Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.

To prepare:

• The course text, Translation of Evidence into      Nursing and Health Care Practice, provides a list of questions that should      be considered when planning for evaluation. See page 239 for this list of      questions.
• Review the Learning Resources focusing on the      various evaluation frameworks presented. Select a framework and determine      how you would evaluate the outcomes you identified in the Week 9      Discussion (see week 9 discussion in the file area).
• Based on the possible results of your      evaluation, envision new practice guidelines you would develop.
• What new standards of care might this lead to?

By tomorrow Wednesday 10/30/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS (see attached files) below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion [see week 9 discussion in the file area]).

2) How would you evaluate the outcomes? Support your response with evidence from the literature.

3) What new practice guidelines would you create based on your evaluation of those outcomes?

4) Discuss any new standards of care that would be appropriate based on the new practice guidelines.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

• Chapter      17, “Data Management and Evaluation of Translation” (see attached file)

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Prepare a PowerPoint presentation of 8–10 slides that explains why an understanding of complimentary alternative medicine (CAM) and spirituality is important for members of health care teams; examines the ethical, legal, and financial principles related to CAM and spirituality; and describes how these forms of health care can impact plans of action.

 

Preparation

Your organization has seen an increase in the number of individuals using complimentary alternative medicine (CAM), traditional medicine, holistic health, and spirituality. In addition to your work on the interdisciplinary team, you have been asked by your organization to prepare and deliver an educational session on CAM, traditional medicine, holistic health, and spirituality that can be used by all health care teams. How will you complete this task?

You should focus on these concepts as they pertain to your population (from the Windshield Survey assessment), but also in a broader sense. Use the Capella library and the Internet to look for recent research articles or information on these topics to use as supporting resources in your assessment.

Requirements

For this assessment, prepare a PowerPoint presentation in which you:

• Identify the topics you will cover in your educational plan.
• Provide a list of resources your audience can use to further their understanding of complimentary alternative medicine (CAM).
• Explain why it is important for nurses and members of other health care teams to develop an understanding of CAM, traditional medicine, holistic health, and spirituality.
• Examine any ethical, legal, and economic principles related to CAM, traditional medicine, holistic health, and spirituality.
• Describe how these forms of health care can affect a plan of action for individuals and populations.

Your presentation should include a slide with the title of your educational session, a slide with the topics that will be covered (your agenda), and a reference slide at the end. Use the notes section of each slide to provide additional information on each topic, along with supporting references. References and in-text citations must adhere to APA guidelines.

Additional Requirements

• Include a title slide and reference slide. The completed assessment should be 8–10 slides in length, not including the title slide and reference slide.
• Reference at least three current scholarly or professional resources.
• Use current APA format for references.
• Be creative!

Attached in an example of a well graded power point for this assignment.

Details:
In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment (PICOT Statement Paper) and Topic 6 assignment (Literature Review). Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Prepare for interprofessional stakeholders a 10–12-slide presentation  (not including title and reference pages) explaining how nurse leaders  can use information technology to improve nursing practices that support  and sustain positive patient outcomes. You do not need to actually  present your assessment but be sure to include speaker’s notes for each  slide.

The dissemination of evidence-based practice outcomes helps nurses  build stakeholder engagement and support for the use of information  system and technology for health care delivery.

For this assessment, imagine a group of interprofessional  stakeholders involved with patient care in your health care setting  would like to increase positive patient outcomes. Nurse leaders have  recommended changes in the practice that incorporate informatics and the  application of new knowledge into your nursing practices.

You are asked to present a brief overview using PowerPoint (or some  other presentation software) to a small group of student nurses. After  the session has concluded, the training department would like to use  your presentation as a training resource.

Preparation

Select a nursing practice in your own health care setting that has changed for the better since you first began nursing.

Directions

Use the tools in your presentation software to develop a creative  and engaging presentation. Use the notes portion of PowerPoint to  capture your narrative script for each slide. Include the following in  your presentation:

• Describe briefly an example of a nursing practice that has changed in the last two years.
• Explain how theory development, research exploration, and information technology supports the changes you have described.
• Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).
• Explain how nurse leaders use communication practices and  technology to build interprofessional stakeholder engagements in support  of the change you have identified.
• Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

Additional Requirements

• Length: Submit a presentation of 10–12 slides  (not including title and reference slides). Include both a title slide  and a reference slide with 4–6 references to support your presentation  information and ideas.
• Formatting Guidelines: Create streamlined slides with minimal information.
  • Be precise.
  • Keep bulleted content on one line.
  • Use images instead of words when appropriate.
• Narrative Script: Use the notes portion to create a detailed narrative for each slide.

 

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.

The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.

Professional Capstone and Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.

In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:

1. New      practice approaches
2. Intraprofessional      collaboration
3. Health      care delivery and clinical systems
4. Ethical      considerations in health care
5. Population      health concerns
6. The      role of technology in improving health care outcomes
7. Health      policy
8. Leadership      and economic models
9. Health      disparities

In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

NRS-490-RS-ScholarlyActivitySummary.docx