CPGWorksheet.html
Guidelines and Measures
Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website.
https://www.ahrq.gov/gam/index.html
Star Model
Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website.
https://www.uthscsa.edu/academics/nursing/star-model
Nursing Best Practice Guidelines
Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website.
http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133
Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice
Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlo
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https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655401478390
NUR 590 Topic 4: Data Collection and Data Analysis
Sep 02, – Sep 08,
Max Points:30
Objectives:
- Select a research design for the evidence-based project proposal.
- Select a statistical test for the evidence-based project proposal.
CAT: What is the difference between a qualitative and a quantitative research design?
Research designs are the strategies that help integrate study components to logically and coherently address a research problem. Strijker et al. (2020) note that research dictates data collection, measurement, analysis, and dissemination. The research design is influenced by the study’s research questions and objectives. Qualitative and quantitative research studies vary based on these parameters. Qualitative research designs are subjective inductive processes, while quantitative research designs are deductive objective research studies. Due to their nature of testing, quantitative studies have statistical data and thus utilize data analysis tools and statistical tests. Qualitative research designs utilize thematic and content analysis because they deal with textual data, while quantitative studies use numeric data (Mehrad et al., 2019). Qualitative research designs are explorative, while quantitative ones are often conclusive. These are the significant differences between qualitative and quantitive research designs
Reference
Mehrad, A., & Zangeneh, M. H. T. (2019). Comparison between qualitative and quantitative research approaches. Social Sciences. International Journal For Research In Educational Studies, Iran, 1-7.
Strijker, D., Bosworth, G., & Bouter, G. (2020). Research methods in rural studies: Qualitative, quantitative, and mixed methods. Journal of Rural Studies, 78, 262-270. https://doi.org/10.1016/j.jrurstud.2020.06.007
Assessments
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Topic 4 DQ 1
GO TO DISCUSSION
Start Date
Sep 02, 12:00 AM
Due Date
Sep 04, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.
Example Topic 4 DQ 1 Response
The nursing practice of interest is medication errors, and the evidence-based intervention selected is Barcode Medication errors. Prevalence and burden data are quantitative and are based on the number of medication errors. Any research study’s objectives and research questions influence the design because studies attempt to answer study questions and meet the research objectives.
The study’s objectives can only be studied using statistical means by evaluating data from the hospital database. The prevalence of medication administration errors compared to other medication errors and the changes in these errors will be vital in determining the effectiveness of BCMA (Williams et al., 2021). The data will thus require statistical evaluation, hence the need for a quantitative research design.
Bloomfield and Fisher (2019) state that a correlational quantitative research design is best suited to determine the relationship between variables and is thus best suited for this study. Data collected for this project will include medical records on medication errors in the facility and the collection of raw data (medication errors, including near misses and sentinel events) related to medication administration collected throughout the project. For this project, a quantitative design will be the most suitable to help collect data and evaluate the proposed project’s effectiveness. Data for this project will be quantitative hence the design’s selection.
Document review/secondary data collection methods and surveys utilizing quantitative research designs will collect and analyze data for the project. Document reviews utilizing healthcare records help professionals avoid time and resources wasted in data collection because the data is readily available (Melnyk & Fineout-Overholt, 2022). Data from the healthcare database on medication errors is the best to use in this quasi-experimental study and results in medication administration error differences pre-an post implementation of barcode medication administration technologies. Selecting the right research design will help with objective achievement through adequate planning.
References
Bloomfield, J., & Fisher, M. J. (2019). Quantitative research design. Journal of the Australasian Rehabilitation Nurses Association, 22(2), 27-30. http://dx.doi.org/10.3316/informit.738299924514584
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Williams, R., Aldakhil, R., Blandford, A., & Jani, Y. (2021). Interdisciplinary systematic review: does alignment between system and design shape adoption and use of barcode medication administration technology? BMJ Open, 11(7), e044419. http://dx.doi.org/10.1136/bmjopen-2020-044419
Topic 4 DQ 2
GO TO DISCUSSION
Start Date
Sep 02, 12:00 AM
Due Date
Sep 06, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test. What kind of information will this test provide about your outcomes?
Example Topic 4 DQ 2 Answer
The primary interest of the project is to determine changes in medication errors. Statistical tests in research are selected based on the objectives. Statistical. Data evaluating the relationship between variables (causal effects), data changes over time, and hypothesis testing require specific statistical tests. Tests such as ANOVA, t-test, and chi-squares help understand the variables’ changes and their relationships (Rebekah & Ravindran, 2018).
Zheng et al. (2021) note that the BCMA technology targets medication administration errors by confirming all medication administration rights at the dispensing point. The technology may affect other medication errors at dispense and prescription, but the primary interest is medication administration errors. The interest statistical test must be able to test changes in variables of time/ at different times.
The selected statistical test is the ANOVA test. The test helps evaluate the changes in variables concerning each other. They test the significance of results and thus help reject or accept the null or alternate hypothesis. The project aims to determine if barcode medication administration reduces medication administration errors. The statistical cost interest should help determine the relationship between BCMA administration and changes in medication errors. Data before and after BCMA should be compared to determine their similarities and differences.
The ANOVA test will be vital because data will be collected and analyzed at different times. The analysis will help determine the differences in medication (Rebekah & Ravindran, 2018). The ANOVA test is used when testing a hypothesis and evaluating the effectiveness of interventions. The ANOVA will help test the changes in the various variables over time. The changes in the variables, medication error rate, and their relationship to other medication errors will help evaluate the effectiveness of the interventions.
References
Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education, 19(1), 62. https://www.ijcne.org/text.asp?2018/19/1/62/286497
Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832-841. https://doi.org/10.1016/j.sapharm.2020.08.001
Week 4 Participation
GO TO DISCUSSION
Start Date
Sep 02, 12:00 AM
Due Date
Sep 08, 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
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The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review
Read “The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review,” by Radbro
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Office for Human Research Protections
Explore the Office for Human Research Protections (OHRP) website.
http://www.hhs.gov/ohrp/
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
Read Chapter 6 and review Chapter in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
Statistics and Data Analysis
Read “Statistics and Data Analysis,” by Wienclaw, from Salem Press Encyclopedia (2019).
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Advanced Nursing Research: From Theory to Practice
Read Chapters 13-15 in Advanced Nursing Research: From Theory to Practice.
View Resource
Statistical Analysis in Nursing Research
Read “Statistical Analysis in Nursing Research,” by Rebekah and Ravindran, from Indian Journal of Continuing Nursing Education
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https://www.ijcne.org/article.asp?issn=2230-7354;year=2018;volume=19;issue=1;spage=62;epage=70;aulast=Rebekah
Data Collection Methods
Read “Data Collection Methods,” by Polit, from Encyclopedia of Nursing Research (2017).
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Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing
Read “Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing,” by Hunter
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NOT_ALL_EVIDENCE_IS_CREATED_EQ (1)
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