NURS 8410 Week 7: The Application of New Practice Approaches – Part II

NURS 8410 Week 7: The Application of New Practice Approaches – Part II

NURS 8410 Week 7: The Application of New Practice Approaches – Part II

“Engagement in the process of policy development is central to creating a health care system that meets the needs of its constituents” (AACN, 2006, p. 13)

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As a professional nurse, you are well positioned to affect changes in health care through policy. Nurses are frequently asked to testify before Congress or congressional committees on important health care matters; being able to present the scientific evidence on a health care issue can contribute to this process and thereby inform the formation of health policy.

This week, you explore how to utilize the concepts presented in earlier weeks to advocate for health care policy to improve health-related outcomes. In addition, you submit your time log and a journal entry for your practicum experience.

Reference: American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

Learning Objectives for NURS 8410 Week 7: The Application of New Practice Approaches – Part II

Students will:

  • Develop strategies for advocating for health policy to enhance health care outcomes
  • Analyze professional growth and development as a leader in evidence-based practice
  • Assess the practicum experience

Photo Credit: Hero Images / Hero Images / Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter 4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter 5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter 7, “Translation of Evidence for Health Policy”

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3

Note: You will access this article from the Walden Library databases.

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45

Note: You will access this article from the Walden Library databases.

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1

Note: You will access this article from the Walden Library databases.

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966

Note: You will access this article from the Walden Library databases.

Discussion: Advocating for New Practice Approaches Through Policy

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.”
—Florence Nightingale

Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.

For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Project. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.

Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from http://www.nursingschools.net/blog/2010/06/100-entertaining-inspiring-quotes-for-nurses/

To prepare for NURS 8410 Week 7: The Application of New Practice Approaches – Part II:

  • Select one of the new practice approaches you developed for the Week 6 Discussion.
  • Review the Trautman (2009) article listed in the Learning Resources. Assess the strategies for engaging in the policy process.
  • Consider the barriers to using evidence to affect changes in health care policy discussed in the course text.
  • Brainstorm ideas for leading policy development related to your suggested practice approach, as well as ideas for addressing those barriers

By Day 3

Post a cohesive response that addresses the following:

  • Identify your proposed practice approach in the first line of your posting.
  • How would you lead policy development for your selected issue?
  • What strategies could you use to overcome barriers you may encounter while engaging policy makers? (Select two or more strategies to focus on in your posting.)

Read a selection of your colleagues’ responses.

By Day 6

Respond to two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 8410 Week 7: The Application of New Practice Approaches – Part II

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 7 Discussion Rubric

 

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 7 Discussion Assignment: Application 3: Becoming a Leader in the Translation of Evidence to Practice

Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.

In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.

Prepare for this week’s section of Application 3 as follows:

  • Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue.

The full Application 3 is due by Day 7 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 6. NURS 8410 Week 7: The Application of New Practice Approaches – Part II

To complete:

Write a 3- to 5-page paper that synthesizes:

  • Your vision of yourself as a leader—specifically:
    • How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches
    • How translating evidence would enable you to affect or strengthen health care delivery and nursing practice
    • How you would advocate for the use of new evidence-based practice approaches through the policy arena

By Day 7

Application 3 is due.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 7 Assignment  You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submitbutton to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment draft and review the originality report. NURS 8410 Week 7: The Application of New Practice Approaches – Part II

Submit Your Assignment by Day 7

To submit your Assignment:

NURS 8410 Week 7: The Application of New Practice Approaches – Part II

NURS 8410 Week 7 Assignment Practicum: Journal and Time Log

By Day 7

You will submit a journal entry (along with your time log) for Weeks 4-7. Journal entries need to connect your previous professional experience with your practice, competencies/concepts in the program, and the literature. Your journal entry should be week-based and sequential so that all journal entries are contained in one file.

  • Describe the observed activity.
  • Using an evidence-based approach, analyze the problem, issue, or situation. Address questions posed in the weekly practicum pages if appropriate.
  • Reveal how the real-world might mirror or diverge from program-related evidence, concepts, andor theories.
  • Time Log submission.

Submission and Grading Information

To submit your completed Practicum for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK7Practicum+last name+first initial.(extension)” as the name.
  • Click the Week 7 Practicum 
  • Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK7Practicum+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submitbutton to complete your submission.

To access your rubric:

Week 7 Practicum Rubric

Check Your Practicum Draft for Authenticity

To check your Practicum draft for authenticity:

Submit your Week 7 Practicum draft and review the originality report.

Submit Your Practicum by Day 7

To submit your Practicum:

Week 7 Practicum

 

Week in Review

This week, you analyzed your professional growth/development as a leader in evidence-based practice and developed strategies to advocate for health policy that enhances health care outcomes.

Next week, you will examine barriers that may inhibit the adoption and implementation of evidence-based practice.

To go to the next week:

Week 8

NURS 8410 Week 8: Creating an Environment for Evidence-Based Practice

“What health care needs most are effective leaders who understand innovation and how it spreads, who respect the diversity of change itself, and who can nurture innovation in all its rich and many costumes” (Hyrkäs & Harvey, 2010, p. 1)

As a nurse engaged in advanced practice, you are uniquely positioned to motivate your colleagues and contribute toward the development of a culture that embraces change.  Yet, even with the worthwhile goal of translating evidence into practice, barriers present a formidable challenge in many settings in today’s health care system.

This week you examine barriers that may inhibit the adoption and implementation of evidence-based practice. You also explore change theories and consider how they can be applied to help create an environment that facilitates practice grounded in evidence and, ultimately, to promote the achievement of outcomes related to quality and safety.

In addition, you continue your practicum experience and begin Application 4 this week. NURS 8410 Week 7: The Application of New Practice Approaches – Part II

Learning Objectives

Students will:

  • Assess the readiness for change in a practice environment
  • Develop theory-based strategies to facilitate the implementation of change in a practice environment

Photo Credit: [Sam Edwards]/[Caiaimage]/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Review Chapter 3, “Change Theory and Models: Framework for Translation”
  • Chapter 14, “Creating a Culture That Promotes Translation”
  • Chapter 15, “Best Practices in Translation: Challenges and Barriers in Translation”

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.

Note: You will access this article from the Walden Library databases.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Note: You will access this article from the Walden Library databases.

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.

Note: You will access this article from the Walden Library databases.

Discussion: Preparing for Change

What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes? How does theory provide a framework? What barriers might you encounter?

To prepare:

  • Review the theories and frameworks (i.e., change, organizational, behavioral) presented in Chapter 3 of the course text, Translation of Evidence Into Nursing and Health Care Practice, and conduct additional research of your own. What insights do these theories provide regarding how to take your practice issue from development and design through implementation to the realization of positive outcomes?
  • Think about your practicum setting and evaluate the readiness for change in this environment. Identify barriers and facilitators for change.
  • Consider strategies to address the barriers, and assess why they might be effective based on theory.

By Day 3

Post a cohesive scholarly response that addresses the following:

  • Assess the readiness for change in your practicum environment. Discuss those factors (barriers and facilitators) that need to be considered.
  • Identify a theory or framework that will guide your change efforts.
  • Discuss strategies to address barriers, and provide one or more insights regarding why you think they might be effective based on theory NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays

Read a selection of your colleagues’ responses.

By Day 6

Respond to two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion Assignment: Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Planning for Change

Change can be difficult—and implementing new practices based on evidence can present challenges. How can you effectively prepare your work environment for change? What factors need to be considered (e.g., financial, legislative, systems)?

This week you begin working on Application 4, which builds on this week’s Discussion and is a continuation of your EBP Project. For this first section of the assignment, determine the factors that would impact stakeholders or end users as you create change and implement a new process/project to address your EBP issue.

Prepare for this week’s section of Application 4 as follows:

  • Continue (from this week’s Discussion) to analyze the impact of implementing change in your practice environment. What factors need to be considered regarding stakeholders or end users? How would you communicate with them to address their questions or concerns? How would you enlist their support?
  • Develop a summary of the methods you would use to ensure that those factors are adequately addressed.

By Day 7 of Week 10

Application 4 is due. You do not need to submit anything this week.

Practicum

Continue to keep a time log and journal of your practicum experiences. See the Practicum Guidelines located in the Practicum area of the Course Overview page for a complete description of the practicum.

By Day 7 of Week 11

Reminder You will submit your time log and a journal entry in Week 11.

Week in Review

This week, you assessed change readiness in a practice environment and developed theory-based strategies to facilitate the implementation of change.

Next week, you will assess an issue within an organization—analyzing the system at the macro- and micro-level—and identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality.

To go to the next week:

Week 9

 

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