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Initiate the Steps of Evidence Based pracctice 201530/NSG 5111 Evidence and Practice2015/012915 Readings/Links/Assignments • . Getting Started • Identify barriers to evidence-based practice (EBP). • Discuss opportunities to deliver EBP Review of Syllabus/Course Objectives, Assignments, & Grading Readings: 1. Melnyk & Fineout-Overholt Unit 1, Chapter 1-3. 2. Melnyk, B.M., Fineout-Overholt, E., Feinstein, N.F., Li, H., Small, L., Wilcox, L., & Kraus, R. (2004). Nurses’ perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing, 1(3), 185-193. doi: 10.1111/j.1524-475X.2004.04024.x 3. Burke, R., & Levin, R. (2010). Describing the problem for an evidence-based practice improvement project: A missing ingredient. Research & Theory for Nursing Practice, 24(3), 155-158. doi:10.1891/1541-6577.24.3.155 Links: http://nova.campusguides.com/content.php?pid=107603&sid=1133100 http://www.ons.org/Research/EBPRA http://guides.library.vcu.edu/nursing-ebp Please access the various websites identified in chapter 1of assigned text in learning more about EBP. Discussion Question (DQ): (3 Possible Points) Using the guidelines from the online tutorial and the templates on page 31 of your text, present a patient centered research question in the PICOT format that you are considering for assignment two. Discuss why you feel your problem is important to nursing practice. Identify at least two barriers that you might encounter in exploring this problem. Week 1 ONLY Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due Friday at 11:59 pm Due to the shortened week you need to respond to only 2 of your cohorts. Support your statement with at least two peer-reviewed articles. Textbook(s) and assigned readings are not to be used as peer-reviewed publications or articles for discussion postings. All articles are available through the NSU library Assignment 1: EBP On-line Tutorial from the Penn State University Library (7 Total Possible Points) http://www.libraries.psu.edu/psul/tutorials/ebpt.html Assignment 1 due Friday by 11:59pm EST. Submit the EBP Tutorial Completion certificate to the assignment drop box. Certificate must have your typed name and date. Certificates without typed name and dates will not be graded. A grade of “zero” will be given. Refer to the assignment rubric Week 2 (Saturday-Friday) • Critically Appraise Evidence • Identify methods to rate evidence. Use knowledge sources to evaluate evidence. Review of Syllabus/Course Objectives, Assignments, & Grading Readings: 1. Melnyk & Fineout-Overholt; Unit 1 , Chapters 4-6 2. Fineout-Overholt, E., O’Mathúna, D., & Kent, B. (2008). How systematic reviews can foster evidence-based clinical decisions. Worldviews on Evidence-Based Nursing, 5(1), 45-48. Discussion Question (DQ): (3 Possible Points In order to make a practice change, there needs to be enough strong evidence. The level of evidence, along with the quality of evidence equals its strength. The rating system (box 1.3) on page 12 of the Melnyk & Fineout-Overholt text assigns a level according to the types of evidence obtained. Using the problem you identified in week 1, present a summary of two peer-reviewed research articles using two different levels of evidence. Discuss how you would critically evaluate this evidence according to its validity, reliability, and applicability in practice. Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due Friday at 11:59 pm. Support your statement with at least two different peer-reviewed articles per different response(s). DQ part B: Practice writing your PICOT question for assignment 2 using the templates on pg. 31 of the Melnyk & Fineout-Overholt text. Submit to the designated discussion forum to get feedback from your colleagues. See examples, question guide, and Collaborate tutorial in Week 2. Week 3 (Saturday-Friday) • Moving from Evidence to Action • Identify EBP databases. • Compare and contrast nursing practice guidelines. Review of Syllabus/Course Objectives, Assignments, & Grading Readings: Melnyk & Fineout-Overholt; Unit 3, Chapter 8 Discussion Question (DQ): (3 Possible Points Clinical practice guidelines include recommendations, information, or strategies that assist practitioners and patients to make healthcare decisions. Choose a nursing practice guideline in your workplace and discuss whether it aligns with an established guideline published by a reliable source. Discuss how data is gathered related to this guideline within your workplace. Examples are on p. 189 & p. 191 in text. Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due by Friday at 11:59 pm. Support your statement with at least two peer-reviewed articles per response. The course textbooks or assigned readings are not to be used for peer reviewed publications/citations. Assignment 2: Scholarly paper, Due by Friday, 7/17 by 11:59 pm. Submit the paper to the assignment drop box and NSU Blackboard Turnitin. You will have an opportunity to submit NSU Blackboard Turnitin at least twice for grammar and originality checks before the assignment due date. All assignments must have a 15% or least originality percentage. Week 4 (Saturday-Friday) • Creating and Sustaining a Culture for EBP • Discuss various models or conceptual frameworks to guide nursing practice. Describe strategies to facilitate successful conduct of a specific practice-based research project Review of Syllabus/Course Objectives, Assignments, & Grading Readings: 1. Melnyk & Fineout-Overholt; Unit 4, Chapter 11 2. Doody, C.M., & Doody, O. (2011). Introducing evidence into nursing practice: Using the IOWA model. British Journal of Nursing, 20(11), 661-664. 3. Mock, V., St. Ours, C., Hall, S., Bositis, A., Tillery, M., Belcher, A., Krumm, S. …. McCorkle, R. (2007). Using a conceptual model in nursing research – mitigating fatigue in cancer patients. Journal of Advanced Nursing, 58(5), 503–512. doi: 10.1111/j.1365-2648.2007.04293. Discussion Question (DQ): (3 Possible Points) Choose one nursing model or conceptual framework, that you believe would guide change in your practice. Examples include King’s Conceptual System, Roy’s Adaptation Model, Newman’s Systems Model, and Leininger’s Cultural Care Theory. Explore one peer reviewed research article using the selected model to guide practice and present a summary. Discuss why you feel this model is the best fit for your practice. Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due by Friday at 11:59 pm. Support your statement with at least two peer-reviewed articles per response. The course textbooks or assigned readings cannot be used for peer review or citation support. Assignment 3: Evaluate the Evidence: Due by Friday, 7/24 by 11:59 pm. Submit to the assignment drop box. A maximum of 2 files will be accepted. Week 5 (Saturday-Friday) • Creating and Sustaining a Culture for EBP • Identify organizational change models. Relate organizational change to EBP Review of Syllabus/Course Objectives, Assignments, & Grading Readings: 1. Melnyk & Fineout-Overholt Unit 4, Chapter 12 2. Block, J., Lilienthal, M., Cullen, L., & White, A. (2012). Evidence-based thermoregulation for adult trauma patients. Critical Care Nursing Quarterly, 35(1), 50-63. Discussion Question (DQ): (3 Possible Points) Change at the organization, individual, and team levels must occur if EBP is to become the norm in healthcare delivery. Explore current research demonstrating the use of a change theory to guide a change in practice. Identify a practice change you would like to initiate and how you would implement this change in your workplace using this change model and a team approach. Describe barrier you might encounter and how you will overcome them. Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) with sequential posting (i.e. three different peer responses & three different dates by Friday at 11:59 pm Support your statement with at least two peer-reviewed articles. Week 6 (Saturday-Friday) • Dissemination of EBP • Generating External Evidence • Report on strategies to disseminate EBP. • Apply a qualitative framework in the development of practice-based evidence. Disseminate evidence from an identified clinical practice based problem/topic Review of Syllabus/Course Objectives, Assignments, & Grading Readings: All readings are for weeks 6 & 7. Continue to work on the final assignment. 1. Melnyk & Fineout-Overholt; Unit 5, Chapter 16 2. Melnyk & Fineout-Overholt; Unit 6, Chapters 17 & 18 3. Ploeg, J., Skelly, J., Rowan, M., Edwards, N., Davies, B., Grinspun, D., & … Downey, A. (2010). The role of nursing best practice champions in diffusing practice guidelines: A mixed methods study. Worldviews On Evidence-Based Nursing, 7(4), 238-251. doi:10.1111/j.1741-6787.2010.00202.x 4. Leeman, J., & Sandelowski, M. (2012). Practice-based evidence and qualitative inquiry. Journal of Nursing Scholarship, 44(2), 171-179. Discussion Question (DQ): (0 Possible Points) No discussion this week. Please read the required readings in preparation for answering the two discussion questions for Week 7. Assignment 4: Disseminating the Evidence Due by Friday, 7/31 by 11:59 pm. Week 7 (Saturday-Friday) • Dissemination of EBP • Generating External Evidence • Report on strategies to disseminate EBP. • Apply a quantitative framework in the development of practice-based evidence. Disseminate evidence from an identified clinical practice based problem/topic Review of Syllabus/Course Objectives, Assignments, & Grading Readings: See Week 6 Discussion Question (DQ): (3 Possible Points) Leeman & Sandelowski (2012) propose a framework for using qualitative methods to contribute to practice-based evidence. Using the framework, choose one of the categories of evidence and propose a research/practice question from your work environment that you believe would be amenable to qualitative inquiry. Discuss why you chose the qualitative versus quantitative approach. Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) with sequential posting (i.e. three different peer responses & three different dates by Friday at 11:59 pm Support your statement with at least two peer-reviewed articles. Week 8 (Saturday-Friday) • Course summary Review of Syllabus/Course Objectives, Assignments, & Grading Essential II: Organizational and Systems Leadership Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasizes ethical and critical decision making, effective working relationships, and a systems-perspective. Essential IV: Translating and Integrating Scholarship into Practice Recognizes that the master’s prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results. Discussion Question (DQ): (0 Possible Points) Using the information for week 8 in the reading assignment section, discuss how you will take more of a leadership role within your organization to demonstrate that you have embraced these two AACN Essentials. What challenges will you face in meeting your goals? 201530/NSG 5111 Evidence and Practice2015/012915 NSU College of Nursing Assignments and Activities Schedule

Initiate the Steps of Evidence Based pracctice

201530/NSG 5111 Evidence and Practice2015/012915

Readings/Links/Assignments

•    . Getting Started

•    Identify barriers to evidence-based practice (EBP).

•    Discuss opportunities to deliver EBP

Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:
1. Melnyk & Fineout-Overholt Unit 1, Chapter 1-3.
2. Melnyk, B.M., Fineout-Overholt, E., Feinstein, N.F., Li, H., Small, L., Wilcox, L., & Kraus, R. (2004). Nurses’ perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing, 1(3), 185-193. doi: 10.1111/j.1524-475X.2004.04024.x
3. Burke, R., & Levin, R. (2010). Describing the problem for an evidence-based practice improvement project: A missing ingredient. Research & Theory for Nursing Practice, 24(3), 155-158. doi:10.1891/1541-6577.24.3.155

Links:

http://nova.campusguides.com/content.php?pid=107603&sid=1133100
http://www.ons.org/Research/EBPRA
http://guides.library.vcu.edu/nursing-ebp

Please access the various websites identified in chapter 1of assigned text in
learning more about EBP.

Discussion Question (DQ): (3 Possible Points)
Using the guidelines from the online tutorial and the templates on page 31 of your text, present a patient centered research question in the PICOT format that you are considering for assignment two.

Discuss why you feel your problem is important to nursing practice. Identify at least two barriers that you might encounter in exploring this problem.

Week 1 ONLY
Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due Friday at 11:59 pm Due to the shortened week you need to respond to only 2 of your cohorts. Support your statement with at least two peer-reviewed articles. Textbook(s) and assigned readings are not to be used as peer-reviewed publications or articles for discussion postings.

All articles are available through the NSU library

Assignment 1: EBP On-line Tutorial from the Penn State University Library (7 Total Possible Points)

http://www.libraries.psu.edu/psul/tutorials/ebpt.html

Assignment 1 due Friday by 11:59pm EST. Submit the EBP Tutorial Completion certificate to the assignment drop box. Certificate must have your typed name and date. Certificates without typed name and dates will not be graded. A grade of “zero” will be given.

Refer to the assignment rubric
Week 2
(Saturday-Friday)

•    Critically Appraise
Evidence

•    Identify methods to rate evidence.

Use knowledge sources to evaluate evidence.    Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:
1. Melnyk & Fineout-Overholt;  Unit 1 , Chapters 4-6

2. Fineout-Overholt, E., O’Mathúna, D., & Kent, B. (2008). How systematic reviews can foster evidence-based clinical decisions. Worldviews on Evidence-Based Nursing, 5(1), 45-48.

Discussion Question (DQ): (3 Possible Points

In order to make a practice change, there needs to be enough strong evidence. The level of evidence, along with the quality of evidence equals its strength. The rating system (box 1.3) on page 12 of the Melnyk & Fineout-Overholt text assigns a level according to the types of evidence obtained. Using the problem you identified in week 1, present a summary of two peer-reviewed research articles using two different levels of evidence. Discuss how you would critically evaluate this evidence according to its validity, reliability, and applicability in practice.

Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due Friday at 11:59 pm. Support your statement with at least two different peer-reviewed articles per different response(s).

DQ part B: Practice writing your PICOT question for assignment 2 using the templates on pg. 31 of the Melnyk & Fineout-Overholt text.

Submit to the designated discussion forum to get feedback from your colleagues. See examples, question guide, and Collaborate tutorial in Week 2.

Week 3

(Saturday-Friday)

•    Moving from Evidence to Action

•    Identify EBP databases.

•    Compare and contrast nursing practice guidelines.
Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:

Melnyk & Fineout-Overholt; Unit 3, Chapter 8

Discussion Question (DQ): (3 Possible Points

Clinical practice guidelines include recommendations, information, or strategies that assist practitioners and patients to make healthcare decisions. Choose a nursing practice guideline in your workplace and discuss whether it aligns with an established guideline published by a reliable source.  Discuss how data is gathered related to this guideline within your workplace. Examples are on p. 189 & p. 191 in text.

Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due by Friday at 11:59 pm. Support your statement with at least two peer-reviewed articles per response. The course textbooks or assigned readings are not to be used for peer reviewed publications/citations.

Assignment 2: Scholarly paper, Due by Friday, 7/17 by 11:59 pm. Submit the paper to the assignment drop box and NSU Blackboard Turnitin.  You will have an opportunity to submit NSU Blackboard Turnitin at least twice for grammar and originality checks before the assignment due date. All assignments must have a 15% or least originality percentage.
Week 4
(Saturday-Friday)

•    Creating and Sustaining a Culture for EBP

•    Discuss various models or conceptual frameworks to guide nursing practice.

Describe strategies to facilitate successful conduct of a specific practice-based research project
Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:
1. Melnyk & Fineout-Overholt; Unit 4, Chapter 11

2. Doody, C.M., & Doody, O. (2011). Introducing evidence into nursing practice: Using the IOWA model. British Journal of Nursing, 20(11), 661-664.

3. Mock, V., St. Ours, C., Hall, S., Bositis, A., Tillery, M., Belcher, A., Krumm, S. …. McCorkle, R. (2007). Using a conceptual model in nursing research – mitigating fatigue in cancer patients. Journal of Advanced Nursing, 58(5), 503–512. doi: 10.1111/j.1365-2648.2007.04293.

Discussion Question (DQ): (3 Possible Points)

Choose one nursing model or conceptual framework, that you believe would guide change in your practice. Examples include King’s Conceptual System,
Roy’s Adaptation Model, Newman’s Systems Model, and Leininger’s Cultural Care Theory. Explore one peer reviewed research article using the selected model to guide practice and present a summary. Discuss why you feel this model is the best fit for your practice.

Initial posting Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) Due by Friday at 11:59 pm. Support your statement with at least two peer-reviewed articles per response. The course textbooks or assigned readings cannot be used for peer review or citation support.

Assignment 3: Evaluate the Evidence:  Due by Friday, 7/24 by 11:59 pm. Submit to the assignment drop box.  A maximum of 2 files will be accepted.

Week 5
(Saturday-Friday)

•    Creating and Sustaining a Culture for EBP

•    Identify organizational change models.
Relate organizational change to EBP    Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:
1. Melnyk & Fineout-Overholt Unit 4, Chapter 12

2. Block, J., Lilienthal, M., Cullen, L., & White, A. (2012). Evidence-based thermoregulation for adult trauma patients. Critical Care Nursing Quarterly, 35(1), 50-63.

Discussion Question (DQ): (3 Possible Points)

Change at the organization, individual, and team levels
must occur if EBP is to become the norm in healthcare
delivery.  Explore current research demonstrating the use of a change theory to guide a change in practice. Identify a practice change you would like to initiate and how you would implement  this change in your workplace using this change model and a team approach.

Describe barrier you might encounter and how you will overcome them.

Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) with sequential posting (i.e. three different peer responses & three different dates by Friday at 11:59 pm Support your statement with at least two peer-reviewed articles.
Week 6
(Saturday-Friday)

•    Dissemination of EBP
•    Generating External Evidence
•    Report on strategies to disseminate EBP.
•    Apply a qualitative framework in the development of practice-based evidence.
Disseminate evidence from an identified clinical practice based problem/topic
Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:  All readings are for weeks 6 & 7. Continue to work on the final assignment.
1. Melnyk & Fineout-Overholt; Unit 5, Chapter 16
2. Melnyk & Fineout-Overholt; Unit 6, Chapters 17 & 18

3. Ploeg, J., Skelly, J., Rowan, M., Edwards, N., Davies, B., Grinspun, D., & … Downey, A. (2010). The role of nursing best practice champions in diffusing practice guidelines: A mixed methods study. Worldviews On Evidence-Based Nursing, 7(4), 238-251. doi:10.1111/j.1741-6787.2010.00202.x

4. Leeman, J., & Sandelowski, M. (2012). Practice-based evidence and qualitative inquiry. Journal of Nursing Scholarship, 44(2), 171-179.

Discussion Question (DQ): (0 Possible Points)
No discussion this week. Please read the required readings in preparation for answering the two discussion questions for Week 7.
Assignment 4: Disseminating the Evidence Due by Friday, 7/31 by 11:59 pm.
Week 7
(Saturday-Friday)

•    Dissemination of EBP
•    Generating External Evidence
•    Report on strategies to disseminate EBP.
•    Apply a quantitative framework in the development of practice-based evidence.
Disseminate evidence from an identified clinical practice based problem/topic    Review of Syllabus/Course Objectives, Assignments, & Grading

Readings:  See Week 6

Discussion Question (DQ): (3 Possible Points)

Leeman & Sandelowski (2012) propose a framework for using qualitative methods to contribute to practice-based evidence. Using the framework, choose one of the categories of evidence and propose a research/practice question from your work environment that you believe would be amenable to qualitative inquiry.
Discuss why you chose the qualitative versus quantitative approach.

Initial posting for this week Due by Monday at 11:59 pm and subsequent postings (an additional three different postings to three different peers on three different dates) with sequential posting (i.e. three different peer responses & three different dates by Friday at 11:59 pm Support your statement with at least two peer-reviewed articles.

Week 8
(Saturday-Friday)

•    Course summary    Review of Syllabus/Course Objectives, Assignments, & Grading

Essential II: Organizational and Systems Leadership
Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasizes ethical and critical decision making, effective working relationships, and a systems-perspective.
Essential IV: Translating and Integrating Scholarship into Practice
Recognizes that the master’s prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

Discussion Question (DQ): (0 Possible Points)
Using the information for week 8 in the reading assignment section, discuss how you will take more of a leadership role within your organization to demonstrate that you have embraced these two AACN Essentials. What challenges will you face in meeting your goals?

201530/NSG 5111 Evidence and Practice2015/012915
NSU College of Nursing
Assignments and Activities Schedule