Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

 

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Evidence-Based Project Implementation Issues

Before, during, and after implementation of your DNP Project, or any evidence-based project, it is critical to pay attention to various social, political, technological, and/or financial considerations. Using this framework, you can identify, analyze, and address issues that may affect the implementation of the project.

For this Discussion, you evaluate considerations that may promote or impede successful implementation of your DNP Project or another evidence-based project. As you do so, bear in mind that the specific factors are likely to differ from project to project and may vary given the timing and context in which a project is implemented. During this Discussion, you also evaluate variances between activities, standards and guidelines, and what is considered “best practice” in relation to the project.

To prepare:

• Consider      the issues you have noticed while implementing the intervention and/or      gathering data for your DNP Project or another evidence-based project.      Bring to mind Dr. Mauk’s comments on social, political, technological,      and/or financial considerations in the Weeks 2 and 3 media program.      Reflect on how these considerations have, or may, affect your      implementation.
• Think      about any unexpected developments that arose (or may arise) during the      implementation phase of your evidence-based project. What was the root      cause of each development and its effect on your project?
• Return      to the literature and note any variances between your activities, relevant      standards and guidelines, and what is considered “best practice.”
• Evaluate      your original plan for developing and implementing your DNP project      (regardless of where you are in the process right now) or another      evidence-based project. What, if anything, would you change in order to      improve the process, quality of data, etc.?

By tomorrow Tuesday June 4, 2019 write a minimum of 550 words essay in APA format with at least three scholarly references. Include the level one header as numbered below:

Post a cohesive response that addresses the following:

  

1) Describe one or more significant issues related to the implementation of and data gathering for an evidence-based project. 

2) Assess the cause and meaning of each issue for your evidence-based project. If applicable, describe how the issue may have compromised your project.

3) What insights related to variances between project activities, relevant standards and guidelines, and what is considered “best practice” are most significant for this evidence-based project?

4) Summarize your evaluation of the planning for and implementation of the intervention, noting opportunities for improvement with future projects.

Required Readings

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY: Springer Publishing Company.

· Chapter 6, “Review and Evidence-Based Practice Articles” 

Chapter 6 explains types of reviews and EBP articles that are useful to nurses when exploring the literature on clinical issues. This chapter also provides recommendations for preparing articles for disseminating EBP research findings.

In addition to Chapter 6, select and read the chapter that best supports your scholarly product dissemination plan. Apply the information in these chapters and through additional research of your own as you begin the writing process for your DNP Project scholarly product for dissemination. 

Note: For the scholarly product, you should be able to select a journal or other format and write a letter of inquiry. You also should be able to work on the Literature Review section of your scholarly product. The information on pages 142-143 in the course text may be particularly useful for developing that section.

· Chapter 5, “Writing Research Articles”

This chapter provides general principles for writing research papers.

· Chapter 8, “Clinical Practice Articles” 

Chapter 8 revolves around strategies for writing articles about clinical practice.

· Chapter 9, “Other Types of Writing” 

In this chapter, the authors review strategies for writing a variety of articles, letters, reviews, and case studies.

· Chapter 10, “Books and Book Chapters” 

This chapter provides considerations and guidelines for writing books and book chapters.

· Chapter 11, “Writing Process” 

Chapter 11 describes the various steps of the writing process, including asking preliminary questions, the drafting phase, and revising a manuscript.

Brown, C. E., Ecoff, L., Kim, S. C., Wickline, M. A., Rose, B., Klimpel, K., & Glaser, D. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19(13–14), 1944–1951. 

This article details a study that explored the relationship between perceived barriers to research use and the implementation of evidence-based practice among hospital nurses.

Chang, H. C, Russell, C., & Jones, M. K. (2010). Implementing evidence-based practice in Taiwanese nursing homes: Attitudes and perceived barriers and facilitators. Journal of Gerontological Nursing, 36(1), 41–48. 

The authors of this article describe a study that investigated attitudes and perceived barriers and facilitators toward research utilization among registered nurses.

Doran, D., Haynes, R., Kushniruk, A., Straus, S., Grimshaw, J., Hall, L., … Jedras, D. (2010). Supporting evidence-based practice for nurses through information technologies. Worldviews on Evidence-Based Nursing, 7(1), 4–15. 

This article describes a study that sought to evaluate the usability of mobile information terminals to improve access to nursing information resources. The study also explored the relationship between PDA or tablet-supported information resources and outcomes.

Required Media

Laureate Education, Inc. (Executive Producer). (2012d). Factors affecting implementation of an evidence-based practice project. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Dr. Kris Mauk explores barriers to implementing change and discusses strategies for addressing those barriers.

 

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