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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.
Students will:
Photo Credit: [Blend Images – Jose Luis Pelaez Inc]/[Brand X Pictures]/Getty Images
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
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.
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.
Discussion: Quality Improvement and Patient Safety Initiatives
The vice president of nursing, Dr. Sasha Mendez, has had a lot of complaints from patients and their families about the difficulties they experience navigating the system at her organization; e.g., going from the E.R. to admissions. Dr. Mendez’s nursing specialty area is psych/mental health. As such, she is very concerned about the stress this is causing the patients.
What are the macro systems that are affecting patient satisfaction at Dr. Mendez’s facility? What micro systems should she also analyze to look at how the patient moves through—from entry, to possible admission, to possible discharge? How do these systems relate? What impacts each system?
The concepts presented in Week 8 serve as a foundation for this week as you continue to look at factors within an organization’s environment that are barriers and facilitators for implementing change. In this Discussion, you examine the macro and micro systems within the organization (of your practicum setting) and identify changes that may need to take place to facilitate quality improvement and achievement of patient safety outcomes. NURS 8410 Week 9: Identification of Outcomes.
To prepare:
By Day 3
Post your PowerPoint presentation.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues using the following scenario:
Imagine you are a manager from the business unit or leadership team who is also involved in your organization’s quality management committee. Employing this perspective, critique at least three of your colleagues’ presentations.
When critiquing your colleagues’ presentations be sure to:
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Submission and Grading Information. NURS 8410 Week 9: Identification of Outcomes
Grading Criteria
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
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 project forward.
For this week’s Discussion, you examined the macro and micro systems within your practicum organization and how these systems affect your EBP Project 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?
Prepare for this week’s section of Application 4 as follows:
You will integrate this information (not in PowerPoint) into your Application paper.
By Day 7 of Week 10
Application 4 is due. You do not need to submit anything this week.
Assignment 2: Application 5: Disseminating the EBP Project
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:
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:
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.
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.
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.
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.
To go to the next week:
Week 10
“One of the great mistakes is to judge policies and programs by their intentions rather than their results.”
—Milton Friedman
How do you measure the success of a translation project to determine if new practice approaches actually make a difference? Evaluating the results or outcomes of the translation of evidence into practice is the key. Only by evaluating the outcomes can you ensure the effectiveness and sustainability of your new practice approaches. NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays
During Week 9, you outlined desired outcomes for the issue you have been addressing through your EBP Project. In the Discussion, you suggested changes at the micro and/or macro systems level to improve quality outcomes.
This week, you determine how the success of the new practice approaches can be evaluated. Then, you explore the next steps of translating research evidence into new guidelines for practice, and ultimately, standards of care. You also continue your practicum experience.
Reference: Friedman, M. (Guest). (1975). Living within our means [Television series episode]. In The Open Mind. New York, NY.
Learning Objectives
Students will:
Photo Credit: [stevanovicigor]/[iStock / Getty Images Plus]/Getty Images
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
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments Measurement and evaluation. Public Health Nursing, 12(3), 222–231
Note: You will access this article from the Walden Library databases.
Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7.
Note: You will access this article from the Walden Library databases.
Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300.
Note: You will access this article from the Walden Library databases.
Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338
Note: You will access this article from the Walden Library databases. NURS 8410 Week 9: Identification of Outcomes
Discussion: Evaluation of Outcomes
As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.
As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.
To prepare:
By Day 3
Post a cohesive scholarly response that addresses the following:
Read a selection of your colleagues’ responses. NURS 8410 Week 9: Identification of Outcomes
By Day 6
Respond to two of your colleagues in one or more of the following ways:
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 10 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 10 Discussion
Evaluating EBP Projects
Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.
As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project (Application 2). How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?
To prepare for this week’s section of Application 4:
The full Application 4 is due by Day 7 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 8 and 9.
To complete:
Write a 4- to 8-page paper that addresses the following:
Planning for Change
Implementing EBP Projects
Evaluating EBP Projects
By Day 7
Application 4 is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 10 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. NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays. 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:
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:
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.
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.
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.
Week in Review
This week, you evaluated new practice approach outcomes in a specialty area and developed guidelines for practice based on the evaluation of outcomes. You also recommended new standards of care to address a health issue in a specialty area.
In this final week, you will assess the role of dissemination in scholarship. You will complete your practicum experience and submit your time log and final journal entry.
To go to the next week:
Week 11
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. Yet how does one prepare to disseminate research findings? What is required to engage in this form of scholarship?
This week, you assess the role of dissemination in scholarship. You also complete your practicum experience and submit your time log and final journal entry.
Learning Objectives
Students will:
Photo Credit: [Blend_ImagesCLOSE]/[Blend Images]/Getty Images
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
White, K. M., Dudley-Brown, S. & Terhan, M.F. (2016). Translation of evidence into nursing and health care practice (2nd ed.) New York, NY: Springer NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments. NURS 8410 Week 9: Identification of Outcomes
Boyer, E. L. (1992). Scholarship reconsidered: Priorities of the professoriate. Issues in Accounting Education, 7(1), 87-91.
Note: You will access this article from the Walden Library databases.
Carina, K., Chan, Y., Oldenburg, B., & Kasisomayajula, V. (2015). Advancing the science of dissemination and implementation in behavioral medicine: Evidence and progress. International Journal of Behavioral Medicine, 22, 277-282 doi 10.1007/s12529-015-9490-2
Note: You will access this article from the Walden Library databases.
Lane, J.P. & Stone, V.J. (2015). Comparing three knowledge communication strategies – diffusion, dissemination and translation – through randomized controlled studies. Assistive Technology doi:10.3233/978-1-61499-566-1-92
Note: You will access this article from the Walden Library databases.
Leeman, J., Myers, A.E.,Ribisl, K.M.,& Ammerman, A.S. (2015). Disseminating policy and environmental change interventions: Insights from obesity prevention and tobacco control. International Journal of Behavioral Medicine, 22:301–311 doi 10.1007/s12529-014-9427-1
Note: You will access this article from the Walden Library databases.
Rieger, K. & Schultz, A.S. (2014). Exploring arts-based knowledge translation: Sharing research findings through performing the patterns, rehearsing the results, staging the synthesis. Worldviews on Evidence-Based Nursing, 11(2), 133–139.
Note: You will access this article from the Walden Library databases.
Tricco, a.C., Ashoor, H.M., Cardoso, R., MacDonald, H., Cogo, E., Kastner, M., Perrier, L., McKibbon, A., Grimshaw, J.M. & Straus, S.E. (2016). Sustainability of knowledge translation interventions in healthcare decision making: a scoping review. Implementation Science, 11(55) doi 10.1186/s13012-016-0421-7
Note: You will access this article from the Walden Library databases. NURS 8410 Week 9: Identification of Outcomes
Discussion: Defining Scholarship
A hallmark of your education at Walden University is your development as a scholar-practitioner. As a doctoral student, you have been actively engaged in scholarly activities that support your growth as a scholar-practitioner. As you continue to develop, implement, and evaluate your EBP project, you will be applying scholarship as you translate research into practice. A key element of scholarship is dissemination.
As you prepare for this Discussion, consider the role of evaluation and dissemination in scholarship. If research is not disseminated, can it be considered scholarship?
To prepare:
By Day 3
Post a cohesive scholarly response that addresses the following:
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in your small group in one or more of the following ways:
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 11 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Disseminating EBP Projects
Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.
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.
To prepare for this week’s section of Application 5:
The full Application 5 is due by Day 7 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 9 and 10.
To complete:
Assignment 5: Disseminating the EBP Project
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. NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays. 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:
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.
Explain the results of your DNP Project and recommendations for change that you made to the organization.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Grading Criteria
To access your rubric:
Week 11 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 11 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
By Day 7
You will submit a journal entry (along with your time log) for Weeks 8-11. Journal entries need to connect your previous professional experience with your practice, competencies/concepts in the program, and the literature. Your journal entry should be week-based and sequential so that all journal entries are contained in one file.
Submission and Grading Information
To submit your completed Practicum for review and grading, do the following:
To access your rubric:
Week 11 Practicum Rubric
Check Your Practicum Draft for Authenticity
To check your Practicum draft for authenticity:
Submit your Week 11 Practicum draft and review the originality report.
Submit Your Practicum by Day 7
To submit your Practicum:
In this final week you analyzed the role of the DNP-prepared nurse in scholarship and assessed the practicum experience.
Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7.