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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

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