Evidence Based Practice 19282817

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Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers. 

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

  • Review the Resources and consider the importance of critically appraising research evidence.
  • Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3. 
  • Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

  • An evaluation table
  • A levels of evidence table
  • An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 
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Evidence Based Practice 19312041

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 Evidence-Based Capstone Project, Disseminating Results

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.

References:

· Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)

Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)

Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)

· Gallagher-Ford, L., Fineout-Overholt, 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. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

· Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f. Retrieved from http://downloads.lww.com/wolterskluwer_vitalstream_com/journal_library/nna_00020443_2007_37_12_552.pdf

· Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

· Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e. Retrieved from https://www.nursingcenter.com/nursingcenter_redesign/media/EBP/AJNseries/Sustaining.pdf

· Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/wvn.12188

· Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/09000/Evidence_Based_Practice,_Step_by_Step__Sustaining.27.aspx

 
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Evidence Based Practice 19413147

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After reading Chapter 10 and reviewing the lecture power point (located in lectures tab),  please answer the following questions.  Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

1. Describe the importance of evidence-based practice.

2.  Describe how and where to search for evidence.

3.  Describe strategies for the implementation of evidenced-based practice in nursing practice.

 
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Evidence Based Practice 19443387

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Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

 
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Evidence Based Practice 19488459

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1) ***********1 full page**************************** (cover or reference page not included)

2)¨**********APA norms

3)********** It will be verified by Turnitin and SafeAssign

4) **********References from the last 5 years

5) The questions don’t be must copied in the work. It must be identified by numbers. For example

1. The difference is…………………………..

2. The difference is…………………………

3.The possible mechanisms are…………………………

________________________________________________________

Case:

 

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1. What is the best explanation of the difference between evidence-based practice and best practices?

2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

 
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Evidence Based Practice And Evaluation Of The Project Through Measureable Goals

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Overview: Dr. Marcia Stanhope (2016) explained that evidence-based  public health practice refers to those decisions made by using the best  available evidence, data and information systems and program frameworks;  engaging community stakeholders in the decision-making process;  evaluating the results; and then disseminating that information to those  who can use the information.

Practicum Discussion: This week, your assignment will be to  incorporate all of the information you have gathered from the  community—including the population itself, health data,  interviews/conversations with interested community members, and your  community assessment, including your Windshield Survey—as well as what  you have gathered from scholarly literature to propose measureable  interventions. Measureable interventions mean that the results can be  measured through some data that could be collected (Stanhope, 2016).  This requires thinking in terms of actions and then measuring results.  An evaluation of interventions is important to see whether or not they  are effective in solving a health care problem. Remember, you will need  to use the data you gathered to determine whether or not a problem  exists in your community and to then determine whether your  interventions might be effective.

Please discuss the following points in your Practicum Discussion:

  • Identify one evidence-based behavior change that would promote health in your selected population.
  • Suggest one specific culturally sensitive, evidence-based,  measureable intervention to address the health problem for your selected  population.
  • Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
 
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Evidence Based Practice And Research

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Provide a reply that is at least 50 words to the discussion answer below:

 

Research uses a scientific process that generate new knowledge, external evidence, and research utilization. The two main study methods used in research are quantitative and qualitative.  Quantitative methods use scientific methodology to find the right sample size, controls for potential errors during data collection, and statistical analysis of the data.  Qualitative uses a smaller sample size with life experiences.   Quality improvement (QI) uses a plan, do, study, act model, as is often used in healthcare to improve that organizations process, or outcomes for a specific population once a problem has been identified (Conner, 2014).

Evidence-based practice is essentially conscientious use of the most current and best evidence when making decisions about the patient’s care. Evidence-based practice is also a life-long problem-solving approach that incorporates a systemic search and critical appraisal, the use of internal evidence through assessments, outcomes, evidence-based improvements, evaluation, and consideration of the patient/family preferences and values. The difference between QI and EBP is QI relies heavily on external evidence and does not use a systematic approach for critical appraisal.  Evidence-based QI uses a systemic search with critical appraisal using both internal and external evidence in making decisions regarding practice changes to improve clinical outcomes (Fineout-Overholt & Melnyk, 2018). The main difference between research and EBP, is EBP is that not about developing new knowledge or validating existing knowledge.  EBP seeks to find and translate the best evidence into clinical practice (Conner, 2014).

Nurses should be interested and know the difference between research, evidence-based practice and quality improvement.  Nurses make contributions towards the development of new knowledge, innovations, and improvements (Conner, 2014).

 
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Evidence Based Practice And The Quadruple Aim 19242663

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Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers
 
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Evidence Based Practice And The Quadruple Aim 19324843

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Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

3 to 5 references less than 5 years

 
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Evidence Based Practice And The Quadruple Aim 19331607

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To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015);  Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016)  provided in the Resources. 
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare. 
  • Consider the impact that EBP may have on factors impacting  these quadruple aim elements, such as preventable medical errors or  healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim. 

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of: 

  • Patient experience
  • Population health
  • Costs 
  • Work life of healthcare providers
 
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