NR 505 Week 1: Identification of Area of Interest
In NR 500 the Evidence-Based Practice (EBP) interest that was chosen was research of healthcare interventions and how it can lower the rates of unplanned healthcare in the rural population. The use of emergency and unplanned care in rural communities have long been increasing. Unplanned care is defined as the use of healthcare to include all care sought without an advance appointment, such as visits to emergency rooms, unscheduled hospital admissions, and drop-in clinics (Brainard, et, al., 2016). Patients in the rural areas seek unplanned healthcare due to their decreased involvement with health prevention programs, low socioeconomic statuses, decreased health education, delayed diagnosis of diseases, and decreased support from caregivers who assist with chronic illnesses (Brainard, et. al., 2016).
Specialty Track and Evidence-Based Interest from NR500
The FNP specialty track will assist with obtaining advance knowledge that can be used to educate patients in the rural population about ways to improve their health. The quality of health in rural areas suffers due to the lack of exposure to proper healthcare, which includes health education, preventative programs, and confusion about the proper healthcare regimen (Brainard, et, al., 2016). This area of specialty will allow research of evidence-based practices that will be the driving force for many quality improvement initiatives, creation of standardized practices, and development of new or improved healthcare policies (Brainard, et. al, 2016). Compared to the urban population, patients in the rural population seek care that is in the chronic states instead of the initial occurrence of symptoms. This is due in part to their low socioeconomic status and less health education. As a FNP who plans to provide care in rural areas, the opportunity to initiate care, education, and provide preventative measures is great. Evidence-based information can be given to patients in the rural population in order to prevent unplanned healthcare. The use of interventions to improve the populations’ health status can be the main focus of healthcare. For example, the encouragement of self-care, compliance, symptom management, and the adoption of health related behaviors can be key to the prevention of unplanned healthcare.
NR500 Evidence-Based Interest
My area of EBP interest will remain the same. As a FNP, the focus will be to utilize advance studies and guidelines into practice. These interventions will decrease health disparities and reduce the incidence of unplanned healthcare for the rural population, along with the improvement of healthcare cost. With the planned format of health education and preventative measures, patients can become more familiar with their required medical regimen, thus a reduction of unplanned healthcare can occur.
Evidence-Based Interest Importance to Specialty Track
The research of EBP interest is of importance to the FNP specialty track because new approaches and interventions to reduce unplanned healthcare due to chronic disease and illnesses is needed. The FNP specialty track will promote an advancement in advance knowledge, allowing the future FNP to use evidence- based practices to guide decisions in the practice setting. As a FNP, advance knowledge can be used to create interventions that can introduce ways to improve health and ensure consistency in treatment within the rural communities. For example, encouraging patients to use technology to gain increase education about diagnoses and interventions to prevent further health complications. The recipe for moving toward health in rural, unders
erved areas will need to include a focus of innovation and outcomes using evidence-based practice and technology (Brainard, et, al., 2016). This will assist the rural communities with an improved state of health, decreasing mortality, morbidity, improving healthcare cost, and lowering the rates of unplanned healthcare.
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PICO
In the rural population (P) does health education, early diagnosis, and health care programs (I) compared to deploying health resources geographically (C) reduce the incidence of unplanned healthcare (O)?
NR 505 Week 1: Identification of Area of Interest Reference
Brainard, J.S., Ford, J.A., Steel, N. & Jones, A.P. (2016). A systemic review of health service interventions to reduce use of unplanned healthcare in rural areas. Journal of Evaluations in Clinical practice, 22(2), 145-155. doi: 10.111/jep.12470
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NR 505 Week 5: Data Collection
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NR 505 Week 7: Exploring Research Results
NR 505 Week 7: Data Collection, Analysis, Evaluation, Dissemination of Results, and Conclusion
NR 505 Week 7: Evidence-based Practice Project Proposal
NR 505 Week 7 Assignment: Evidence-based Practice Project Proposal Outline SOLUTION
NR505 Week 7 Assignment Evidence-based Practice Project Proposal Outline SOLUTION
NR 505 Week 8: Future Use of Evidence-Based Practice
NR 505 Why are research and evidence-based practice important for professional nursing?
NR 505 Using Evidence to Address Practice Issues SOLUTION
NR 505 Reflect upon the nursing practice issue of interest that you identified in earlier discussion assignments
NR 505 Collaboration Café – Qualitative Research (graded)
NR 505 What factors might influence the particular data collection method that is used within a research study?
NR 505 Reflect upon the impact of evidence-based practice on health outcomes, the nursing profession, and healthcare delivery
The use of both qualitative and quantitative inquiries are important when it comes to research. I think that for my project, the use of qualitative research will be more suitable. The way questions guide selection of research methods and how to analyze the collected data can be challenging (Park & Park, 2016). My project is focused on a particular population and gaining opinions about the topic will be beneficial with group discussions. The use of a semi-structured, smaller groups will allow group discussions and a chance to gather accurate data. The qualitative research will also allow a deeper discussion on the topic and deeper insight into the problems. From the gathered information, collected data can begin the formulation of a hypotheses. This method will allow an hypothese to be formed that is more geared toward the issue and may potentially lead to quantitative research. The integration of both qualitative and quantitative research will allow a better statistical analysis framework and a greater chance for resolution. Even though, both qualitative and quantitative research are different, both play an crucial role in healthcare and in improving evidence-based practices. Dr. L, thanks again for your response.
NR 505 Week 1: Identification of Area of Interest Reference
Park, J., & Park, M. (2016). Qualitative versus Quantitative Research Methods: Discovery or Justification? Journal Of Marketing Thought, 3(1), 1-7, doi: 10.15577/jet.2016.03.01.1
Good post this week. I think your passion for battling health disparities in rural areas is very awesome. I come from a very rural part of North Carolina, and they need someone like you to help them. One segment of our population, the migrant population, have big issues with health disparities. There is a lot of diabetes and hypertension in these populations. Because many of our healthcare professionals do not serve this population, they come into our hospitals in ketoacidosis or hypertensive crisis. There is also a lack of Spanish speaking healthcare professionals as well, which could help to educate them. I do see the importance of reducing health disparities through education and healthcare prevention. But, how can we as healthcare professionals not only educate but follow up on these populations and healthcare prevention? We already have issues with healthcare prevention in populations without such deep health disparities. As well, the population you write about having health disparities may not have the ability to afford such technology? They have issues just affording day to day needs.
Patient safety and improved outcomes entail the major focus of nursing. Therefore, a MSN student or MSN prepared nurse should be able to engage in quality improvement projects and translate the existing evidence into practice to enhance better patient outcomes. As such the purpose of this presentation is to explore a practice problem of interest to nurse practitioners. As such, this presentation will address concepts such as evidence-based projects, conceptual model, area of interest, concern and recommendation for change, factors influencing change and NONPF competencies.
Even though evidence-based practice has been around for a long time, its use became more prominent in the year 2010 after the passing of the Affordable Care Act. Since then, evidence-based practice has widely been applied in various fields, nursing included. In nursing, it has mainly been applied to enhance patient outcomes and reduce costs (Melnyk & Fineout-Overhold, 2022). The implication is that the healthcare professionals should be EBP oriented, as such it is important for MSN nurses to engage in EBP projects related to nursing practice and profession. One of the reasons is to improve patient outcomes. Applying EBP in patient care ensures that the patients are offered care following the most current guidelines hence improving outcomes. The other reasons including improving institutional outcomes, and to help reduce health care costs. It also helps in enhancing practice for future nurses and to advance nursing science.
Additional detail about the importance of MSN nurses engaging in evidence based projects
Include support from one outside scholarly source here in the speaker notes
Conceptual models are important as they are used as frameworks for developing and implementing an evidence-based model. One of the applicable models is the PDSA model. PDSA is an abbreviation for Plan-DO-Study-Act. This model has been applied in various fields. It can be used to develop evidence based project. In the plan phase, one identifies a change aimed at improvement (Braithewaite, 2022). In addition, the do stage entails testing the change while the study stage examines how successful the change is. The act phase involves identification of the adaptation as the next steps to inform the new cycle.
The area of interest is high prevalence rates of breast cancer among African Americans due to low rates of screening. The low rates of screening are largely due to insufficient knowledge about the diseases such as screening among the African Americans. The rationale for choosing this area of interest is that nursing interventions such as educational workshops and culturally tailored education can be used among this population to improve awareness hence reducing the prevalence. Therefore, through such efforts, mortality rates can effectively be lowered. This area is important to future nursing practice as more nursing interventions can be used to help lower the cases of breast cancer and mortality rates. According to Rana et al. (2021), cancer is among the top three causes of death in USA. There is a huge disparity among populations in terms of cancer outcomes. Breast cancer, a type of cancer causes higher mortality rates among African American women. In deed, African American women have higher chances of dying (432%) from breast cancer in comparison to white women (Foy et al.2019). The disparity is caused by poor economic status and low rates of early screening among African American women.
As earlier indicated, the identified area of interest is high mortality rates resulting from breast cancer among African American women. Even though the prevalence rates of breast cancer among African American women and their white counterparts are comparable, the African Americans have poorer outcomes such as enhanced mortality rates. One of the major causes is lack of sufficient timely screening as most of the African Americans get diagnosed when the cancer is at advanced stage hence leading to minimal chances of survival (Foy et al.,2018). The implication is that there is a need to improve such outcomes by improving rates of breast cancer screen. Therefore, the recommended change is introduction of culturally tailored breast cancer education among African Americans to increase the frequency of breast cancer screening and go for a timeous screening for an earlier identification of breast cancer. This will ensure that treatments are timeously triggered for better outcomes. According to a recent study done by Brevik et al.(2020), culturally tailored education leads to increased rates of mammography attendance by 18%
Speaker notes should provide evidence support from the literature to show the recommended change is grounded in research and considered best practice
Provide support from at least 1 scholarly source
Change implementation is key in improving patient outcomes. For instance, introducing culturally tailored education in the organization to help improve the rates of breast cancer screening can go a long way into lowering the breast cancer associated mortality rates. However, various internal and external factors have the potential of influencing the ability to implement the recommended change. One of them is a possible change resistance. Resistance from the staff can hinder the implementation process. The other internal factor is the support or lack of support by the organizational leaders. Organizational support can enhance implementation while lack of it hinders the process. External factors that can potentially influence the ability to implement the recommended change include unwillingness by the patients to participate in the project which may make the implementation process to fail. The other external factor is the legislative initiatives which focus on reducing health disparities. These initiatives support programs focusing in eliminating disparities, hence it will boost the chances of successful implementation. According to a recently published literature, these factors have a great effect or impact on the implementation of EBP (Pitsillidou et al.,2021).
The National Organization of Nurse Practitioner Faculties (NONPF) – Competencies is composed of a total of nine core competencies that nurse practitioners use as guidelines to ensure that the nurse practitioners acquire the relevant skills in the field of nursing. The core competencies include scientific foundation, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, ethics and independent practice (Kristofersson, 2022). While all these competencies are important, the two which are mostly relevant to an EBP related to the area of interest include the scientific foundation and leadership competencies. Scientific foundation is related to the area of interest in that through scientific foundations, it is possible to analyze and used data to assess, enhance and improve healthcare delivery in terms of improving breast cancer screening rates among African American women. Leadership competency is relevant in that leadership qualities are required in leading change projects such as the one proposed in here.
NR 505 Week 1: Identification of Area of Interest Conclusion
As earlier indicated, breast cancer causes significantly higher mortality rates among African American women making it one of the leading causes of death, therefore highly significant to the patients. The implication is that there is a need to ensure that these rates go lower. Therefore, the proposed project will focus on using an evidence-based culturally tailored education to increase breast cancer knowledge among this group to improve rates of screening and general knowledge regarding the condition.
NR 505 Week 1: Identification of Area of Interest References
uBraithwaite, J. (2022). Plan, Do, Study, Act (PDSA). In Implementation Science (pp. 83-84). Routledge.
uFoy, K. C., Fisher, J. L., Lustberg, M. B., Gray, D. M., DeGraffinreid, C. R., & Paskett, E. D. (2018). Disparities in breast cancer tumor characteristics, treatment, time to treatment, and survival probability among African American and white women. NPJ Breast Cancer, 4(1), 1-6. https://doi.org/10.1038/s41523-018-0059-5.
uKristofersson, G. K., Higgins, A., & Kilkku, N. (2022). Role and Competencies of Advanced Practice Mental Health Nurses. In Advanced Practice in Mental Health Nursing (pp. 19-42). Springer, Cham.
uPitsillidou, M., Roupa, Z., Farmakas, A., & Noula, M. (2021). Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing. Acta Informatica Medica, 29(4), 281. https://doi.org/10.5455%2Faim.2021.29.281-287
uMelnyk, B. M., & Fineout-Overhold, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
uRana, J. S., Khan, S. S., Lloyd-Jones, D. M., & Sidney, S. (2021). Changes in mortality in top 10 causes of death from 2011 to 2018. Journal of General Internal Medicine, 36(8), 2517-2518. https://doi.org/10.1007/s11606-020-06070-z