nrs490 all week discussions latest 2018 february
Week 1
discussion
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DQ1
Identify two GCU Library scholarly databases that will help
you find the best research articles to support your EBP proposal. Discuss why
these two databases are better than Google Scholar or a general Internet
search.
DQ2
The Institute of Medicine has stated a goal that 90% of
practice be evidence-based by 2020. According to HealthyPeople.gov, the United
States is currently at approximately 15%. Discuss two barriers that might hold
nursing practice from achieving this goal, and suggest ways in which identified
barriers may be addressed.
Week 2
discussion
DQ1
During your practicum, determine what clinical problem or
issue the organization is facing. Discuss two implications for nursing.
DQ2
What is the main issue for your organization in addressing a
solution to evidence-based nursing practice? Discuss what might be the first
step in addressing and resolving this issue.
Week 3
discussion
DQ1
Submit a summary of six of your articles on the discussion
board. Discuss one strength and one weakness to each of these six articles on
why the article may or may not provide sufficient evidence for your practice
change.
DQ2
Name two different methods for evaluating evidence. Compare
and contrast these two methods.
Week 6
discussion
DQ1
Why is understanding the health care system at the local
level important to consider when planning an EBP implementation? Conduct
research and solicit anecdotal evidence from your course mentor that you will
take into consideration for your own change project.
DQ2
Compare and contrast two change theories, and determine
which theory makes the most sense for implementing your specific EBP project.
Why? Has your mentor used either theory, and to what result?
Week 7
discussion
DQ1
Stakeholder support is necessary for a successful change
proposal project implementation. Consider your internal stakeholders, such as
the facility, unit or health care setting where the change process is situated,
and your external stakeholders, like an individual or group outside the health
care setting. Why is their support necessary to the success of your project,
and how you will go about securing that support?
DQ2
Technology is integral to successful implementation in many
projects, through either support or integration or both. Name at least one
technology that could improve the implementation process and the outcomes of
your EBP project. Do you plan to use this technology? If not, what are the
barriers that prevent its use?
Week 8
discussion
DQ1
After discussion with your mentor, name one financial
aspect, one quality aspect, and one clinical aspect that need to be taken into
account for developing the evidence-based practice project. Explain how your proposal
will directly and indirectly impact each of the aspects.
DQ2
Now that you have completed a series of assignments that
have led you into the active project planning and development stage for your
project, briefly describe your proposed solution to address the problem, issue,
suggestion, initiative, or educational need and how it has changed since you
first envisioned it. What led to your current perspective and direction?
Week 9
discussion
DQ1
Describe one internal and one external method for the
dissemination of your EBP project results. For example, an internal method may
be the hospital board, and an external method may be a professional nursing
organization. Discuss why it is important to report your results to both of
these groups. How will your communication strategies change for each group?
DQ2
In order to evaluate an evidence-based practice project, it
is important to be able to determine the effectiveness of your change. Discuss
one way you will be able to evaluate whether your project made a difference in
practice.
Week 10
discussion
DQ1
Based on how you will evaluate your EBP project, which
independent and dependent variables do you need to collect? Why?
DQ2
Not all EBP projects result in statistically significant
results. Define clinical significance, and explain the difference between
clinical and statistical significance. How can you use clinical significance to
support positive outcomes in your project?
Week 11
discussion
DQ1
Discuss one personal strength and one weakness you have
regarding professional presentations. Name one method for improvement for each
of these, and discuss why it is important for you to work on these skills if
you want to present your findings in a more formal setting.
DQ2
Sustaining change can be difficult, as there are many
variables that can affect implementation. One critical component of EBP is to
ensure that practice change is part of an organization’s culture so it will
continue to impact outcomes over time. Name two potential barriers that may
prevent your EBP change proposal from continuing to obtain the same desired
results 6 months to a year from now, and your strategies for overcoming these
barriers.
Week 12
discussion
DQ1
Dissemination of EBP and research, such as presenting
results at a conference or writing an article for a journal, is an important
part of professional practice. Identify one professional journal and one
nursing or health care conference where you might present your project. Discuss
why each of your choices is the best option for you to disseminate your new
knowledge.
DQ2
Discuss why EBP is an essential component of the practice of
a BSN-prepared RN. Identify two ways in which you will continue to integrate
evidence into your practice and encourage it within your work environment. What
obstacles could challenge this plan, and what steps will you take to minimize
their impact?
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