NURS 8410 Week 4: New Practice Approaches – Part I

NURS 8410 Week 4: New Practice Approaches – Part I

NURS 8410 Week 4: New Practice Approaches – Part I

As underscored in Week 3, science provides a foundation for nursing practice and practice guidelines—yet, it can be surprising to realize that the latest research evidence is often not applied in practice, or that practice guidelines may not be updated based on new evidence.

The aim of evidence-based practice is to ensure that the most current science is used to promote the highest quality of health care. This is accomplished through the analysis, synthesis, and application of research, theory, and knowledge to nursing practice.

This week, you explore the interrelationships between theory, knowledge, research, and nursing practice and how this influences evidence-based practice. You also continue your EBP Project, as you initiate work on Application 2.

Learning Objectives for NURS 8410 Week 4: New Practice Approaches – Part I

Students will:

• Analyze the interrelationships between theory, knowledge and research, and evidence-based practice
• Evaluate evidence-based approaches based on theories from non-nursing disciplines
• Evaluate research designs for addressing a specific issue in a specialty area
• Defend the selection of a research design

Photo Credit: [Squaredpixels]/[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

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

With your EBP project in mind, select and read the chapter that best fits your proposed methodologies:

• Chapter 6, “Designing a Clinically-Based Quantitative Capstone Research Project”
• Chapter 7, “Designing a Clinically-Based Qualitative Capstone Research Project”
• Chapter 8, “Designing a Clinically-Based Mixed Method Capstone Research Project”

Fawcett, J., & Garity, J. (2009). Chapter 1: Research and evidence-based nursing practice. In Evaluating Research for Evidence-Based Nursing, (pp. 3-20). Philadelphia, PA: F. A. Davis.

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

Adams, J.M., & Natarajan, S. (2016). Understanding influence within the context of nursing: Development of the Adams influence model using practice, research, and theory. Advances in Nursing Science, 39(3), E40-E56.

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

Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.

Note: You will access this article from the Walden Library databases. NURS 8410 Week 4: New Practice Approaches – Part I

Hutchinson, A.M., Bioeth, M., Wilkinson, J.E., Kent, B., & Harrison, M.B. (2012). Using the promoting action on research implementation in health services framework to guide research use in the practice setting. Worldviews on Evidence-Based Nursing, First Quarter, 59-61.

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

Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing 70(10), 2181–2195. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.

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

Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today, 39, 189-196.

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

Discussion: The Interrelationship Between Theory, Knowledge, and Research and Evidence-Based Practice

Fawcett and Garity (2009) present an overview of the relationship between theory, knowledge, research, nursing research, and evidence-based practice. As you prepare for this Discussion, reflect on your own specialty area and consider how the authors’ definitions of evidence-based practiceand of research align with your understanding of these concepts based on your professional experiences and your experiences as a doctoral student embarking on your EBP Project. NURS 8410 Week 4: New Practice Approaches – Part I

To prepare for NURS 8410 Week 4: New Practice Approaches – Part I:

• Reflect on Fawcett and Garity’s definitions of knowledge, theory, researchand evidence-based practice presented in the Learning Resources. How do these definitions align with your understanding of the concepts?
• How does this interrelationship support or guide your EBP Project?

By Day 3

Post a cohesive scholarly response that addresses the following:

• How do Fawcett and Garity’s definitions align with your understanding of knowledge, theory, research and evidence-based practice? Support your response with evidence from the literature.
• Discuss the interrelationship between theory, knowledge, research and evidence-based practice.
• How does this interrelationship support or guide your EBP Project?

Read a selection of your colleagues’ responses.

By Day 6

Respond to two of your colleagues in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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. NURS 8410 Week 4: New Practice Approaches – Part I

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Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion Assignment: Application 2: Laying the Foundation for New Approaches to Practice

This week you have been exploring the interrelationship between theory, knowledge, and research and evidence-based practice. As you begin Application 2, which builds on the work completed for Application 1, consider how evidence-based approaches based on theories from disciplines other than nursing could be used to guide your EBP Project.

To prepare:

• Using the Walden Library and other scholarly resources, locate evidence-based practice approaches based on theories from disciplines other than nursing.
• Evaluate various approaches and determine if one could be used to support your EBP Project.

You will incorporate this information into Application 2 as you continue to develop it next week.

By Day 7 of Week 5

Application 2 is due.

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 7

Reminder: You will submit your time log and a journal entry in Week 7.

Week in Review

This week, you evaluated evidence-based approaches on theories from non-nursing disciplines and research designs that address specific issues in a specialty area.

Next week, you will examine evidence-based practice models and frameworks that assist with the adoption of new practice approaches. NURS 8410 Week 4: New Practice Approaches – Part I

To go to the next week:

Week 5

NURS 8410 Week 6: The Application of New Practice Approaches, Part I

The first several weeks of this course have presented the foundational information necessary for you and your colleagues to develop new practice strategies. Think of the EBP Project issue that you have been addressing in this course. How could you synthesize the evidence you reviewed for Application 2 and what you have learned in this course to create a new approach?

This week you formulate evidence-based practice strategies designed to promote health care quality, and develop a plan for evaluating these strategies as well. As you begin Application 3, you consider the financial and economic impact of implementing these new strategies. As you continue your practicum experience, you are asked to reflect on your leadership skills and your ability to integrate business, finance, and health policy principles in the development of initiatives that will improve the quality of care delivered.

Learning Objectives

Students will:

• Integrate theoretical foundations in the development of evidence-based practice strategies
• Evaluate the potential economic impact of new practice strategies that address a selected specialty issue
• Appraise personal growth in leadership skills

Photo Credit: Hero Images / Hero 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., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

• Chapter 6, “Translation of Evidence for Leadership”

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

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

Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.

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

Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.

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

Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.

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

Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.

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

Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.

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

Discussion: Developing and Evaluating New Practice Approaches

One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Project issue you identified in Week 2. NURS 8410 Week 4: New Practice Approaches – Part I

To prepare:

• Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Project (identified during Week 2).
• Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.
• What are the theoretical bases for your proposed strategies?
• What might be the economic impact of implementing your proposed strategies?

By Day 3

Post a cohesive response that addresses the following:

• Briefly summarize your selected issue and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.
• Discuss the potential economic impact of your suggested strategies.
• How could the new practice strategies improve health care quality?

Read a selection of your colleagues’ postings.

By Day 6

Respond to two of your colleagues in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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 6 Discussion Rubric

 

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion Assignment: Application 3: Becoming a Leader in the Translation of Evidence to Practice

This week you begin working on Application 3. As a nurse engaged in advanced practice, you have the exciting opportunity to be a leader in translating evidence into practice.

For this first section of Application 3, consider the economic and financial implications of addressing your EBP Project issue. In addition, reflect on your leadership skills. As a DNP-prepared nurse, you are expected to employ the principles of business, finance, and health policy in the development of initiatives that will improve the quality of care delivered.

Prepare for this week’s section of Application 3 as follows:

• Continue (from this week’s Discussion) to evaluate the new strategies you developed to address your selected issue and the potential economic impact.
• Review Chapter 6 in the course text, Translation of Evidence Into Nursing and Health Care Practice, and ask yourself the following: How are these activities enhancing my leadership skills? How does translating evidence enable me, as a leader, to affect or strengthen health care delivery and my nursing practice?

You will build on this Application next week as you look at advancing new approaches to practice through the policy process. NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays

By Day 7 of Week 7

Application 3 is due. You do not need to submit anything this week.

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 7

Reminder: You will submit your time log and a journal entry in Week 7.

Week in Review

This week, you evaluated economic impacts of new practice strategies and integrated theoretical foundations in developing evidence-based practice strategies. You also appraised your personal growth in leadership skills.

Next week, you will explore how to utilize the concepts presented in earlier weeks to advocate for health care policy to improve health-related outcomes.

To go to the next week:

Week 7