Application 4: Planning for Change, Implementing and Evaluating EBP Projects
Evaluating EBP Projects
Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.
As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project (Application 2 [see attached file]). How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?
To prepare for this week’s section of Application 4:
- Continue (from this week’s Discussion[ use the discussion you are currently working on for me]) to:
- Identify an appropriate method for evaluating your outcomes.
- Develop new practice guidelines based on the possible results of the evaluation.
- Create, if appropriate, new standards of care that would be based on the new practice guidelines.
This paper should be written in APA format with a minimum of 8 scholarly references. All level 1 & 2 headers must be as in the grading rubric (see attached file). The paper must also include an introduction ending with a purpose statement and a conclusion as per APA guidelines. Do not go over the required maximum of 8-page. The Paper must be cited often and throughout.
The full Application 4 is due by Wednesday 10/31/18 before midgnight of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 8 and 9 (see attached files on WK8 & WK9 discussions you previously did for me).
To complete: (See attached Grading Rubric)
Write a 4- to 8-page paper that addresses the following:
1) Planning for EBP Change (see attached file on WK8 Discussion)
a) Analyze the impact of implementing change in your practice environment, including the factors that need to be considered regarding stakeholders and end users.
b) Summarize the methods you would use to ensure that those are adequately addressed.
2) Implementing EBP Projects (see attached file on WK9 Discussion)
a) Identify the desired outcomes of your EBP Project.
b) Describe any macro or micro systems issues that may inhibit implementation and strategies for resolving those issues.
c) Explain how resolving your EBP Project issue will improve quality and patient safety.
3) Evaluating EBP Projects (See this week Discussion you are currently working on)
a) Describe evaluation strategies.
b) Formulate new practice guidelines based on the possible results of the evaluation of outcomes.
c) Describe, if appropriate, new standards of care relevant to the new practice guidelines
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 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”
- Chapter 17, “Data Management and Evaluation of Translation”
- Chapter 14, “Creating a Culture That Promotes Translation”
- Chapter 15, “Best Practices in Translation: Challenges and Barriers in Translation”
Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.
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.
Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.
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).
Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)
Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)
Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)
Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (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
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Plagiarizm
/in Uncategorized /by developerList three examples of plagiarism and discuss how plagiarizing as a student affects the integrity of a baccalaureate degree, the public perception of the nursing profession, and evidence-based practice. Describe two things you will do to ensure academic integrity in your work.
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Plan For Managing Operational Failures
/in Uncategorized /by developerLTD Acceptance is a private property and auto insurance carrier that specializes in sports cars and motorcycles. This organization is owned by LTD Capital, a large equity group with over 15 holdings. LTD Acceptance is the parent company’s single largest holding as it drives 70% of total revenue. Due to the inherent risk involved in that segment of the market, many of LTD Acceptance’s competitors do not offer policies for sports cars or motorcycles. This market segment is underserved which is why the organization has 20,000 active policies for a sports car or a motorcycle.
LTD is headquartered in Houston, TX. LTD does not sell insurance directly to the public. Instead, it uses third-party agents to sell its policies. LTD handles all customer service needs including claims intake, policy services, and general questions. The company operates in four states: California, Texas, Louisiana, and Florida. Currently, LTD does not have an active system in place to ensure that its agents are in fact using LTD guidelines to screen potential policyholders. However, no evidence of negligence has emerged so far as the organization has yet to have a year in which it was not profitable. LTD has also had the good fortune of not suffering losses because of natural disasters or catastrophic events.
Organizations in every sector experience breakdowns or failures that compromise the efficiency and efficacy of their operations. This concept is defined as an operational failure. Operational failures have a direct and adverse impact on profitability. As such, the shareholders want assurance that the risk management team is actively working on mitigating the occurrence of these failures. As the newly hired senior risk analyst, you are responsible for outlining a plan to do just that.
For this deliverable, provide a report to your supervisor which provides a framework for managing operational risk exposures. Your report should include the following: 3 pages
Your conclusion should align the effective management of operational risk exposures with organizational effectiveness.
The format for your report should be in the business, professional style
More than two examples of potential losses from each category are provided AND an explanation of why there is a need to manage each is provided.
More than two examples of potential losses from each category are provided AND an explanation of why there is a need to manage each is provided.
Conclusion uses specific examples that show how effective management of operational risk exposures aligns with organizational effectiveness.
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Plan Implement And Evaluate Nursing Theory 19026947
/in Uncategorized /by developern this assignment, you are to select a theory of nursing that fits with your understanding of effective nursing values and practices. Prepare a thorough review of the theory, including a discussion of how this theory will guide your planning to implement the theory in your work as a nurse, will inform you anticipation of barriers to implementation and will assist you in creating a plan to evaluate the effectiveness of care provided while employing this theory.(Imogene king’s theory of goal attainment)
Use the following process to guide your work:
Select one nursing theory that is useful to your practice setting.
Research the literature for refereed journal articles (include current, classic – by theorist, and relevant scholarly sources) that discuss the use of the theory in practice. Use a sufficient number of scholarly sources in your paper, but at least five.
Critically review the nursing theory and develop a plan for how you would utilize this theory in your practice. Be sure to include thoughts related to holistic spiritual nursing care. (Use Chapter 3 of Smith & Parker to review theory.)
In a 6-8 page (not including the title and reference pages, no abstract required for this paper) 6th edition APA paper using spelling/grammar following APA guidelines:
Introduction (Overview, purpose, your rationale for selecting the nursing theory, and plan for paper)
Synthesis of selected nursing theory
Examine the nursing theory’s components
Design plan for implementing nursing theory into practice
Anticipate potential barriers/challenges to implementation
Create plan for evaluating the effectiveness of care provided using this nursing theory
Construct examples.
Summary (explain how you have met the purpose of this paper
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Plan Of Care For Post Op
/in Uncategorized /by developerHow would the LPN contribute to the plan of care for a surgical client? You may choose any surgical procedure, related to pregnant patient or a pediatric patient. Identify three need areas and identify a goal for each and four standard interventions from which you would select. Utilize APA formatting to cite your resources. Be sure to cover the following:
-Explain description of the disorder that led to the need for surgery
-Explain safety concerns for this age group or stage of development. Ambulation, rest, play, toys, and games for this patient. Fluid and nutritional needs for the patient following surgery. Equipment that will be needed for the patient following surgery.
-Explain health information needed to provide care to the post-op client.
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Plan To Develop Accreditation
/in Uncategorized /by developerDevelop a plan to gain accreditation.
Your department head knows that you are in a graduate program and has volunteered your service to Dr. Strong, the head of the department that deals with accreditation and licensure in your facility. Dr. Strong has asked you to develop a plan to gain accreditation for a new facility that your organization is opening.
The plan needs to include the following:
Requirements:
The plan should include:
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Planning Better Health For Future
/in Uncategorized /by developers a healthcare professional, understanding where to locate evidence-based resources in order to help your patients benefit from that knowledge will be useful in your career. One such resource is The National Center for Health Statistics. The Center has established Healthy People 2020 for tracking the nation’s health. In this assignment, you will begin from the topic you selected and propose a culturally competent, as defined by SAMHSA, community based health program.
Go to the Healthy People 2020 website and find the Topics & Objectives. Once you have located the 42 topic areas discussed on the website, choose a topic in which you are interested.
Write a 1,500-1,750-word paper in which you propose a community health program related to the topic you selected. Include the following in your proposal:
Prepare this assignment according to the APA guidelines found in the APA Style Guide
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Planning For Change Implementing And Evaluating Ebp Projects
/in Uncategorized /by developerApplication 4: Planning for Change, Implementing and Evaluating EBP Projects
Evaluating EBP Projects
Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.
As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project (Application 2 [see attached file]). How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?
To prepare for this week’s section of Application 4:
This paper should be written in APA format with a minimum of 8 scholarly references. All level 1 & 2 headers must be as in the grading rubric (see attached file). The paper must also include an introduction ending with a purpose statement and a conclusion as per APA guidelines. Do not go over the required maximum of 8-page. The Paper must be cited often and throughout.
The full Application 4 is due by Wednesday 10/31/18 before midgnight of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 8 and 9 (see attached files on WK8 & WK9 discussions you previously did for me).
To complete: (See attached Grading Rubric)
Write a 4- to 8-page paper that addresses the following:
1) Planning for EBP Change (see attached file on WK8 Discussion)
a) Analyze the impact of implementing change in your practice environment, including the factors that need to be considered regarding stakeholders and end users.
b) Summarize the methods you would use to ensure that those are adequately addressed.
2) Implementing EBP Projects (see attached file on WK9 Discussion)
a) Identify the desired outcomes of your EBP Project.
b) Describe any macro or micro systems issues that may inhibit implementation and strategies for resolving those issues.
c) Explain how resolving your EBP Project issue will improve quality and patient safety.
3) Evaluating EBP Projects (See this week Discussion you are currently working on)
a) Describe evaluation strategies.
b) Formulate new practice guidelines based on the possible results of the evaluation of outcomes.
c) Describe, if appropriate, new standards of care relevant to the new practice guidelines
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.
Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.
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.
Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.
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).
Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)
Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)
Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)
Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (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
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Planning For The Practicum
/in Uncategorized /by developerAssignment: Practicum: Planning for the Practicum
The practicum experience provides a significant opportunity to cultivate your professional growth and development. What skills, attributes, or categories of knowledge do you most need or want to nurture? How would improving in these areas enable you to be a more effective leader? And how would that allow you to facilitate the translation of evidence into practice?
This course includes a 216-hour practicum as part of the 1,000 clinical hours that are required for the DNP credential. In your practicum experience for this course, you will examine the change process as it relates to the translation of evidence into practice. In addition, throughout your practicum experience you will pay close attention to the role of leadership in such endeavors and reflect on your own development of leadership competencies.
This week you develop a plan for your practicum.
Note: If you have not already done so, formalize the relationship with your practicum mentor.
To prepare:
Note: It is important to formulate a big-picture view of this process. In Weeks 2 and 3, you will work with your practicum mentor to examine a change already underway or previously accomplished, and identify an additional aggregate-level change you would like to propose. You are not required to implement this change, but you do need to select an idea that is feasible, based on evidence, and appropriate for your practicum setting.
By Wednesday 2/27/19 before midnight, write a 3-page essay in APA format with at least 5 scholarly references from the list of required readings below. Include the level one headers as numbered below.
To complete:
Write a 3-page paper that includes the following:
1) An outline or visual representation indicating how you would guide planning for and implementing change related to the translation of evidence into practice for your practicum setting
2) Three learning objectives for your practicum hours that are aligned to the AACN Essentials, your specialty area competencies, and the focus of this course (i.e., systems-related issues, translation of evidence into practice, intentional change, and leadership) (refer to the attached AACN Essential IV [Nursing Informatics]).
3) Key leadership and other activities you will undertake to fulfill your identified learning objectives
4) A proposed time line for accomplishing your practicum hours (divide 216 hours in 10 weeks to come up with how many hours per weeks in order to makeup the required 216 hours for this semester).
By Wednesday 2/27/19 before midnight
Submit this Assignment.
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.
· Review Chapter 3, “Change Theory and Models: Framework for Translation”
As you review this chapter (assigned in a previous course), consider the foundational information about change. Also, pay attention to the frameworks and processes described, as they will be valuable as you proceed through this course. What insights arise regarding how you might be able to guide the implementation of change?
American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf (see attached file).
Use the information in this report to guide the formulation of goals for your practicum experience.
Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433 (see attached file)
IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center.
Pritham, U. P. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, (4), 44.
Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76758028/76758030/42e82c2469b7f33387aa79dc5736bb1f
In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them (see attached file).
Moriber, N. A., Wallace-Kazer, M., Shea, J., Grossman, S., Wheeler, K., & Conelius, J. (2014). Transforming Doctoral Education Through the Clinical Electronic Portfolio. Nurse Educator, 39(5), 221-226. doi:10.1097/NNE.0000000000000053
Murphy, M. P., Staffileno, B. A., & Carlson, E. (2015). Original Article: Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change. Journal of Professional Nursing,31388-394. doi: 10.1016/j.profnurs.2015.03.001
Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13.
Optional Resources
Osters, S., & Tiu, F. S. (n.d.). Writing measurable learning outcomes. Retrieved from http://www.gavilan.edu/research/spd/Writing-Measurable-Learning-Outcomes.pdf (see attached file).
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Planning Learning Objectives
/in Uncategorized /by developerPracticum: Planning Learning Objectives
The practicum experience allows you to develop and expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level. During week 1 you will submit two to three individual learning objectives that you wish to achieve during this practicum experience. You should prepare a set of measurable learning objectives, using Bloom’s Taxonomy (See attached file). Your practicum objectives should reflect your interest in expanding knowledge. They are not to include activities related to your DNP project. These objectives will be identified during your mentoring course (NURS 8700P, 8700, 8701). Practice experiences should be designed achieve specific learning objectives related to the DNP Essentials and specialty competencies (AACN, 2006).
Your practicum objectives should include the following:
1) Three learning objectives using Bloom’s Taxonomy.
2) Description of how these objectives will expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level.
3) Relationship of the learning objectives to the DNP Essentials.
NOTE: Learning objectives must be submitted using APA style. Points may be deducted for lack of references, writing style, and APA format. Refer to the sample attached in the file area (See attached file >> very important)
Submit by tomorrow 8/29/18 before midnight
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Please 250 Words With Apa Style Attached Is The Rubrics Pleas Follow Them 19219945
/in Uncategorized /by developerQuestion:
The Essentials of Master’s Education in Nursing reelects the profession’s continuing call for imagination, transformative thinking, and evolutionary change. Explain the importance of following the essentials of Master’s Education in Nursing in a clinical nurse practitioner program such as the FNU? Please select one of the essentials and expand as to why the selected essential is crucial in succeeding in this program. (Essentials I-IX)
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