NURS 8410 Week 9 Application 4: Planning for Change, Implementing and Evaluating EBP Assignments

Application 4: Planning for Change, Implementing and Evaluating EBP Assignments

Implementing EBP Projects

It is essential to consider those systems that inhibit and facilitate change within the health care organization. Recognizing how one system influences another is a necessary step in moving an EBP assignment forward.

For this week’s Discussion, you examined the macro and micro systems within your practicum organization and how these systems affect your EBP Assignment issue. For this section of Application 4, reflect on your colleagues’ feedback regarding your Microsoft PowerPoint presentation. What new insights did you gain? How might you modify your strategies for resolving the issue?

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Prepare for NURS 8410 Week 9 Application 4: Planning for Change, Implementing and Evaluating EBP Assignments:

Continue (from this week’s Discussion) to refine your desired outcomes and strategies for resolving the issue.
Also continue (from this week’s Discussion) to evaluate how resolving the issue will improve quality and patient safety.

You will integrate this information (not in PowerPoint) into your Application paper.

By Day 7 of Week 10 OF Application 4: Planning for Change, Implementing and Evaluating EBP Assignments

Application 4 is due. You do not need to submit anything this week.

NURS 8410 Week 9 Assignment 2: Application 5: Disseminating the EBP Assignment

One of the chief purposes of translating evidence into practice is to advance the field of nursing. Dissemination is a critical step in this process. It is important to disseminate and share the information gained from a translation-of-evidence project to enhance the body of knowledge within the profession, thus furthering the science of nursing. To prepare for this week’s section of Application 5:

Continue (from this week’s Discussion) to:
- Analyze the role of the DNP-prepared nurse in scholarship

The full Application 5 is due by Day 6 of week 11.

For this assignment you will prepare a scholarly product that reports the results and implications of your project to designed audience. The scholarly product for dissemination reports the results and implications of your project to a specified audience. Your scholarly product may be in the form of a project summary and evaluation report, poster presentation, program evaluation report, or a media or technology-based deliverable, Your scholarly product must include the following:

Background, Purpose, and Nature of the Project (2 points)
Describe the larger problem or issue you explored in your DNP Project. Identify your practice-focused question. Explain how this problem or issue affects nursing practice and the overall health care system, and describe how your DNP Project explored possible strategies for addressing the problem or issue.
Evidence (2 points)

Identify the practice setting and context in which you conducted your project, a summary of the evidence supporting the project, and the process for implementation and evaluation.

Presentation of Results (2 points)

Explain the results of your DNP Project and recommendations for change that you made to the organization.

Note: Up to 2 points may be deducted for grammar, spelling, and/or APA errors.

This Application is due by Day 6 of Week 11.

NURS 8410 Week 9 Practicum

Continue to keep a time log and journal of your practicum experiences. See the Practicum Guidelines located in the Practicum area of the Course Overview page for a complete description of the practicum.

By Day 7 of Week 11

Reminder: You will submit your time log and a journal entry in Week 11.

NURS 8410 Week 9 Week in Review

This week, you applied systems theory to the evaluation of quality improvement and safety initiatives.

Next week, you will determine how the success of the new practice approaches can be evaluated and explore the next steps of translating research evidence into new guidelines for practice and, ultimately, standards of care. NURS 8410 Week 9 Application 4: Planning for Change, Implementing and Evaluating EBP Assignments

NURS 8410 Week 9: Identification of Outcomes

“In a large, complex organization…the primary consequences of our actions may well be in the distant future or in a distant, but interrelated, part of a larger system in which we operate. For this reason, we are often puzzled by the underlying causes of current problems within our organizations. We are unable to look at underlying structures or patterns of behavior that may have resulted in less than stellar outcomes” (Zaccagnini & White, 2011, p. 45).

How can the perspective described above be shifted to provide a fuller view of the dynamics in today’s health care organizations? And, in doing so, how could this promote the achievement of positive outcomes related to quality and safety?

In previous courses you have examined systems theory, as well as the interrelationships of various areas within an organization. This week, you revisit these concepts as you assess an issue within an organization—analyzing the system at the macro- and the micro-level. You also identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality. In addition, you develop outcomes related to quality and safety.

This week you continue to engage in your practicum experience and on Application 4.

Reference: Zaccagnini, M. E., & White, K. W. (2011). The doctor of nursing ractice essentials: A new model for advanced practice nursing. Sudbury, MA: Jones and Bartlett.

Learning Objectives

Students will:

Apply systems theory to the evaluation of quality improvement and patient safety initiatives

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings for Application 4: Planning for Change, Implementing and Evaluating EBP Assignments

Brooks, P., Spillane, J.J., Dick, K., & Stuart-Shor, E. (2014). Developing a strategy to identify and treat older patients with postoperative delirium. AORN Journal, 99(2), 256-276.

Note: You will access this article from the Walden Library databases.

Jarden, R.J. & Sutton, L.J. (2014). A practice change initiative to improve the provision of enteral nutrition to intensive care patients. British Association of Critical Care Nurses, 20(5), 242-254.

Note: You will access this article from the Walden Library databases.

McCluskey, A. & Middleton, S. (2010). Delivering an evidence-based outdoor journey intervention to people with stroke: Barriers and enablers experienced by community rehabilitation teams. BMC Health Services Research, 10(18). doi: 10.1186/1472-6962-10-18. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-18

Murfet, G.O., Allen, P., & Hingston, T.J. (2014). Maternal and neonatal health outcomes following the implementation of an innovative model of nursepractitioner-led care for diabetes in pregnancy. Journal of Advanced Nursing, 70(5), 1150-1163.

Note: You will access this article from the Walden Library databases.

NURS 8410 Week 9 Application 4: Planning for Change, Implementing and Evaluating EBP Assignments