NURS 8114

Clarifying Connections: Practice Problem, Evidence, Changing Practice

Post an explanation of the results of your literature review and the connection to your practice problem. Then, explain your synthesis of evidence on which to base a practice change, and the need for a practice change initiative. Be specific and provide examples.

NURS 8114
Week 10: Components of Evidence-Based Practice: Grading the Evidence

What grade would you require of evidence to justify a practice change? Must it be an A or a solid 100? Would B+ or, say, 90, be enough? How would you attach a grading equivalent to the evidence you have appraised?
This final component of evidence-based practice does not require literally assigning a grade. However, it does involve evaluating what level of evidence in quantity and quality can justify a particular practice change, and the time, effort, and expense of a quality improvement initiative. Each situation and grading scale may be different depending on the specific practice problem, the potential outcomes, the urgency of the problem, and the attitudes—encouraging or uncompromising—of the stakeholders. Each situation and grading scale will differ depending on the specific practice problem, the potential outcomes, the urgency of the problem, and the stakeholders’ attitudes (encouraging or uncompromising).
This module is completed this week with a critical analysis of the evidence from your literature review. The strength and substance of what links your practice problem, evidence to address it, and the need for a practice change initiative will be yours to explain and grade in both your Discussion with colleagues and your module Assignment.
This week you complete this module with a critical assessment of the evidence from your literature review. Both in your Discussion with colleagues and your module Assignment, the strength and substance of what links your practice problem, evidence to address it, and the need for a practice change initiative, will be yours to explain and grade.

Learning Objectives

Students will:
• Evaluate scholarly articles for a literature review
• Analyze scholarly literature for evidence
• Evaluate quality of evidence to inform practice change
• Synthesize research to support nursing practice problems
• Synthesize evidence to inform practice change
• Justify quality improvement/practice change initiatives
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Learning Resources

Required Readings (click to expand/reduce)

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
• Chapter 5, “Translation of Evidence for Improving Quality and Safety” (pp. 103–123)

Walden University Writing Center. (n.d.). Synthesizing your sources. https://academicguides.waldenu.edu/writingcenter/assignments/literaturereview/synthesizing

(Review from Weeks 8 and 9)

Westlake, C. (2012). Practical tips for literature synthesis. Clinical Nurse Specialist, 26(5), 244–249. https://doi.org/10.1097/NUR.0b013e318263d766

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Discussion: Clarifying Connections: Practice Problem, Evidence, Changing Practice
Your literature review should be completed at this point in the module. Working from that assumption, you will use this Discussion to share your preliminary outcomes and analysis from your literature review with colleagues for their comment. You may choose to incorporate feedback from peers before submitting your Module Assignment on Day 7, although that is not required. The aim of this Discussion is to support you in providing the kind of analysis, evaluation, and synthesis of evidence to a group that would be involved in presenting a quality improvement initiative to stakeholders.

To prepare:

• Review the Module 4 Learning Resources with guidance for analyzing and synthesizing evidence from your literature review.
• Complete your analysis of outcomes and synthesis of evidence to inform a practice change.
• Consider the linkage between your practice problem, evidence to address it, and the need for a practice change initiative.
• Assess the strength of this linkage and how to present it to colleagues.
With these thoughts in mind …

ASSIGNMENT

Post an explanation of the results of your literature review and the connection to your practice problem. Then, explain your synthesis of evidence on which to base a practice change, and the need for a practice change initiative. Be specific and provide examples.