Nr700 week 5-8 (alll discussion and papers)

NR700 Week 5 Discussion 1 & 2 Latest 2017 August

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Week 5: Application of Borrowed Theories to Advanced Nursing Practice

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Explicate a selected borrowed theory that you already know or one that you read about in this week’s lecture, readings or other materials. Provide an example of how this theoretical perspective has been used to frame nursing knowledge, care or leadership in any health care setting.

• List the concepts that constitute the theory and
• Describe the relevance of those concepts to your advancing nursing knowledge and practice.

  In other words, you would not describe Maslow’s theory as it relates to an entry-level, new graduate nursing assessment, but you could consider how an advanced practice nurse, working on his or her doctoral degree would use that theory to improve patient outcomes, quality and safety, access or cost.
  Similarly you could talk about how using Albert Bandura’s Self Efficacy concept facilitates more effective intervention in smoking cessation initiatives.

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Week 5: Scholarship of Evidence-based Practice

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Describe at least two examples of how EBP scholarship is demonstrated either by you personally or by someone in your practice environment. Include in your example descriptions, which type of scholarship the example represents.

Recall from your lesson that the types of scholarship include (a) discovery, (b) teaching or (c) application and integration. Which type of scholarship do you think that your DNP project will be? Why do you think so?

Further, projects can be categorized into (a) quality improvements, (b) implementing practice guidelines, (c) evaluating practice processes and policy, or (d) examining patterns of behavior.

Thinking about these categories of scholarship and project type, how would you describe your potential project?

NR700 Week 6 Discussion 1 & 2 Latest 2017 August

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Week 6: Evidence Supporting the Clinical Question and Suggested Interventions

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Consider your inquiry and formulation of the clinical question thus far.

Explicate at least two pieces of evidence (current literature less than 5 years old) that support the idea that the problem you’re naming exists and is significant. For example, here is a 2013 American Heart Association article on predicting and preventing early readmission: http://circ.ahajournals.org/content/126/4/501.full

Be sure to also note what the evidence says about the etiology or causative factors (what’s going on that influences this problem)? For example, in the article above, early readmission rates are influenced (caused by) situations such as psycho social and economic factors that limit adherence as well as physiologic factors such as elevated filling pressures.

Finally, point to the evidence that suggests an intervention that works to address the causes of the problem and to improve what we’re now seeing in clinical practice on this topic. The AHA article named above suggests that interventions such as comprehensive discharge planning, including patient and caregiver education, guidance regarding sodium and fluid restriction, collaboration with visiting nurses, and planned follow-up, may reduce early readmission rates by as much as 25%.

In other words, for your problem, grounded in the literature, what is the problem/etiology and what two pieces of current literature provides evidence supporting those? Then what evidence supports the intervention idea to improve this problem situation?

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Week 6: Evidence-based Practice Change and Quality Improvement Models

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Identify an evidence-based practice change model and a quality improvement model that you could use for your eventual DNP project.

Explain how each model may be applied to create change through your practicum and project efforts.

Illustrate your ideas with two examples; one example of applying a change model, and one example of applying a quality improvement model.

NR700 Week 7 Discussion 1 & 2 Latest 2017 August

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Week 7: Interprofessional Collaboration for Improving Practice

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Discuss the role of the DNP-prepared nurse in leading interprofessional collaboration and partnership for promoting safe clinical practice within healthcare systems.

Consider your reading this week from Chapters 6 and 10 in Zaccagnini, M. E. & White, K.W. (2014); and in light of that reading, discuss ways that you currently work in or have developed interprofessional collaboration.

What more can you do relative to interprofessional collaboration as you move through your DNP education? Give specific examples of your current actions and future plans and tell why those actions are likely to improve outcomes? Be specific.

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Week 7: Emerging Roles for the DNP-Prepared Nurse

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What emerging DNP roles do you imagine yourself in upon completion of your degree? What skills and/or competencies do you think will be most beneficial to you as you take on those advanced roles? Consider your readings in Zaccagnini, Chapters 8 and 9 as you formulate your discussion post. Compare your role in performing traditional advanced practice actions to what is possible in emerging roles when you have completed your DNP degree.

NR700 Week 8 Discussion Latest 2017 August

Week 8: Clinical Scholar

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After reading the lesson and assignments for this week, describe at least two examples of scholarship as demonstrated either by you personally or by someone in your practice environment. You should describe which type of scholarship the examples represent and why.

NR700 Week 5 Inquiry Paper Latest 2017 August

Inquiry Paper Guidelines

Purpose

The purpose of this paper is to present the story of your inquiry process thus far on the road to developing your DNP project. An inquiry essay differs from other traditional academic essays in that its purpose is not to argue for a specific idea, but rather to illustrate your inquiry and thinking process, and to demonstrate your understanding of how theoretical and process models guide your DNP project development

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

CO2: Identify practice problems at the microsystem, mesosystem and macrosystem levels of health care systems (PO #3).

CO3: Assimilate nursing’s ways of knowing and the development of nursing science (PO #3).

CO7: Analyze the implementation of selected theoretical perspectives into evidence-based practice. (PO #5)

CO11: Summarize scientific knowledge to determine the nature and significance of a practice problem (PO #3)

Points

This assignment is worth 275 points.

Due Date

Submit your completed application under the assignment submission area bySunday11:59 p.m. MT ofWeek 5as directed.

Requirements

1. To complete this application, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library. The PDF tutorials for database searches are in the “Need Help?”box on every library page. To ask for assistance from a librarian, use one of the contact methods in the “Ask A Librarian” box at the top right of every page.

2. When clicked, it reveals a list of “Tools” or PDFs on how to do conduct various searches of the required databases (CINAHL, MEDLINE, Cochrane, and JBI) through the portals (EBSCO and OVID) provided.

3. TheInquiry Paperis worth 275 points and will be graded on the required components as summarized in the directions and grading criteria/rubric.

4. Create your manuscript using the version of Microsoft Word required by Chamberlain College of Nursing. You can tell that the document is saved as a MS Word document because it will end in “.docx”

5. Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum.

6. The length of the paper will be about between 5-7 pages excluding title page and reference pages.

7. A minimum of 5 scholarly references (not your text books but primary sources of theory and research).

a. The textbook required for this course may be used as a reference for this assignment but does not count towards the required minimum number of scholarly references.

8. APA format and effective writing is required for the paper. Use your APA manual or Purdue Owl to check and correct your formatting. Use Grammarly, Tutor.com found under General Resources on the Course Resources page or in the student portal, the grammar and spelling check on your Word Processor and criteria for effective writing (available through the Writing Call and Coaches) to assure that your paper well written.

Preparing the Paper

The following are best practices for preparing this paper:

1. Outline your paper at the beginning of the term and begin adding notes to the content headings as you read critically and begin to synthesize and as insights occur in your mind. Following your outline will help you establish and maintain context throughout the paper.

2. Review your studies, discussion and exercises from week 1 forward in this class. Keep the MEAL plan in mind as you begin drafting paragraphs.

3. Create purposeful structure throughout your paper and in your paragraphs, having a sense of introduction, development and conclusion. Your outline and notes will facilitate this purposeful structure.

4. Be sure that your content is original and appropriate to the topic as assigned. Validate your ideas with substantiated thinking and appropriate use of valid sources. In other words, provide evidence and examples to illustrate your statements.

5. Assure proper conventions and content: Check the usage, spelling, punctuation, sentence structure, format, citing and so on using tools such as Grammarly, Word Spell and Grammar Check, APA manual, Purdue Owl, Listening to the Writing Calls, Contacting your faculty or using a writing coach if necessary.

6. An effective conclusion shouldinclude the main ideas and major conclusions. Do not add new information in the conclusion.

NR700 Week 7: Practice Problem Summary with Annotated Bibliography Latest 2017 August

Practice Problem Summary with Annotated Bibliography Guidelines

Purpose

An annotated bibliography is an organizing tool that helps compile evidence sources; especially research, in one location when working on a research or evidence-based practice/quality improvement project. It also provides quick access to the information contained in each source as you move throughout the program.

The purpose of preparing an annotated bibliography is to allow you to further explore literature that supports the practice problem and intervention ideas that you have for your DNP project. (Hint: if you keep adding to this list throughout the program, your final project will become much easier since you will have already collected everything you need here to support your project).

Procedure

To complete this assignment, start by performing a literature search for initial sources of research and evidence related to your practice change (PICOT) question and intervention ideas.

1. Conduct a focused review of literature related to the identified clinical problem, including (a) description of the problem, (b) etiology, and (c) evidence based interventions.

2. Describe the problem and the significance of the problem as they show up in the literature and in your practice knowledge and insights.

3. State the practice question in PICOT format as you have worked it out this term.

4. Consider the quality of the sources you choose. Look at the date of publication, author/sponsor/publisher, and purpose of the reference. Include only the highest quality references.

5. Provide a summary of 5 scholarly peer-reviewed references (i.e., research, systematic reviews, etc.) regarding the proposed approaches to the identified clinical problem.

6. Clearly and succinctly synthesize the literature. Here is a tool to assist your practice in writing syntheses. https://writingcenter.fiu.edu/resources/synthesis-matrix-2.pdf

Requirements

The paper should be 8-10 pages in length in order to develop each section substantively without writing excessively. It should including the following sections:

1. An introduction, which tells your reader what the paper is about and briefly sets the context through discussion of the PICOT and clinical question.

a. As you write, direct what you say to your scholarly peers, and you may assume that they have only a casual familiarity with your topic or issue.

b. The introduction will present a description of the practice problem (recall two distinct statements from week 1, including the impact on patient/client and family, healthcare system, or society.

c. The Introduction is placed underneath the paper’s title, and it has no level heading. In other words, do not use the word “Introduction” as a title heading. Just head the paper with the title and begin writing the introduction text.

d. The introduction should be approximately 1-2 pages in length and may include a subheading for PICOT question section.

2. An annotated bibliography of at least five resources, approximately 3-5 pages in length (about half to 1 page per annotation) and include the following:

a. Write the source in APA format as you do a reference listing (this is your level 2 heading for each entry).

b. Follow the source listing in a new paragraph with a brief annotation that summarizes the source in your own words (not from the abstract of the article) in 3-5 sentences.

c. Include your assessment on the reference’s strengths and weaknesses.

d. Explain the sources relevance and importanceto your practice change project.

3. Synthesis of Evidence: Approximately 2 pages. Follow the annotations with asynthesisof the evidence related to the identified clinical problem and PICOT question. Here is a tool to facilitate the synthesis writing process:https://writingcenter.fiu.edu/resources/synthesis-matrix-2.pdf

4. Conclusion: Approximately 1 page or less. The conclusion restates your paper’s main idea (the problem you are going to address by using evidence found in the literature), refers to the synthesis points, and provides a final impression about your project.

5. Reference list that starts on the next page after the conclusion and includes each of the annotated bibliography references in addition to others you may have cited but chose not to include in the annotated bibliography.

NR700 Week 8 You Decide Reflection Latest 2017 August

You Decide Reflection Guidelines

Purpose

The purpose of this application is to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR700 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

· CO3:Assimilate nursing ways of knowing and the development of nursing science (PO 3).

· CO7: Analyze the implementation of selected theoretical perspectives into evidence-based practice (PO 5).

Points

This assignment is worth a total of 100 points.

Due Date

Submit your completed assignment byWednesday11:59 p.m. MT ofWeek 8as directed.

Requirements

1. TheYou Decide Reflectionis worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”

3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum.

4. The length of the reflection is to be within three to six pages excluding title page and reference pages.

5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in thePublication manual of the American Psychological Association(2010, p. 63).

a. You Decide Reflection

b. Conclusion

Preparing Your Reflection

TheDNP Essentials(AACN, 2006) outline a number of scientific underpinnings for practicecompetencies for the DNP-prepared nurse. Reflect on the NR700 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.

2. Use science-based theories and concepts to: determine the nature and significance of health and health care delivery phenomena; describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate; and evaluate outcomes.

3. Develop and evaluate new practice approaches based on nursing theories and theories from other disciplines” (AACN, 2006, p. 9).

Reference:

American Association of Colleges of Nursing [AACN]. (2006).The essentials of doctoral education for advanced nursing practice.Washington, DC: Author.

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