NR439 All Weeks Discussions Latest 2020 March

NR439 RN Evidence-Based Practice

Week 1 Discussion

Introduction to Evidence-based Practice

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 3: Identify ethical issues common to research involving human subjects. (PO 6)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:

Explain how research has evolved since the Florence Nightingale era.

Discuss how research and EBP are different; include how you believe research supports EBP for nursing.

Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).

NR439 RN Evidence-Based Practice

Week 2 Discussion

Research, Practice Problems, and Questions

Purpose

This week's graded topics relate to the following Course Outcome (CO).

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 2:Apply research principles to the interpretation of the content of published research studies.  (PO 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

Write your clinical question in the PICO(T) format for your nursing practice problem. *To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link:

NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)

List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

NR439 RN Evidence-Based Practice

Week 3 Discussion

The Literature Review and Searching for Evidence

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (PO 4 & 8)

Discussion

You must access the following article to answer the questions:

Baker, N., Taggart, H., Nivens, A. & Tillman, P. (2015). Delirium: Why are nurses confused? MedSurg Nursing, 24(1), 15-22. permalink (Links to an external site.)

Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section.

Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature.

NR439 RN Evidence-Based Practice

Week 4 Discussion

Designs - A Plan to Study for the Truth

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (PO 4 & 8)

Discussion

This week we learned how research designs are different and help us to objectively study nursing problems; the key is to decide which type of research and design will serve the purpose or intent to find a solution. After completing Week 4 readings and lesson, answer the following:

Reflect on your learning about Quantitative and Qualitative research; share two ways that helped you understand how they are different.

Choose one category of study design that you found interesting and describe; include what you learned about the design and how you believe it can help study nursing problems.

Refer back to your clinical nursing priority problem and evidence you located for your week 3 assignment:

• The nursing-evidenced practice (NEBP) committee has requested for you to make a recommendation to the team: Describe the type of research and the design that you believe would be the best way to study your problem. Discuss your rationale. 

NR439 RN Evidence-Based Practice

Week 5 Discussion

Samples and Data Collection

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (PO 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. Retrieved from https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf  (Links to an external site.)

Review the data presented in the ANA Fast Facts and describe some of the key attributes/characteristics of this sample of the nursing workforce.

Discuss some of the data that you found interesting; include what you believe the purpose (intent) of ANA sharing these results.

The instruments and tools that we use to collect data need to be reliable and valid. Define these terms and explain the importance of each. Share one way that can be used to collect data that you were not aware of or familiar with.

NR439 RN Evidence-Based Practice

Week 6 Discussion

Data Analysis and Results

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.

Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

NR439 RN Evidence-Based Practice

Week 7 Discussion

Applying and Sharing Evidence

Purpose

This week's graded topics relate to the following Course Outcomes (COs).

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (PO 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Application and implications for practice come from the interpretation of meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.

Select and describe one of the conclusions from the required article from the Week 6 assignment that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.

Discuss ways you would disseminate research-based evidence; how would you share with your peers? Include your thoughts on why it is important for you to be involved in communicating and applying nursing research evidence.

NR439 RN Evidence-Based Practice

Week 8 Discussion

The Evidence-Nursing Practice Connection

Purpose

This week's graded topics relate to the following Course Outcome (CO).

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude our learning journey through our world of research and evidence-based practice, it is important to reflect upon your time spent in the course:

Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.