Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Evidence-Based Practice

  

DEFINING AND REFINING THE PROBLEM

DEFINING AND REFINING THE PROBLEM

You have now spent 3 full weeks working on an identified practice problem. You have spent time with your team and preceptor at your practicum site, and you have begun to evaluate the scope of the problem and need for change. Based on your experiences in these first 4 weeks, what is working? What is not working? What has or has not worked in the past?

For this Discussion, you will consider your identified practice problem to help define and refine the work that you have done thus far. Consider what is working, what is not working, your stakeholders, and what has worked and has not worked in the past. Review the evidence gathered to determine how you might need to refine your identified practice problem. 

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 


WEEKLY RESOURCES

LEARNING RESOURCES


Required Readings

· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). 
Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

· Chapter 5, “Searching for Evidence” (pp. 99–120) 

· Hickey, J. V., & Giardino, E. R. (Eds.). (2021). 
Evaluation of quality in health care for DNPs (3rd ed.). Springer Publishing.

· Chapter 2, “The Nature of Evidence as a Basis for Evaluation” (pp. 37–64)

· Chapter 3, “Models for Evaluation in Advanced Nursing Practice” (pp. 65–92)

· Benson, L. A. (2021). 

Chapter 14: The DNP degree: A fundamental requirement for the chief nursing offer.
 
The DNP professional: Translating value from classroom to practice. Slack.

· Benson, L. A. (2021). 

Chapter 15: Leaders, change agents: The unique contributions of a DNP-prepared nurse executive.
 
The DNP professional: Translating value from classroom to practice. Slack. 

· Benson, L. A. (2021). 

Chapter 16: Aligning DNP practice with the mission and strategic priority of the organization.
 
The DNP professional: Translating value from classroom to practice. Slack. 

· Foster, M., Shurtz, S., & Smith, M. L. (2014). 

Translating research into practice: Criteria for applying literature search results to your workLinks to an external site.

Health Promotion Practice
15(2), 157–160.

· Haas, M., & Mortensen, M. (2016). 

The secrets of great teamwork.Links to an external site.
 
Harvard Business Review, 
94(6), 70–76.

· Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). 

Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational changeLinks to an external site.

Journal of Innovation & Knowledge
3(3), 123–127.

· Jones, E. P., Brennan, E. A., & Davis, A. (2020). 

Evaluation of literature searching and article selection skills of an evidence-based practice teamLinks to an external site.

Journal of the Medical Library Association
108(3), 487–493.

· Merner, B., Lowe, D., Walsh, L., Synnot, A., Stratil, J., Lewin, S., Glenton, C., von Philipsborn, P., Schonfeld, L., Ryan, R., O’Connor, D., Hoving, J. L., & Hill, S. (2021). 


American Journal of Public Health

Links to an external site.

111(7), 1210–1215.

· Smith, L. W. (2000). 


Stakeholder analysis: A pivotal practice of successful projectsLinks to an external site.


TO PREPARE

· Review the Learning Resources that address problem identification.

· Analyze the work done thus far on your identified practice problem, specifically analyzing what management has done to date with the problem.

· Review your practice focused question, meetings with your team and preceptor, and your identification of stakeholders.

Post a response discussing your selected practice problem. After meeting with your team, describe the following:

· What is currently working? 

· What has not worked?

· What changes might you implement?

· What changes might you consider in addressing the problem?

· Are these changes supported by evidence?

In your response, share what you have been working on throughout the first 4 weeks of the course, focusing specifically on defining your practice focused question, meeting with your team, and identifying stakeholders. Be specific. What leadership strategies might you use to support the problem you have identified? Explain whether you have refined your practice focused question and why.

ssignment Rubric Details

Close

Rubric

NURS_8502_Week4_Blog_Rubric

NURS_8502_Week4_Blog_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeMain Posting: Idea and Content

60 to >49.0 pts

Excellent

• Thoroughly responds to the blog prompt/s. • Post provides comprehensive insight, understanding, or reflection about the topic through a focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are clearly related to the topic, activity or process identified in blog prompts. • The post reflects in-depth engagement with the topic. • Posts main blog by due date.

49 to >38.0 pts

Good

• Responds to all of the blog prompt/s. • Post provides insight, understanding, or reflection about the topic through a reasonably focused analysis of the topic supported by personal experiences and/or examples. • Personal opinions are expressed and are but not fully developed to align with blog prompts. • The post reflects moderate engagement with the topic. • Posts main blog by due date.

38 to >27.0 pts

Fair

• Partially responds to the blog prompt/s. • Posts are typically short and may contain some irrelevant material. • The post is mostly description or summary without connections or analysis between ideas. • The post reflects minimal engagement with the topic. • Posts main blog by due date.

27 to >0 pts

Poor

• Does not respond to the blog prompt/s or entries lack insight, depth or are superficial. • The entries are short and are frequently irrelevant to the events. • They do not express opinion clearly and show little understanding. • The post does not reflect engagement with the topic. • Does not post main blog by due date.

60 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main blogpost shows evidence of insight, understanding, or reflective thought about the topic. NOTE: Responses to faculty are not counted as first or second colleague responses.

20 to >11.0 pts

Excellent

• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to colleague’s post. • Response stimulates dialogue and commentary. • Posts by due date.

11 to >6.0 pts

Good

• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to colleague’s post. • There is some attempt to stimulate dialogue and commentary. • Posts by due date.

6 to >2.0 pts

Fair

• Presents a specific viewpoint but lacks supporting examples or focused questions related to colleague’s post. • The posting is brief and reflects minimal effort to connect with colleague. • Posts by due date.

2 to >0 pts

Poor

• Response lacks a specific viewpoint and supporting examples or focused questions related to colleague’s post. • The post does not stimulate dialogue or connect with the colleague. • Does not post by due date.

20 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to second colleague blog post shows evidence of insight, understanding, or reflective thought about the topic.

20 to >11.0 pts

Excellent

• Presents a focused and cohesive viewpoint in addressing this response. • Response includes focused questions or examples related to colleague’s post. • Response stimulates dialogue and commentary. • Posts by due date.

11 to >6.0 pts

Good

• Presents a specific viewpoint that is focused and cohesive. • Response includes at least one focused question or example related to colleague’s post. • There is some attempt to stimulate dialogue and commentary. • Posts by due date.

6 to >2.0 pts

Fair

• Presents a specific viewpoint but lacks supporting examples or focused questions related to colleague’s post. • The posting is brief and reflects minimal effort to connect with colleague. • Posts by due date.

2 to >0 pts

Poor

• Response lacks a specific viewpoint and supporting examples or focused questions related to colleague’s post. • The does not stimulate dialogue or connect with the colleague. • Does not post by due date.

20 pts

Total Points: 100

image1.jpeg

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Advance Epidemiology of Nursing

Module 2:  Government Databases Prepare a 500 words essay explaining how government clinical databases can help researchers study different diseases. · · You must present your writing double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12. · Pay attention to grammar rules

Advance Epidemiology of Nursing

Module 1:  Epidemiology Triangle Each student will prepare a paper focused on answering the following guidelines: · Choose a current emerging disease or reemerging disease prevalent in your community or the larger community of the nation or world. · Complete an epidemiology triangle diagram for the chosen disease and thoroughly

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

Nursing debate assignment

  Debate Assignment: Is the Health Insurance System in the USA the Best? Debate Topic: “The U.S. health insurance system provides better access, cost efficiency, and quality of care compared to other countries.” Instructions for Your Initial Post: Choose a Position: Take a stance for the statement, arguing that the

The Disputed Election or Revolution of 1800

  Describe the historical setting surrounding the Election of 1800.  Assess what constitutional issue the election of 1800 results helped to reveal. What did Congress do to mitigate the issue?  Do you think it was necessary to pass the Twelfth Amendment? Why or why not?  Analyze why the Presidential Election

Population Health and Emerging Disease

  Create an infographic that effectively summarizes the key components of value-based care, particularly in the context of population health and emerging diseases.   The infographic should visually represent the following aspects: Use visuals such as charts, graphs, icons, and text to convey the information.  Definition and Principles of Value-Based Care: 

Anxiety and Panic disorder PPT

please see instructions Using the DSM 5 TR along with other sources please complete 3 separate PPTs for the following: 1. Generalized anxiety disorder 2. Panic disorder 3. Obsessive Compulsive Disorder Instructions Must be done for each Diagnosis/ PPT You might also want to check the DSM-5-TR Clinical Cases text

EPIDEMIOLOGIC STUDY DESIGNS

find attached the instructions As introduced in the first few weeks of this course, investigators use various epidemiological study designs to study health problems and the effects of health interventions. You have examined several study designs, including descriptive designs (in Week 2) and analytic study designs that are observational (in

RANDOMIZED TRIALS IN EPIDEMIOLOGY

use the attached info for this work RANDOMIZED TRIALS IN EPIDEMIOLOGY Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree

CASE STUDY ANALYSIS

please read the attached information carefully to understand  week 4 Week 4 Case Study Prompt (Student version) A 67-year-old man presents with progressive shortness of breath over 8 months. He  reports: • Increasing dyspnea with exertion • Dry, persistent cough • Fatigue • Decreased exercise tolerance • Unintentional 10-pound weight

Agency Synopsis

Agency Synopsis The purpose of this assignment is so that you will be able to differentiate between the healthcare policy agencies’ impact on various patient populations. 1. Identify regulatory agencies that regulate health and the health care system in the US. 2. Create a table listing at least 5 regulatory

NUR 650

NUR650 Discussions Submission Instructions: Your initial post should be at least 500 words, formatted and cited in the current APA style Provide support for your work from at least 2 academic sources less than 5 years old. Wk1 Tom’s Parents are Fighting After studying Module 1: Lecture Materials & Resources,

Preventative Care

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

patient care coordination 1

Develop infographic of a preliminary care coordination plan for a selected healthcare problem identified from the Sentinel-U Family Assessment v5. You determine which healthcare problem you will use FROM the simulation. Include physical, psychosocial, and cultural considerations for this healthcare problem. Listen to the patient simulation and select one of

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

nursing

( Social Media for Nurses ) ( Objectives Locate, evaluate, and share nursing informatics websites, blogs, forums, or social media platforms Create social media workplace guidelines for nurses ) ( Overview Social networking (e.g., Facebook, LinkedIn); 2. Blogging ( and wikis ( 3. Microblogging (e.g., Twitter); 4. Social bookmarking or

casestudy 3

Emergency Nursing Management Activity 2050 Advanced Skills You are Nursing House Supervisor and work with the Nursing Management team at your local hospital. Your hospital is a level 2 Trauma Center and you have access to all resources that are generally acceptable for current health care practices in this environment.

NUR 650

NUR 650 SMART Goals For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience