NRS 490 Full Class
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NRS 490 Full Class
NRS 490 Week 1
Discussion 1
Which scholarly databases (name two) in
the GCU Library will you choose in order to find the best research articles to
support your EBP proposal? Discuss why these two (at
least) databases are better than Google Scholar or a general Internet search?
NRS 490 Week 1 Discussion
2
The Institute of Medicine has stated a
goal that 90% of practice be evidence-based by 2020. We are currently at
approximately 15%. Discuss two barriers that might
hold nursing practice from achieving this goal. In your responses to course
colleagues, suggest ways in which identified barriers may be addressed.
NRS 490 Week 2 Discussion
1
During your practicum, determine what clinical problem or issue the organization is facing.
Discuss two implications for nursing.
NRS 490 Week 2 Discussion
2
What is the main issue for your
organization in addressing a solution to evidence-based nursing practice?
Discuss what might be the first step in addressing
and resolving this issue.
NRS 490 Week 3 Discussion
1
Submit a summary of six of your articles
on the discussion board. Discuss one strength and one weakness to each of these
six articles on why they may or may not provide sufficient
evidence for your practice change.
NRS 490 Week 3 Discussion
2
Name two difference methods for
evaluating evidence. Compare and contrast these two methods.
NRS 490 Week 4 Discussion
1
With your mentor, discuss why
understanding the health care system at the local
level plays an important part in the logistics of an EBP implementation.
Discuss one of your learnings from this conversation that you will take into
consideration for your own change project.
NRS 490 Week 4 Discussion
2
Identify two
change theories, and in your selection process include asking your mentor which
one(s) he or she uses or has used. Compare and contrast each one and then note
which theory makes the most sense for implementing your specific EBP project?
NRS 490 Week 5 Discussion 1
Stakeholder support is necessary for a
successful change proposal project implementation. Name one internal (facility,
unit or health care setting where the change process is situated) and one
external stakeholder (individual or group outside the
health care setting) and (1) why their support is necessary to the success of
your project, and (2) how you will go about securing that support.
NRS 490 Week 5
Discussion 2
Technology is integral to successful
implementation in many projects, through either
support or integration or both. Name at least one technology that you might or
will need to work with that will improve the implementation process and the
outcomes of your EBP project.
NRS 490 Week 6
Discussion 1
After discussion with your mentor, name one financial, one quality, and one
clinical aspect that needs to be taken into account for developing the
evidence-based practice project. For each aspect, explain how your proposal
will directly and indirectly impact each of the aspects.
NRS 490 Week 6
Discussion 2
Access and review the “Capstone Project
Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you
have completed a series of assignments that have led you into the active
project planning and development stage for your
project, take your discussion a step further and briefly describe your proposed
solution to address the problem, issue, suggestion, initiative, or educational
need. How has this changed since you first envisioned it, and what led to your current perspective and direction?
NRS 490 Week 7
Discussion 1
Determine one internal and one external
method for dissemination of your EBP project. For example, an internal method
may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to
report your results to both of these groups. How might your tactics change for
each type of group?
NRS 490 Week 7
Discussion 2
While EBP is not research, it is
important to be able to determine the effectiveness
of your change. Discuss one way you will be able to evaluate whether your
project made a difference in practice.
NRS 490 Week 8
Discussion 1
Based on how you will evaluate your EBP
project, which independent and dependent variables do
you need to collect? What basic statistical analysis might be run to determine
statistical significance?
NRS 490 Week 8
Discussion 2
Not all EBP projects result in
statistically significant results. Explain what clinical significance is, the
difference between clinical and statistical
significance, and how you might use clinical significance to support positive
outcomes in your project.
NRS 490 Week 9
Discussion 1
Discuss one personal strength and one
weakness you have regarding professional presentations.
Name one method for improvement for each of these, and discuss why it is
important for you to work on these skills.
NRS 490 Week 9
Discussion 2
Sustaining change can be difficult, as
there are many variables that can affect the process and
implementation. One critical component of EBP is to ensure that practice change
is hardwired so that it will thus continue to impact outcomes over time. Name
two potential barriers that may impact your EBP change proposal from continuing
to obtain the same desired results six months to a
year from now, and your strategies for overcoming these barriers.
NRS 490 Week 10
Discussion 1
Dissemination of EBP and research, such
as presenting results at a conference or writing an article for a journal, is
an important part of professional practice. Name one
professional journal and one nursing or health care conference where you might
present our project as a presentation or article and discuss why each of your
choices is the best option for you to disseminate
your new knowledge.
NRS 490 Week 10
Discussion 2
Discuss why EBP is an essential
component of the practice of a BSN-prepared RN. Then name two ways in which you
will continue to integrate evidence into your practice and encourage it within
your work environment. What problems or impediments
do you foresee in being able to follow your EBP action plan? What steps can you
take to minimize these?
NRS 490 Week 2
Assignment
In collaboration with your approved
course mentor, you will choose a specific evidence-based
practice proposal topic for the Capstone Project. Consider the clinical
environment in which you are currently working or have recently worked. The
Capstone Project topic can be a clinical practice problem, an organizational
issue, a quality improvement suggestion, a leadership
initiative, or an educational need appropriate to your area of interest as well
as your practice immersion (practicum) setting. A combination of 100
“supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives
listed in the “Guidelines for Undergraduate Field Experiences” manual and as
captured in the ISP.
Practicum immersion experiences are
required in a community health setting. Community health and leadership practice immersion can occur in the same site and
in conjunction with the evidence-based project in the NRS-490V course.
Definitions of community-based settings should encourage community integration
and involvement; expand accessibility of services and
supports; promote personal preference, strengths, dignity; and empower people
to participate in the economic mainstream. Examples of the integration of
community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experience is to apply the learning from
your research, community health, and leadership courses:
After studying this course, you should
be able to:
Demonstrate and apply knowledge of
factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities
Each setting provides opportunities to
reach people using existing social structures. This
maximizes impact and reduces the time and resources necessary for program
development.
In a composition of no more than 750
words, describe the nature of your proposed project topic. Include the
following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or
educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
Attach the completed “Project Topic
Checklist” to your assignment submission.
Prepare this assignment according to the
guidelines found in the APA Style Guide, located in
the Student Success Center. An abstract is not required.
You are not required to submit this
assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours
throughout the course via the Practice Hours
Completion Statement provided in this assignment.
Complete the following statement in a
Word document and submit it to the instructor via the individual forum in
LoudCloud.
Practice Hours Completion Statement
NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in
association with the goals and objectives for this course. I also verify that
all required course approvals are in place from my faculty and practice mentor.
NRS 490 Week 3
Assignment
Review the PICO(T)
resources listed in the topic readings.
Formulate a PICOT statement using the
PICOT format used in the assigned readings. The PICOT statement will provide a
framework for your Capstone Project.
In a paper of 500-750 words, clearly
identify the clinical problem (from your Topic 1
approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on
the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
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 required to submit this
assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours
throughout the course via the Practice Hours Completion Statement provided in
this assignment.
Complete the following statement in a
Word document and submit it to the instructor via the
individual forum in LoudCloud.
Practice Hours Completion Statement
NRS-490
I, (INSERT NAME), verify that I have
completed (NUMBER OF) practice hours in association with the goals and
objectives for this course. I also verify that all required course approvals are in place from my faculty and practice
mentor.
NRS 490 Week 4
Assignment
In nursing practice, accurate
identification and usage of research is essential to achieving successful
outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly
fashion helps to support the student’s ability and confidence to further
develop and synthesize the progressively more complex assignments that
constitute the components of the course change
proposal Capstone Project.
For this assignment, the student will
provide a synopsis of 15 peer-reviewed articles from nursing journals using an
evaluation table that determines the level and strength of evidence for each of
the 15 articles. The articles should be current
within the last 5 years and closely relate to the PICOT statement you developed
earlier in this topic. Appropriate resources to include involve quantitative
research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background
information for the purpose or problem identified in the proposed Capstone
Project.
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.
Portfolio Practice Hours
Students will track their practice hours
throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a
Word document and submit it to the instructor via the individual forum in
LoudCloud.
NRS 490 Week 6
Assignment
An implementation plan prepares students
to apply the research they have identified and vetted
to the problem or issue they have identified for their Capstone Change Proposal
Project. A literature review enables students to map out and move into the
active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which
to synthesize what is known and unknown about the Project issue selected.
Students will use the information from the PICOT Statement and Evaluation Table
assignments prior in the course to develop a planned
approach to implementing the evidence-based practice solution. The underlying
purpose of this assignment is to analyze how the current research supports the
PICOT, and to identify what is known and what is not known in the evidence,
providing a logical, constructive argument.
Include the following sections:
1. Title
page
2. Introduction
section
3. A
comparison of research questions
4. A
comparison of sample populations
5. A
comparison of the limitations of the study
6. A
conclusion section, incorporating recommendations for
further research
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 required to submit this
assignment to Turnitin. Please refer to the
directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours
throughout the course via the Practice Hours Completion Statement provided in
this assignment.
Complete the following statement in a Word document and submit it to the instructor
via the individual forum in LoudCloud.
Practice
Hours Completion Statement NRS-490
I, (INSERT NAME), verify
that I have completed (NUMBER OF) practice hours in association with the goals
and objectives for this course. I also verify that
all required course approvals are in place from my faculty and practice mentor.
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