NUR 699 Evidence – Based Practice Project Entire Course
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<strong>NUR</strong> <strong>699</strong> <strong>Evidence</strong> <strong>–</strong> <strong>Based</strong> <strong>Practice</strong> <strong>Project</strong> <strong>Entire</strong> <strong>Course</strong><br />
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<strong>NUR</strong> <strong>699</strong> <strong>Evidence</strong> <strong>–</strong> <strong>Based</strong> <strong>Practice</strong> <strong>Project</strong> <strong>Entire</strong> <strong>Course</strong><br />
GCU <strong>NUR</strong><strong>699</strong> Wk 1 Dq 1 & Dq 2 latest<br />
Dq 2<br />
What is the difference between research- and evidence-based practice projects? Provide an example of each one<br />
and the reason for the difference. Why should nurses be interested in learning about EBP?<br />
Dq 2<br />
How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their<br />
areas of practice?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 2 Dq 1 & Dq 2 latest<br />
dq 1<br />
Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save<br />
this tool and use it throughout the development of the PICOT question, problem description, and literature review.<br />
Begin the development of your PICOT question, using the following resources:<br />
“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix<br />
Text readings<br />
Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing<br />
feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also<br />
refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If<br />
one PICOT statement has at least three feedback posts, move to another statement.<br />
You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem<br />
Description” assignment.<br />
dq 2<br />
What strategies will you use in your new practice as an advance practice nurse to review and critique literature<br />
pertinent to your practice?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 3 Dq 1 & Dq 2 latest
dq 1<br />
What levels of evidence are present in relation to research and practice, and why it is important regardless of the<br />
method you use?<br />
dq 2<br />
What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and<br />
applicability)? Which is the most important? Why?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 4 Dq 1 & Dq 2 latest<br />
dq 1<br />
What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer.<br />
Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned<br />
unless providing new information.<br />
dq 2<br />
Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods<br />
to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 5 Dq 1 & Dq 2 latest<br />
dq 1<br />
Why is it important to incorporate a theory or model related to change when implementing practice changes? Does<br />
the benefit of incorporating a change model outweigh the time and effort it took to include it?<br />
dq 2<br />
Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 6 Dq 1 & Dq 2 latest<br />
dq 1<br />
When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a<br />
help or a hindrance when wanting to create a change?<br />
dq 2<br />
What is the difference between statistically significant evidence and clinically significant evidence? How would each<br />
of these findings be used to advance an evidenced-based project?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 7 Dq 1 latest
Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get<br />
to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive<br />
your information?<br />
GCU <strong>NUR</strong><strong>699</strong> Wk 8 Dq 1 & Dq 2<br />
dq 1<br />
Post your “<strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>Project</strong> Presentation.” Review all of the presentations but provide<br />
critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for<br />
improvement. If a post already has five feedback posts then move on to another one. You will be responsible for<br />
responding to each peer’s feedback that is posted to your original presentation post.<br />
dq 2<br />
There is power in having data to support change. The EBP process is one way of advancing improvements in<br />
healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your<br />
rationale.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 2 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section A: Organizational Culture and Readiness<br />
Assessment<br />
Details:<br />
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in<br />
order to begin assessing its readiness for EBP implementation.<br />
1. 1. Complete the “Organizational Culture and Readiness for System-Wide Integration of <strong>Evidence</strong>-<strong>Based</strong><br />
<strong>Practice</strong> Survey,” located in the textbook appendix.<br />
2. 2. Develop an analysis of 250 words from the results, addressing your organization’s readiness level,<br />
possible project barriers and facilitators, as well as how to integrate clinical inquiry.<br />
3. 3. Make sure to include the rationale for the survey categories scores that were significantly high and low,<br />
incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing<br />
strategies that strengthen the organizations weaker areas.<br />
4. 4. Submit a summary of your results. The actual survey results do not need to be included.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment”<br />
for your final paper submission. This will be a continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 2 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section B: Problem Description<br />
Details:<br />
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem<br />
description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.<br />
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are<br />
affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.<br />
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits<br />
with your graduate degree specialization.<br />
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address<br />
what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before<br />
and after the evidence-based practice is introduced to identify the expected changes.<br />
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant<br />
professional literature sources.<br />
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice<br />
project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use<br />
“<strong>NUR</strong>-<strong>699</strong> Search Method Example” to assist you.<br />
7) The majority of references should be research articles. However, national sources such as Centers for Disease<br />
Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human<br />
Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you<br />
are gathering statistics to provide the rationale for the problem.<br />
Once you get into the literature, you may find there is very little research to support your topic and you will have to<br />
start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to<br />
introduce this as a practice change. If you find that you do not have enough supporting evidence to change a<br />
practice, then further research would need to be conducted.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This<br />
will be a continuous process throughout the course for each section.<br />
Search Method Example<br />
Search Method<br />
A comprehensive electronic search was completed using the following databases:<br />
Cochrane Central Register of Controlled Trials<br />
Cochrane Database of Systematic Reviews<br />
National Guideline Clearinghouse<br />
CINAHL<br />
Ovid<br />
Medline<br />
The search included English-only published articles between 1990 and 2005.<br />
Key words used in the search were:<br />
Pediatric asthma education<br />
Self-management<br />
Self-monitoring<br />
Grade school children<br />
Systematic reviews<br />
Randomized controlled trials<br />
Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric<br />
asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with
various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one<br />
cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 3 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section C: Literature Support<br />
Details:<br />
To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in<br />
Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix.<br />
The specific checklist you use will be determined by the type of evidence within the resource.<br />
Develop a research table to organize and summarize the research studies. Using a summary table allows you to be<br />
more concise in your narrative description. Only research studies used to support your intervention are summarized<br />
in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table<br />
Template” as an adaptable template.<br />
Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support<br />
for the projects problem and proposed solution. Make sure to do the following:<br />
Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and<br />
number of studies that fit your criteria).<br />
Summarize all of the research studies used as evidence. The essential components of each study need to be<br />
described so that readers can evaluate its scientific merit, including study strengths and limitations.<br />
Incorporate a description of the validity of the internal and external research.<br />
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and<br />
from peer-reviewed professional journal articles.<br />
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the<br />
narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will<br />
be a continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 4 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section D: Solution Description<br />
Details:<br />
Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidencebased<br />
practice project solution. Address the following criteria:<br />
1. 1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in<br />
which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or<br />
intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of<br />
appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and<br />
make changes to your PICOT before continuing.<br />
2. 2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization<br />
or community culture and resources.<br />
3. 3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the<br />
PICOT.
4. 4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific<br />
barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which<br />
may need to be addressed.<br />
5. 5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators:<br />
quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or<br />
professional expertise.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This<br />
will be a continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 5 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section E: Change Model<br />
Details:<br />
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan.<br />
Include the following:<br />
1. 1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP<br />
project. However, students may also choose to use change models, such as Duck’s change curve model or the<br />
transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model<br />
(Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying<br />
your evidence-based intervention in clinical practice.<br />
2. 2. Apply one of the above models and carry your implementation through each of the stages, phases, or<br />
steps identified in the chosen model.<br />
3. 3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual<br />
model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final<br />
paper.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be<br />
a continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 5 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal <strong>–</strong> Section F: Implementation Plan<br />
Details:<br />
In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to<br />
implement the proposed solution. Include the following:<br />
1. 1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form,<br />
then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the<br />
narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
2. 2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is<br />
general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5<br />
with the narrative, the timeline should be placed in the appendices for the final paper.<br />
3. 3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the<br />
solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list.<br />
Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in<br />
the appendices for the final paper.<br />
4. 4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring<br />
the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the<br />
individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final<br />
paper.<br />
5. 5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.<br />
6. 6. Provide an outline of the data collection plan. Describe how data management will be maintained and by<br />
whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted.<br />
Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in<br />
Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.<br />
7. 7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.<br />
8. 8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable<br />
supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access,<br />
etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a<br />
budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should<br />
be placed in the appendices for the final paper.<br />
9. 9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This<br />
will be a continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 6 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal: Section G: Evaluation of Process<br />
Details:<br />
In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your<br />
final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive<br />
and concise:<br />
1. 1. Describe the rationale for the methods used in collecting the outcome data.<br />
2. 2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are<br />
achieved.<br />
3. 3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity,<br />
reliability, and applicability.<br />
4. 4. Describe strategies to take if outcomes do not provide positive results.<br />
5. 5. Describe implications for practice and future research.<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.<br />
Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a<br />
continuous process throughout the course for each section.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 7 <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Presentation<br />
Details:<br />
Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major<br />
areas of your proposal.<br />
Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within the textbook appendix.<br />
You will need to post your <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Presentation to the main forum in Topic 8 as directed by the<br />
instructor for class discussion and peer feedback.<br />
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text<br />
citations and references should be presented using APA documentation guidelines, which can be found in the APA<br />
Style Guide, located in the Student Success Center.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are not required to submit this assignment to Turnitin.<br />
GCU <strong>NUR</strong><strong>699</strong> Week 7 Benchmark <strong>–</strong> <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> Proposal Final Paper<br />
Details:<br />
Throughout this course you will be developing a formal, evidence-based practice proposal.<br />
The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in<br />
the professional work setting. Although several types of evidence can be used to support a proposed solution, a<br />
sufficient and compelling base of support from valid research studies is required as the major component of that<br />
evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals<br />
will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The<br />
cover sheet, abstract, references page, and appendices are not included in the word limit.<br />
Section headings and letters for each section component are required. Responses are addressed in narrative form in<br />
relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of<br />
content reflects graduate-level critical-thinking skills.<br />
This project contains seven formal sections:<br />
1. 1. Section A: Organizational Culture and Readiness Assessment<br />
2. 2. Section B: Problem Description<br />
3. 3. Section C: Literature Support<br />
4. 4. Section D: Solution Description<br />
5. 5. Section E: Change Model<br />
6. 6. Section F: Implementation Plan<br />
7. 7. Section G: Evaluation of Process<br />
Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to<br />
applicable modules for further descriptions of each section).
The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list,<br />
and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection<br />
tools, a budget, a timeline, resource lists, and approval forms.<br />
Use the “<strong>NUR</strong>-<strong>699</strong> EBP Implementation Plan Guide” and “<strong>NUR</strong>-<strong>699</strong> <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> <strong>Project</strong> Student<br />
Example” to assist you. Also refer to “<strong>NUR</strong>-<strong>699</strong> <strong>Evidence</strong>-<strong>Based</strong> <strong>Practice</strong> <strong>Project</strong> Proposal Format.”<br />
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student<br />
Success Center. An abstract is required.<br />
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the<br />
expectations for successful completion.<br />
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.