The State of the Science in Practice

The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?

Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?

To prepare:

• Bring to mind an issue related to your practice. You may use the      issue you are exploring for your EBP Project, or another current issue in      your specialty area.
• If possible, examine practices and/or practice guidelines      established to address your selected issue and determine how current the      evidence is that supports them.
• Using the Walden Library, locate recently published articles that      discuss research translated into evidence that applies to your selected      practice issue. If you are unable to locate current articles (within the      last five years), use the Internet to find evidence-based practice      articles on this topic.

Consider the following questions:

• How current is the science that supported the       practice or practice guidelines?
• What new evidence has emerged since the       practice guidelines were crafted and adopted?

By tomorrow 09/11/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 scholarly references less than 5 years old. Include the level one header as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Discuss the state of the scientific underpinnings that relate to your selected issue. (see my PIICOT question at the bottom of this page).

2) How current is the science that supported the practice or practice guidelines?

3) What new evidence has emerged since the practice guidelines were crafted and adopted? Provide two examples that support your assessment.

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      1, “Evidence-Based Practice”
• Chapter      2, “The Science of Translation and Major Frameworks”

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Pages      15-18, “The Process of Translating Evidence Into Clinical Practice”
• Chapter      3, “Conducting a Literature Review”

Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51

Note: You will access this article from the Walden Library databases.

Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., 

Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.

Note: You will access this article from the Walden Library databases.

Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. 

Note: You will access this article from the Walden Library databases.

Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.

Note: You will access this article from the Walden Library databases.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.

Note: You will access this article from the Walden Library databases.

Additional Research

Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.

Optional Resources

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter      14, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure:      An Evidence-Based Quality Improvement Project”
• Chapter      15, “Reducing 30-Day Hospital Readmission of the Patient with Heart      Failure: An Evidence-Based Quality Improvement Project”
• Chapter      16, “The Impact of Evidence-Based Design”
• Chapter      17, “The Lived Experience of Chronic Pain in Nurse Educators”

As you develop sections of your Project Premise, you may wish to review these examples of completed EBP project.

PIICOT Statement

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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I need 1-2 page paper, this is instruction:

In this assignment, you will write a short (1-2 page), opinion paper. The paper is informal in that it is based on your own experiences and opinions. It is not necessary to reference outside resources or to include a cover page or reference list. However, you should critically reflect on your personal experiences and/or apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

More info:

Overview: The Principle of Credibility

Our credibility is such an integral part of who we are, that we often take it for granted. But think of what it would be like to lose your credibility, your reputation. How do you regain what you have developed over years? Think of some of the disgraced politicians or celebrities. As a nurse, your credibility is your most valuable asset.

This assignment is worth 15 points.

Objectives

• Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team

• Evaluate several management theories.

• Recognize several leadership styles and associated behaviors.

• Identify the leadership style that would be best for you.

Directions

Before completing this assignment, read the second section (pages 27-124) of Covey’s The Speed of Trust.

In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your

 

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APA format 350 words

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

• Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
• Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

 

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APA format, 350 words, scholar authors, and see references at the bottom

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples. 

References

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
 

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.
Note: You will access this article from the Walden Library databases.
 

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991. doi:10.1007/s40615-016-0302-4
 

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393. doi:10.1016/j.outlook.2018.05.003
Note: You will access this article from the Walden Library databases.

 

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