Application 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare for this week’s section of Application 3 as follows:
- Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (DO NOT GO OVER THREE PAGES):
- Your vision of yourself as a leader—specifically:
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (see week 6 discussion attached you did for me, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
- Chapter 6, “Translation of Evidence for Leadership”
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.
Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.
Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.
Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.
Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.
Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
- Chapter 4, “Translation of Evidence to Improve Clinical Outcomes”
- Chapter 5, “Translation of Evidence for Improving Safety and Quality”
- Chapter 7, “Translation of Evidence for Health Policy” (See attached file)
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966
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).
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
FOLLOW THE INSTRUCTIONS EXACTLY AS IN THE GRADING RUBRIC ATTACHED IN THE FILE AREA (see attached file) APA format and minimum of 5 scholarly references less than 5 years old.
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Barries To Translating Research 250 Word
/in Uncategorized /by developerWhat are some of the barriers to translating research into the clinical practice?
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Based On How You Will Evaluate Your Ebp Project
/in Uncategorized /by developerBased on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?
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Based On The Scenario Explain What Was Done Successfully And Where Improvement Was Needed In The Quality Improvement Process Identify The Performance Improvement Tools And Explain How They Contributed To The Outcome
/in Uncategorized /by developerImagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.
You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.
For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?
By Day 3
Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.
Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).
Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.
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Based On The Scientific Management Theory
/in Uncategorized /by developerBased on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.
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Based On What You Observed What Leadership Skills Should You As Masayas Preceptor Model For Your Fellow Coworkers To Promote His Acceptance Into The Work Group Or Team
/in Uncategorized /by developerThere’s two parts to this! If you can do it today in 12 hrs that willl be appreciated. ive attached the video
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Based On Your Assessment Of Your Personal Needs Submitted On Your Request For Practicum Experience Prior To Registering For This Course Write Your Overall Practicum Goals Apa Format Is Not Required But Solid Academic
/in Uncategorized /by developerBased on your assessment of your personal needs, submitted on your “Request for Practicum Experience” prior to registering for this course, write your overall practicum goals.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
After your overall practicum goals have been approved, begin to write the learning goals that will guide your learning in meeting your overall practicum goals. This will be completed in your Nursing Education Practicum Documentation. Refer to materials from previous courses in the nursing education track to be sure that your goals are written appropriately.
This is what I wrote but the instructor wants it rewritten. She included her instructions
Practicum Goals
At the completion of this practicum I plan on doing the following goals:will be able to:
1. One of my first goals is to demonstrate a creative environment that will enable toassist help the students in their learning process along with the course curricular manuals. The students I will be teaching are currently enrolled in the R.N. associates’ program. It is important that I have a good relationship and interaction with the students as well as having discussion groups, demonstrating and creating an environment in which the students will actively participate[LE1] .
2. The second goal will be that I will develop an interactive relationship with the instructor (mentor) that I will be assisting by developing my own communication skills. Having a good relationship with the instructor that will continue throughout the course will benefit both myself and the students involved. Networking and professional personal relationships can be a vital part of a new nursing educators’ success.
3. A third goal that I have for this practicum course is that I will develop the ability to adapt to different learning styles that the students may bring to the classroom and thus be[LE2] able toto present a lesson plan that is understandable by all students. It is my intent to have an open-door policy as well as an open mind to enable me to adapt to different learning styles.
1.The fourth goal is that I would be able to be demonstrate effective instruction in the classroom by availing myself of the resources that are available both online and at the school. Understanding the resources, the students have available will help me succeed as an educator.
1. Accomplishing goals is one measure of success, helping others reach their goals is another! Making new goals and actively trying to achieve these goals are transferable traits that help improve oneself as well as the betterment of each other!
The goals that are presented will be accomplished and then there will be new goals made. New goals are often made as different stages in life are accomplished, once one has been met then a new goal is being set up already often several at a time. Goals often motivate an individual to better themselves and further educate oneself.
Diane, basically what you have to do here is clean up the narrative. Your goals or outcomes should be measurable and broadly stated. None of the explanations you provided are part of this. So you can see that much of what you have written I have red-lined. There are some revisions still needed with the goals, and I have inserted suggestions, so please revise them and resubmit. Then I can approve them and you should be ready to go.
[LE1]This is not part of the goal/outcome.
[LE2]If you write this you are adding a second verb and behavior to the outcome. You can only have one.
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Bbbbbbbb
/in Uncategorized /by developerHello i need the powerpoint can have less GB? When I try to upload it to turnitin it tells me the file is too big.
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Be Prepared
/in Uncategorized /by developerBeing prepared as a Nurse Practitioner when entering the clinic setting is a win-win for the student, the preceptor and most of all the patient. Safe, effective delivery of patient care requires that the nurse practitioner student understand the complexity of healthcare systems, the limits of human factors, safety design principles, characteristics of high reliability organizations, and patient safety resources. These components are critical to the preparation of safe clinicians and essential for 21st Century healthcare delivery. Discuss how you met the Unit Two Objectives as well as barriers to safe practice that can occur if you come to the clinic setting unprepared. Support your discussion with evidence based practice and recommendations for improvement of safe patient care in the primary care setting.
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Beck Depression Inventroy 2nd Revision
/in Uncategorized /by developerPost an explanation of the psychometric properties of the assessment tool you were assigned. Explain when it is appropriate to use this assessment tool with clients, including whether the tool can be used to evaluate the efficacy of psychopharmacologic medications. Support your approach with evidence-based literature. references 2015-2019
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Becoming A Leader In The Translation Of Evidence To Practice
/in Uncategorized /by developerApplication 3: Becoming a Leader in the Translation of Evidence to Practice
Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.
In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.
Prepare for this week’s section of Application 3 as follows:
To complete:
Due tomorrow 10/11/18 before midnight
Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (DO NOT GO OVER THREE PAGES):
1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (see week 6 discussion attached you did for me, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion
2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me)
Professor Critics in week 6 on the cost and financial impact of the implementation of the project
Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.
Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.
Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.
Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.
Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.
Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966
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).
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
FOLLOW THE INSTRUCTIONS EXACTLY AS IN THE GRADING RUBRIC ATTACHED IN THE FILE AREA (see attached file) APA format and minimum of 5 scholarly references less than 5 years old.
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