NRS 465 Topic 6& 7 Discussion 1 & 2 Paper

NRS 465 Topic 6& 7 Discussion 1 & 2 Paper

NRS 465 Topic 6& 7 Discussion 1 & 2 Paper

Topic 7 DQ 1
Determining the effectiveness of the proposed change requires an effective evaluation of the set goals and objectives of the EBP project. Based on feedback from faculty on the Topic 5 implementation plan, the following are the updated objectives and outcomes of the proposed intervention (Melnyk et al., 2023). The core objective is to implement purposeful hourly rounding to reduce the rate of falls in geriatric settings by 40% within three months. The second objective is to enhance patient satisfaction and experience in the facility while the third aspect is to improve collaboration among the interdisciplinary and inter-professional teams working on the proposed intervention or solution.

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As illustrated, the core objective of the proposed solution is to implement purposeful hourly rounding to reduce and prevent patient falls in the geriatric unit in the facility. The expected outcome is to lower falls by 40% within three months of the project. Evaluating whether or not the outcome has been met entails using quantitative data based on a pre-and-post-implementation analysis. The project team will gather data on falls before the implementation of the intervention and after to determine the reduction in fall rates in the facility (Abu-Baker et al., 2021). For instance, having reduced falls after the implementation will demonstrate the effectiveness of the proposed solution. However, if no changes occur or falls increase, it implies that the intervention does not work in the facility and requires a review of the implementation.
Using the evaluation process will also entail satisfaction feedback surveys from patients and their families as well as healthcare providers in the facility. Through the feedback and the pre-and-post-implementation data, it will be possible to determine if the project makes a difference in practice and for the proposed solution (Cardoso et al., 2021). Determining the impact of the proposed intervention is essential to achieving the set objectives and expected outcomes.

References
Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based
practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20: 1-8. DOI: 10.1186/s12912-020-00522-x
Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., … &
Apóstolo, J. (2021). The effectiveness of an evidence-based practice (EBP) educational program on undergraduate nursing students’ EBP knowledge and skills: A cluster randomized control trial. International Journal of Environmental Research and Public Health, 18(1): 293. DOI: 10.3390/ijerph18010293
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &
healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Topic 7 DQ 2
Getting detailed information is critical to completing the capstone project change proposal assignment as required in topic 8. Additional information is critical to elucidate better evidence and support for the proposed solution, using purposeful hourly rounding to lower patient falls among elderly hospitalized patients. Additional information to complete the capstone project change paper includes a comprehensive review of the literature to gather sufficient evidence on the benefits of hourly rounding as implemented in other facilities and its effects on patient falls (Cardoso et al., 2021). The additional information from literature sources can include academic articles, reports, and case studies as well as books. Expert opinion through interviews and discussions with nursing professionals will also offer valuable information to complete the assignment. Additional information will also come from research data; especially qualitative and quantitative data on the selected topic or area of interest (Melnyk et al., 2022). Research data is a critical component of increasing the reliability of the suggested solution or intervention.
The plan for obtaining additional information in these areas includes conducting more reviews of existing literature on the topic using appropriate search strategies and databases like PubMed and CINAHL as well as Google Scholar, and conducting possible interviews with experts to give their opinion (Connor et al., 2023). However, using secondary resources through a targeted and comprehensive review of the literature is the most effective way and remains the first choice to attain more information on the topic for the assignment.
One possible area to review in the topic 8 assignment is the methodology section since it is essential to ensure that data collection and analysis methods are effective and appropriate for the research question. The methodology must be appropriate for the intervention based on additional feedback from peers. These include effective communication approaches and engaging all stakeholders to ensure an interdisciplinary approach to implementing evidence-based practice (EBP).

References
Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., … &
Apóstolo, J. (2021). The effectiveness of an evidence-based practice (EBP) educational program on undergraduate nursing students’ EBP knowledge and skills: A cluster randomized control trial. International Journal of Environmental Research and Public Health, 18(1): 293. DOI: 10.3390/ijerph18010293
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … &
Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: findings from a scoping review. Worldviews on Evidence‐Based Nursing, 20(1): 6-15. https://doi.org/10.1111/wvn.12621
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &
healthcare: A guide to best practice. Lippincott Williams & Wilkins.

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Topic 6 DQ 1

Assessment Description

After discussion with your preceptor, describe how leadership and economic models of health care can be used to optimize EBP to improve patient outcomes.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Topic 6 DQ 2

Assessment Description

Provide an overview of your implementation plan developed in Topic 5 and discuss any modifications that need to be made.

In responses to your peers, provide suggestions on how the implementation plan can be improved.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Topic 7 DQ 1

Assessment Description

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Based on faculty feedback from your Topic 5 implementation plan, make updates to your objectives and outcomes. List one objective and its associated outcome. How will you be able to evaluate whether or not this outcome was met? Discuss how using this process of evaluation will allow you to evaluate whether your project made a difference in practice.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Topic 7 DQ 2

Assessment Description

Look ahead at the Topic 8 Benchmark – Capstone Project Change Proposal assignment. What additional information do you need to complete your capstone project paper in Topic 8? Describe your plan to obtain it. Identify one area of the Topic 8 assignment that you will need to review and potentially revise. Discuss the aspects that you might want additional feedback on from your peers and post it here.

In responses to your peers, provide feedback on areas classmates identified in their initial DQ response and suggest ways to improve or additional considerations to take into account.

Initial discussion question posts should be a minimum of 200 words. References will not be required. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Please note: Criterion 2 on the “RN-BSN DQ Rubric” will only assess for word count.