NUR 590 Week 1 DQs

Week 1 DQ 1 Based on the PICOT you developed for NUR-550, summarize the change initiative you will be 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.

The change intervention will consist of weekly skills-building sessions, each of which will take sixty minutes. This intervention will involve preschool children and their parents. It will aim to ameliorate nutritional family habits, reduce media consumption that contributes to sedentary activity, and promote weekly physical activity. The children will be placed into various groups and be required to attend sessions in different cultural centers. Latin American trained facilitators will conduct all the sessions of this intervention. The entire change plan will take six months. The trans-theoretical model and social cognitive theory of change will guide this intervention as recommended by (Lee, Park, & Min, 2015). Since social networks are helpful in disseminating health outcomes and behaviors across communities, this intervention recommends the creation of new social groups. The placing of children into small social groups will be done at random, and these groups will be allocated small group activities that will engage children and parents. Parents and children in these groups will get their respective roles during the intervention. For the control condition, individual intervention will be adopted. In this case, no parents will be involved and the intervention will not have any cultural considerations.

The proposed change intervention will support the population of focus by providing learning opportunities regarding nutritional habits within the family, the dangers of a sedentary lifestyle, and the importance of physical activity. By providing these lessons at a young age, the intervention will help reduce the likelihood of developing diabetes in the future, which results from childhood obesity (Lloyd et al., 2018). The change plan will help support my setting in home health because it centers upon lifestyle change within the family. In my role as a Home Health Nurse, this change plan will help improve health within the families. While the intervention takes six months, it will lay the foundation for long-term plan intended to reduce prevalence of diabetes in the future.

The problem I have selected to investigate is amenable to an intervention based on research using the PICOT format because it identifies the population, its characteristics, and the problem. It describes the vulnerability of Latin American children to diabetes, as well as the justification for an intervention that controls obesity from a tender age. Also, it identifies an intervention that can be most effective in addressing diabetes problem in the selected population. The intervention provides a comparison or control condition, which is the lack of cultural considerations and family involvement. According to Perry, Potter and Ostendorf (2015), the use of control and intervention conditions helps predict health outcomes. Further, it describes the expected outcome, which is the reduction in the prevalence of obesity and the long-term reduction in prevalence of diabetes in Latin Americans. Finally, it aims to accomplish its objectives within six months.

References

Lee, J., Park, H., & Min, Y. (2015). Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods. Asian Nursing Research, 9(2), 158-167. doi: 10.1016/j.anr.2015.05.001

Lloyd, J., Creanor, S., Logan, S., Green, C., Dean, S., & Hillsdon, M. (2018). Effectiveness of the Healthy Lifestyles Programme (HeLP) to prevent obesity in UK primary-school children: a cluster randomised controlled trial. The Lancet Child & Adolescent Health, 2(1), 35-45. doi: 10.1016/s2352-4642(17)30151-7

Perry, A., Potter, P., & Ostendorf, W. (2015). Nursing interventions & clinical skills (6th ed.). Amsterdam, Netherlands: Elsevier Health Sciences.

Sample Answer 2 for NUR 590 Week 1 DQs

Week 1 DQ 2 Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.

According to Wyant (2018), it is critical that a culture of evidence-based practice begin with asking the right questions, and pursuing the correct information to support practice change in order to achieve better patient care results and outcomes. But even before the right questions can be asked, a spirit of inquiry must exist in order to stimulate the curiosity and wonder of what could be, and how things could be better. Known as “step 0” of the evidence-base practice process, a spirit of inquiry, or wonder, is often triggered when a registered nurse reads an article with an interesting approach to a patient care issue, an individual comes up with an idea as to better improve a care practice, or the question is simply asked, “what else is out there, and is there a proven way to do this best?”. All of these initial questions support a spirit of inquiry, which triggers the beginning of an amazing journey known as evidence-based practice, translational research, literature review and practice implementation and observation/improvement (Wyant, 2018).

Nursing

The role of evidence-based practice in nursing management is to ensure that the limited resources that the nursing manager controls are effectively utilized to improve on health outcomes of the patients. Additionally, it creates an environment for continuous skills improvement that is essential for skills development for the clinicians and nurses. Nursing managers play a vital role in the creation of a work environment that is conducive for the implementation of evidence based practices (Fleiszer, Semenic, Ritchie, Richer & Denis, 2016). They play a crucial duty in the allocation of resources and designing of training programs that would ensure that the nurses have adequate training on evidence-based practices. The benefits of creating such an environment include doing away with the obsolete treatment process, reduction in costs of healthcare, the improvement of the health condition of the patient and improving the quality of care that the patient’s access.

In comparison, the nurse practitioner and the nurse managers play a lead role in the improvement of quality of services that are offered to the patients. Such calls for their integration of EBP within their nurse care processes and practice. According to Dang and Dearholt (2017), nurse leaders provide policy proposals on how EBP could be implemented within the clinical setup. In contrast, the nurse practitioner directly applies the EBP standards and processes during the routine operation of taking of the patients. Therefore, they are actively involved in the implementation of EBP. On the other hand, nurse managers only provide the climate for entrenching EBP and supervise how the nurses are implementing the standards. Additionally, the nurse practitioner offers advisory on how an EBP such as hand washing before handling a patient could be improved based on active and experiential evidence, but nurse manager would rely on clinical data and information from colleagues to offer proposal on how to enhance an EBP.

References

Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau: Indianapolis, Indiana.

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2016). Nursing unit leaders’ influence on the long‐term sustainability of evidence‐based practice improvements. Journal of nursing management, 24(3), 309-318.