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This document summarizes an evidence-based proposal to address low nurse-to-patient ratios in emergency departments. The proposal investigates how low staffing ratios are associated with adverse patient outcomes. It then establishes methods to mitigate the issues caused by low ratios, such as raising staffing levels in the emergency department. An implementation plan is proposed which identifies the current problems and provides strategies for staffing changes. An evaluation plan is also included to continuously assess the strategy as it is implemented and provide feedback to adjust the program.
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This document provides guidance and resources for a Doctor of Nursing Practice (DNP) course that focuses on evidence-based practice. It includes discussion questions (DQs) on various topics related to translating research into practice and implementing evidence-based interventions. The DQs address the DNP nurse's role in leading clinical practice changes, identifying appropriate levels of research evidence, addressing biases, ensuring reliability and validity of measurement tools, and evaluating outcomes. Strategies and challenges for promoting an organizational culture of evidence-based practice are also discussed. The document aims to equip DNP students with the skills needed to implement evidence-based projects and translate research into practice.
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
The document discusses evidence-based practice and the importance of integrating different types of evidence beyond just scientific research. It argues that evidence-based practice requires the expert judgment and knowledge of experienced clinicians, not just research evidence. True evidence-based practice considers both research findings as well as clinical expertise and patient preferences. The Iowa Model of evidence-based practice is presented as a framework to guide the implementation of evidence into clinical practice through identifying problems or knowledge triggers, forming teams, reviewing and critiquing research, and piloting changes.
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
The document discusses evidence-based practice and the importance of integrating different types of evidence beyond just scientific research. It argues that evidence-based practice requires the expert judgment and knowledge of experienced clinicians, not just research evidence. True evidence-based practice involves synthesizing knowledge from various sources, including research findings as well as clinical expertise. The Iowa Model of evidence-based practice is presented as a framework to help implement changes based on the best available evidence.
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Practice Proposal Final.docx
This document summarizes an evidence-based practice proposal for changing the management of hypertension at an organization. The proposal has seven sections: 1) an assessment finding barriers like poor communication but readiness for change, 2) a problem statement on the lack of exercise prescription, 3) a literature review finding evidence that exercise reduces complications, 4) a solution of prescribing exercise, 5) alignment with organizational goals of reducing disease burden, 6) a methodology of educating providers and monitoring outcomes, and 7) use of Rogers' Diffusion of Innovation theory to drive the practice change. The goal is to successfully translate evidence on exercise into the standard of care for hypertension patients.
Respond Using references, identity the research result that .docx
Respond
Using references, identity the research result that you could use in your practice setting.
This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients. Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and 4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
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Poster Presentation
Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses.
Students will select a nursing research already published and following the article information you will create a poster presentation that include the below information:
The outline of the poster should include the following tabs (minimum requirements)
Abstract Outline:
-Title of Project
-Problem Statement: what is the problem that needs fixing?
-Purpose of the Project
-Research Question(s)
-Hypothesis
-Methodology (Qualitative vs. Quantitative)
-Steps in implementing your project
-Limitations
Results (Pretend results)
-Conclusion
-References
I have attached an example of a poster presentation for guidance. The due date for the poster presentation is WEEK 13. Please feel free to be artistic and provide graphs and data. You are welcome to use any poster template. Please submit it via turn it in.
Criterion
Outstanding 4
Very Good 3
Good 2
Unacceptable 1
Score
Completeness
Complete in all respects; reflects all requirements
Complete in most respects; reflects most requirements
Incomplete many respects; reflects few requirements
Incomplete in most respects; does not reflect requirements
Understanding
Demonstrates excellent understanding of the topic(s) and issue(s)
Demonstrates an accomplished understanding of the topic(s) and issue(s)
Demonstrates an acceptable understanding of the topic(s) and issue(s)
Demonstrates an inadequate understanding of the topic(s) and issue(s)
Analysis
Presents an insightful and through analysis of the issue (s) identified
Presents a thorough analysis of most of the issue(s) identified
Presents a superficial analysis of some of the issue(s) identified
Presents an incomplete analysis of the issue(s) identified.
Evaluation
Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied
Makes appropriate connections between the issue(s) identified and the concept(s) studied
Makes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studied
Makes little or no connection between the issue(s) identified and the concept(s) studied.
Opinion
Supports opinion with strong arguments and evidence; presents a balanced and critical view; interpretation is both reasonable and objective
Supports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objective
...
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This document provides guidance and resources for a Doctor of Nursing Practice (DNP) course that focuses on evidence-based practice. It includes discussion questions (DQs) on various topics related to translating research into practice and implementing evidence-based interventions. The DQs address the DNP nurse's role in leading clinical practice changes, identifying appropriate levels of research evidence, addressing biases, ensuring reliability and validity of measurement tools, and evaluating outcomes. Strategies and challenges for promoting an organizational culture of evidence-based practice are also discussed. The document aims to equip DNP students with the skills needed to implement evidence-based projects and translate research into practice.
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Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
The document discusses evidence-based practice and the importance of integrating different types of evidence beyond just scientific research. It argues that evidence-based practice requires the expert judgment and knowledge of experienced clinicians, not just research evidence. True evidence-based practice involves synthesizing knowledge from various sources, including research findings as well as clinical expertise. The Iowa Model of evidence-based practice is presented as a framework to help implement changes based on the best available evidence.
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This document summarizes an evidence-based practice proposal for changing the management of hypertension at an organization. The proposal has seven sections: 1) an assessment finding barriers like poor communication but readiness for change, 2) a problem statement on the lack of exercise prescription, 3) a literature review finding evidence that exercise reduces complications, 4) a solution of prescribing exercise, 5) alignment with organizational goals of reducing disease burden, 6) a methodology of educating providers and monitoring outcomes, and 7) use of Rogers' Diffusion of Innovation theory to drive the practice change. The goal is to successfully translate evidence on exercise into the standard of care for hypertension patients.
Respond Using references, identity the research result that .docx
Respond
Using references, identity the research result that you could use in your practice setting.
This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients. Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and 4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which
P
: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information.
D
: that is where the leader start doing, so after talking to partic.
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This document outlines a presentation on implementing negative pressure wound therapy (NPWT) to improve wound care outcomes. It discusses the clinical problem of slow wound healing with standard care and proposes NPWT as an evidence-based solution. An implementation plan is proposed which includes staff training. Evaluation methods include reviewing patient records and surveys to assess outcomes like length of stay, infection rates, and patient satisfaction. Potential barriers like cost and training needs are also addressed.
Poster PresentationStudents this project will allow you to for
Poster Presentation
Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses.
Students will select a nursing research already published and following the article information you will create a poster presentation that include the below information:
The outline of the poster should include the following tabs (minimum requirements)
Abstract Outline:
-Title of Project
-Problem Statement: what is the problem that needs fixing?
-Purpose of the Project
-Research Question(s)
-Hypothesis
-Methodology (Qualitative vs. Quantitative)
-Steps in implementing your project
-Limitations
Results (Pretend results)
-Conclusion
-References
I have attached an example of a poster presentation for guidance. The due date for the poster presentation is WEEK 13. Please feel free to be artistic and provide graphs and data. You are welcome to use any poster template. Please submit it via turn it in.
Criterion
Outstanding 4
Very Good 3
Good 2
Unacceptable 1
Score
Completeness
Complete in all respects; reflects all requirements
Complete in most respects; reflects most requirements
Incomplete many respects; reflects few requirements
Incomplete in most respects; does not reflect requirements
Understanding
Demonstrates excellent understanding of the topic(s) and issue(s)
Demonstrates an accomplished understanding of the topic(s) and issue(s)
Demonstrates an acceptable understanding of the topic(s) and issue(s)
Demonstrates an inadequate understanding of the topic(s) and issue(s)
Analysis
Presents an insightful and through analysis of the issue (s) identified
Presents a thorough analysis of most of the issue(s) identified
Presents a superficial analysis of some of the issue(s) identified
Presents an incomplete analysis of the issue(s) identified.
Evaluation
Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied
Makes appropriate connections between the issue(s) identified and the concept(s) studied
Makes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studied
Makes little or no connection between the issue(s) identified and the concept(s) studied.
Opinion
Supports opinion with strong arguments and evidence; presents a balanced and critical view; interpretation is both reasonable and objective
Supports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objective
...
Importance Of Evidence Based Practice In Nursing
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
Aligning Clinical Practice and Process Improvement
According to recent IOM reports, The Future of Nursing, Nurses can play a key role in the healthcare transformation process. Organizations such as the American Nurses Credentialing Center, the American Nurses Association and Magnet programs have supported and strengthened the mission to improve the nursing profession through education, advanced degrees and certifications. Central to the transformation process is self-regulation and accountability for clinical practice (Code of Ethics, ANA). The Peer Review process affirms the nurse's duty to being accountable for professional practice, competence in skills and knowledge in evidence-based care delivery. Thus, peer feedback promotes patient safety, reduces the likelihood of errors, and addresses the human factor element in patient care delivery to improve patient outcomes.
Organizational Culture Readiness Essay Assignment Paper.docx
The document discusses assessing an organization's culture and readiness for implementing an evidence-based practice project to prevent CLABSI in a NICU. An organizational assessment tool was used to evaluate readiness. It found strengths like leadership support but also weaknesses such as lack of time and EBP knowledge. The author recommends strategies to improve readiness like recognizing top performers and aligning with available resources. Key stakeholders for the project include nurses, doctors, patients, and insurance companies. Information technologies could help implementation and care delivery if integrated properly.
Capella Informatics and the Application of New Knowledge PPT.docx
- Nurse leaders are tasked with presenting to stakeholders on how to improve nursing practices using information technology.
- The presentation should include 10-12 slides explaining how a nursing practice has changed in the last two years due to theory development, research, and information technology.
- The presentation must describe the differences between research and evidence-based practice, and how nurse leaders use communication and technology to engage stakeholders in changes to improve patient outcomes.
NUR 4325 Central Video System versus Using Staff to Sit.pdf
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· Reflect on the four peer-reviewed articles you critically apprai.docx
· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
· Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide
narrated PowerPoint presentation in which you do the following:
· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
· Add a lessons learned section that includes the following:
· A summary of the critical appraisal of the peer-reviewed articles you previously submitted
· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Zeinab Hazime
Nurs 6052
10/16/2022
Evaluation Table
Use this document to complete the
evaluation table requirement of the Module 4 Assessment,
Evidence-Based Project, Part 3A: Critical Appraisal of Research
Full
APA formatted citation of selected article.
Article #1
Article #2
Article #3
Article #4
Abraham, J., Kitsiou, S., Meng, A., Burton, S., Vatani, H., & Kannampallil, T.
(2020). Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.
BMJ Quality & Safety, 29(10), 1-2.
Alanazi, A. (2020). The effect of computerized physician order entry on mortality rates in pediatric and neonatal care setting: Meta-analysis.
Informatics in Medicine
Unlocked, 19, 100308. https.
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The document discusses the role of DNP-prepared healthcare leaders and their positive impact on healthcare systems through improved patient outcomes, innovation, and influence. It also discusses strategies for implementing evidence-based guidelines in clinical practice, including identifying issues, searching for evidence, applying evidence, and evaluating impacts. Barriers to implementation include lack of training, unclear roles, and lack of buy-in from stakeholders. Overcoming barriers requires effective communication, collaboration, and addressing resistance to change by emphasizing benefits to patients and staff. Additional resources like meeting spaces and educational materials may be needed.
Organizational Culture and Readiness.docx
This document discusses assessing an organization's culture and readiness for implementing evidence-based practice. It summarizes the results of a survey that revealed employees feel management does not actively seek or listen to their input. While communication between departments is good, employees do not trust management or feel their complaints are addressed. However, employees understand the goal of implementing evidence-based practice and feel it will improve nursing practice. The document concludes that efforts are needed to increase management support and accountability to strengthen areas of weakness and readiness for change.
OUIDA CARR PICO
The document discusses a PICOT project focused on enhancing pain management through nurse education. It aims to reduce hospitalization rates by providing more frequent educational opportunities for nurses to improve patient outcomes. The training will target technology-based pain management and communication approaches. A literature review found that organizational leadership, adequate staffing and resources are key to effective pain management. Barriers like gaps in education and communication must be addressed. The project will use Lewin's change model and a knowledge-to-action framework to provide topic-specific education, assess gaps, collect data, and support continuous learning to improve clinical practices long-term. The goal is a 5% reduction in cancer-related hospitalizations in the local area.
Improving practice through evidence not only helps lower healthcare improve.docx
- Improving healthcare practices through evidence-based research can help lower costs, improve outcomes and safety, and increase job satisfaction for medical professionals.
- It is important to disseminate information about evidence-based practices in order to advance the healthcare system, though it often takes years for research results to be implemented in practice.
- Strategies for disseminating evidence-based practice information include unit-level education, posters, and champions to help reinforce positive results.
Quality Improvement Initiative Evaluation.pdf
The document provides an analysis of a quality improvement initiative at TrueWill General Hospital that aimed to improve patient safety but led to poor nursing outcomes. The initiative focused on the Triple Aim of improving population health, patient experience, and reducing costs, overworking nurses and increasing stress. As nursing quality declined due to burnout and job dissatisfaction, patient outcomes deteriorated. The analysis finds that initiatives must also consider nursing quality to be successful. Recommendations are made to improve protocols and indicators to better support nurses and clinical and organizational outcomes.
Assignment Evidence-Based Capstone Project, Part 6 Disseminating.docx
Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
· Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
FEED BACK FROM LAST POINT( The powerpoint you did last week)
Olayemi,
-Powerpoints do not require complete sentences.
-Your outcomes, as written are not measurable. Quantify.
-This is an area you need to work on. I suggest reviewing the literature on SMART goals.
-Number your slides.
-I did not see any synthesis. You could synthesis on your summary slide.
-Start with a purpose statement, end with a conclusion.
- very careful about using information from previous assignments. This information is making your SI elevate. Here are examples from your SafeAssign report:
3 In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility we make sure that we keep ourselves updated to ensure that the organization is able to develop and advance. 3 The organization is ready to face and adapt to any new changes since it is predicted that the healthcare system will undergo change through implementing current technologies.
Evidence-Based Practice Change
Walden University
NURS 6052- Essentials of Evidence-Based Practice
November 01, 2020
ORGANIZATION CULTURE
My organization seeks diversity in their employees
Value the possibility of enhancing patient communication.
We provide patient-centered care
We treat patient based on their decisions
Members are kept updated with new technology
Readiness to face and adapt to any new changes
In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility.
NURS 4030 Capella University Evidence to Develop Care Practices Discussion.docx
The document discusses developing a PICO(T) question to address care practices for patients with dementia. It defines a practice issue of managing agitation in dementia patients outside of pharmacological approaches. A PICO(T) question is formed to examine the effectiveness of person-centered care versus pharmacological treatment. Key studies evaluating these approaches are identified and their findings summarized. The studies provide evidence that person-centered care can help reduce agitation more than pharmacological or staff-directed methods alone.
Running head Critical Appraisal of ResearchCritical Appraisal o.docx
Running head: Critical Appraisal of Research
Critical Appraisal of Research
Part 4B: Critical Appraisal of Research
Walden University: NURS-6052.
October 13, 2019
Part 4B: Critical Appraisal of Research
Given my examination, the best practice that rises out of the exploration I checked on is Evidence-Based Practice (EBP), whereby in a clinical setting, it is considered as a fundamental component for guaranteeing that patients are given quality care just as treatment services. EBP is viewed as reasonable just as meticulous use of clinical practices that depend on current evidence. Also, medical care experts, with the help of EBP, can settle on successful decisions in connection to medicinal services operations. EBP depends on various pieces of evidence that incorporate qualitative just as quantitative research, controlled preliminaries, case reports, expert opinion, and scientific standards.
In this specific case, the clinical practices dependent on EBP help with giving better care just as treatment benefits as per patient values alongside clinical aptitude (Forrest, 2008). EBP depends on evidence gathered from qualitative research. Consequently, the quantitative analysis assumes a significant role in collecting data about current practices to be effected for the improvement of clinical skills and in gathering the patient's values. The research examines that are ineffectively structured, and inadequate reporting is contended to influence quantitative analysis crosswise over various spheres that incorporate medicinal services, future research, decision making, and health policy. In such manner, distinguishing reporting rules including diagnosis test studies (STARD), observational studies (STROBE), meta-analyses of observational studies (MOOSE), consolidated criteria for reporting qualitative research (COREQ) and randomized controlled trials (CONSORT) were used in these peer-reviewed articles.
Recognizing that clinicians have time constraints but then need to give the ideal care to their patients, the evidence-based methodology offers clinicians an advantageous technique for discovering current research to help in making clinical decisions, answer patient questions, and investigate alternative therapies, strategies, or materials. With a comprehension of how to viably use EBDM, professionals can rapidly and helpfully remain current with scientific discoveries on points that are essential to them and their patients.
References
DiBardino, D., Cohen, E. R., & Didwania, A. (2014). Meta‐analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. Journal of hospital medicine, 7(6), 497-503.
Forrest, J. L. (2008). Evidence-based decision making: introduction and formulating good clinical questions. J Contemp Dent Pract, 1(3), 042-052.
Haines, T. P., Hill, K. D., Bennell, K. L., & Osborne, R. H. (2017). Additional exercise for older subacute hospital inpatients to prevent fal ...
Part 6 Disseminating Results Create a 5-minute, 5- to 6-sli.docx
Part 6: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Points Range: 81 (81%) - 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
Points Range: 5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Evidenced Based Change
Leslie Hill
Walden University
Introduction/PurposeChange is inevitable.Health care organizations need change to improve.There are challenges that need to be addressed(Baraka-Johnson et al. 2019).Challenges should be addressed using evidence-based research.These changes enhance professionalism therefore improving quality of care and quality of life.The purpose of this paper is to identify an existing problem in health care and suggest a change idea that would be effective in addressing the problem. The paper also articulates risks associated with the change process, how to distribute the change information and how to implement change successfully.
Organizational CultureThe Organization is a hospice facilityOffers end of life care for pain and symptom managementThe health care providers cu.
Walden ADHD Translating Evidence into Practice Data Collection Assignment.pdf
The office manager at a clinic is concerned about switching to a new brand of hand soap that is offered at a lower price. They ask the nurses to evaluate the new soap brand. The nurses will need to design a plan to collect data on the soap. This will include deciding who will try the soap, for how long, and how feedback will be collected through surveys or interviews. Proper data collection is important for making informed decisions.
University Home Calendar Maps .docx
University: Home | Calendar | Maps
Site
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Star Model Research
The Star Model provides a focal point for evidence-based practice activities, including education and interdisciplinary research projects. Projects and investigations are concentrated on two objectives: (a) basic and professional level workforce development for EBP; and (b) the study of the processes and outcomes within evidence-based quality improvement. We study evidence synthesis, translation of evidence into practice, and healthcare provider and organizational change. A short description of representative projects and research follows. Current Research TopicsList of TopicsStar Model Translational Research
This ongoing program expands and tests a model for understanding evidence-based practice. The study of EBP is essentially the study of transforming knowledge produced through primary studies and moving it through adoption into clinical decision-making.
Using the Star Model as a framework, our program of translational research investigates phenomena associated with EBP, including summarizing evidence, clinical guideline development and uptake, organizational culture, and outcome measures. The initial project in this timely program of research was Evaluation of Systematic Reviews Published in Nursing Literature: A Replication, that pointed to the need for more rigorous systematic reviews in nursing. Subsequent projects investigate factors associated with uptake of clinical practice guidelines, innovation, and system culture change.
Top of TopicsStar Model of Knowledge Transformation
Developed in 2004, the Star Model is configured as a simple 5-point star; and it explains how knowledge is transformed at five major stages, starting from primary research, and continuing through the stages of evidence summary, translation, integration, and evaluation. This model places nursing’s previous scientific work within the context of EBP and is proving useful for examining the EBP process, roles in EBP, and research methods with which to investigate EBP.
Adopted by scores of hospitals across the nation as part of their journey to excellence, the Star Model forms a foundation for developing workforce competencies, organizing projects, and employing EBP in clinical settings. Influenced by Imogene King, we continue to evolve the Star Model as a theory, combining concepts of knowledge transformation with elements of communication, mutual goal setting, and systems theory.
Top of TopicsImprovement Science Research Network
While quality improvement activities are highly encouraged in acute care settings, hospitals and improvement scientists are not well connected. Th.
Translating Evidence into Practice Data Collection Assignment.pdf
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This document provides instructions for a report on applying lessons learned from a population health initiative to personalized patient care. The report should:
1) Evaluate outcomes of the population health initiative, including those achieved and not achieved, and factors influencing shortfalls.
2) Propose a strategy to improve outcomes, supported by evidence from similar projects.
3) Develop an approach to personalizing care for a patient, incorporating lessons from the initiative and addressing the patient's individual needs.
4) Propose a framework to evaluate the personalized care approach and determine transferability.
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Importance Of Evidence Based Practice In Nursing
This document discusses the importance of evidence-based practice in nursing. It begins by explaining how evidence-based practices have reverberated across nursing practice, education, and science. The need for improved healthcare calls for evidence-based practices to be incorporated into health systems to increase effectiveness, safety, and efficiency. New practice approaches should be evidence-based to help move healthcare in the desired direction. The document also provides an example of how one facility successfully reduced hospital-acquired pressure ulcers through implementing evidence-based skin assessment and wound care protocols. It concludes by stating the importance of evidence-based practices in tackling issues like hospital-acquired pressure ulcers.
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
Aligning Clinical Practice and Process Improvement
According to recent IOM reports, The Future of Nursing, Nurses can play a key role in the healthcare transformation process. Organizations such as the American Nurses Credentialing Center, the American Nurses Association and Magnet programs have supported and strengthened the mission to improve the nursing profession through education, advanced degrees and certifications. Central to the transformation process is self-regulation and accountability for clinical practice (Code of Ethics, ANA). The Peer Review process affirms the nurse's duty to being accountable for professional practice, competence in skills and knowledge in evidence-based care delivery. Thus, peer feedback promotes patient safety, reduces the likelihood of errors, and addresses the human factor element in patient care delivery to improve patient outcomes.
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The document discusses assessing an organization's culture and readiness for implementing an evidence-based practice project to prevent CLABSI in a NICU. An organizational assessment tool was used to evaluate readiness. It found strengths like leadership support but also weaknesses such as lack of time and EBP knowledge. The author recommends strategies to improve readiness like recognizing top performers and aligning with available resources. Key stakeholders for the project include nurses, doctors, patients, and insurance companies. Information technologies could help implementation and care delivery if integrated properly.
Capella Informatics and the Application of New Knowledge PPT.docx
- Nurse leaders are tasked with presenting to stakeholders on how to improve nursing practices using information technology.
- The presentation should include 10-12 slides explaining how a nursing practice has changed in the last two years due to theory development, research, and information technology.
- The presentation must describe the differences between research and evidence-based practice, and how nurse leaders use communication and technology to engage stakeholders in changes to improve patient outcomes.
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· Reflect on the four peer-reviewed articles you critically apprai.docx
· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
· Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide
narrated PowerPoint presentation in which you do the following:
· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
· Add a lessons learned section that includes the following:
· A summary of the critical appraisal of the peer-reviewed articles you previously submitted
· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Zeinab Hazime
Nurs 6052
10/16/2022
Evaluation Table
Use this document to complete the
evaluation table requirement of the Module 4 Assessment,
Evidence-Based Project, Part 3A: Critical Appraisal of Research
Full
APA formatted citation of selected article.
Article #1
Article #2
Article #3
Article #4
Abraham, J., Kitsiou, S., Meng, A., Burton, S., Vatani, H., & Kannampallil, T.
(2020). Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.
BMJ Quality & Safety, 29(10), 1-2.
Alanazi, A. (2020). The effect of computerized physician order entry on mortality rates in pediatric and neonatal care setting: Meta-analysis.
Informatics in Medicine
Unlocked, 19, 100308. https.
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The document discusses the role of DNP-prepared healthcare leaders and their positive impact on healthcare systems through improved patient outcomes, innovation, and influence. It also discusses strategies for implementing evidence-based guidelines in clinical practice, including identifying issues, searching for evidence, applying evidence, and evaluating impacts. Barriers to implementation include lack of training, unclear roles, and lack of buy-in from stakeholders. Overcoming barriers requires effective communication, collaboration, and addressing resistance to change by emphasizing benefits to patients and staff. Additional resources like meeting spaces and educational materials may be needed.
Organizational Culture and Readiness.docx
This document discusses assessing an organization's culture and readiness for implementing evidence-based practice. It summarizes the results of a survey that revealed employees feel management does not actively seek or listen to their input. While communication between departments is good, employees do not trust management or feel their complaints are addressed. However, employees understand the goal of implementing evidence-based practice and feel it will improve nursing practice. The document concludes that efforts are needed to increase management support and accountability to strengthen areas of weakness and readiness for change.
OUIDA CARR PICO
The document discusses a PICOT project focused on enhancing pain management through nurse education. It aims to reduce hospitalization rates by providing more frequent educational opportunities for nurses to improve patient outcomes. The training will target technology-based pain management and communication approaches. A literature review found that organizational leadership, adequate staffing and resources are key to effective pain management. Barriers like gaps in education and communication must be addressed. The project will use Lewin's change model and a knowledge-to-action framework to provide topic-specific education, assess gaps, collect data, and support continuous learning to improve clinical practices long-term. The goal is a 5% reduction in cancer-related hospitalizations in the local area.
Improving practice through evidence not only helps lower healthcare improve.docx
- Improving healthcare practices through evidence-based research can help lower costs, improve outcomes and safety, and increase job satisfaction for medical professionals.
- It is important to disseminate information about evidence-based practices in order to advance the healthcare system, though it often takes years for research results to be implemented in practice.
- Strategies for disseminating evidence-based practice information include unit-level education, posters, and champions to help reinforce positive results.
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The document provides an analysis of a quality improvement initiative at TrueWill General Hospital that aimed to improve patient safety but led to poor nursing outcomes. The initiative focused on the Triple Aim of improving population health, patient experience, and reducing costs, overworking nurses and increasing stress. As nursing quality declined due to burnout and job dissatisfaction, patient outcomes deteriorated. The analysis finds that initiatives must also consider nursing quality to be successful. Recommendations are made to improve protocols and indicators to better support nurses and clinical and organizational outcomes.
Assignment Evidence-Based Capstone Project, Part 6 Disseminating.docx
Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
· Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
FEED BACK FROM LAST POINT( The powerpoint you did last week)
Olayemi,
-Powerpoints do not require complete sentences.
-Your outcomes, as written are not measurable. Quantify.
-This is an area you need to work on. I suggest reviewing the literature on SMART goals.
-Number your slides.
-I did not see any synthesis. You could synthesis on your summary slide.
-Start with a purpose statement, end with a conclusion.
- very careful about using information from previous assignments. This information is making your SI elevate. Here are examples from your SafeAssign report:
3 In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility we make sure that we keep ourselves updated to ensure that the organization is able to develop and advance. 3 The organization is ready to face and adapt to any new changes since it is predicted that the healthcare system will undergo change through implementing current technologies.
Evidence-Based Practice Change
Walden University
NURS 6052- Essentials of Evidence-Based Practice
November 01, 2020
ORGANIZATION CULTURE
My organization seeks diversity in their employees
Value the possibility of enhancing patient communication.
We provide patient-centered care
We treat patient based on their decisions
Members are kept updated with new technology
Readiness to face and adapt to any new changes
In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility.
NURS 4030 Capella University Evidence to Develop Care Practices Discussion.docx
The document discusses developing a PICO(T) question to address care practices for patients with dementia. It defines a practice issue of managing agitation in dementia patients outside of pharmacological approaches. A PICO(T) question is formed to examine the effectiveness of person-centered care versus pharmacological treatment. Key studies evaluating these approaches are identified and their findings summarized. The studies provide evidence that person-centered care can help reduce agitation more than pharmacological or staff-directed methods alone.
Running head Critical Appraisal of ResearchCritical Appraisal o.docx
Running head: Critical Appraisal of Research
Critical Appraisal of Research
Part 4B: Critical Appraisal of Research
Walden University: NURS-6052.
October 13, 2019
Part 4B: Critical Appraisal of Research
Given my examination, the best practice that rises out of the exploration I checked on is Evidence-Based Practice (EBP), whereby in a clinical setting, it is considered as a fundamental component for guaranteeing that patients are given quality care just as treatment services. EBP is viewed as reasonable just as meticulous use of clinical practices that depend on current evidence. Also, medical care experts, with the help of EBP, can settle on successful decisions in connection to medicinal services operations. EBP depends on various pieces of evidence that incorporate qualitative just as quantitative research, controlled preliminaries, case reports, expert opinion, and scientific standards.
In this specific case, the clinical practices dependent on EBP help with giving better care just as treatment benefits as per patient values alongside clinical aptitude (Forrest, 2008). EBP depends on evidence gathered from qualitative research. Consequently, the quantitative analysis assumes a significant role in collecting data about current practices to be effected for the improvement of clinical skills and in gathering the patient's values. The research examines that are ineffectively structured, and inadequate reporting is contended to influence quantitative analysis crosswise over various spheres that incorporate medicinal services, future research, decision making, and health policy. In such manner, distinguishing reporting rules including diagnosis test studies (STARD), observational studies (STROBE), meta-analyses of observational studies (MOOSE), consolidated criteria for reporting qualitative research (COREQ) and randomized controlled trials (CONSORT) were used in these peer-reviewed articles.
Recognizing that clinicians have time constraints but then need to give the ideal care to their patients, the evidence-based methodology offers clinicians an advantageous technique for discovering current research to help in making clinical decisions, answer patient questions, and investigate alternative therapies, strategies, or materials. With a comprehension of how to viably use EBDM, professionals can rapidly and helpfully remain current with scientific discoveries on points that are essential to them and their patients.
References
DiBardino, D., Cohen, E. R., & Didwania, A. (2014). Meta‐analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. Journal of hospital medicine, 7(6), 497-503.
Forrest, J. L. (2008). Evidence-based decision making: introduction and formulating good clinical questions. J Contemp Dent Pract, 1(3), 042-052.
Haines, T. P., Hill, K. D., Bennell, K. L., & Osborne, R. H. (2017). Additional exercise for older subacute hospital inpatients to prevent fal ...
Part 6 Disseminating Results Create a 5-minute, 5- to 6-sli.docx
Part 6: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Points Range: 81 (81%) - 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
Points Range: 5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Evidenced Based Change
Leslie Hill
Walden University
Introduction/PurposeChange is inevitable.Health care organizations need change to improve.There are challenges that need to be addressed(Baraka-Johnson et al. 2019).Challenges should be addressed using evidence-based research.These changes enhance professionalism therefore improving quality of care and quality of life.The purpose of this paper is to identify an existing problem in health care and suggest a change idea that would be effective in addressing the problem. The paper also articulates risks associated with the change process, how to distribute the change information and how to implement change successfully.
Organizational CultureThe Organization is a hospice facilityOffers end of life care for pain and symptom managementThe health care providers cu.
Walden ADHD Translating Evidence into Practice Data Collection Assignment.pdf
The office manager at a clinic is concerned about switching to a new brand of hand soap that is offered at a lower price. They ask the nurses to evaluate the new soap brand. The nurses will need to design a plan to collect data on the soap. This will include deciding who will try the soap, for how long, and how feedback will be collected through surveys or interviews. Proper data collection is important for making informed decisions.
University Home Calendar Maps .docx
University: Home | Calendar | Maps
Site
University
Star Model Research
The Star Model provides a focal point for evidence-based practice activities, including education and interdisciplinary research projects. Projects and investigations are concentrated on two objectives: (a) basic and professional level workforce development for EBP; and (b) the study of the processes and outcomes within evidence-based quality improvement. We study evidence synthesis, translation of evidence into practice, and healthcare provider and organizational change. A short description of representative projects and research follows. Current Research TopicsList of TopicsStar Model Translational Research
This ongoing program expands and tests a model for understanding evidence-based practice. The study of EBP is essentially the study of transforming knowledge produced through primary studies and moving it through adoption into clinical decision-making.
Using the Star Model as a framework, our program of translational research investigates phenomena associated with EBP, including summarizing evidence, clinical guideline development and uptake, organizational culture, and outcome measures. The initial project in this timely program of research was Evaluation of Systematic Reviews Published in Nursing Literature: A Replication, that pointed to the need for more rigorous systematic reviews in nursing. Subsequent projects investigate factors associated with uptake of clinical practice guidelines, innovation, and system culture change.
Top of TopicsStar Model of Knowledge Transformation
Developed in 2004, the Star Model is configured as a simple 5-point star; and it explains how knowledge is transformed at five major stages, starting from primary research, and continuing through the stages of evidence summary, translation, integration, and evaluation. This model places nursing’s previous scientific work within the context of EBP and is proving useful for examining the EBP process, roles in EBP, and research methods with which to investigate EBP.
Adopted by scores of hospitals across the nation as part of their journey to excellence, the Star Model forms a foundation for developing workforce competencies, organizing projects, and employing EBP in clinical settings. Influenced by Imogene King, we continue to evolve the Star Model as a theory, combining concepts of knowledge transformation with elements of communication, mutual goal setting, and systems theory.
Top of TopicsImprovement Science Research Network
While quality improvement activities are highly encouraged in acute care settings, hospitals and improvement scientists are not well connected. Th.
Translating Evidence into Practice Data Collection Assignment.pdf
The document discusses planning for data collection in research. It provides a scenario where nurses are interested in assessing patient satisfaction at a primary care clinic. It asks the reader to generate questions for a patient satisfaction survey and plan for data collection. The reader is asked to write 5 questions, choose an appropriate data collection method, determine sample size, and explain how to ensure reliability and validity. The document also discusses translating evidence into nursing practice for a course project. It asks the reader to identify an evidence-based nursing practice from their literature review, explain how it improves outcomes, and how to disseminate it.
Patient Centered Care Report.docx
This document provides instructions for a report on applying lessons learned from a population health initiative to personalized patient care. The report should:
1) Evaluate outcomes of the population health initiative, including those achieved and not achieved, and factors influencing shortfalls.
2) Propose a strategy to improve outcomes, supported by evidence from similar projects.
3) Develop an approach to personalizing care for a patient, incorporating lessons from the initiative and addressing the patient's individual needs.
4) Propose a framework to evaluate the personalized care approach and determine transferability.
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The document provides instructions for a speech on the role of private security. The speech should:
1) Welcome the audience and introduce the purpose of discussing a security director's responsibilities.
2) Identify current challenges for security directors and possible solutions.
3) Discuss a director's roles in loss prevention, investigation, administration, and management.
4) Identify the critical skills needed for a director to succeed.
5) Discuss why internal and external relationships are important to meet security objectives and provide examples.
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Nursing's role in decision making for selecting information systems is an important issue. Nurses should be involved in the decision making process to select systems that support the delivery of quality patient care and meet nursing workflow needs. Research shows nurse input is valuable for choosing systems that align with nursing practice and improve patient outcomes.
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Weaning from mechanical ventilation should be considered when the disease prompting intubation has improved and daily screening for weaning potential is performed. Studies show most intubated patients should have scheduled spontaneous breathing trials following daily sedation breaks. For SBT, the patient must be alert, able to follow commands and breathe spontaneously, with stable oxygenation and hemodynamics before extubation. Daily SBT involves at least 30-120 minutes of breathing without ventilator support using an open breathing circuit or minimal pressure support. A successful SBT is when the patient can breathe without distress and their vital signs remain stable.
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Mr. Jackson presented with abdominal pain and other symptoms. Differential diagnoses included appendicitis, urinary calculus, and bowel perforation. Laboratory tests showed elevated white blood cells. A CT scan showed an enlarged cecum with a small fluid collection, consistent with acute appendicitis. This led to a diagnosis of appendicitis, ruling out the other differentials.
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Review the papers below and watch The Untold Story.docx
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1) Ethical leaders prioritize effective communication, quality, collaboration, succession planning, and tenure to establish high standards and build trust with followers.
2) Factors like communication, quality processes, consulting advisors, training, and long-term planning help ethical leaders achieve goals and control outcomes.
3) The Challenger disaster video illustrates how a leader's decision can impact results, and emphasizes applying ethical values like integrity and accountability in leadership.
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Multiple organ dysfunction syndrome (MODS) refers to the severe acquired dysfunction of at least two organ systems lasting 24-48 hours due to conditions like sepsis, trauma, or burns. A patient presented with encephalopathy, hypotension, metabolic acidosis, acute renal failure, and thrombocytopenia, leading to a diagnosis of severe sepsis. Severe sepsis is the presence of sepsis along with organ dysfunction, which can include hypotension, acute lung injury, coagulation abnormalities, renal or liver dysfunction, or lactic acidosis. The patient was treated following sepsis bundles including antibiotics, IV fluids, and vasopressors.
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𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
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Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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