NUR 590 Evidence Based Practice Project Week 3 Discussion
Grand Canyon University NUR 590 Evidence Based Practice Project Week 3 Discussion-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 590 Evidence Based Practice Project Week 3 Discussion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR 590 Evidence Based Practice Project Week 3 Discussion
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 Evidence Based Practice Project Week 3 Discussion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR 590 Evidence Based Practice Project Week 3 Discussion
The introduction for the Grand Canyon University NUR 590 Evidence Based Practice Project Week 3 Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NUR 590 Evidence Based Practice Project Week 3 Discussion
After the introduction, move into the main part of the NUR 590 Evidence Based Practice Project Week 3 Discussion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR 590 Evidence Based Practice Project Week 3 Discussion
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR 590 Evidence Based Practice Project Week 3 Discussion
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR 590 Evidence Based Practice Project Week 3 Discussion
DQ1 What levels of evidence are present in relation to research and practice, and why are they important regardless of the method you use?
Will educating nurses to perform continuous compression during defibrillation with no shock pauses for patients in cardiac arrest increase the likelihood of spontaneous recovery? The most recent guidelines emphasize the importance of performing chest compressions at an appropriate rate and depth, with complete recoils and minimal pauses (Luo et al., 2021). Because of this, pauses during resuscitation can exceed the recommended guidelines of 5-10 seconds during defibrillation. Charging defibrillators before analyzing heart rhythms may reduce no-flow time during rhythm check pauses during cardiac arrest resuscitation (Kemper et al., 2019). High-quality chest compressions have been identified as a key determinant of successful resuscitations (Luo et al., 2021). Mechanical chest compressions can be provided by devices such as the LUCUS device, allowing for continuous compressions to occur during shock administration. Educating
nurses on the importance of continuous uninterrupted compressions may help eliminate or shorten prolonged pauses during resuscitation efforts. In addition, educating nurses about technologies available to help decrease pauses during resuscitation, ultimately improving patient outcomes by increasing perfusion.
This topic is important to continue research being that the American Heart Association has recently emphasized compressions as the first response action for patients in cardiac arrest. Compressions allow for perfusion, giving the patient the best chance for survival. As an Emergency Department nurse it is virtual, the pauses are kept to a minimum and human error is eliminated to the best of our ability. Human errors such as equipment malfunctions, equipment use, and overall knowledge that defibrillation can occur simultaneously during compressions are all factors that can affect a patient’s outcome.
I anticipate problems with the proposed implementation of my project, including financial difficulties. My research focuses on the importance of continuous CPR during defibrillation. For many decades, the focus of CPR was on airway, breathing, and circulation. The American Heart Association recently announced that circulation would be prioritized over cardiopulmonary resuscitation (American Heart Association., n.d.). This means that early and continuous high-quality compressions have been shown to improve circulation and perfusion during CPR, thereby improving patient outcomes. Interruptions in chest compressions lasting more than 10 seconds, according to Clark et al., 2019, are associated with poor outcomes: “previous literature has associated shorter peri-shock pause times with greater odds of survival and longest pause during chest compressions with lower odds of survival” (Clark et al.,2019). Getting physicians and nurses on board with the new evidence-based practice is a major impediment to implementation. It is extremely difficult to change people’s habits, particularly if they have been doing so for a long time. A significant amount of education and support from leadership, as well as clinical education, will be required to encourage staff buy-in to this new practice. Furthermore, simulation studies revealed that ECG devices and the LUCUS device were the most beneficial for performing continuous compressions during defibrillation. These devices are extremely expensive and may be beyond the financial means of small rural community hospitals. Due to a lack of funding, small community hospitals will be unable to provide patients with the most up-to-date evidence-based practice care. This is not only a barrier to implementation, but it is also a barrier to providing the best possible care to the patient.
Also Check Out: NUR-550 Literature Review – Resubmission
The articles share a common aspect that entails approaches to reducing and preventing the occurrence of HAIs. The articles are also similar because their focus is to enhance patient safety and improve the quality of care. The articles also emphasize the need for healthcare workers to apply evidence-based interventions in mitigating hospital acquired infections. A majority of the articles use systematic reviews to show the various interventions based on evidence that can enhance quality care and lead to reduced chances of adverse medical events. A systematic review allows one to assess evidence from multiple sources to attain validity and reliability of their findings. The articles also have similarities as they make effective review of literature to demonstrate that HAIs are a public health concern but healthcare workers, particularly nurses, can develop EBP measures to enhance hand hygiene practices and embrace effective interventions. The articles share a common aspect of hand hygiene and other associated components that can lead to a reduction of HAIs).
The main themes of the article include hygiene, handwashing, need for patient safety and use of translational research and evidence-based project interventions for improved patient care and quality. The articles use different methods as some are systematic reviews while others are primary studies on their respective subjects. The articles have a common conclusion that stakeholders should develop more interventions to reduce and prevent HAIs, especially the use of evidence-based practice interventions. Each article has its unique limitations. However, a majority identify the need for more resources for better research studies in the future on how to prevent HAIs. No controversies exist in the article as in each, the researchers followed set guidelines to enhance validity and reliability of their findings.
Sample Answer 2 for NUR 590 Evidence Based Practice Project Week 3 Discussion
Dang et al. (2019) review eight prominent models for evidence-based (EBP) integration and change, and more are available in a literature search. Speroni et al. (2020) found that the three most frequently used models in nursing were the Iowa Model of Evidence-Based Practice to Promote Quality Care, the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP), and the Advancing Research and Clinical Practice Through Close Collaboration Model (ARCC). Further, Tucker et al. (2021) reviewed the Iowa Model, ARCC, and Integrated Promoting Action on Research Implementation in Health Service (i-PARHIS) Framework in their applications to systemic implementation through EBP change. Upon review of the literature, I have chosen two potential contenders for my proposed evidence-based practice project, a multifaceted workplace violence program. The Model for Evidence-Based Practice Change and the I-PARHIS Framework both have strong translation and implementation science elements which are important aspects of the WPV program (Dang et al., 2019; Tucker et al., 2021).
Model for Evidence-Based Practice Change is similar to the Iowa model and integrates quality improvement, teamwork, and translation strategies to facilitate the adoption of new practices through six steps. Notably, it can be used for multiple projects, which applies to the multifaceted WPV program. I appreciate the model addresses identifying a problem or opportunity through the assessment of internal and external data, focusing on a team approach to prepare a PICOT. Step 2 assists the team in the review and critical appraisal of literature to identify the most rigorous sources and organize them in a table format. Rosswurm & Larrabee (1999) have a helpful appraisal form examples as this would be a weakness for me compared to leading a project. In step 3, the team determines which high-quality evidence supports a feasible practice change. Moving to Step 4, the actions needed to support the change are defined along with the necessary resources, identified pilot location, and formal implementation plan. Identifying change champions and the education required, along with including the team in the design, implementation planning, and evaluation, are important steps for positive change management. Step 5 evaluates the outcome of the change and the implementation plan so any needed adjustments can be completed before step 6, rolling out a positive test of change to another area or organization-wide. Additionally, ongoing monitoring is included to sustain the practice and the continual cycle of improvement.
Next, the I-PARHIS grew from the PARHIS, which influences successful implementation through innovation, behavioral, organizational change, and improvement theories with facilitation at its core (Hunter et al., 2023). The PARIHS focuses on the elements of:
- Evidence: research, clinical experience, patient’s experience, local data.
- Context: culture, leadership, evaluation.
- Facilitation: doing for others, enabling others, skills, and attributes (Dang et al., 2019).
Each element is ranked high or low based on its ability to meet the sub-elements in the category.
I-PARHIS created a Facilitator’s Toolkit to operationalize the original PARHIS Framework (Harvey & Kitson, 2016). The tool kit uses quality improvement and audit and feedback methods to assess the facilitator and organizational readiness. In the sentinel article, Harvey and Kitson noted the facilitator’s typical improvement approaches were PDSA (Plan-Do-Study-Act) cycles with audit and feedback within project management. Thus, the I-PARHIS framework is a rapid cycle or continual cycle of improvement and growth spiraling innovation outward through the organization or system.
The weaknesses found by Hunter et al. (2023) of the I-PARHIS were the lack of guidance or tools for using the Facilitation Checklist and Facilitators Toolkit to develop structured implementation plans or how to adapt the plan in the evolution of the project. Layering on, the Mi-PARIHS (Mobilizing Implementation of I-PARIHS) provides a resource to guide facilitators using the Mi-PARHIS Facilitation Planning tool. The tool can be used pre-implementation or over time to evaluate the effectiveness of the facilitation strategies. It assesses the constructs of the innovation, context, and recipients, visually generates barriers and enablers, and tailors the plan.
Tucker et al. (2021) note the I-PARIHS Framework is suited for an initiative that includes multiple disciplines for a complicated problem to address numerous contextual issues, like an organizational-wide WPV program. Plus, when facilitation is the focus for implementation, as would apply to the WPV program, the Mi-PARHIS format may work best. I like that the Mi-PARHIS is a flexible framework, and I can use a standard quality improvement methodology, PDSA, for process improvement. However, as a novice in applying frameworks for evidence-practice implementation, the Mi-PARHIS may be too complex. Gawlinski & Rutledge (2008) suggest scoring models to assist in electing an EBP model. In this case, the Mi-PARHIS scores an 8, and the Model for Evidence-Based Change scores an 11. While I like a challenge, and I believe the Mi-PARHIS is a better framework to use if I publish this research, I think I will use the more straightforward model.
References:
Dang, D., Melnyk, B. M., Fineout-Overhot, E., Yost, J., Cullen, L., Cvach, M., Larabee, J. H., Roycroft-Malone, J., Schultz, A. A., Stetler, C. B., & Stevens, K. R. (2019). Models to guide implementation and sustainability of evidence-based practice. In B. M. Melynk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
Harvey, G., & Kitson, A. (2016). PARIHS revisited: From heuristic to integrated framework for the successful implementation of knowledge into practice. Implementation Science, 11(33), 13. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-016-0398-2
Hunter, S. C., Kim, B., & Kitson, A. L. (2023). Mobilising implementation of i-PARHIS (Mi-PARIHS): Development of a facilitation planning tool to accompany the Integrated Promoting Action on Research Implementation in Health Services framework. Implementation Science Communications, 4(2). https://implementationsciencecomms.biomedcentral.com/articles/10.1186/s43058-022-00379-y
Gawlinski, A., & Rutledge, D. (2008). Selecting a model for evidence-based practice changes: A practical approach. AACN Advanced Critical Care, 19(3), 291-300. https://doi.org/10.1097/01.aacn.0000330380.41766.63
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/j.1547-5069.1999.tb00510.x
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence-based practice models and research findings in Magnet-designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98-107. https://doi.org/10.1111/wvn.12428
Tucker, S., McNett, M., Melnyk, B. M., Hanrahan, K., Hunter, S. C., Kim, B., Cullen, L., & Kitson, A. (2021). Implementation science: Application of evidence-based practice models to improve healthcare quality. Worldviews on Evidence-Based Nursing, 18(2), 76-84. https://doi.org/10.1111/wvn.12495
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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
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