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NURS - 6052C Essentials of Evidence-Based Practice

Module 1: Evidence-Based Practice and the Quadruple Aim (Week 1)

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Due ByAssignment
Week 1, Days 1-2Read the Learning Resources.
Compose your initial Discussion post.
Week 1, Day 3Post your initial Discussion post.
Begin to compose your Assignment.
Week 1, Days 4-5Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 1, Day 6Post two peer Discussion responses.
Week 1, Day 7      Wrap up Discussion.
Deadline to submit your Assignment.

Learning Objectives

Students will:

  • Evaluate healthcare organizations for evidence-based practices
  • Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript


Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Submission and Grading Information

Grading Criteria

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria
Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 5 – Discussion Board

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

Summative Discussion Board

Review and reflect on the knowledge that you have gained from this course. Based on your review and reflection, write at least 3 paragraphs on the following:

  • As you reflect on the American Association of Colleges of Nursing’s (AACN’s) Essentials of Baccalaureate Education in Nursing, what Essentials did this course assist you in meeting?
  • How will you integrate your newly learned theory into current practice?
  • How will practiced integration of these Essentials improve patient outcomes?
  • How did this course content help to build on your knowledge from your pre-licensure nursing program?
  • The main post should include at least 1 scholarly reference to research sources published within the past 5 years, and all sources should be cited using APA format.

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

  • What did you learn from your classmate’s posting?
  • What additional questions do you have after reading the posting?
  • What clarification do you need regarding the posting?
  • What differences or similarities do you see between your posting and other classmates’ postings?

Discussion Board Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

For assistance with your assignment, please use your text, Web resources, and all course materials.

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Uncategorized

NRSG314 Unit 4 – Discussion Board

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

Go to the Joint Commission Web site, and review sentinel event policy and procedures. Discuss the following:

  • Review your clinical setting’s policy on sentinel events. How does it compare to the Joint Commission’s regulations?
  • Why do you think it is important to have the Joint Commission or other regulating agencies provide policies and procedures?

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

  • What did you learn from your classmate’s posting?
  • What additional questions do you have after reading the posting?
  • What clarification do you need regarding the posting?
  • What differences or similarities do you see between your posting and other classmates’ postings?

Discussion Board Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

For assistance with your assignment, please use your text, Web resources, and all course materials.

Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 3 – Individual Project

Assignment Description

You are a team leader and have been asked to teach a short lesson to new employees during an orientation meeting concerning the value of continuous quality improvement (CQI).

  • Develop a 3-page (double-spaced) lesson plan that outlines the application of CQI practices to a safety issue that a medical facility is currently experiencing. Address the following:
    • Identify the safety issue and surrounding issue(s).
    • Determine the cause of the issue.
    • Apply CQI to solve the issue.
    • Identify the proposed outcome.
    • Provide an evaluation plan of the process.
    • Use APA format.

Please click on this APA Style for CTU Students link for help with APA formatting. Use the CTU Writing Style Guide (templates provided)—not the Introductory Writing Style Guide.

Individual Project Rubric

The Individual Project (IP) Grading Rubric is a scoring tool that represents the performance expectations for the IP. This grading rubric is divided into components that provide a clear description of what should be included within each component of the IP. It is the road map that can help you in the development of your IP. Individual Project Grading Rubric

Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 3 – Discussion Board

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

  • How does continuous quality improvement (CQI) play a role in patient safety and patient outcomes?
  • Provide an example from your clinical experiences or clinical setting that used CQI to improve patient outcomes.

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

  • What did you learn from your classmate’s posting?
  • What additional questions do you have after reading the posting?
  • What clarification do you need regarding the posting?
  • What differences or similarities do you see between your posting and other classmates’ postings?

Discussion Board Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 2 – Individual Project

Assignment Description

Medication errors are the number one patient safety issue at most medical facilities.

You are a member of the risk management team at a medical facility. You have been assigned to develop a professional paper that will assist nurse managers in reducing the number of errors made by new employees concerning medication. Your paper should include all of the following:

  • Discuss the most frequent cause and incidence rate of medication errors at a medical facility.
  • Incorporate the continuous quality improvement (CQI) process into the identification, implementation, and measure of the plan to reduce the medication errors.
  • Discuss the rationale for reducing the errors.
  • Give at least 2 actions that the nurse should take to assist with the reduction of errors.
  • Cite at least 3 scholarly sources. Two of the sources must be recent (within the past 5 years), and the third source must come from an Institute of Medicine (IOM) report that is related to medication errors.

Please click on this APA Style for CTU Students link for help with APA formatting. Use the CTU Writing Style Guide (templates provided)—not the Introductory Writing Style Guide.

Individual Project Rubric

The Individual Project (IP) Grading Rubric is a scoring tool that represents the performance expectations for the IP. This grading rubric is divided into components that provide a clear description of what should be included within each component of the IP. It’s the roadmap that can help you in the development of your IP. Individual Project Grading Rubric

Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 2 – Discussion Board

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

In your current medical facility, or in any medical facility where you have recently worked, consider the following:

  • Explain and describe what is being done or has been done to reduce medication errors.
  • Analyze what could be done in addition to the current protocol to decrease medication errors.

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

  • What did you learn from your classmate’s posting?
  • What additional questions do you have after reading the posting?
  • What clarification do you need regarding the posting?
  • What differences or similarities do you see between your posting and other classmates’ postings?

Discussion Board Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

Categories
NRSG314 Safety and Quality Improvement in Nursing Practice

NRSG314 Unit 1 – Discussion Board 2

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.

You are discussing the quality improvement process with a colleague so that your colleague gains a better understanding of the process. Address the following:

  • As either a participant or an implementer, discuss 1 quality improvement process that you have had exposure to or experience with in a heath care setting.
  • Briefly compare the pros and cons of 2 quality improvement processes that are used in your health care setting.

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

  • What did you learn from your classmate’s posting?
  • What additional questions do you have after reading the posting?
  • What clarification do you need regarding the posting?
  • What differences or similarities do you see between your posting and other classmates’ postings?

Discussion Board Rubric

The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric

Categories
HRMT645: Operational Human Resource Management

HRMT645 Unit 5 – Individual Project

Assignment Description

Deliverable length: 5-8 PowerPoint Presentation slides with speaker notes (excluding the title and reference slide); including detailed speaker notes of 200-250 words speaker notes for each slide 

As the new HR manager of a jewelry company, you have put together some preliminary reports for the CEO. One of the reports you compiled focuses on employee turnover. The jewelry company is an organization with aggressive expansion goals. In the last 2 years, the company has continually hired new employees, yet it has not achieved the staffing levels it desired. The company knew that some employees had left the organization, but turnover rates have not been formally tracked. 

After your preliminary fact-finding, you were surprised to discover that the turnover rate for the past year was 38%. You know the CEO will not be pleased with this turnover rate, and you have made the decision to prepare yourself more before presenting the report to the CEO. Turnover presents a significant cost for an organization, so you recognize that this will be an opportunity for you to demonstrate how you can partner with the executive team to turn this situation around and help the company be more competitive. Prepare a short presentation for the CEO on the situation and possible reasons as to why employees are leaving at such a high rate.

As you are preparing your presentation, consider the following: 

  • In detail, discuss several of the reasons why employees tend to leave organizations.
  • You plan to present the financial impact to the CEO to get a real sense of the significance of the situation. What factors will you consider in preparing this financial estimate? For this assignment, you are not required to determine the actual dollar figure, but instead, you are to consider what would contribute to the cost of turnover. 
  • Being proactive, what measures can be taken to assess the morale of current employees, and how likely they are to leave or stay? 
  • What process do you recommend for partnering with the management team to reduce turnover in the upcoming years? 
  • As you consider your role, how will you position this to the CEO to demonstrate the value you can bring to addressing this problem? 
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HRMT645: Operational Human Resource Management

HRMT645 Unit 5 – Discussion Board

Assignment Description

Primary Discussion Response is due by Friday (11:59:59pm Central), Peer Responses are due by Tuesday (11:59:59pm Central).

Restrictive Policies Reflection:

Reflective Summative: Review and reflect on the Restrictive Policies Discussion Board. Based on your review and reflection of new learnings in this course, write at least 350-550 words on the following:

  • What have you learned from others’ responses?  
  • What were the most compelling points from the interaction with your fellow students?
  • How did participating in this discussion help in your understanding of the Discussion Board task?
  • What is still unclear after the discussion with your classmates that needs to be clarified?

Click here if you need to watch a tutorial on submitting Discussion Boards.

Note: You must respond to a minimum of 2 other students.

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HRMT645: Operational Human Resource Management

HRMT645 Unit 4 – Individual Project

Assignment Description

Within organizations, the human resources department is considered an ally by some managers and a barrier by others. The legal requirements of managing HR require you to be the dispenser of policies, procedures, and rules at times and a trusted counselor and guide at other times. There are varying perspectives on the value HR policies bring to an organization. In other words, the policies, procedures, or rules may be viewed as tools that help or hinder leaders from managing their people and will either detract from or enhance company performance. When not properly aligned with the company’s goals, they can negatively affect the success of the organization. You know that you need to review the current HR policies, procedures, and rules and anticipate that you may be recommending changes, additions, or deletions. Because you are still new and solidifying your position within the company, you are concerned that missteps now will cost you your “place at the table.” 

You decide to consult with your mentor-an experienced, powerful HR executive at another company. She presents the following for you to consider: 

  • What steps will you take in your policy, procedure, and HR rules review with the jewelry company? 
  • What will that involve? As you consider their HR policies, how will you ensure they are effectively aligned with what you see as the company’s goals? 
  • If you find areas where policy revision is needed, how will you present your recommendations? 
  • How do you feel your recommendations will be viewed? 
  • Do you anticipate resistance? If so, what plan do you have to overcome that? 
  • What do you see as the possible outcome from policy revision in terms of impact on the company’s performance? 
  • Write her an e-mail addressing these issues.

Note: You are required to use a minimum of 2 scholarly references in your research. Ensure that citations and references are formatted in compliance with APA style.