Posted: January 20th, 2023

NUR590 Evidence-Based Practice Project Discussions

NUR590 Evidence-Based Practice Project Discussions

Week 1 Discussion
DQ1

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Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.

DQ2

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.
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A "spirit of inquiry" refers to a culture of asking questions, seeking answers, and continuously seeking to improve practice through the use of evidence. This is essential in an evidence-based culture because it promotes a mindset of continuous learning and improvement.
As an advanced registered nurse, there are several things that can be done to encourage a spirit of inquiry within your practice or organization:
Model the behavior: Lead by example by consistently seeking out and using the best available evidence in your own practice.
Encourage critical thinking: Encourage your colleagues to think critically about their practice and the evidence that supports it.
Provide opportunities for learning: Offer continuing education opportunities and support for nurses to stay up-to-date on the latest evidence and best practices.
Foster a culture of inquiry: Create an environment that supports asking questions and seeking answers.
Promote collaboration: Encourage interdisciplinary collaboration and shared decision making to support the use of evidence in practice.
In terms of the role and implementation of evidence-based practice in different advanced registered nurse specialties, it is important to note that while the principles of EBP are the same across specialties, the specific implementation may differ. For example, in the specialty of oncology, the focus may be on implementing evidence-based treatment protocols and guidelines, whereas in the specialty of gerontology, the focus may be on implementing evidence-based interventions to improve quality of life in older adults.
In both specialties, advanced registered nurses play a key role in implementing evidence-based practice by staying up-to-date on the latest evidence and best practices, and by utilizing this evidence to inform their practice and decision making. They also play a key role in promoting a culture of inquiry and encouraging their colleagues to do the same.
Week 2 Discussion
DQ1

Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.

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DQ2 Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.

Week 3 Discussion
DQ1

Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?
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Models and frameworks are important in guiding research and evidence-based practice projects because they provide a structure and a set of assumptions that help to direct the investigation and interpretation of data. Choosing an appropriate framework or model can help researchers to identify important variables, establish cause-and-effect relationships, and make valid inferences about the phenomenon under study.
However, if an incorrect framework or model is chosen, it can lead to bias in the research. For example, if a researcher uses a framework that is not well-suited to the phenomenon under study, they may fail to identify important variables or establish accurate cause-and-effect relationships. This can lead to incorrect conclusions and a biased understanding of the phenomenon. Additionally, if a researcher uses a model that has been shown to be unreliable or invalid, the resulting findings may be inaccurate or misleading. Therefore, it is important for researchers to carefully consider the appropriateness of the framework or model they are using, and to critically evaluate the assumptions and limitations of these tools.
DQ2

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Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.

Week 4 Discussion
DQ1

Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.

DQ2

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Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test. What kind of information will this test provide about your outcomes?

Week 5 Discussion
DQ1

What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation for your EBP project.

DQ2

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Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation. Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.

Week 6 Discussion
DQ1

When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

DQ2

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Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Week 7 Discussion
DQ1

Propose strategies for disseminating your evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate.

DQ2

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After implementation, dissemination of the evidence-based practice outcomes is essential for evaluating the success of the project for ensuring sustainability. Propose strategies that you could use for disseminating the outcomes of your evidence-based practice project proposal. Consider what information would need to be communicated, which stakeholders would need to be involved and the communication methods that would be needed.

Week 8 Discussion
DQ1

For professional writing in nursing and health care, APA style is expected. It is also expected for the remainder of your graduate program and in doctoral programs for nursing. Discuss what you have learned, or how you have improved, by completing the “APA Writing Checklist” and from receiving feedback from your instructors. What aspects of APA do you still struggle with? In your response to peers, provide a resource from the Student Success Center (or in addition to something in the Student Success Center) or a suggestion for an area in which someone still struggles.

DQ2

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The evidence-based practice (EBP) process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale

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