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South NSG 6999 Full Course-Latest 2017

November

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Question
Week 1 -Assignment 2 Discussion
Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based
practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this
spirit of inquiry, you are asked in this discussion to:
Identify a problem or issue from within your specialty area that you feel needs to be
improved upon. The Doctor of Nursing Practice site
(http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/) provides many
examples of these projects. The list below may help focus your thoughts.
Educational program
Evidence-based healthcare policy change
Evidence-based clinical issue or protocol for specific disease/condition
Discuss the relevance of the issue from your perspective (not the literature at this juncture)
in relation to your selected advanced role option.
What piqued your interest about this issue or problem?
How does it relate to your area of specialization?
What gave you the idea that evidence exists to support this change? See "note" below.
Provide a rationale as to why this will be an evidence-based project to improve outcomes
and not generate new evidence (research).
Please remember that the project will not be implemented during this course and no data
will be collected. The outcome of this course is to complete a project proposal only.
Week 2 - Assignment 1 Discussion
Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based
practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this
spirit of inquiry, you are asked in this discussion to:
Briefly describe the problem or issue that you have decided to be the topic for your project
proposal in order to orient your classmates and faculty
Indicate how it relates to your area of specialization
State your PICOT question. Indicate in parentheses after each segment, what part of PICOT
the preceding words represent. For example: In patients recently discharged from the
hospital following care for heart failure (P), do hand-off calls by the nurse to the primary
care provider using the SBAR format (situation, background, assessment, recommendation)
(I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).
Discuss which process model resonates with you and will help keep you focused during the
project. Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:
Clinical scholar model
Stetler model of evidence-based practice
Iowa model of evidence-based practice to promote quality care
Model for evidence-based practice change by Rosswurm and Larrabee
Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search.
Does the question reflect a clinical research question or one appropriate for an evidence-
based practice project?
Week 3 - Assignment 1 Discussion
In this discussion, you will share your search strategies that you have employed to find
evidence for your study.For this discussion:
State your PICOT question. Did using the terms used in this question lead you to useful
research studies?
What MESH terms have you tried? Did they help you find additional studies? Are you finding
MESH terms useful to expand or delimit your search?
Are you finding relevant articles? If not, how did you modify your search to increase
productivity?
Indicate which databases you used—those you found useful and those that were not.
What levels of evidence do the studies you are finding represent?
Post any questions or concerns you may have and provide feedback and recommendations
to your classmates.Working together and sharing search strategies is very helpful.
Use the Search Tracker to keep track of search terms.
Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and
add the information to your Evaluation Table to receive feedback from faculty. At this
juncture, your table is a work in progress. You will complete it in Week 4. The RCA Tools
and Evaluation Table in Word for you to complete can be found in the Week 3 Overview
section.
Week 4 - Assignment 1 Discussion
Discuss your experience completing the rapid critical appraisal process.
Was it really “rapid” or was it more of a laborious process?

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Did reading the abstract help you make quick decisions about including or excluding the
study?
What worked best for you in terms of the approach you decided to use to complete the
appraisal and Evaluation Table? What didn’t work?
Post any questions or concerns you may have and provide feedback and recommendations
to your classmates.Working together and sharing search strategies is very helpful.
Week 5 - Assignment 1 Discussion
This week the discussion focuses on creating a Synthesis Table(s) as a means to summarize
and organize the body of evidence from the Evaluation Table. The Synthesis tables will be
included in your formal proposal in the Appendix. In the body of the paper, you will describe
the “keeper” studies in narrative format.
For this discussion, include the following:
Share your approach to synthesizing the evidence. What were the variables of interest you
identified?
Learning to write in a scholarly fashion requires that you are able to succinctly summarize
an article in a sentence or two and cite it appropriately using APA format. In this discussion,
practice summarizing 2 articles you have identified from the Synthesis Table as pertinent to
your proposal. Include the level of evidence, study design, and evidence of rigor. Use
appropriate APA citation in text and references. Incorporate feedback from peers and faculty
in your Dropbox assignment for this week.
In addition to research studies, patient preference and clinical expertise should also be
considered. Discuss how you will incorporate these important perspectives into your project
proposal.
Week 6 - Assignment 1 Discussion
For this week’s discussion, please address the following:
Briefly describe the clinical issue or problem for your project, the setting, and population of
interest to orient classmates and faculty
Write your clinical question
Describe the intervention you plan to test
What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a
rationale for your answer.
Provide feedback on the clinical questions of your colleagues
Week 7 - Assignment 1 Discussion
This discussion will focus on the measurement tools you will use to evaluate change from
the intervention. The purpose of this discussion is to fine-tune your thinking about
evaluation by receiving feedback from colleagues and faculty. Include in your discussion:
Write a brief description of your project that starts by stating your clinical question and
succinctly explaining your planned intervention in order to orient everyone.
Will you need to develop your own evaluation tools or are valid and reliable tools available?

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If you create your own tools, what are your thoughts on pilot testing them? How will you go
about this?
Will you gather baseline data? Will you use pre- and posttests? How will you measure
change?
How will you identify the participants for your study? How does the sampling method chosen
further define the type of study you will be doing?
How will you ensure confidentiality of study participants?
Week 8 - Assignment 1 Discussion
The discussion for this week will revolve around the analysis phase of your project. Include
the following points in your discussion:
Begin with a brief description of your project that includes your clinical question, your
planned intervention, the type of study you will conduct and how you plan to evaluate the
outcomes.
What type of statistical analysis will be done?
What is a reasonable timeline for your project?
What expenses should be considered? Include both obvious expenses, such as materials, as
well as those that are hidden, such as time, which equates to part of your salary.
Will you need to consider a funding source for your project?
Week 9 - Assignment 1 Discussion
Although you will not implement your project during this course, it is important that you
understand the various steps that are necessary to do so. As you begin to formulate your
strategic plan for implementing your change project, discuss the following specific to your
proposed project:
Who are the stakeholders? Please identify them by role or job within the organization, not
by name. Can you identify any “champions” or people within your organization that you can
convert to champions?
What potential barriers do you foresee and what strategies do you envision to prevent or
overcome these barriers?
What change theory will you use to guide you?
Week 10 - Assignment 1 Discussion
For this discussion question, you are asked to review the student learning outcomes for this
course and discuss how you met these outcomes. The intention here is to provide you an
opportunity to “reflect” on the learning achieved during this term and how you successfully
met these learning outcomes. If you do not feel you successfully met the objective, discuss
your plans to successfully complete the objective in the future.
By the end of the course, the student should be able to:
Demonstrate synthesis of the knowledge and skills acquired in preceding graduate nursing
core and specialty curriculum content.
Evaluate current health policy and legal and ethical considerations in addressing the health
promotion and disease prevention of a target population.

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Integrate this synthesis in the creation of a scholarly project of either an evidenced-based
practice proposal or a research proposal that generates new nursing knowledge.
Disseminate significant components of the project through a written paper and oral
presentation.

Week 1 assignment 3
Evidence-Based Project Proposal
Project Overview:
Title: Evidence Based Project-Proposal
Description:
As the course progresses over the 11 weeks, learners will develop a scholarly project that
demonstrates an application of evidence to practice for substantive change. This project
emphasizes critical appraisal and application of evidence-based research, scholarly writing,
and critical thinking. The scholarly project will be submitted as a written paper in APA
format/style. In addition, learners will present a summary of the final project orally or by
creating a PowerPoint presentation.
Learners will select one of the following types of projects related to their specific advanced
role specialization and target population:
Educational program
Evidence-based healthcare policy change
Evidence-based clinical issue or protocol
Overview of the Evidence Based Project (EBP):
In Week 1 of the course, students will identify an area of inquiry as a basis for practice
change, and in Week 2, write their clinical question in PICOT format that will drive the
literature search.
Following approval of the practice change idea and the PICOT question by course faculty, in
Week 3 students will begin their literature search and rapid critical appraisal (RCA) using the
RCA checklists available in Appendix D of the course text (Melynk & Fineout-Overholt, 2011)
and in Word format. The Search Tracker may be useful in organizing and tracking your
search.
Your evidence review will be completed in Week 4, resulting in a finished Evaluation Table
containing only the "keeper" studies.
In Week 5 you will synthesize the evidence to determine best evidence for your
project. Faculty will continue to serve in the role of mentor as the student progresses
through the remaining steps of the project.
Weekly submissions will be used to monitor progress in the development of your
proposal. It is recommended that upon receiving feedback from faculty on each section, you

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revise your work and add that section to build your final paper. Doing so as you proceed
through the course will avoid last-minute work.
When you began your study of evidence-based practice it was contrasted with the research
process. The underlying goal of EBP is to appraise research and study its application to
specific patient populations in order to identify best practices. In order to accomplish this,
what must be included within your project is a research study.You will most likely compare
pre-intervention data with post-intervention results. In come cases, statistical analysis will
be necessary. Your proposal will include plans for this study.
EBP Project Criteria
Students will prepare a formal project proposal using APA format. Below is an outline for the
final paper with the weeks where this content will be covered. Each week you will turn in
parts of this outline as Dropbox assignments.The week each part will be due is indicated in
the outline. After receiving feedback from faculty on each part submitted, it is
recommended that you begin building your paper, adding the pieces where they
belong. Since you will not be implementing this project, the results section has been
omitted. This outline is consistent with the format used for journal articles when reporting
results of evidence-based practice projects.
Criteria and organization of final paper
Abstract
Part 1
Introduction – Week 2
Practice issue
Summarize the practice issue in need of change providing background information about the
organization (setting) and the perceived significance and severity of the problem
Describe the specific aims of the project – what improved outcomes do you hope to achieve
PICOT question - State your question in PICOT format, labeling each part with P-I-C-O-T in
parentheses
Significance – what is the significance of the issue in terms of poor outcomes, cost, etc.
Part 2 – Week 3. 4, & 5
Evidence review and synthesis
List the names of the databases you searched and if limited to a span of time, i.e., less than
5 years old
Summarize “keeper” studies
Summarize the synthesis of the body of evidence
Part 3 – Week 6
Purpose of the project – include intervention
Theoretical framework
Clinical questions
Part 4 – Week 7

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Study design
Setting/sample
Confidentiality
Procedure/intervention
Instruments/scales and measurement of outcomes
Data collection
Part 5 – Weeks 8 & 9
Data analysis
Outcomes expected
Aligning stakeholders
Appendices
Evaluation Table – turned in Weeks 3 & 4
Synthesis Table – turned in Week 5
The paper provides evidence of synthesis of coursework, professional writing, and graduate
level scholarship.
Oral or Poster Presentation
In addition to the written paper, students will present a summary of their project by
submitting a professional Microsoft PowerPoint presentation.
Criteria:
Organize the presentation to include all required criteria of the EBP project proposal.
Quality of presentation is professional and provides evidence of graduate level scholarship.
This week’s Dropbox Assignment
Keep in mind that this proposal will be developed piece by piece during the course. The
Dropbox assignment this week provides you an opportunity to identify the problem or issue
within your specialization that is in need of improvement and receive feedback from faculty.
Review the grading criteria listed below as you begin this assignment. Note that you must
pass all elements in order to move forward with your proposal development. Faculty will
provide feedback either approving or asking that you resubmit prior to further development
of your project.
For this week’s assignment discuss the following:
State your idea for your evidence-based project proposal including the rationale as to how it
reflects an EBP project vs. a research project
Very briefly describe the issue you will address, the intervention that you feel has research
evidence (this may change later after you complete the literature search), and the expected
outcomes
Discuss how this project is relevant to your role specialization
Week 2 assignment 2

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Evidence Based Project Proposal
For this week’s Dropbox assignment, you will submit Part 1 of the project proposal in a one-
page APA formatted paper (excluding the cover page and reference page). Be sure to reflect
on feedback from faculty and classmates from this week’s discussion. Include:
Part 1: Introduction
Summarize the practice issue in need of change providing background information and the
perceived significance of the problem
Describe the specific aims of the project – what improved outcomes do you hope to achieve
State your question in PICOT format, labeling each part with P-I-C-O-T in parentheses
Discuss the significance of the issue in terms of poor outcomes, cost, etc
Week 3 assignment 2
Evidence Based Project Proposal
This week you will begin the submission of Part 2 of the project proposal written in APA
format. In a one-page APA paper, write a narrative that describes your search of the
literature for evidence, which includes:
List of the names of the databases you searched
If limited to a span of time, i.e., less than 5 years old
Using the appropriate Rapid Clinical Appraisal Tools, appraise one or two articles and add
the information to your Evaluation Table to receive feedback from faculty. At this juncture,
your table is a work in progress. You will complete it in Week 4.
You will also turn in the Evaluation Table with two studies appraised (see below) and the
Search Tracker for feedback on your search strategies.
After receiving feedback from faculty, add what you have completed this week to Part 1 to
begin to build your project proposal paper. Keep this in mind when completing this
assignment, using a professional writing style in your narrative
Week 4 assignment 2
Evidence Based Project Proposal
This week you will submit the completed Evaluation Table that includes only your “keeper”
studies. This will be added to your final paper as an Appendix. You will also turn in the
Search Tracker so faculty can see the steps you took to locate the evidence. This will not
become a part of your paper, but it is for feedback only should faculty deem that necessary.
Week 5 assignment 2
Evidence Based Project Proposal
For this week’s Dropbox assignment, you will complete Part 2 of your project proposal, the
evidence review and synthesis section. This section consists of narrative descriptions of
each study that forms the body of evidence.The length of this section will vary based on the
number of studies that you include. The paper should be written in a scholarly fashion using
APA format. For each article include in the narrative:
Authors' names, date of publication (included in the citation).

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Quality and level of evidence
How significant (or not) the evidence is and why you think so. How are these articles
relevant to change practice or policy for your specific practice site and population? If a study
is not significant and you have included it, mention how your clinical expertise was involved
in this decision.
Your summary the synthesis section should clearly indicate the intervention you plan to use
in your project proposal. You will discuss this in greater detail in the next section, but do
leave the reader with the understanding of the intervention you chose.
You will also turn in your completed Synthesis Table(s) that will become part of your
Appendix in your final paper.
Week 6 assignment 2
Evidence Based Project Proposal
For your Dropbox assignment this week, you will write Part 3 of your project proposal. In a
one- to two-page paper in APA format, include:
Your clinical question
How the clinical question indicates the type of study that will be done (quasi-experimental
vs. experimental).Describe the type of study.
Theoretical framework(s) chosen including a rationale for your choice
Week 7 assignment 2
Evidence Based Project Proposal
For your Dropbox assignment this week, you will write Part 4, the Methods section of your
project proposal that consists of plans for conducting the study of the intervention and
methods of evaluation. Use the titles of each bullet point in your paper.
In a two- to three-page APA formatted paper:
Study design: Briefly describe the study design indicated by the question (experimental,
quasi-experimental, descriptive).
Setting/sample: Briefly describe the setting for the study, who your study participants will
be, and how these participants will be chosen. Will random sampling or a sample of
convenience be used?
Confidentiality: How will you protect the confidentiality of your participants?
Procedures/intervention: Discuss the intervention you will implement and the procedures
you will use in enough detail that others could replicate the study.
Instruments/scales and measurement of outcomes: Describe the instruments you will use to
measure changes and whether they are quantitative, qualitative, or of a mixed design. If
they have been tested previously, include reliability and validity data.
Data collection: Explain plans for data collection including:
Methods of collection, i.e., interviews, paper and pencil testing, etc.
Testing frequency. Will you gather baseline data prior to the intervention? Will you employ
repeated measures such as pre- and posttests?

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Week 8 assignment 2
Statistical Analysis
For this week’s Dropbox assignment, you will begin to develop Part 5 of your project
proposal: Analyzing change.In your discussion, include the following points:
State your clinical question.
Briefly state the intervention you will implement. While these two items are not typically
included in Part 5, doing so will help orient faculty so appropriate feedback can be provided.
What outcomes will be analyzed and how they will be analyzed?
Describe the statistical analysis you will do relating this to the data collection tools you plan
to use.
Indicate the types of demographic data you plan to report on your participants as well.
Briefly discuss the outcomes expected should this project be implemented.
After receiving feedback from faculty, incorporate the appropriate content into your project
proposal.
Week 9 assignment 2
Evidence Based Project Proposal
For your Dropbox assignment, you will write another part of your Methods section (Part 4)
that you began in Week 7. In a paragraph or two in APA format include the following:
Identify your stakeholders by job title and how their participation was key to the project.
Briefly discuss potential barriers to project implementation that stakeholders may
present. Include strategies to prevent or address these barriers.
After receiving feedback from faculty, incorporate this paragraph into the Methods section of
your paper after the “Procedures/intervention” section and before the “Instruments/scales
and measurement of outcomes” section.
Week 10 assignment 2
Evidence-Based Project
Overview/Description:
Learners will develop a scholarly project that will demonstrate an application of evidence to
practice for a substantive change. This project emphasizes application of evidence-based
methodology, scholarly writing, and critical thinking. The scholarly project will be submitted
as a written paper in APA format/style. In addition, learners will present a summary of the
final project orally and/or with a PowerPoint presentation.
Learners will select one of the following projects related to their specific advanced role
specialization that addresses a health promotion and disease prevention of a target
population:
Educational program
Evidence-based healthcare policy change
Evidence-based clinical issue or protocol

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Criteria for scholarly EBP project proposal
Over the past 11 weeks, students have developed a proposal for an evidence-based project
in their area of specialization. This final paper is the culmination of this scholarly activity. All
papers must be written using APA format and a professional writing style. The proposal
should include the following sections and content.
Abstract
Part 1 – Introduction – Week 2
Introduction
Practice issue
Summarize the practice issue in need of change providing background information about the
organization (setting) and the perceived significance and severity of the problem
Describe the specific aims of the project – what improved outcomes do you hope to achieve
PICOT question - State your question in PICOT format, labeling each part with P-I-C-O-T in
parentheses
Significance – what is the significance of the issue in terms of poor outcomes, cost, etc.
Part 2 – Evidence review and synthesis - Week 3, 4, & 5
List the names of the databases you searched and if limited to a span of time, i.e., less than
5 years old
Summarize “keeper” studies
Summarize the synthesis of the body of evidence
Part 3 – Purpose of the project - Week 6
Purpose of the project – include intervention
Theoretical framework
Clinical questions
Part 4 – Methods - Week 7
Study design
Setting/sample
Confidentiality
Procedure/intervention
Aligning stakeholders
Instruments/scales and measurement of outcomes
Data collection
Part 5 – Data analysis - Weeks 8 & 9
Outcomes to be analyzed and how they will be analyzed
Outcomes expected (hypothesized)

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Appendices
Evaluation Table – turned in Weeks 3 & 4
Synthesis Table – turned in Week 5
Oral and/or PowerPoint Presentation
Students will present a summary of their project using Microsoft PowerPoint.
The presentation for onground campus students will be done orally in a 20-minute
presentation
Online campus students will include speaker notes in their PowerPoint slides and will defend
their presentation in a discussion board.
Criteria:
Assemble the presentation to present all required criteria sections of the EBP project.
Quality of presentation is professional and provides evidence of graduate level scholarship.

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