Note: You may use the same topic and the same research articles that were used in Task 2 (opioid abuse) or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.
ASSIGNMENT DETAILS/ GRADING CRITERIA:
1. Evidenced-based Leadership Change project:
Instructions for Leadership Change Paper:
Observe your environment in the health care facility where you have clinical and monitor the
site for signs and symptoms of the need for change. Look at the nursing processes in place: do
they work efficiently, are infection control practices being done routinely. Anything can be a
catalyst for change as long as it adds something positive to the establishment. Then, diagnose
the problem that indicates a need for change:
1.
Pick a change theory. Lewin’s change theory is used widely in nursing. Despite this fact,
there are many other change theories you can use like Spradley’s theory of change,
Lippitts change theory or Roger’s theory of change. Pick the ones that best suit the
change you are trying to bring about.
2.
Put a plan together. Using your selected change theory, develop a plan based on each
step of the theory you have chosen. Your plan should address what you will do to solve
the problem you have diagnosed. It should include activities that will combat the
problem and bring about change, a method to measure the success of the plan such as a
quiz and a way to make the change permanent. Be sure to include a timeline or
timetable for your change project. It needs to have a beginning and an end.
3.
Type a 4-5 page double-spaced, APA formatted professional paper that describes your
project and submit to your instructor at the end of the semester. The paper has to
include:
An introduction: Brief description of the issue & Purpose of the paper
Assessment of the environment which needs to be changed: Current practice,
organizational structure, deriving and restraining forces, advantages of change,
cost and resources for implementing the change.
Planning: Goals of change, phases of change, timeline, how you will mobilize the
driving forces and minimize the restraining forces and plan of evaluation
Implementation: Needed training and education and methods
Evaluation.
Conclusion
4. Discuss the change theory you applied to the problem you diagnosed and
all the activities you planned for bringing about change.
PLEASE NO MORE THAN 10% OF SIMILARITY. SCHOOL USE TURNITIN.
For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition. Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.
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:
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:
Assignment:
Integrating Evidence-Based Practice
Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Part 1:
Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? this topic is delirium in the adult ICU setting Describe strategies that could be used to increase success including overcoming barriers.
Part 2:
Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.
Assignment Expectations:
Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)
Also use the following articles in writing the paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554074/
Please use the attached PDF files the APA citation for these would be:
p
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).
Select an article from a peer-reviewed nursing journal regarding an EBP process or implementation.
Write a summary of 1,000 words that includes the following criteria:
APA Format please with in-text citations and reference. Thank you
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:
Evidence-Based Practice Guideline ( The clinical question identified in this section is about chronic neck pain in adults).
Write a fully developed and detailed APA essay addressing each of the following points/questions. word count 1500-2000. be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. however, if sources are used make sure to cite using the APA writing style for the essay and complete a reference page. The cover page is required. Review the rubric criteria for this assignment.
Utilize the databases identified in the text to locate an Evidence-Based Practice Guideline, related to your topic identified in Module 1.( The clinical question identified in this section is about chronic neck pain in adults). Perform a rapid critical appraisal of the Evidence-Based Guideline by answering the following questions in APA format. All questions should be answered in detail and explanations offered according to guideline content when applicable.
Be sure to include the database from which the guideline was obtained and please submit a copy of the guideline with your paper.
Your APA formatted paper fully answer each question in complete sentences.
Assignment Expectations:
Length: Clearly and fully answer all questions; include database; attach a copy of the guideline
Structure: Include a title page and reference page (if sources were used) in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. No minimum sources are required for this assignment; if sources are used APA format is required.
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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