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Evidence – Based
Practice Project
GCU NUR699 Wk 1 Dq 1 &
Dq 2 latest
Dq 2
What is the difference between research-
and evidence-based practice projects? Provide an example of each one and the
reason for the difference. Why should nurses be
interested in learning about EBP?
Dq 2
How would a nurse practitioner and a
nurse manager differ with regard to how they use and incorporate EBP in their
areas of practice?
GCU NUR699 Wk 2 Dq 1 &
Dq 2 latest
dq 1
Review the “General Appraisal Overview for All Studies,” available in
Appendix B in the textbook. You should save this tool and use it throughout the
development of the PICOT question, problem description, and literature review.
Begin the development of your PICOT
question, using the following resources:
“Appendix A: Template for Asking
Clinical Questions,” available in the textbook appendix
Text readings
Formulate your PICOT question and post
it to the main forum. Respond to at least four other statements, providing
feedback. Review the statements to see if the
clinical issue is clearly defined and that all aspects are identified. Also
refer to the “PICOT: Components of an Answerable, Searchable Question” table,
located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.
You will be using the feedback to make
revisions to your PICOT question before using it in your “Section B: Problem
Description” assignment.
dq 2
What strategies will you use in your new
practice as an advance practice nurse to review and
critique literature pertinent to your practice?
GCU NUR699 Wk 3 Dq 1 &
Dq 2 latest
dq 1
What levels of evidence are present in
relation to research and practice, and why it is important regardless of the
method you use?
dq 2
What factors must be assessed when
critically appraising quantitative studies (e.g., validity, reliability, and
applicability)? Which is the most important? Why?
GCU NUR699 Wk 4 Dq 1 &
Dq 2 latest
dq 1
What are some of the obstacles or barriers to implementing EBP in nursing? Provide a
rationale for your answer. Since there are numerous topics on the issue, it is
not appropriate to repeat one that has already been mentioned unless providing
new information.
dq 2
Conducting research
projects while ensuring the protection of human subjects is necessary. What are
some methods to protect personal rights of someone in one of the groups that is
labeled as vulnerable? Justify your rationale.
GCU NUR699 Wk 5 Dq 1 &
Dq 2 latest
dq 1
Why is it important to incorporate a
theory or model related to change when implementing practice changes? Does the
benefit of incorporating a change model outweigh the time and effort it took to
include it?
dq 2
Identify barriers to the implementation of evidence-based practice. What are two ways to address
this problem?
GCU NUR699 Wk 6 Dq 1 &
Dq 2 latest
dq 1
When reviewing the literature and
different types of evidence, there are often gaps in the findings. Are such
gaps a help or a hindrance when wanting to create a
change?
dq 2
What is the difference between
statistically significant evidence and clinically significant evidence? How
would each of these findings be used to advance an evidenced-based project?
GCU NUR699 Wk 7 Dq 1
latest
Research and EBP projects can be
communicated in many ways. Which method do you think is most effective to get
to the staff nurse level? To the advance practice nurses? How will you ensure
that all appropriate audiences receive your information?
GCU NUR699 Wk 8 Dq 1 & Dq 2
dq 1
Post your “Evidence-Based Practice
Proposal Project Presentation.” Review all of the presentations but provide
critical commentary only to five others posted. Address the strengths of the
proposal as well as recommendations for improvement.
If a post already has five feedback posts then move on to another one. You will
be responsible for responding to each peer’s feedback that is posted to your
original presentation post.
dq 2
There is power in having data to support
change. The EBP process is one way of advancing
improvements in healthcare. Identify three strategies that you will now
incorporate into your practice based on this course. Explain your rationale.
GCU NUR699 Week 2
Evidence-Based Practice Proposal – Section A:
Organizational Culture and Readiness Assessment
Details:
Before making a case for an
evidence-based project, it is essential to understand the culture of the
organization in order to begin assessing its readiness for EBP implementation.
1. Complete
the “Organizational Culture and Readiness for
System-Wide Integration of Evidence-Based Practice Survey,” located in the
textbook appendix.
2. Develop
an analysis of 250 words from the results, addressing your organization’s
readiness level, possible project barriers and
facilitators, as well as how to integrate clinical inquiry.
3. Make
sure to include the rationale for the survey categories scores that were
significantly high and low, incorporating details and/or examples. Also explain
how to integrate clinical inquiry into the
organization, providing strategies that strengthen the organizations weaker
areas.
4. Submit a
summary of your results. The actual survey results do not need to be included.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the
Student Success Center.
Upon receiving feedback from the
instructor, revise “Section A: Organizational Culture and Readiness Assessment”
for your final paper submission. This will be a
continuous process throughout the course for each section.
GCU NUR699 Week 2
Evidence-Based Practice Proposal – Section B: Problem Description
Details:
Write a paper of 500-750 words (not
including the title page and reference page) on your proposed
problem description for your EBP project. The paper should address the
following:
Describe the background of the problem.
Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents.
Who, or what organizations, are concerned, may
benefit from, or are affected by this proposal. List the interested parties,
patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main
forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives
in specific, realistic, and measurable terms. The objective should address what
is to be gained. This is a restatement of the question, providing focus.
Measurements need to be taken before and after the
evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the
problem or issue is an important one for nursing to resolve using relevant
professional literature sources.
Develop an initial reference list to
assure that there is adequate literature to support your evidence-based
practice project. Follow the “Steps to an Efficient Search to Answer a Clinical
Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be
research articles. However, national sources such as Centers for Disease
Control and Prevention (CDC), National Center for Health Statistics (NCHS),
Department of Health and Human Resources (HHS), or
the Agency for Healthcare Research and Quality (AHRQ) and others may be used
when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you
may find there is very little research to support
your topic and you will have to start all over again. Remember, in order for
this to be an evidence-based project, you must have enough evidence to
introduce this as a practice change. If you find that you do not have enough
supporting evidence to change a practice, then
further research would need to be conducted.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the Student Success
Center.
Upon receiving feedback from the instructor, refine “Section B: Problem
Description” for your final submission. This will be a continuous process
throughout the course for each section.
Search Method Example
Search Method
A comprehensive electronic search was
completed using the following databases:
Cochrane Central Register of Controlled
Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline
The search included English-only
published articles between 1990 and 2005.
Key words used
in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials
Search results revealed 75 publications.
The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management,
self-monitoring behaviors, self-efficacy, and educational programs with various
interventions. These studies included three systematic reviews, five randomized
control trials (RCT), one cohort descriptive study,
and one qualitative study. Refer to Appendix A for a complete reference list.
GCU NUR699 Week 3
Evidence-Based Practice Proposal – Section C: Literature Support
Details:
To begin, work through the reference
list that was created in the “Section B: Problem
Description” assignment in Topic 2. Appraise each resource using the “Rapid
Critical Appraisal Checklists,” available in the textbook appendix. The
specific checklist you use will be determined by the type of evidence within
the resource.
Develop a
research table to organize and summarize the research studies. Using a summary
table allows you to be more concise in your narrative description. Only
research studies used to support your intervention are summarized in this
table. Refer to the “Evaluation Table Template,”
available in the textbook appendix. Use the “Evaluation Table Template” as an
adaptable template.
Write a narrative of 750-1,000 words
(not including the title page and references) that presents the research
support for the projects problem and proposed
solution. Make sure to do the following:
Include a description of the search
method (e.g., databases, keywords, criteria for inclusion and exclusion, and
number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study
need to be described so that readers can evaluate its scientific merit,
including study strengths and limitations.
Incorporate a description of the
validity of the internal and external research.
It is
essential to make sure that the research support for the proposed solution is
sufficient, compelling, relevant, and from peer-reviewed professional journal
articles.
Although you will not be submitting the
checklist information or the evaluation table you
design in Topic 3 with the narrative, the checklist information and evaluation
table should be placed in the appendices for the final paper.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the
directions in the Student Success Center.
Upon receiving feedback from the
instructor, refine “Section C: Literature Support” for your final submission.
This will be a continuous process throughout the course for each section.
GCU NUR699 Week 4 Evidence-Based Practice Proposal – Section D:
Solution Description
Details:
Write a paper of 500-750 words (not
including the title page and reference page) paper for your proposed
evidence-based practice project solution. Address the following criteria:
1. Proposed
Solution: (a) Describe the proposed solution (or intervention) for the problem
and the way(s) in which it is consistent with current evidence. Heavily
reference and provide substantial evidence for your solution or intervention.
(b) Consider if the intervention may be unrealistic
in your setting, too costly, or there is a lack of appropriate training
available to deliver the intervention. If the intervention is unrealistic, you
may need to go back and make changes to your PICOT before continuing.
2. Organization
Culture: Explain the way(s) in which the proposed solution is consistent with
the organization or community culture and resources.
3. Expected
Outcomes: Explain the expected outcomes of the project. The outcomes should
flow from the PICOT.
4. Method
to Achieve Outcomes: Develop an outline of how the outcomes will be achieved.
List any specific barriers that will need to be assessed and eliminated. Make
sure to mention any assumptions or limitations which may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one
or all of the following indicators: quality care improvement, patient-centered
quality care, efficiency of processes, environmental changes, and/or
professional expertise.
Prepare this assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the Student Success
Center.
Upon receiving feedback from the
instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the
course for each section.
GCU NUR699 Week 5
Evidence-Based Practice Proposal – Section E: Change Model
Details:
In 500-750 words (not including the
title page and reference page), apply a change model
to the implementation plan. Include the following:
1. Roger’s
diffusion of innovation theory is a particularly good theoretical framework to
apply to an EBP project. However, students may also choose to use change
models, such as Duck’s change curve model or the
transtheoretical model of behavioral change. Other conceptual models presented
such as a utilization model (Stetler’s model) and EBP models (the Iowa model
and ARCC model) can also be used as a framework for applying your
evidence-based intervention in clinical practice.
2. Apply
one of the above models and carry your implementation through each of the
stages, phases, or steps identified in the chosen model.
3. In
addition, create a conceptual model of the project. Although you will not be
submitting the conceptual model you design in Topic 5
with the narrative, the conceptual model should be placed in the appendices for
the final paper.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the
directions in the Student Success Center.
Upon receiving feedback from the
instructor, refine “Section E: Change Model” for your final submission. This
will be a continuous process throughout the course for each section.
GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section F: Implementation
Plan
Details:
In 500-750 words (not including the
title page and reference page), provide a description of the methods to be used
to implement the proposed solution. Include the following:
1. Describe the setting and access to potential subjects. If there
is a need for a consent or approval form, then one must be created. Although
you will not be submitting the consent or approval form(s) in Topic 5 with the
narrative, the consent or approval form(s) should be
placed in the appendices for the final paper.
2. Describe
the amount of time needed to complete this project. Create a timeline. Make
sure the timeline is general enough that it can be implemented at any date.
Although you will not be submitting the timeline in
Topic 5 with the narrative, the timeline should be placed in the appendices for
the final paper.
3. Describe
the resources (human, fiscal, and other) or changes needed in the
implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource
list. Although you will not be submitting the resource list in Topic 5 with the
narrative, the resource list should be placed in the appendices for the final
paper.
4. Describe
the methods and instruments, such as a questionnaire,
scale, or test to be used for monitoring the implementation of the proposed
solution. Develop the instruments. Although you will not be submitting the
individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
5. Explain
the process for delivering the (intervention) solution and indicate if any
training will be needed.
6. Provide
an outline of the data collection plan. Describe how data management will be
maintained and by whom. Furthermore, provide an
explanation of how the data analysis and interpretation process will be
conducted. Develop the data collection tools that will be needed. Although you
will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in
the appendices for the final paper.
7. Describe
the strategies to deal with the management of any barriers, facilitators, and
challenges.
8. Establish
the feasibility of the implementation plan. Address the
costs for personnel, consumable supplies, equipment (if not provided by the
institute), computer related costs (librarian consultation, database access,
etc.), and other costs (travel, presentation development). Make sure to provide
a brief rationale for each. Develop a budget plan.
Although you will not be submitting the budget plan in Topic 5 with the
narrative, the budget plan should be placed in the appendices for the final
paper.
9. Describe
the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the Student Success
Center.
Upon receiving feedback from the
instructor, refine “Section F: Implementation Plan”
for your final submission. This will be a continuous process throughout the
course for each section.
GCU NUR699 Week 6
Evidence-Based Practice Proposal: Section G: Evaluation of Process
Details:
In 500-750 words
(not including the title page and reference page), develop an evaluation plan
to be included in your final evidence-based practice project. Provide the
following criteria in the evaluation, making sure it is comprehensive and
concise:
1. Describe
the rationale for the methods used in collecting the
outcome data.
2. Describe
the ways in which the outcome measures evaluate the extent to which the project
objectives are achieved.
3. Describe
how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
4. Describe
strategies to take if outcomes do not provide positive results.
5. Describe
implications for practice and future research.
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the
directions in the Student Success Center.
Upon receiving feedback from the
instructor, refine “Section G: Evaluation” for your final submission. This will
be a continuous process throughout the course for each
section.
GCU NUR699 Week 7
Evidence-Based Practice Presentation
Details:
Develop a presentation no longer than
10-12 minutes with comprehensive speaker’s notes that covers all of the major
areas of your proposal.
Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within
the textbook appendix.
You will need to post your
Evidence-Based Practice Presentation to the main forum in Topic 8 as directed
by the instructor for class discussion and peer feedback.
While APA format
is not required for the body of this assignment, solid academic writing is
expected, and in-text citations and references should be presented using APA
documentation guidelines, which can be 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 Turnitin.
GCU NUR699 Week 7 Benchmark – Evidence-Based Practice Proposal Final Paper
Details:
Details:
Throughout this course you will be
developing a formal, evidence-based practice proposal.
The proposal is the plan for an
evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several
types of evidence can be used to support a proposed solution, a sufficient and
compelling base of support from valid research studies is required as the major
component of that evidence. Proposals are submitted
in a format suitable for obtaining formal approval in the work setting.
Proposals will vary in length depending upon the problem or issue addressed;
they can be between 3,500 and 5,000 words. The cover sheet, abstract,
references page, and appendices are not included in
the word limit.
Section headings and letters for each
section component are required. Responses are addressed in narrative form in
relation to that number. Evaluation of the proposal in all sections is based
upon the extent to which the depth of content
reflects graduate-level critical-thinking skills.
This project contains seven formal
sections:
1. Section
A: Organizational Culture and Readiness Assessment
2. Section
B: Problem Description
3. Section
C: Literature Support
4. Section
D: Solution Description
5. Section
E: Change Model
6. Section
F: Implementation Plan
7. Section
G: Evaluation of Process
Each section (A-G) will be submitted as
separate assignments so your instructor can provide feedback (refer to
applicable modules for further descriptions of each
section).
The final paper will consist of the
completed project (with revisions to all sections), title page, abstract,
reference list, and appendices. Appendices will include a conceptual model for
the project, handouts, data and evaluation collection
tools, a budget, a timeline, resource lists, and approval forms.
Use the “NUR-699 EBP Implementation Plan
Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist
you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”
Prepare this assignment according to the
APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is required.
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 Turnitin. Please refer to the directions in the Student Success
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