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NRS 493 Full Course Discussions GCU
NRS 493 Topic 1 DQ 1
Identify two
GCU Library scholarly databases that will help you find the best research
articles to support your capstone project change proposal. Discuss why these
two databases are better than Google Scholar or a general Internet search.
NRS 493 Topic 1 DQ 2
The
Institute of Medicine has stated a goal that 90% of practice be evidence-based
by 2020. According to HealthyPeople.gov, the United States is currently
at approximately 15%. Discuss two barriers that might hold nursing practice
from achieving this goal and suggest ways in which identified barriers may be
addressed.
NRS 493 Topic 2 DQ 1
During your
practicum, determine what clinical problem or issue the organization is facing.
Discuss two implications for nursing.
NRS 493 Topic 2 DQ 2
What is the
main issue for your organization in addressing a solution to evidence-based
nursing practice? Discuss what might be the first step in addressing and
resolving this issue.
NRS 493 Topic 3 DQ 1
Submit a
summary of six of your articles on the discussion board. Discuss one strength
and one weakness for each of these six articles on why the article may or may
not provide sufficient evidence for your practice change.
NRS 493 Topic 3 DQ 2
Name two
different methods for evaluating evidence. Compare and contrast these two
methods.
NRS 493 Topic 4 DQ 1
Why is understanding
the health care system at the local level important to consider when planning
an EBP implementation? Conduct research and solicit anecdotal evidence from
your course preceptor that you will take into consideration for your own change
project.
NRS 493 Topic 4 DQ 2
Compare and
contrast two change theories, and determine which theory makes the most sense
for implementing your specific EBP intervention. Why? Has your preceptor used
either theory, and to what result?
NRS 493 Topic 5 DQ 1
Stakeholder
support is necessary for a successful project implementation. Consider your
internal stakeholders, such as the facility, unit, or health care setting where
the change proposal is being considered, and your external stakeholders, like
an individual or group outside the health care setting. Why is their support
necessary to the success of your change proposal, and how you will go about
securing that support?
NRS 493 Topic 5 DQ 2
Technology
is integral to successful implementation in many projects, through either
support or integration or both. Name at least one technology that could improve
the implementation process and the outcomes of your capstone project change
proposal. Do you plan to use this technology? If not, what are the barriers
that prevent its use?
NRS 493 Topic 6 DQ 1
After
discussion with your preceptor, name one financial aspect, one quality aspect,
and one clinical aspect that need to be taken into account for developing the
evidence-based change proposal. Explain how your proposal will directly and
indirectly impact each of the aspects.
NRS 493 Topic 6 DQ 2
Now that you
have completed a series of assignments that have led you into the active
project planning and development stage for your project, briefly describe your
proposed solution to address the problem, issue, suggestion, initiative, or
educational need and how it has changed since you first envisioned it. What led
to your current perspective and direction?
NRS 493 Topic 7 DQ 1
Describe one
internal and one external method for the dissemination of your evidence-based
change proposal. For example, an internal method may be the hospital board, and
an external method may be a professional nursing organization. Discuss why it
is important to report your change proposal to both of these groups. How will
your communication strategies change for each group?
NRS 493 Topic 7 DQ 2
In order to
evaluate an evidence-based practice project, it is important to be able to
determine the effectiveness of your change. Discuss one way you will be able to
evaluate whether your project made a difference in practice.
NRS 493 Topic 8 DQ 1
Based on how
you will evaluate your EBP project, which independent and dependent variables
do you need to collect? Why?
NRS 493 Topic 8 DQ 2
Not all EBP
projects result in statistically significant results. Define clinical
significance, and explain the difference between clinical and statistical
significance. How can you use clinical significance to support positive
outcomes in your project?
NRS 493 Topic 9 DQ 1
Discuss one
personal strength and one weakness you have regarding professional
presentations. Name one method for improvement for each of these and discuss
why it is important for you to work on these skills if you want to present your
findings in a more formal setting.
NRS 493 Topic 9 DQ 2
Sustaining
change can be difficult, as there are many variables that can affect
implementation. One critical component of EBP is to ensure that practice change
is part of an organization’s culture so it will continue to impact outcomes over
time. Name two potential barriers that may prevent your EBP change proposal
from continuing to obtain the same desired results 6 months to a year from now,
and your strategies for overcoming these barriers.
NRS 493 Topic 10 DQ 1
Dissemination
of EBP and research, such as presenting results at a conference or writing an
article for a journal, is an important part of professional practice. Identify
one professional journal and one nursing or health care conference where you
might present your project. Discuss why each of your choices is the best option
for you to disseminate your new knowledge.
NRS 493 Topic 10 DQ 2
Discuss why
EBP is an essential component of the practice of a BSN-prepared RN. Identify
two ways in which you will continue to integrate evidence into your practice
and encourage it within your work environment. What obstacles could challenge
this plan, and what steps will you take to minimize their impact?
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