Devry NR451 ALL Week Discussion Latest 2016 March Devry NR451 Week 1 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Assessing Need for Change (graded)Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality? DQ 1Nurse’s Role in EBP (graded)Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research? Devry NR451 Week 2 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Forming the PICO Question (graded)Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice? DQ 2Appraisal of Evidence (graded)When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice? Devry NR451 Week 3 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Feasibility of your Capstone Project (graded)Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes? DQ 2Communication Errors (graded)Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented? Devry NR451 Week 4 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Patterns of Nursing Care (graded)Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples. DQ 2Discussion of Articles (graded)Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice? Devry NR451 Week 5 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1An Ethical Dilemma (graded)Nurses face many ethical issues on a daily basis. Consider the following scenario:Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process. DQ 2Core Competencies for Nurses (graded)Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at.qsen.org/”>http://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working? Devry NR451 Week 6 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Implementing Change Despite Resistance (graded)Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project. DQ 2Workplace Safety (graded)Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environment”>http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting. Devry NR451 Week 7 Discussion DQ 1 & DQ 2 Latest 2016 MarchDQ 1Healthcare Policy (graded)Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy? DQ 2Healthcare Economics (graded)Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars? Devry NR451 Week 8 Discussion Latest 2016 MarchEducational Preparation as a BSN Graduate (graded)How has this educational program prepared you for the future of nursing as a BSN graduate? ALL Week Assignment Latest 2016 March Devry NR451 Week 2 Capstone Project Milestone #1 Assignment Latest 2016 March CapstoneProject Milestone #1: PICOandEvidence Appraisal Worksheets PICO Worksheet Your Name: Date: Your Instructor’s Name: Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project. Directions:Use the form below to complete the PICO assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO elements. Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICO question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICO question. Step 2: Identify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICO question) Step 3: How was the practice issues identified?How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply. Step 4: What evidence must be gathered? Everyone should have a literature search. However, what other sources of reliable information will be helpful for your particular question? Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? What databases will you search? How will you narrow your search if needed? PICO Worksheet What is the PICO question?____________________________________________________________ Define each element of the question below: P- (Patient, population, or problem): I- (Intervention): C- (Comparison with other treatment/current practice): O- (Desired outcome): What is the practice issue/problem? What is the practice area? ___ Clinical ___ Education ___ Administration ___ Other How was the practice issue identified? (check all that apply) ___ Safety/risk management concerns ___ Unsatisfactory patient outcomes ___ Wide variations in practice ___ Significant financial concerns ___ Difference between hospital and community practice ___ Clinical practice issue is a concern ___ Procedure or process is a time waster ___ Clinical practice issue has no scientific base ___ Other: What evidence must be gathered? (check all that apply) ___ Literature search ___ Guidelines ___ Expert Opinion ___ Patient Preferences ___ Clinical Expertise ___ Financial Analysis ___ Standards (Regulatory, professional, community) ___ Other Search terms: Databases to search: Search Strategies: Evidence Appraisal Worksheet Your Name: Date: Your Instructor’s Name: Purpose: To find evidence to support an intervention that will change the outcomes. Directions: Type your search question below. Find AT LEAST FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. At least three of your sources must be peer-reviewed articles. The fourth source could be another peer-reviewed article or a reliable, credible source. Look in your text for ideas of other sources that can be used. Using the table below, insert and describe your four chosen resources. Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual. Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article. You need at least three peer-reviewed articles for your project. If your article is a non–research source, then you will need to list what type of source it is; systematic review, clinical practice guidelines, organizational experience, or individual expert opinion/case study/literature review. You may only use ONE non-research source. Step 3: Strength of Research. Refer to page 238-240 for research evidence and page 242-244 for non-research evidence. While you do not need to assign a level for each study, you will assign a quality of evidence (high, good, or low/major flaw) and should discuss the study using some of the elements that are discussed in the appraisal forms. For example, Research evidence: was the sample size adequate? Was there a controlled group? Was it a randomized study? Were results clearly stated? Was the conclusion based on the results? Were study limitations discussed? Not all of these elements need to be discussed, but you should discuss this information to determine if the strength of the evidence is HIGH, GOOD, or LOW/MAJOR FLAW. Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations? Evidence Appraisal Worksheet PICO Question: APA Reference for Article Give the APA-formatted reference for the article. Type of Source *Research: Peer-reviewed article *Non-research systematic review, clinical practice guidelines, organizational experience, or expert opinion/case study/literature review Strength of Research Discuss the strength of the sources. Report if evidence is High, Good, or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality. Brief Description of Research Address the questions. *How does the information in the article apply to the project problem or proposed intervention? *Summarize in your own words. * Include results of the study and how these results are applicable to your project. * What is the recommendation of the source for clinical practice? 1 2 3 4 Devry NR451 Week 4 Capstone Project Milestone #2 Assignment Latest 2016 March Title Your Name Chamberlain College of Nursing NR451 RN Capstone Course Term and Year Your title hereThis paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember that you will keep all the bolded headings and just remove the non-bolded content when you start your paper. Change Model OverviewIn this first paragraph, provide an overview of the John Hopkins Nursing Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the John Hopkins EBP Process.Practice QuestionStep 1: Recruit Interprofessional TeamYou will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse etc)Step 2: Develop and Refine the EBP QuestionRestate your question. Include the PICO elements but make sure you write them in paragraph form and not in list format.Step 3: Define the Scope of the EBP Why is this a problem? Give statistics and information to back the scope of the problem. How does this problem impact healthcare on a broader scale?Steps4 and 5: Determine Responsibility of Team MembersWhy are the members chosen important to your project? What are their roles?EvidenceSteps 6and 7: Conduct Internal/External Search for Evidence and Appraisal of EvidenceWhat type of evidence did you find? EBP guidelines? Quality improvement data? Position statements? Qualitative research? Quantitative research? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Steps8and9: Summarize the EvidenceSynthesize the information that you obtained from your sources. You will need at least four sources. Of these four sources, three must be from peer-reviewed articles. The other source can be from a reputable source. See page 44 of your text for examples of sources you can use. In this section, you need to synthesize the information from the articles. Feel free to cite multiple articles within one sentence. This section should be one paragraph that is a summation of information from the multiple articles. Be sure and cite all of your references, in proper APA format, from the articles into this one paragraph.Step 10: Develop Recommendations for ChangeBased on EvidenceWhat is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. TranslationSteps 11, 12, and 13, 14: Action PlanYou have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Steps 16and 16: Evaluating Outcomes and Reporting OutcomesWhat are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?Steps 17: Identify Next StepsHow will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Step 18: Disseminate FindingsHow will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?ConclusionProvide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the three levels of change for the John Hopkins EBP process. References Devry NR451 Week 6 Capstone Project Milestone #3 Assignment Latest 2016 March Capstone Project Milestone #3:Educating Staff: Implementing Change GuidelinesPurposeThe purpose of this assignment is to create theEducating Staff: Implementing Change ProjectPowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.Course OutcomesThis assignment enables the student to meet the following Course Outcomes.CO2:Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)CO3:Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7) Due DateMilestone #3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 6.PointsMilestone #3 is worth 225 points.Directions1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.2. The format for this proposal will be a PowerPoint presentation.3. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.4. Below are the topics for the slides:a. Title slideb. Description of the change model usedc. PICO question—include the elementsd. Scope of the problem—use statisticse. Your team/stakeholdersf. Evidence to support your need for change—from research g. Action Plan h. Timeline for the plani. The nurses role and responsibility in the pilot programj. Procedure k. Forms that will be used (if applicable)l. Resources available to the staff—including yourselfm. Summaryn. References5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.Guidelines· Application: Use Microsoft PowerPoint 2010.· Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).· Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6. · Late Submission: See the course policy on late submissions.· Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.Best Practices in Preparing a PowerPoint PresentationThe following are best practices in preparing this project.1. Slides should be easy to read with short bullet points and large font.Do not use paragraphs.2. Be creative, but realistic with your intervention and evaluation tool.3. Incorporate graphics, clip art, or photographs to increase interest.4. Review directions thoroughly.5. Cite all sources within the slide show with in-text citations,as well as a reference page.6. Proofread prior to final submission.7. Spell check for spelling and grammar errors prior to final submission.8. Abide by the Chamberlain College of Nursing academic integrity policy. Grading Criteria: Educating Staff: Implementing Change Category Points % Description The Problem 30 13% Summary of change model discussed. PICO question including elements. Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen. The Evidence 40 18% Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts discovered. At least four sources used (at least three peer reviews and the other a credible resource). The Plan 40 18% Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate. The Nurse’s Role 30 13% The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise. Resources 20 9% Form for tracking the outcomes is included. Resources the nurses will need are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included. Summary 10 5% Summary slide reiterates the problem and purpose of the plan along with the measurable goals. Overall Presentation 25 11% Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Mechanics 30 13% Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper.Reference page includes all citations. Evidence of spell and grammar check. Total 225 points 100% Grading Rubric: Educating the staff Milestone #3 Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts The Problem 30 points * Summary of change model discussed (1 slide) * PICO question including elements (1 slide) * Scope of the problem includes statistics and scope of problem to healthcare as a whole discussed. (1-2 slides) * Team and stakeholders and their role/reason chosen (1 slide) (28–30 points) * Oneof the four elements was not thorough or did not include all appropriate elements. (25–27 points) * Two of the four elements was not thorough or did not include all appropriate elements. (23–24 points) * Three or more of the four elements was not thorough or did not include all appropriate elements. (0–22 points) /30 The Evidence 40 points Discussion of the evidence is done in terms of themes. Pertinent information is summarized. Sources are not listed individually but synthesized into concepts. At least foursources used (at least three peer reviews and the other is a credible resource). (3–4 slides) (37–40 points) Four sources are discussed but evidence is not synthesized into themes learned. (34–36 points) Four sources are discussed but evidence is not synthesized or summarized. (30–33 points) Not all foursources are discussed. Summary of information not detailed or pertinent. (0–29 points) /40 The Plan 40 points * Plan of action described. Important elements are discussed and logical. (1-2 slide) * Timeline is thorough and contains all elements. Timeline is logical and appropriate. (1 slide) (37–40 points) *Plan of action described but not all important elements included. OR * Timeline is present but doesn’t contain all elements. (34–36 points) *Plan of action described but not all important elements included. AND * Timeline is present but doesn’t contain all elements. (30–33 points) Plan of action not present or not logical and complete. The timeline is not present or not appropriate and logical. (0–29 points) /40 The Nurse’s Role 30 points * The nurse’s role in the pilot plan is described and clear. (1 slide) * Procedures for the pilot plan are clear and concise. (2-3 slides) (28–30 points) *The nurses’ role is describes but not clear. OR * Procedures are discussed but not clear. (25–27 points) *The nurses’ role is describes but not clear. AND * Procedures are discussed but not clear. (23–24 points) Nurses’ roles are either absent or not appropriate. Procedures are either absent or not clearly written and complete. (0–22 points) /30 Resources 20 points *Form for tracking the outcomes is included. (1 slide) * Resources the nurses will need are included. At least three resources are included.The nurse investigator, the team, internet resources, or other resources the staff needs is included. (1 slide) (18–20 points) * Form for tracking outcomes included. *At least three resources are included but the resources were not the best available resources. (16–17 points) * Form for tracking outcomes included but was not well-developed. *At least three resources are included but the resources were not the best available resources. (15 points) * Form for tracking outcomes either absent or not well-developed. * Less thanthree appropriate and helpful resources were given. (0–14 points) /20 Summary 10 points Summary slide reiterates the problem and purpose of the plan along with the measurable goals.(1-2 slides) (9–10 points) Summary does not clearly reiterate the problem OR purpose. (8 points) Lacks reiteration of problem AND purpose. (7 points) Summary slide not present or incomplete. (0–6 points) /10 Overall presentation 25 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (23–25 points) Presentation is accurate and covers most elements but lacks creativity. (21–22 points) Presentation lacks flow and creativity or is difficult to follow. (19–20 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–18 points) /25 Mechanics 30 points Includes title slide (3 points) Grammar, punctuation, and sentence structure are correct. (9 points) References properly cited within the paper. (6 points) Reference page includes all citations. (6 points) Evidence of spell and grammar check. (6 points) (28–30total points) Title slide incomplete Minimal errors in grammar, punctuation, and/or sentence structure noted. Citations are present but not correct format. References are present, with minimal errors in format. (25–27 points) Missing title slide Multiple grammar and punctuation errors noted. (23–24 points) Title slide and citations are missing. References are missing or incomplete. No evidence of proof-reading prior to submitting paper. (0–2 points) /30 Total points: /225 Reference:Dearholt, S. L., & Dang, D. (2012).Johns Hopkins Nursing Evidence Based Practice: Model and Guidelines(2nded.).Indianapolis, IN: Sigma Theta Tau International.