Discussion: NRSE 6052 Essent of Evidence

Discussion: NRSE 6052 Essent of Evidence

Discussion: NRSE 6052 Essent of Evidence

Question

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Discussion

Where in
the World Is Evidence-Based Practice?

March 21,
2010, was not EBP’s date of birth, but it may be the date the approach “grew
up” and left home to take on the world.

When the Affordable
Care Act was passed, it came with a requirement of empirical evidence. Research
on EBP increased significantly. Application of EBP spread to allied health
professions, education, healthcare technology, and more. Health organizations
began to adopt and promote EBP.

In this
Discussion, you will consider this adoption. You will examine healthcare
organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the
Resources and reflect on the definition and goal of EBP.

Choose a
professional healthcare organization’s website (e.g., a reimbursing body, an
accredited body, or a national initiative).

Explore the
website to determine where and to what extent EBP is evident.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 4 Discussion

Searching
Databases

When you
decide to purchase a new car, you first decide what is important to you. If
mileage and dependability are the important factors, you will search for data
focused more on these factors and less on color options and sound systems.

The same
holds true when searching for research evidence to guide your clinical inquiry
and professional decisions. Developing a formula for an answerable,
researchable question that addresses your need will make the search process
much more effective. One such formula is the PICO(T) format.

In this
Discussion, you will transform a clinical inquiry into a searchable question in
PICO(T) format, so you can search the electronic databases more effectively and
efficiently. You will share this PICO(T) question and examine strategies you
might use to increase the rigor and effectiveness of a database search on your
PICO(T) question.

To Prepare:

Review the
materials offering guidance on using databases, performing keyword searches,
and developing PICO(T) questions provided in the Resources.

Review the
Resources for guidance and develop a PICO(T) question of interest to you for
further study.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

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Week 8 Discussion

Patient
Preferences and Decision Making

Changes in
culture and technology have resulted in patient populations that are often well
informed and educated, even before consulting or considering a healthcare need
delivered by a health professional. Fueled by this, health professionals are
increasingly involving patients in treatment decisions. However, this often
comes with challenges, as illnesses and treatments can become complex.

What has
your experience been with patient involvement in treatment or healthcare
decisions?

In this
Discussion, you will share your experiences and consider the impact of patient
involvement (or lack of involvement). You will also consider the use of a
patient decision aid to inform best practices for patient care and healthcare
decision making.

To Prepare:

Review the
Resources and reflect on a time when you experienced a patient being brought
into (or not being brought into) a decision regarding their treatment plan.

Review the
Ottawa Hospital Research Institute’s Decision Aids Inventory at
https://decisionaid.ohri.ca/.

Choose “For
Specific Conditions,” then Browse an alphabetical listing of decision aids by
health topic.

NOTE: To
ensure compliance with HIPAA rules, please DO NOT use the patient’s real name
or any information that might identify the patient or organization/practice.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 10 Discussion

Developing
a Culture of Evidence-Based Practice

As your EBP
skills grow, you may be called upon to share your expertise with others. While
EBP practice is often conducted with unique outcomes in mind, EBP practitioners
who share their results can both add to the general body of knowledge and serve
as an advocate for the application of EBP.

In this
Discussion, you will explore strategies for disseminating EBP within your organization,
community, or industry.

To Prepare:

Review the
Resources and reflect on the various strategies presented throughout the course
that may be helpful in disseminating effective and widely cited EBP.

This may
include: unit-level or organizational-level presentations, poster
presentations, and podium presentations at organizational, local, regional,
state, and national levels, as well as publication in peer-reviewed journals.

Reflect on
which type of dissemination strategy you might use to communicate EBP.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Assignment

Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 2 & 3 Assignment

Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 5 Assignment

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 7 Assignment

Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 9 Assignment

Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the evaluation table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 11 Assignment

Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.