NUR699 week 1-3 discussion and assignment

Week 1

What is the difference between research- and evidence-based practice
projects? Provide an example of each one and the reason for the
difference. Why should nurses be interested in learning about EBP?

Dq2

How would a nurse practitioner and a nurse manager differ with regard
to how they use and incorporate EBP in their areas of practice?

Week 2

Max Points: 5.0

Review the “General Appraisal Overview for All
Studies,” available in Appendix B in the textbook. You should save this
tool and use it throughout the development of the PICOT question,
problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

1. “Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix
2. Text readings

Formulate your PICOT question and post it to the main forum. Respond
to at least four other statements, providing feedback. Review the
statements to see if the clinical issue is clearly defined and that all
aspects are identified. Also refer to the “PICOT: Components of an
Answerable, Searchable Question” table, located in chapter 2 of the
text. If one PICOT statement has at least three feedback posts, move to
another statement.

You will be using the feedback to make revisions to your PICOT
question before using it in your “Section B: Problem Description”
assignment.

Dq2

What strategies will you use in your new practice as an advance
practice nurse to review and critique literature pertinent to your
practice?

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Before making a case for an evidence-based project, it is essential
to understand the culture of the organization in order to begin
assessing its readiness for EBP implementation.

1. Complete the “Organizational Culture and Readiness for System-Wide
   Integration of Evidence-Based Practice Survey,” located in the textbook
   appendix.
2. Develop an analysis of 250 words from the results, addressing your
   organization’s readiness level, possible project barriers and
   facilitators, as well as how to integrate clinical inquiry.
3. Make sure to include the rationale for the survey categories scores
   that were significantly high and low, incorporating details and/or
   examples. Also explain how to integrate clinical inquiry into the
   organization, providing strategies that strengthen the organizations
   weaker areas.
4. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the
APA Style Guide, located in the Student Success Center. An abstract is
not required.

This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, revise “Section A:
Organizational Culture and Readiness Assessment” for your final paper
submission. This will be a continuous process throughout the course for
each section.

Evidence-Based Practice Proposal – Section B: Problem Description

Write a paper of 500-750 words (not including the title page and
reference page) on your proposed problem description for your EBP
project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.
2. Identify the stakeholders/change agents. Who, or what organizations,
   are concerned, may benefit from, or are affected by this proposal. List
   the interested parties, patients, students, agencies, Joint Commission,
   etc.
3. Use the feedback from the Topic 2 main forum post and refine your
   PICOT question. Make sure that the question fits with your graduate
   degree specialization.
4. State the purpose and project objectives in specific, realistic, and
   measurable terms. The objective should address what is to be gained.
   This is a restatement of the question, providing focus. Measurements
   need to be taken before and after the evidence-based practice is
   introduced to identify the expected changes.
5. 5) Provide supportive rationale that the problem or issue is an
   important one for nursing to resolve using relevant professional
   literature sources.
6. Develop an initial reference list to assure that there is adequate
   literature to support your evidence-based practice project. Follow the
   “Steps to an Efficient Search to Answer a Clinical Question” box in
   chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist
   you.
7. 7) The majority of references should be research articles. However,
   national sources such as Centers for Disease Control and Prevention
   (CDC), National Center for Health Statistics (NCHS), Department of
   Health and Human Resources (HHS), or the Agency for Healthcare Research
   and Quality (AHRQ) and others may be used when you are gathering
   statistics to provide the rationale for the problem.
8. Once you get into the literature, you may find there is very little
   research to support your topic and you will have to start all over
   again. Remember, in order for this to be an evidence-based project, you must
   have enough evidence to introduce this as a practice change. If you
   find that you do not have enough supporting evidence to change a
   practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines found in the
APA Style Guide, located in the Student Success Center. An abstract is
not required.

This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section B:
Problem Description” for your final submission. This will be a
continuous process throughout the course for each section.

Week 3

Dq1

What levels of evidence are present in relation to research and
practice, and why it is important regardless of the method you use?

Dq2

What factors must be assessed when critically appraising quantitative
studies (e.g., validity, reliability, and applicability)? Which is the
most important? Why?

Evidence-Based Practice Proposal – Section C: Literature Support

To begin, work through the reference list that was created in the
“Section B: Problem Description” assignment in Topic 2. Appraise each
resource using the “Rapid Critical Appraisal Checklists,” available in
the textbook appendix. The specific checklist you use will be determined
by the type of evidence within the resource.

Develop a research table to organize and summarize the research
studies. Using a summary table allows you to be more concise in your
narrative description. Only research studies used to support your
intervention are summarized in this table. Refer to the “Evaluation
Table Template,” available in the textbook appendix. Use the “Evaluation
Table Template” as an adaptable template.

Write a narrative of 750-1,000 words (not including the title page
and references) that presents the research support for the projects
problem and proposed solution. Make sure to do the following:

1. Include a description of the search method (e.g., databases,
   keywords, criteria for inclusion and exclusion, and number of studies
   that fit your criteria).
2. Summarize all of the research studies used as evidence. The
   essential components of each study need to be described so that readers
   can evaluate its scientific merit, including study strengths and
   limitations.
3. Incorporate a description of the validity of the internal and external research.

It is essential to make sure that the research support for the
proposed solution is sufficient, compelling, relevant, and from
peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the
evaluation table you design in Topic 3 with the narrative, the checklist
information and evaluation table should be placed in the appendices for
the final paper.

Prepare this assignment according to the APA guidelines found in the
APA Style Guide, located in the Student Success Center. An abstract is
not required.

This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section C:
Literature Support” for your final submission. This will be a continuous
process throughout the course for each section.

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