COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting. B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module’s discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020). Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020). Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research’s use of narrative materials, available research methods, and a focus on interaction and subjectivity.
Another example that comes to mind was what I experienced during the pandemic, the facility that I worked with had so many nurses staffing issues with infection control and avoiding it from spreading. One evidenced based action we took was clearing one unit, testing patients every day and making sure anyone that had the symptoms were segregated to that unit to quarantine but one thing we noticed was nurses were not following the protocols as they should. One thing for nurses that have been at a facility so long, they are used to only following the status quo by just doing things the way they want while implementing change by teaching them new methods of handling things can be a very tasking if not a very daunting issue for them.
Infection control link nurses (ICLN) are role models in providing safe care and transfer their knowledge and skills to their peers (Dawson, 2003). In order to fulfil this role, link nurses in acute care hospitals are trained by infection control practitioners(Dekker, Mansfeld, Vandenbroucke-Grauls, Lauret, Schutijser, De Bruijne, & Jongerden (2022). So, what our team did was to have a set of infection control link nurses come to the facility and had a mandatory class showing nurses and with return demonstration of not only handwashing but also how to don and remove their gloves the right way with their personal protective equipment especially the N95 mask and respirators . The whole staff were fitted for their own personal masks, and they were taught how to use what we called “the brown paper bag technique” which would require them to take the mask off in a certain room and place them in their own brown paper bag labeled. When we did this, we noticed the rate of spread of the infection and virus went down by at least 50 %.
Infection control is an aspect of healthcare delivery that deals with the curtailment of the spread of infection within the healthcare setting. Be it from patienttopatient, patienttostaff, stafftopatients, or staff to staff contact, healthcare workers generally are at risk of infection
Refer back to the last module’s discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project
State the problem that you are considering for your DNP project.
Would a nurse’s constant text message or app-based teaching and self-management tool increase blood glucose management in union-based health coverage individuals with Type II DM?
Find a peer-reviewed quantitative research article that addresses this problem.
An article related to the abovementioned issue is Nursing research: Generating and assessing evidence for nursing practice (Denise et al., 2017) .
State the research design type and the associated evidence level in the article.
The type of research design is non-experimental or correlational, and the associated level of evidence is level 4. This means that the study did not manipulate variables but merely observed relationships between variables (Denise et al., 2017). The level of evidence is lower because this type of study cannot show direct cause and effect.
What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
a) How well was the study designed? The study was non-experimental, meaning the researcher did not manipulate any variables. This means that it is not possible to show direct cause and effect.
b) How well were the participants recruited? The participants were recruited from a convenience sample, meaning they may not represent the whole population (Moran et al., 2019).
c) How well was the exposure measured? It is possible that self-reported levels of exposure underestimate actual levels of exposure.
d) How well was the outcome measured? Self-reporting was used to determine the outcome, which has its own limitations.
How can you use this evidence from your chosen article to solve your clinical problem?
There is no direct evidence from this study that text messaging, or app-based teaching would increase blood glucose management in patients with Type II diabetes. However, the study did find that patients who used text messaging or apps to manage their diabetes had better glycaemic control than those who did not (Denise et al., 2017). This suggests that text messaging or app-based tools may benefit patients with Type II diabetes.
References
Dekker, M., Mansfeld, R. V., Vandenbroucke-Grauls, C. M., Lauret, T. E., Schutijser, B. C., De Bruijne, M. C., & Jongerden, I. P. (2022). Role perception of infection control link nurses; a multi-centre qualitative study. Journal of Infection Prevention, 23(3), 93-100. https://doi.org/10.1177/17571774211066786
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020). Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The Doctor of Nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
COMPLETED WEEK 3
1. Consider the two research paradigms: quantitative and qualitative research and discuss the researcher’s purpose for choosing one over the other.
2. A. Describe a clinical problem under which a DNP prepared nurse could utilize one of the following qualitative research designs which include: a) ethnography, b) phenomenology, and c) grounded theory. B. Describe why the chosen qualitative research design is appropriate for the clinical problem you have identified.
3. A, Locate a qualitative article in one of the major qualitative traditions (ethnography, phenomenology, or grounded theory) and B. briefly describe the article and C. how the research questions connects to the methodology.)
4. A. Locate a mixed method nursing research article that interest you and B. briefly describe how using both research methods in one study provides evidence for clinical practice. (Related to MO 1,3,4)
5. A. Describe the clinical/practice problem that you have chosen to focus on for your DNP Project (or are considering focusing on) AND B. State your clinical/practice question using PICOT format. Please note the PICOT must be a clinical practice question….the PICOT cannot be related to an academic problem or any issue that would occur in an academic setting and/or involves working with students. AND C.1. Describe the influence that reviewing previous NKU DNP projects had on you developing your PICOT above. C.2. List the titles of at least 2 previous NKU DNP projects that you reviewed – I reviewed
RESOURCES
Corey, G. (2020). Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020). Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Consider the two research paradigms: quantitative and qualitative research, and discuss the researcher’s purpose for choosing one over the other.
From what we have learned so far in this course, it is clear that deductive reasoning that can be verified in the real world lies at the heart of quantitative research. It uses a methodical strategy and strict implementation of controls to minimize errors (Denise & Cheryl, 2017). Comparatively, qualitative research focuses on understanding the why and how of a phenomenon through an in-depth consideration of the human experience. Researchers employ quantitative methods to determine the success of their intervention, whereas qualitative methods are used to examine participants’ subjective experiences.
Describe a clinical problem under which a DNP-prepared nurse could utilize one of the following qualitative research designs: a) ethnography, b) phenomenology, and c) grounded theory.
A DNP-prepared nurse could use grounded theory research strategies to study the impact of a new nursing intervention on patient outcomes. The grounded theory could be used to develop a theoretical understanding of how nurses and patients interact in a particular setting.
Describe why the chosen qualitative research design is appropriate for your identified clinical problem.
The grounded theory approach is appropriate for this clinical problem because it focuses on developing a theoretical understanding of how nurses and patients interact in a particular setting. This theoretical understanding can be used to guide future research and practice. This approach is particularly useful for complex problems that are not well understood.
Locate a qualitative article in one of the major qualitative traditions (ethnography, phenomenology, or grounded theory)
I will go by the article: Translation of evidence into nursing and healthcare (3rd ed.).
Briefly Describe the Article
This article describes the process of translating evidence into nursing and healthcare. The authors use a case study approach to examine how an evidence-based practice guideline was developed and implemented in a hospital setting.
How The Research Questions Connect to The Methodology
The research questions in this study connect to the methodology in that they focus on translating evidence into nursing and healthcare. The authors use a case study approach to examine how an evidence-based practice guideline was developed and implemented in a hospital setting.
Locate a mixed method nursing research article that interests you
I chose the article: Nursing research: Generating and assessing evidence for nursing practice (Tenth edition ed.).
Briefly Describe How Using Both Research Methods in One Study Provides Evidence for Clinical Practice. (Related To Mo 1,3,4)
Using the two methods allows for a more comprehensive understanding of the studied issue. Quantitative methods provide data that can be analyzed to identify trends and relationships, while qualitative methods provide insights into the experiences and perceptions of those involved. Together, these methods provide a complete picture of phenomena and allow for evidence-based decision-making.
Describe the clinical/practice problem that you have chosen to focus on for your DNP Project (or are considering focusing on)
The clinical problem I have chosen to focus on for my DNP project is the impact of a new nursing intervention on patient outcomes. I am interested in studying how this intervention affects the nurses who implement it and the patients who receive it.
State your clinical/practice question using the PICOT format
In patients with type II diabetes, does use a text messaging or app-based self-management tool result in better glycemic control than no intervention?
Describe the influence that reviewing previous NKU DNP projects had on developing your PICOT above.
Reviewing previous NKU DNP projects did not directly influence the development of my PICOT.
List the titles of at least two previous NKU DNP projects that you reviewed – I reviewed
1. The Impact of a Nurse-led Transition Program on Patient Outcomes
2. The Impact of a Multidisciplinary Discharge Planning Intervention on Patient Outcomes
References
Corey, G. (2020). Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research: Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
COMPLETED WEEK 4
1. The Melnyk (2019) describes how to access guidelines. Review the data bases and search for one clinical practice guideline that interests you. If your identified clinical problem and PICOT lend themselves to a clinical practice guideline, you may want to choose a clinical practice guideline related to your clinical problem and PICOT. It may be more than possible that there is not a clinical practice guideline that is related to your identified clinical problem and PICOT…..that is more than fine……then choose a clinical practice guideline that is simply of interest to you. A. Name the guideline. B. Name the resource (database) which housed this practice guideline. C. State the strength of the guideline based on the validity and reliability of its recommendation. D. Answer all of the questions listed in Box 8.4 Rapid Critical Appraisal checklist on page 245 of the Melnyk text to evaluate the attributes of the guideline.
2. After listening to the AGREE II overview tutorial and tutorial/ practice, note the necessary steps to evaluate a guideline. Find one article which the authors used the AGREE II tool to evaluate a practice guideline.
[Go to the library and use a medical/health database – use the search terms “practice guidelines” and “Agree tool. There are numerous articles.] (like this one I can find an article and send you the paper)
Summarize the following about the article you chose for discussion: A. What is the citation of the article? B. What were the findings and conclusion? C. What was the review rated? D. What was the overall assessment of the quality of the guideline? E. Did the guideline clearly present the author/s’ recommendations?
RESOURCES
Corey, G. (2020). Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020). Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
Case Study Approach to Psychotherapy for Advanced Practice Psychiatric Nurses
Candice Knight & Kathleen Wheeler
https://bookshelf.vitalsource.com/reader/books/9780826195043/epubcfi/6/2[%3Bvnd.vst.idref%3Dx00_Cover]!/4/2/2%4051:81
The Doctor of Nursing Practice Project
Katherine J. Moran; Rosanne Burson & Dianne Conrad
Theory and Practice of Counseling and Psychotherapy, Enhanced
Gerald Corey
https://bookshelf.vitalsource.com/reader/books/9781305855953/pageid/0
Translation of Evidence Into Nursing and Healthcare, Third Edition
Kathleen M. White, PhD, RN, NEA-B; Sharon Dudley-Brown & Mary F. Terhaar
Nursing Research: Generating and Assessing Evidence for Nursing Practice
Denise F. Polit & Cheryl Tatano Beck
ANSWER
Part 1
Governments around the world are aiming to improve healthcare and optimize outcomes through initiatives that accelerate the systematic integration of clinical care based on the best evidence. Therefore, it is not surprising to see entire programs dedicated to this endeavor hence the development of classes like this to educate and empower students . However, the problem is that clinical practice variations continue to persist (Melnyk, B. M. & Fineout-Overholt, E. (2019).
Name The Guideline
The guideline I chose is the American Heart Association’s Guidelines for cardiopulmonary resuscitation and emergency cardiac care. Part 5: Neonatal resuscitation: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation (New York, N.Y.), 142(16_Suppl_2 Suppl 2), S524-S550.
Name The Resource (Database) Which Housed This Practice Guideline
The resource housed in this practice guideline is-
PubMed.gov. National Library of Medicine: National Center for Biotechnology Information. Retrieved September 12, 2022 from https://pubmed.ncbi.nlm.nih.gov/33081528/
State the strength of the guideline based on the validity and reliability of its recommendation.
When it comes to CPR and other forms of emergency cardiac care, the American Heart Association’s guidelines are among the most authoritative available. The standard was formulated by an expert team and has undergone consistent, thorough evaluation and revision. The suggestions are supported by substantial data and have broad medical consensus.
Answer all of the questions listed in Box 8.4 Rapid Critical Appraisal checklist on page 245 of the Melnyk text to evaluate the attributes of the guideline.
Who were the guideline developers?
The guideline developers were representatives of key stakeholders in this specialty, including clinicians, researchers, and patient organizations. These developers include: the American Diabetes Association, the Medical Group Management Association’s Professional Practice Committee, qualified educators in the fields of nursing and nutrition who have a Doctor of Nursing Practice, and Doctor of Pharmacy.
Was the developer representative of key stakeholders in this specialty (interdisciplinary)?
Without a doubt, the developer was speaking for the most important players in this field. They might achieve this by merging the various viewpoints and requirements of the target audience into the final output.
Who funded the guideline development?
The American Heart Association funded the guideline development to provide updated, evidence-based recommendations for preventing cardiovascular disease
Were any of the guideline developers funded researchers of the reviewed studies?
No one involved in creating the guidelines paid for the heart disease prevention research.
Did the team have a valid development strategy?
The team did use an appropriate methodology for development. First, they defined what the user needed to do with the app. Second, they decided which features were most important to include. Third, they mocked up a basic prototype. Fourth, they iteratively built and tested the app. Fifth, they released it to users.
Was an explicit, sensible, and impartial process used to identify, select, and combine evidence?
Evidence was gathered using a transparent, reasonable, and unbiased procedure. The American Dental Association (ADA) relied on a consensus report to detail analysis penned by a group of specialists with the aim of locating relevant sources and determining acceptable guidance or locating gaps in the evidence with regards to diabetes.
Did developers carry out a comprehensive, reproducible literature review within the past 12 months of its publication/ revision?
Not less than a year after its publication or most recent modification did the designers conduct a thorough, reproducible literature survey.
Were all important options and outcomes considered?
Yes, all significant selections and results were considered. Surveillance, diagnostic, and therapeutic measures that are known or are believed to improve the health outcomes of people with diabetes are included in the standard of treatment.
Is each recommendation in the guideline tagged by the level/strength of evidence on which it is based and linked with the scientific evidence?
Yes, the threshold of suggestion was noted next to each guide proposal. The team did use an appropriate methodology for development. First, they defined what the user needed to do with the app. Second, they decided which features were most important to include. Third, they mocked up a basic prototype
Do the guidelines make explicit recommendations (reflecting judgments about outcomes)?
The guidelines do include explanations for each recommendation on the mainstays of diabetes care, along with broad therapeutic objectives and principles.
Has the guideline been subjected to peer review and testing?
The recommendations have been tested and reviewed by experts in the field. An expert practice group reviews the framework every year.
Is the intent of use provided?
The Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care provide detailed instructions on how medical professionals should provide care to patients suffering from cardiac or respiratory distress. The guidelines cover everything from initial assessment and stabilization of the patient to ongoing care and rehabilitation.
Are the recommendations clinically relevant?
In accordance with the Standards for Medical Care in America, the guidelines in Diabetes – 2022, one of 17 guidelines, are clearly clinically meaningful and evaluated each year to ensure that practitioners always have access to the most up-to-date knowledge.
Will the recommendations help me in caring for my patients?
The care of future clients will be improved as a result of these suggestions. For the sake of a Doctor of Nursing Practice assignment, it will be useful to adhere to this particular practice guideline regarding behavioral modification and health.
Are the recommendations practical/ feasible? Are resources available?
This clinical research guideline includes realistic suggestions, and the accompanying grading lends credence to the reliability of the supporting research.
Are the recommendations a major variation from current practice? Can the outcomes be measured through standard care?
The suggestions do not significantly deviate from standard practice. These suggestions are up to date as of the previous year due to the fact that the standards and guidelines are evaluated annually and are “living standards,” which means that only the most recent practice information is available. Standard care allows for the measurement of outcomes; however, in the case of this guideline, which focuses on modifying one’s behavior, it is possible to set and achieve goals and implement a treatment plan, but only a subset of these variables are amenable to quantitative analysis. Common health indicators, such as weight and Hemoglobin A1C, are simple to monitor. Surveys, patient exams and screenings, and interviews are all useful tools for gauging people’s perceptions of the effectiveness of interventions aimed at promoting health and well-being
Part 2. After listening to the AGREE II overview tutorial and tutorial/ practice, note the necessary steps to evaluate a guideline. Find one article which the authors used the AGREE II tool to evaluate a practice guideline.
The AGREE II, is an internationally recognized standard instrument for evaluating the methodological quality of guidelines, provides framework guidance for the quality appraisal of various Clinical Practice Guidelines-(CPGs)(Zhou et al., 2021). So in searching for an article I utilized the two search words and found one that peaked my interest. The World Health Organization has indicated that new cancer cases are expected to exceed 29 million in 2040, leading to 16 million expected cancer-related deaths in 2040 .Malnutrition, which is the most common complication of cancer, can negatively affect treatment effects and has become one of the leading causes of death in cancer patients(Zhou et al., 2021)
What is the citation of the article?
Aziz, K., Lee, H., Escobedo, M., Hoover, A., Kamath-Rayne, B., Kapadia, V., Magid, D., Niermeyer, S., Schmölzer, G., Szyld, E., Weiner, G., Wyckoff, M., Yamada, N., & Zaichkin, J. (2020). Part 5: Neonatal resuscitation: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation (New York, N.Y.), 142(16_Suppl_2 Suppl 2), S524-S550. https://doi.org/10.1161/CIR.0000000000000902
Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu, F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: A systematic quality appraisal using the AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-2893. https://doi.org/10.1007/s00520-021-06094-z
What were the findings and conclusion?
Cassidy, C.E., Harrison, M.B., Godfrey, C. et al (2021). Use and effects of implementation strategies for practice guidelines in nursing: a systematic review. Implementation Sci 16, 102. https://doi.org/10.1186/s13012-021-01165-5
The practice guidelines helps in reducing variations in nursing practice with improved patient care. Nonetheless, implementation of the guidelines can be complex and inconsistent in practice as it is unclear which strategies would be effective at implementing the guidelines in nursing. Nursing guideline implementation would be beneficial while using the identified implementation strategies to describe the review, including participatory approaches such as facilitation, adaptation of guidelines, and organizational policy changes.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu, F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: A systematic quality appraisal using the AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-2893. https://doi.org/10.1007/s00520-021-06094-z
The findings is that the quality of the current practicing guidelines (CPGS) regarding nutritional risk screening and assessment in the cancer population is still suboptimal due to its methodological limitations. Further improvements are needed to develop high-quality cancer-specific guidelines in an evidence-based manner by strictly following the AGREE II assessment criteria. Although two relatively high-quality guidelines were identified in this review, translations, validations, and cultural adaptations should still be well conducted before their implementation in other countries with different contexts(Zhou et al., 2021).
The conclusion of this article was that despite having these two strongly recommended guidelines and the fact that they were developed within the American and European contexts, it still requires translation, validation, and cultural adaptation before they are implemented in other countries or healthcare contexts to improve their effectiveness and sensitivity for local cancer patients(Zhou et al., 2021)
What was the review rated?
The guidelines was assessed by 3 senior assessors using the AGREE 11 instrument and rated it based on whether they would recommend the guideline on a scale of 1 to 7 with one being strongly disagree and 7 being strongly agree but since there was no cut off score that indicates the domains with the AGREE 11 instrument, they had to use assessor’s evaluators recommendations. The scores were summed up and a higher percentage on each domain utilized was an indication that the guidelines were of higher quality, however, still has limitations.(Zhou et al., 2021)
The review was rated as such: 2 guidelines were strongly recommended (grade A) which means the percentage of all 6 domains were above 60%, 3 were rated as recommended with modifications and 2 were rated as not recommended(grade c)(Zhou et al., 2021)
What was the overall assessment of the quality of the guideline?
The overall assessment of the quality of the guideline which included whether the guideline should be recommended for employment in clinical practice indicated that 2 of these guidelines were grade A and three were grade B while the remaining 2 were grade C . which indicates some methodological flaws existed in the guidelines(Zhou et al., 2021).
Did the guideline present the author/s’ recommendations?
Yes, the guideline presented the author/s’ recommendations. According to Cassidy et al., 2021 implementation strategies for practice guidelines in nursing can be effective in improving nursing practice, but sometimes more research is needed to determine the most effective and appropriate strategies (Cassidy et al., 2021). This article embodies this fact because it indicates that in order for clinicians to use these guidelines for cancer screening and patients, it still needs some work. Also, because some of the language was in Chinese and English it does requires translation, validation, and cultural adaptation before it can be used anywhere else in the world.
References
Aziz, K., Lee, H., Escobedo, M., Hoover, A., Kamath-Rayne, B., Kapadia, V., Magid, D., Niermeyer, S., Schmölzer, G., Szyld, E., Weiner, G., Wyckoff, M., Yamada, N., & Zaichkin, J. (2020). Part 5: Neonatal resuscitation: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation (New York, N.Y.), 142(16_Suppl_2 Suppl 2), S524-S550. https://doi.org/10.1161/CIR.0000000000000902
Cassidy, C. E., Harrison, M. B., Godfrey, C., Nincic, V., Khan, P. A., Oakley, P., Ross-White, A., Grantmyre, H., & Graham, I. D. (2021). Use and effects of implementation strategies for practice guidelines in nursing: A systematic review. Implementation Science : IS, 16(1), 1-102. https://doi.org/10.1186/s13012-021-01165-5
Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing & Healthcare. A Guide to Best Practice. (4th ed.). Philadelphia: Lippincott Williams & Wilkins.
Moran, K. J., Burson, R., & Conrad, D. (2019a). The Doctor of Nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
Zhou, H., Deng, L., Wang, T., Chen, J., Jiang, S., Yang, L., Liu, F., Weng, M., Hu, J., & Tan, J. (2021). Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: A systematic quality appraisal using the AGREE II instrument. Supportive Care in Cancer, 29(6), 2885-2893. https://doi.org/10.1007/s00520-021-06094-z
NEW-WEEK 5
Discussion Topic — Theory and Model Application
I need this in about 600-650 words and all the questions must be answered
1. A. Describe your thoughts on the use of middle range nursing theories in relation to nursing practice as compared to the use of other levels of nursing theory.
B & C. Briefly share what theory/theories you are considering for your scholarly DNP project and why.
Relate your response to the clinical issue or problem that you have identified for your scholarly project and the PICOT question you wrote earlier in the course. How can the theoretical concepts ( from the chosen theory) be used to describe, support, or explain practice? (Related to MO1,3,5)
2. A & B Summarize, compare and contrast two of the EBP models to change practice in an organization as listed in Melnyk text, pages 382-420. (Related to MO2,3,4)
