COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module's discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research's use of narrative materials, available research methods, an ...
COMPLETED WEEK 2In 350-400 Words1. Share an example of evidenc
1. COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work
setting.
B & C. Describe how qualitative and quantitative research
results can be used to solve practice problems. This is known as
translational research.
2. Refer back to last module's discussion board item #4 in which
you identified one or two potential problems that you are
considering for your DNP Project. As we move into the
building blocks for evidence, try to think about what you want
to improve through your DNP project.
A. State the problem that you are considering for your DNP
project.
B. Find a peer-reviewed quantitative research article that
addresses this problem.
C & D. State the type of research design and the associated
level of evidence in the article.
E. What critical appraisal questions did you use to critique this
article from Melnyk Chapter 5? Please list both the question and
the answer to each question. (Use the questions that match the
research design in the article).
F. How can you use this evidence from your chosen article to
solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy,
enhanced. Cengage.
2. Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence
for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced
practice psychiatric nurses. Springer Publishing Company,
Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones
& Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd
ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work
setting. Describe how qualitative and quantitative research
results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain
injuries while participating in extracurricular activities is an
example of evidence-based treatment in the school context, as I
learned in my previous role as a school nurse. With experience
as both a nurse and a coach (crucial in the absence of an athletic
trainer at the school), this individual was looked to for advice if
a student had a concussion or other head trauma while
participating in a sport (Knight & Wheeler, 2020). Both
quantitative and qualitative research methods can produce
evidence for nursing practice and address issues that arise in the
field. The findings of quantitative studies would be in the form
of numerical, statistical data. Studies of phenomena or a more
holistic focus can be gathered through qualitative research's use
of narrative materials, available research methods, and a focus
3. on interaction and subjectivity.
Another example that comes to mind was what I experienced
during the pandemic, the facility that I worked with had so
many nurses staffing issues with infection control and avoiding
it from spreading. One evidenced based action we took was
clearing one unit, testing patients every day and making sure
anyone that had the symptoms were segregated to that unit to
quarantine but one thing we noticed was nurses were not
following the protocols as they should. One thing for nurses that
have been at a facility so long, they are used to only following
the status quo by just doing things the way they want while
implementing change by teaching them new methods of
handling things can be a very tasking if not a very daunting
issue for them.
Infection control link nurses (ICLN) are role models in
providing safe care and transfer their knowledge and skills to
their peers (Dawson, 2003). In order to fulfil this role, link
nurses in acute care hospitals are trained by infection control
practitioners(Dekker, Mansfeld, Vandenbroucke-Grauls, Lauret,
Schutijser, De Bruijne, & Jongerden (2022). So, what our team
did was to have a set of infection control link nurses come to
the facility and had a mandatory class showing nurses and with
return demonstration of not only handwashing but also how to
don and remove their gloves the right way with their personal
protective equipment especially the N95 mask and respirators .
The whole staff were fitted for their own personal masks, and
they were taught how to use what we called “the brown paper
bag technique” which would require them to take the mask off
in a certain room and place them in their own brown paper bag
labeled. When we did this, we noticed the rate of spread of the
infection and virus went down by at least 50 %.
Infection control is an aspect of healthcare delivery that deals
with the curtailment of the spread of infection within the
healthcare setting. Be it from patienttopatient, patienttostaff,
stafftopatients, or staff to staff contact, healthcare workers
4. generally are at risk of infection
Refer back to the last module's discussion board item #4 in
which you identified one or two potential problems that you are
considering for your DNP Project
State the problem that you are considering for your DNP
project.
Would a nurse's constant text message or app-based teaching
and self-management tool increase blood glucose management
in union-based health coverage individuals with Type II DM?
Find a peer-reviewed quantitative research article that addresses
this problem.
An article related to the abovementioned issue is
Nursing research: Generating and assessing evidence
for nursing practice (Denise et al., 2017)
.
State the research design type and the associated evidence level
in the article.
The type of research design is non-experimental or
correlational, and the associated level of evidence is level 4.
This means that the study did not manipulate variables but
merely observed relationships between variables (Denise et al.,
2017). The level of evidence is lower because this type of study
cannot show direct cause and effect.
What critical appraisal questions did you use to critique this
article from Melnyk Chapter 5? Please list both the question and
the answer to each question. (Use the questions that match the
research design in the article).
a) How well was the study designed? The study was non-
experimental, meaning the researcher did not manipulate any
variables. This means that it is not possible to show direct cause
and effect.
b) How well were the participants recruited? The participants
were recruited from a convenience sample, meaning they may
5. not represent the whole population (Moran et al., 2019).
c) How well was the exposure measured? It is possible that self-
reported levels of exposure underestimate actual levels of
exposure.
d) How well was the outcome measured? Self-reporting was
used to determine the outcome, which has its own limitations.
How can you use this evidence from your chosen article to solve
your clinical problem?
There is no direct evidence from this study that text
messaging, or app-based teaching would increase blood glucose
management in patients with Type II diabetes. However, the
study did find that patients who used text messaging or apps to
manage their diabetes had better glycaemic control than those
who did not (Denise et al., 2017). This suggests that text
messaging or app-based tools may benefit patients with Type II
diabetes.
References
Dekker, M., Mansfeld, R. V., Vandenbroucke-Grauls, C. M.,
Lauret, T. E., Schutijser, B. C., De Bruijne, M. C., &
Jongerden, I. P. (2022). Role perception of infection control
link nurses; a multi-centre qualitative study. Journal of
Infection Prevention, 23(3), 93-100.
https://doi.org/10.1177/17571774211066786
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing
research : Generating and assessing evidence for nursing
practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020). Case study approach to
psychotherapy for advanced practice psychiatric nurses.
Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The Doctor of
Nursing practice project (3rd ed.). Jones & Bartlett Learning,
LLC.
COMPLETED WEEK 3
1. Consider the two research paradigms: quantitative and
qualitative research and
6. discuss the researcher’s purpose for choosing one over
the other.
2. A.
Describe a clinical problem under which a DNP
prepared nurse could utilize one of the following qualitative
research designs which include: a) ethnography, b)
phenomenology, and c) grounded theory.
B.Describe why the chosen qualitative research design
is appropriate for the clinical problem you have identified.
3. A,
Locate a qualitative article in one of the major
qualitative traditions (ethnography, phenomenology, or
grounded theory) and
B. briefly
describe the article
andC. how the research questions connects to the
methodology.)
4. A.Locate a mixed method nursing research article that
interest you and
B. briefly
describe how using both research methods in one study
provides evidence for clinical practice. (Related to MO 1,3,4)
5. A.
Describe the clinical/practice problem that you have
chosen to focus on for your DNP Project (or are considering
focusing on) AND
B. State your clinical/practice question using PICOT
format.
7. Please note the PICOT must be a clinical practice
question....the PICOT cannot be related to an academic problem
or any issue that would occur in an academic setting and/or
involves working with students. AND
C.1. Describe the influence that reviewing previous
NKU DNP projects had on you developing your PICOT above.
C.2.
List the titles of at least 2 previous NKU DNP projects
that you reviewed – I reviewed
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy,
enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence
for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced
practice psychiatric nurses. Springer Publishing Company,
Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones
& Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd
ed.). Springer Publishing Company, Incorporated.
ANSWER
Consider the two research paradigms: quantitative and
8. qualitative research, and discuss the researcher's purpose for
choosing one over the other.
From what we have learned so far in this course, it is clear that
deductive reasoning that can be verified in the real world lies at
the heart of quantitative research. It uses a methodical strategy
and strict implementation of controls to minimize errors (Denise
& Cheryl, 2017). Comparatively, qualitative research focuses on
understanding the why and how of a phenomenon through an in-
depth consideration of the human experience. Researchers
employ quantitative methods to determine the success of their
intervention, whereas qualitative methods are used to examine
participants' subjective experiences.
Describe a clinical problem under which a DNP-prepared nurse
could utilize one of the following qualitative research designs:
a) ethnography, b) phenomenology, and c) grounded theory.
A DNP-prepared nurse could use grounded theory research
strategies to study the impact of a new nursing intervention on
patient outcomes. The grounded theory could be used to develop
a theoretical understanding of how nurses and patients interact
in a particular setting.
Describe why the chosen qualitative research design is
appropriate for your identified clinical problem.
The grounded theory approach is appropriate for this clinical
problem because it focuses on developing a theoretical
understanding of how nurses and patients interact in a particular
setting. This theoretical understanding can be used to guide
future research and practice. This approach is particularly
useful for complex problems that are not well understood.
Locate a qualitative article in one of the major qualitative
traditions (ethnography, phenomenology, or grounded theory)
I will go by the article: Translation of evidence into
nursing and healthcare (3rd ed.).
Briefly Describe the Article
9. This article describes the process of translating evidence
into nursing and healthcare. The authors use a case study
approach to examine how an evidence-based practice guideline
was developed and implemented in a hospital setting.
How The Research Questions Connect to The Methodology
The research questions in this study connect to the methodology
in that they focus on translating evidence into nursing and
healthcare. The authors use a case study approach to examine
how an evidence-based practice guideline was developed and
implemented in a hospital setting.
Locate a mixed method nursing research article that interests
you
I chose the article:
Nursing research: Generating and assessing evidence
for nursing practice (Tenth edition ed.).
Briefly Describe How Using Both Research Methods in One
Study Provides Evidence for Clinical Practice. (Related To Mo
1,3,4)
Using the two methods allows for a more comprehensive
understanding of the studied issue. Quantitative methods
provide data that can be analyzed to identify trends and
relationships, while qualitative methods provide insights into
the experiences and perceptions of those involved. Together,
these methods provide a complete picture of phenomena and
allow for evidence-based decision-making.
Describe the clinical/practice problem that you have chosen to
focus on for your DNP Project (or are considering focusing on)
The clinical problem I have chosen to focus on for my DNP
project is the impact of a new nursing intervention on patient
outcomes. I am interested in studying how this intervention
affects the nurses who implement it and the patients who
receive it.
10. State your clinical/practice question using the PICOT format
In patients with type II diabetes, does use a text messaging or
app-based self-management tool result in better glycemic
control than no intervention?
Describe the influence that reviewing previous NKU DNP
projects had on developing your PICOT above.
Reviewing previous NKU DNP projects did not directly
influence the development of my PICOT.
List the titles of at least two previous NKU DNP projects that
you reviewed – I reviewed
1. The Impact of a Nurse-led Transition Program on Patient
Outcomes
2. The Impact of a Multidisciplinary Discharge Planning
Intervention on Patient Outcomes
References
Corey, G. (2020). Theory and practice of counseling and
psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing
research: Generating and assessing evidence for nursing
practice (Tenth edition ed.). Wolters Kluwer.
COMPLETED WEEK 4
1. The Melnyk (2019) describes how to access guidelines.
Review the data bases and search for one clinical
practice guideline that interests you. If your identified clinical
problem and PICOT lend themselves to a clinical practice
guideline, you may want to choose a clinical practice guideline
related to your clinical problem and PICOT. It may be more
than possible that there is not a clinical practice guideline that
is related to your identified clinical problem and PICOT.....that
is more than fine......then choose a clinical practice guideline
that is simply of interest to you.
A. Name the guideline.
B. Name the resource (database) which housed this
11. practice guideline.
C. State the strength of the guideline based on the
validity and reliability of its recommendation.
D. Answer all of the questions listed in Box 8.4 Rapid
Critical Appraisal checklist on page 245 of the Melnyk text to
evaluate the attributes of the guideline.
2. After listening to the AGREE II overview tutorial and
tutorial/ practice, note the necessary steps to evaluate a
guideline.
Find one article which the authors used the AGREE II
tool to evaluate a practice guideline.
[Go to the library and use a medical/health database - use the
search terms "practice guidelines" and "Agree tool. There are
numerous articles.] (like this one I can find an article and send
you the paper)
Summarize the following about the article you chose for
discussion:
A. What is the citation of the article?
B. What were the findings and conclusion?
C. What was the review rated?
D. What was the overall assessment of the quality of the
guideline?
E. Did the guideline clearly present the author/s'
recommendations?
12. RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy,
enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence
for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced
practice psychiatric nurses. Springer Publishing Company,
Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones
& Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd
ed.). Springer Publishing Company, Incorporated.
Case Study Approach to Psychotherapy for Advanced Practice
Psychiatric Nurses
Candice Knight & Kathleen Wheeler
https://bookshelf.vitalsource.com/reader/books/9780826195043/
epubcfi/6/2[%3Bvnd.vst.idref%3Dx00_Cover]!/4/2/2%4051:81
The Doctor of Nursing Practice Project
Katherine J. Moran; Rosanne Burson & Dianne Conrad
https://bookshelf.vitalsource.com/reader/books/9781284184549/
epubcfi/6/2[%3Bvnd.vst.idref%3DCover]!/4/2/4%4051:35
Theory and Practice of Counseling and Psychotherapy,
Enhanced
Gerald Corey
https://bookshelf.vitalsource.com/reader/books/9781305855953/
13. pageid/0
Translation of Evidence Into Nursing and Healthcare, Third
Edition
Kathleen M. White, PhD, RN, NEA-B; Sharon Dudley-Brown &
Mary F. Terhaar
https://bookshelf.vitalsource.com/reader/books/9780826147370/
epubcfi/6/2[%3Bvnd.vst.idref%3Dx00_Cover]!/4/2/2%4051:81
Nursing Research: Generating and Assessing Evidence for
Nursing Practice
Denise F. Polit & Cheryl Tatano Beck
https://bookshelf.vitalsource.com/reader/books/9781496345301/
epubcfi/6/2[idloc_000.xhtml-itemref]!/4[eid1]/2[eid2]%4053:10
ANSWER
Part 1
Governments around the world are aiming to improve healthcare
and optimize outcomes through initiatives that accelerate the
systematic integration of clinical care based on the best
evidence. Therefore, it is not surprising to see entire programs
dedicated to this endeavor hence the development of classes like
this to educate and empower students . However, the problem is
that clinical practice variations continue to persist (Melnyk, B.
M. & Fineout-Overholt, E. (2019).
Name The Guideline
The guideline I chose is the American Heart Association's
Guidelines for cardiopulmonary resuscitation and emergency
cardiac care. Part 5: Neonatal resuscitation: 2020 American
heart association guidelines for cardiopulmonary resuscitation
and emergency cardiovascular care.
Circulation (New York, N.Y.), 142(16_Suppl_2 Suppl
2), S524-S550.
Name The Resource (Database) Which Housed This Practice
Guideline
14. The resource housed in this practice guideline is-
PubMed.gov. National Library of Medicine: National Center for
Biotechnology Information. Retrieved September 12, 2022 from
https://pubmed.ncbi.nlm.nih.gov/33081528/
State the strength of the guideline based on the validity and
reliability of its recommendation.
When it comes to CPR and other forms of emergency
cardiac care, the American Heart Association's guidelines are
among the most authoritative available. The standard was
formulated by an expert team and has undergone consistent,
thorough evaluation and revision. The suggestions are supported
by substantial data and have broad medical consensus.
Answer all of the questions listed in Box 8.4 Rapid Critical
Appraisal checklist on page 245 of the Melnyk text to evaluate
the attributes of the guideline.
Who were the guideline developers?
The guideline developers were representatives of key
stakeholders in this specialty, including clinicians, researchers,
and patient organizations. These developers include: the
American Diabetes Association, the Medical Group
Management Association's Professional Practice Committee,
qualified educators in the fields of nursing and nutrition who
have a Doctor of Nursing Practice, and Doctor of Pharmacy.
Was the developer representative of key stakeholders in this
specialty (interdisciplinary)?
Without a doubt, the developer was speaking for the most
important players in this field. They might achieve this by
merging the various viewpoints and requirements of the target
audience into the final output.
Who funded the guideline development?
The American Heart Association funded the guideline
development to provide updated, evidence-based
recommendations for preventing cardiovascular disease
15. Were any of the guideline developers funded researchers of the
reviewed studies?
No one involved in creating the guidelines paid for the heart
disease prevention research.
Did the team have a valid development strategy?
The team did use an appropriate methodology for
development. First, they defined what the user needed to do
with the app. Second, they decided which features were most
important to include. Third, they mocked up a basic prototype.
Fourth, they iteratively built and tested the app. Fifth, they
released it to users.
Was an explicit, sensible, and impartial process used to
identify, select, and combine evidence?
Evidence was gathered using a transparent, reasonable, and
unbiased procedure. The American Dental Association (ADA)
relied on a consensus report to detail analysis penned by a
group of specialists with the aim of locating relevant sources
and determining acceptable guidance or locating gaps in the
evidence with regards to diabetes.
Did developers carry out a comprehensive, reproducible
literature review within the past 12 months of its publication/
revision?
Not less than a year after its publication or most recent
modification did the designers conduct a thorough, reproducible
literature survey.
Were all important options and outcomes considered?
Yes, all significant selections and results were considered.
Surveillance, diagnostic, and therapeutic measures that are
known or are believed to improve the health outcomes of people
with diabetes are included in the standard of treatment.
Is each recommendation in the guideline tagged by the
level/strength of evidence on which it is based and linked with
the scientific evidence?
Yes, the threshold of suggestion was noted next to each
16. guide proposal. The team did use an appropriate methodology
for development. First, they defined what the user needed to do
with the app. Second, they decided which features were most
important to include. Third, they mocked up a basic prototype
Do the guidelines make explicit recommendations (reflecting
judgments about outcomes)?
The guidelines do include explanations for each
recommendation on the mainstays of diabetes care, along with
broad therapeutic objectives and principles.
Has the guideline been subjected to peer review and testing?
The recommendations have been tested and reviewed by experts
in the field. An expert practice group reviews the framework
every year.
Is the intent of use provided?
The Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care provide detailed instructions on
how medical professionals should provide care to patients
suffering from cardiac or respiratory distress. The guidelines
cover everything from initial assessment and stabilization of the
patient to ongoing care and rehabilitation.
Are the recommendations clinically relevant?
In accordance with the Standards for Medical Care in America,
the guidelines in Diabetes - 2022, one of 17 guidelines, are
clearly clinically meaningful and evaluated each year to ensure
that practitioners always have access to the most up-to-date
knowledge.
Will the recommendations help me in caring for my patients?
The care of future clients will be improved as a result of these
suggestions. For the sake of a Doctor of Nursing Practice
assignment, it will be useful to adhere to this particular practice
guideline regarding behavioral modification and health.
17. Are the recommendations practical/ feasible? Are resources
available?
This clinical research guideline includes realistic suggestions,
and the accompanying grading lends credence to the reliability
of the supporting research.
Are the recommendations a major variation from current
practice? Can the outcomes be measured through standard care?
The suggestions do not significantly deviate from standard
practice. These suggestions are up to date as of the previous
year due to the fact that the standards and guidelines are
evaluated annually and are "living standards," which means that
only the most recent practice information is available. Standard
care allows for the measurement of outcomes; however, in the
case of this guideline, which focuses on modifying one's
behavior, it is possible to set and achieve goals and implement a
treatment plan, but only a subset of these variables are
amenable to quantitative analysis. Common health indicators,
such as weight and Hemoglobin A1C, are simple to monitor.
Surveys, patient exams and screenings, and interviews are all
useful tools for gauging people's perceptions of the
effectiveness of interventions aimed at promoting health and
well-being
Part 2. After listening to the AGREE II overview tutorial and
tutorial/ practice, note the necessary steps to evaluate a
guideline. Find one article which the authors used the AGREE
II tool to evaluate a practice guideline.
The AGREE II, is an internationally recognized standard
instrument for evaluating the methodological quality of
guidelines, provides framework guidance for the quality
appraisal of various Clinical Practice Guidelines-(CPGs)(Zhou
et al., 2021). So in searching for an article I utilized the two
search words and found one that peaked my interest. The World
Health Organization has indicated that new cancer cases are
expected to exceed 29 million in 2040, leading to 16 million
18. expected cancer-related deaths in 2040 .Malnutrition, which is
the most common complication of cancer, can negatively affect
treatment effects and has become one of the leading causes of
death in cancer patients(Zhou et al., 2021)
What is the citation of the article?
Aziz, K., Lee, H., Escobedo, M., Hoover, A., Kamath-Rayne,
B., Kapadia, V., Magid, D., Niermeyer, S., Schmölzer, G.,
Szyld, E., Weiner, G., Wyckoff, M., Yamada, N., & Zaichkin, J.
(2020). Part 5: Neonatal resuscitation: 2020 American heart
association guidelines for cardiopulmonary resuscitation and
emergency cardiovascular care. Circulation (New York, N.Y.),
142(16_Suppl_2 Suppl 2), S524-S550.
https://doi.org/10.1161/CIR.0000000000000902
Clinical practice guidelines for the nutritional risk screening
and assessment of cancer patients: a systematic quality
appraisal using the AGREE II instrument.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu,
F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice
guidelines for the nutritional risk screening and assessment of
cancer patients: A systematic quality appraisal using the
AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-
2893.
https://doi.org/10.1007/s00520-021-06094-z
What were the findings and conclusion?
Cassidy, C.E., Harrison, M.B., Godfrey, C.
et al (2021). Use and effects of implementation
strategies for practice guidelines in nursing: a systematic
review.
Implementation Sci16, 102.
https://doi.org/10.1186/s13012-021-01165-5
The practice guidelines helps in reducing variations in nursing
practice with improved patient care. Nonetheless,
implementation of the guidelines can be complex and
inconsistent in practice as it is unclear which strategies would
be effective at implementing the guidelines in nursing. Nursing
guideline implementation would be beneficial while using the
19. identified implementation strategies to describe the review,
including participatory approaches such as facilitation,
adaptation of guidelines, and organizational policy changes.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu,
F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice
guidelines for the nutritional risk screening and assessment of
cancer patients: A systematic quality appraisal using the
AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-
2893. https://doi.org/10.1007/s00520-021-06094-z
The findings is that the quality of the current practicing
guidelines (CPGS) regarding nutritional risk screening and
assessment in the cancer population is still suboptimal due to its
methodological limitations. Further improvements are needed to
develop high-quality cancer-specific guidelines in an evidence-
based manner by strictly following the AGREE II assessment
criteria. Although two relatively high-quality guidelines were
identified in this review, translations, validations, and cultural
adaptations should still be well conducted before their
implementation in other countries with different contexts(Zhou
et al., 2021).
The conclusion of this article was that despite having these two
strongly recommended guidelines and the fact that they were
developed within the American and European contexts, it still
requires translation, validation, and cultural adaptation before
they are implemented in other countries or healthcare contexts
to improve their effectiveness and sensitivity for local cancer
patients(Zhou et al., 2021)
What was the review rated?
The guidelines was assessed by 3 senior assessors using the
AGREE 11 instrument and rated it based on whether they would
recommend the guideline on a scale of 1 to 7 with one being
strongly disagree and 7 being strongly agree but since there was
no cut off score that indicates the domains with the AGREE 11
instrument, they had to use assessor’s evaluators
recommendations. The scores were summed up and a higher
percentage on each domain utilized was an indication that the
20. guidelines were of higher quality, however, still has
limitations.(Zhou et al., 2021)
The review was rated as such: 2 guidelines were strongly
recommended (grade A) which means the percentage of all 6
domains were above 60%, 3 were rated as recommended with
modifications and 2 were rated as not recommended(grade
c)(Zhou et al., 2021)
What was the overall assessment of the quality of the guideline?
The overall assessment of the quality of the guideline which
included whether the guideline should be recommended for
employment in clinical practice indicated that 2 of these
guidelines were grade A and three were grade B while the
remaining 2 were grade C . which indicates some
methodological flaws existed in the guidelines(Zhou et al.,
2021).
Did the guideline present the author/s' recommendations?
Yes, the guideline presented the author/s' recommendations.
According to Cassidy et al., 2021 implementation strategies for
practice guidelines in nursing can be effective in improving
nursing practice, but sometimes more research is needed to
determine the most effective and appropriate strategies (Cassidy
et al., 2021). This article embodies this fact because it indicates
that in order for clinicians to use these guidelines for cancer
screening and patients, it still needs some work. Also, because
some of the language was in Chinese and English it does
requires translation, validation, and cultural adaptation before it
can be used anywhere else in the world.
References
Aziz, K., Lee, H., Escobedo, M., Hoover, A., Kamath-Rayne,
B., Kapadia, V., Magid, D., Niermeyer, S., Schmölzer, G.,
Szyld, E., Weiner, G., Wyckoff, M., Yamada, N., & Zaichkin, J.
(2020). Part 5: Neonatal resuscitation: 2020 American heart
association guidelines for cardiopulmonary resuscitation and
emergency cardiovascular care.
Circulation (New York, N.Y.), 142(16_Suppl_2 Suppl
2), S524-S550.
21. https://doi.org/10.1161/CIR.0000000000000902
Cassidy, C. E., Harrison, M. B., Godfrey, C., Nincic, V., Khan,
P. A., Oakley, P., Ross-White, A., Grantmyre, H., & Graham, I.
D. (2021). Use and effects of implementation strategies for
practice guidelines in nursing: A systematic review.
Implementation Science : IS, 16(1), 1-102.
https://doi.org/10.1186/s13012-021-01165-5
Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-Based
Practice in Nursing & Healthcare. A Guide to Best Practice.
(4th ed.). Philadelphia: Lippincott Williams & Wilkins.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The Doctor of
Nursing practice project (3rd ed.). Jones & Bartlett Learning,
LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.).
Springer Publishing Company, Incorporated.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu,
F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice
guidelines for the nutritional risk screening and assessment of
cancer patients: A systematic quality appraisal using the
AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-
2893. https://doi.org/10.1007/s00520-021-06094-z
NEW-WEEK 5
Discussion Topic -- Theory and Model Application
I need this in about 600-650 words and all the questions must be
answered
1. A. Describe your thoughts on the use of middle range
nursing theories in relation to nursing practice as compared to
the use of other levels of nursing theory.
B & C. Briefly share what theory/theories you are considering
for your scholarly DNP project and why.
Relate your response to the clinical issue or problem that you
22. have identified for your scholarly project and the PICOT
question you wrote earlier in the course. How can the
theoretical concepts ( from the chosen theory) be used to
describe, support, or explain practice? (Related to MO1,3,5)
2. A & B
Summarize, compare and contrast two of the EBP
models to change practice in an organization as listed in Melnyk
text, pages 382-420. (Related to MO2,3,4)
Assessment Traits
Requires Lopeswrite
Assessment Description
Efforts to protect individual and community safety during
emergencies include considerable collaboration between
government officials, first responders, and various public and
private agencies. One of the primary objectives of all
emergency management planning is to protect public health.
Public health officials must work alongside emergency
managers to protect people and communities. Likewise,
municipal and public safety officials must contribute their
efforts to ensure the swift repair of critical infrastructure and
utilities, which are necessary to protect the health and well -
being of communities.
For the Community Preparedness and Response section of your
AAR (3-4 pages), research information related to the
cooperation of the public health, public safety, and municipal
officials during your selected emergency crisis. In this section
of your report, discuss the following:
1. Discuss the major strengths of the collaboration efforts
between emergency responders and public health, public safety,
and municipal officials to promote effective response and
recovery during the incident.
2. Discuss the primary weaknesses of the collaboration between
23. emergency responders and public health, public safety, and
municipal officials. How did ineffective collaboration hinder
efforts to protect public health or restore community
functioning?
3. Provide short- and long-term recommendations for improving
the collaboration between public health, public safety, and
municipal officials in emergency or disaster management.
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.
ou 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.
Attachments
EMM-605.M4Rubric.docx
REQUIREMENTS:
POSSIBLE
ACTUAL
Discussion includes the major strengths of the collaboration
efforts between emergency responders and public health, public
safety, and municipal officials to promote effective response
and recovery during the incident.
25
Discussion identifies the primary weaknesses of the
collaboration between emergency responders and public health,
public safety, and municipal officials and explains how
