Application 2: Laying the Foundation for New Approaches to Practice
As frequently noted in the literature, there is often a gap between research evidence and practice. This is not a new phenomenon; however, with the rapid growth of knowledge, it is essential that nurses hone their ability to identify this gap, determine best practices based on the evidence, and then apply this evidence to practice through the development of new approaches. In order for that to transpire, nurses must be skilled in leading change efforts so that adoption of new practice approaches can be successful.
For your EBP Project in Week 2 (Application 1 [SEE ATTACHED FILES] ), you identified an issue in your practicum setting in which the outcome is different from what would be expected according to the research literature. This week continue to explore current research literature looking for new evidence to address the problem. In addition, you build on the work you began in this week’s Discussion and select an evidence-based practice model ( The Iowa Model of Evidence-Based Practice to Promote Quality Care” Or you can use the Johns Hopkins Model) and change theory (USE THE THEORY OF PLANNED BEHAVIOR) or framework that will support your efforts.
To prepare for Application 2 address the following:
- How current is the science underlying the practices related to your EBP Project issue?
- Consider possible causes of the difference in outcomes from what would be expected according to the research literature.
- Evaluate the effect the EBP Project issue is having in practice.
- Using the Walden Library and other credible sources, locate current research evidence of new practices that are effective in addressing the issue.
- Use the GRADE model presented in the Guyatt et al. (2011) article to evaluate the research evidence (see attached file for the article)
The full Application 2 is due by Day 5 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 4.
To complete:
Write a 3- to 5-page paper, in APA format with a minimum of 6 scholarly references. PLEASE CITE OFTEN. include the following level one headers as numbered below:
1) Introduction
2) A brief summary of the currency of the science underlying the practices used to address your EBP Project issue
3) Possible causes of the difference in outcomes from what would be expected according to the research literature
4) The effect the EBP Project issue is having in practice
5) Current research evidence on new practices for addressing the EBP Project issue
6) A summary of the evidence-based practice model (including models from other disciplines as appropriate) and/or change theory or framework you will utilize to systematically integrate new approaches to practice to address the issue
7) Summary
PLEASE FOLLOW THE EXACT FORMAT IN THE GRADING RUBRIC. WRITE THE HEADERS EXACTLY AS IN THE GRADING RUBRIC AND ADD AN INTRODUCTION AND SUMMARY. INSERT MY PIICOT QUESTION IN THE BEGINNING OF THE PAPER.
- Please do not go over 5 pages. Being concise, but scholarly and well-cited is a skill. Make sure each word is needed and refrain from using unnecessary verbiage. CITE OFTEN
- Use level 1 APA headers for each component of the assignment! See assignment directions and grading rubric for components graded and note the items in blue should be your headers.
- You will need a theory to guide your work. For more information on theories… (for mine, please use the theory of planned behavior that you chose on the first assignment).
- You will need to EBP model to frame your course-related (6410) EBP project EBP models give you steps for proceeding in a logical manner. I would recommend you look up the following article to help you.
- Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: Overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1208. doi:10.1111/j.1365-2648.2012.06122.x (see attached article)
P.S. I’M ATTACHING THE PREVIOUS PAPER TO HELP REFRESH YOUR MEMORY AND ALSO SEE THE CORRECTIONS THE PROFESSOR MADE SO THAT YOU DON’T REPEAT THE SAME MISTAKES. I DIDN’T GET A GOOD GRADE ON THAT PAPER, PLEASE PAY CAREFUL ATTENTION TO EACH AND EVERY INSTRUCTION HERE. I NEED AN ‘A’ ON THIS PAPER TO MAKE UP THE FIRST ONE.
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
REQUIRED READINGS
Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).
Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Labor Management 19285261
/in Uncategorized /by developerPart 2: Objective information:
Fetal heart tones are 130, with minimal variability
Vaginal exam is 4 cm/90%effaced/ -1 station
She is complaining of pain – 8/10 on a numerical scale.
An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.
How can you provide non pharmacological comfort to this patient?
What are the pharmacological methods to use?
Without prenatal records or history GBS is unknown. What must you provide?
Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Laboratory Notebook 19461949
/in Uncategorized /by developerChoose 2 terms from each week
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Laboratory Notebook
/in Uncategorized /by developerChoose 2 terms from each week
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Labs Review
/in Uncategorized /by developerDirections: This may be done table format. APA format is required whichever format you choose. A title page, running head, page numbers and three references are required.
A. Identify the normal values for each of the following labs. Consider normal values acrossgender, race, and age, and pregnancy status, when applicable.
B. Identify clinical indications for obtaining the following labs.
1. List when indicated for routine screens if applicable (for example,the USPSTF recommends screening for chlamydia in sexually active women age 24 years and younger and in older women who are at increased risk for infection, or TSH screening is indicated for newborns. Indications for screening can also include risk factors. For example, ordering cholesterol levels on a patient with HTN or DM.
2. Besides screening, list 1-3 clinical indications for ordering the lab. For example, clinical indications of WBC include
Fever with associated symptoms, weight loss, bone pain with fever, etc.
C. Identify conditions associated with abnormal LOW levels of each of the following labs (if applicable)
D. Identify conditions associated with abnormal HIGH levels of each of the following labs (if applicable)
One good resources for screening recommendations is:
https://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Last 19323987
/in Uncategorized /by developerEnvisioning The Future
In this final discussion, look back on your experiences in the course and provide an overview of what you have learned from the course with regard to diversity. You can start by reviewing your final projects and your answers to the Module One discussion. In your initial post, address the following questions:
Please use resources below!
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Last Dis
/in Uncategorized /by developerIn your response posts, compare your experience to your 2 peers’ experiences. Use references in answering and apa format
Respond to both peers individually.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Last Question For 2nd To Last Class
/in Uncategorized /by developerRate yourself using the results from the “Nurse Manager Skills Inventory”:
http://www.aone.org/resources/online-assessments.shtml
Write a reflection of 750‐1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in‐text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Late Discussion
/in Uncategorized /by developerNewman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288).
Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
the theorist referred to here is Betty Newman
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Lateral Marketing Strategy Discussion Question Needed Within 8 Hours Only 4 5 Sentences Per Question No Intro Or Conclusion Needed Just Address Questions
/in Uncategorized /by developerThe page you’re looking for is not found!Blog ArchiveCopyright © 2019 HomeworkMarket.com Read More
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Laying The Foundation For New Approaches To Practice
/in Uncategorized /by developerApplication 2: Laying the Foundation for New Approaches to Practice
As frequently noted in the literature, there is often a gap between research evidence and practice. This is not a new phenomenon; however, with the rapid growth of knowledge, it is essential that nurses hone their ability to identify this gap, determine best practices based on the evidence, and then apply this evidence to practice through the development of new approaches. In order for that to transpire, nurses must be skilled in leading change efforts so that adoption of new practice approaches can be successful.
For your EBP Project in Week 2 (Application 1 [SEE ATTACHED FILES] ), you identified an issue in your practicum setting in which the outcome is different from what would be expected according to the research literature. This week continue to explore current research literature looking for new evidence to address the problem. In addition, you build on the work you began in this week’s Discussion and select an evidence-based practice model ( The Iowa Model of Evidence-Based Practice to Promote Quality Care” Or you can use the Johns Hopkins Model) and change theory (USE THE THEORY OF PLANNED BEHAVIOR) or framework that will support your efforts.
To prepare for Application 2 address the following:
The full Application 2 is due by Day 5 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 4.
To complete:
Write a 3- to 5-page paper, in APA format with a minimum of 6 scholarly references. PLEASE CITE OFTEN. include the following level one headers as numbered below:
1) Introduction
2) A brief summary of the currency of the science underlying the practices used to address your EBP Project issue
3) Possible causes of the difference in outcomes from what would be expected according to the research literature
4) The effect the EBP Project issue is having in practice
5) Current research evidence on new practices for addressing the EBP Project issue
6) A summary of the evidence-based practice model (including models from other disciplines as appropriate) and/or change theory or framework you will utilize to systematically integrate new approaches to practice to address the issue
7) Summary
PLEASE FOLLOW THE EXACT FORMAT IN THE GRADING RUBRIC. WRITE THE HEADERS EXACTLY AS IN THE GRADING RUBRIC AND ADD AN INTRODUCTION AND SUMMARY. INSERT MY PIICOT QUESTION IN THE BEGINNING OF THE PAPER.
P.S. I’M ATTACHING THE PREVIOUS PAPER TO HELP REFRESH YOUR MEMORY AND ALSO SEE THE CORRECTIONS THE PROFESSOR MADE SO THAT YOU DON’T REPEAT THE SAME MISTAKES. I DIDN’T GET A GOOD GRADE ON THAT PAPER, PLEASE PAY CAREFUL ATTENTION TO EACH AND EVERY INSTRUCTION HERE. I NEED AN ‘A’ ON THIS PAPER TO MAKE UP THE FIRST ONE.
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
REQUIRED READINGS
Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).
Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"