28 Jan e. predict and analyze

NR701 Application of Analytic Methods

Week 1 discussion

DQ1 Evidence-Based Practice and Research

Compare and contrast Evidence-Based Practice (EBP) to nursing research. What are the similarities and/or the differences between the EBP and research? Explain the role of research as it will pertain to the DNP Project you will complete while in your Practicum.

DQ2 Application of Research Methodologies

In NR700 you started generating topic ideas in preparation for your upcoming DNP Project. Taking this into consideration, briefly explain the practice issue you are interested in addressing and the change you want to implement to improve practice. Even though you can only use quantitative methodology in your eventual DNP project, for this discussion, explain how you could approach your project using quantitative, qualitative, as well as mixed methods approaches. What type of alterations in your project would you need to make based on the type of methodology you employed and why?

NR701 Application of Analytic Methods

Week 2 discussion

DQ1 Problem Evaluation

Within your assigned readings this week, you learned the importance of carefully planning out a project; especially a change in practice such as the DNP Project you will eventually work on within your doctoral journey. One of the first steps in project planning is to identify a significant issue or a problem that needs to be addressed.

Within your posting explain the problem or the issue you would like to address as a DNP scholar. Provide a summary of the evaluation process you followed associated with the problem by using the 4 considerations (significance, researchability, feasibility, and interest), which were posited by Polit and Beck (2017, p. 77-78 in hard copy textbook or p. 73-74 in eBook).

DQ2 PICOT Formation & Assessment of Organizational Needs

No unread replies. No replies.

Based on the problem you identified on the 1st discussion this week, share the quantitative PICOT question you developed as well as a brief overview of your project idea. When presenting your quantitative PICOT question, please provide it to the threaded discussion in the following format:

P: Population

I: Intervention

C: Comparison

O: Outcome(s)

T: Timeframe

Note your timeframe must be 8-10 weeks!!!

What are the mission and goals of your practicum site? How will your proposed project align with the organizational mission and goals? What plans do you have in mind in regard to making changes within your project based on feedback you receive from the Needs Assessment you will conduct as part of your assignment this week?

NR701 Application of Analytic Methods

Week 3 discussion

DQ1 Search for Evidence

In the lesson this week you learned there are at least four databases that should always be used when you are looking for evidence to make a change in practice. These are CINAHL, MEDLINE, Cochrane and the Joanna Briggs Institute.

For this discussion, use the quantitative PICOT question you based on the Organizational Needs Assessment you have been working on/completed.

Perform a search for quantitative research within all four of these databases. Identify the search terms, as well as the type of filters you used in your search (dates of publication, peer-reviewed sources, etc.).

Summarize the type of quantitative evidence you found within each database. How many articles within each database were found to be evidence-based? What type of strategies will you use to determine which of the articles will best support your proposed project idea?

Please feel free to use a table to provide your response(s) for ease of use and reading.

DQ2 Quantitative Evidence to Support Your Practice Change

Share the quantitative PICOT question you have been working on and refining thus far associated with the change in practice you want to make based on your Organizational Needs Assessment assignment, which is due this week.

Next, upload/share 2 contemporary (no more than 5 years old) primary quantitative research articles you found as part of your search for evidence on the first threaded discussion this week. Please attach these articles as PDF files in your primary response post.

Identify the model of appraisal you used and explain how you graded each article as it pertains to its level of evidence. How will you use this evidence as part of the support you need to make a change in practice?

NR701 Application of Analytic Methods

Week 4 discussion

DQ1 Critiquing and Evaluating Qualitative Research

Many nurse scholars and students consider qualitative research to be more difficult to critique/evaluate than quantitative research is.

From your assigned readings how does the appraisal of qualitative research differ from the appraisal of quantitative research studies? Is it more difficult to critique a qualitative article? Why or why not?

DQ2 Rigor in Qualitative Research

Some researchers feel qualitative research is not rigorous and/or not controlled in regard to the data it produces. Therefore, it is sometimes not recognized by some researchers as being strong enough to support a change in clinical practice.

What are your views on this matter? Is qualitative research rigorous? How would you use qualitative research studies to support the need for change and/or the intervention(s) within your own DNP Project? Overall is qualitative research appropriate to use when making a change in practice? Why or why not?

NR701 Application of Analytic Methods

Week 5 discussion

DQ1 Evidence-Based Practice Models

Compare and contrast two Evidence-Based Practice (EBP) models from this week’s assigned readings. Analyze both the strengths and the weaknesses of each model. Based on your evaluation of the models, summarize which one you most prefer and why.

DQ2 Application of Evidence-Based Practice Model

Please read the following Case Scenario in preparation for our discussion this week:

Stephanie is a DNP student who recently started working as a Nurse Manager on a busy Medical-Surgical unit in a large healthcare organization. Through discussions with her Chief Nursing Officer (CNO), Stephanie has identified a need to address the issue of high infection rates on the unit as part of her DNP Scholarly Project.

As part of the intervention, she proposes the implementation of a monitoring system for hand hygiene compliance based on evidence she has collected. After speaking to the CNO, Stephanie is aware that the unit is notorious for being resistant to change. In fact, she learned from the CNO that many staff verbalized their disdain when she was hired as the Nurse Manager. Therefore, Stephanie is aware that she must approach the change carefully in order for it to be successful.

Based on your analysis of the evidence-based practice (EBP) models on the first threaded discussion this week, and those you learned about through your assigned readings, identify which one you feel will be most beneficial for Stephanie to use. Apply the concepts of the selected model to the change project she has proposed.

As you do this, also formulate various strategies based on the model that Stephanie could use to overcome barriers to project implementation such as staff resistance to change, lack of knowledge associated with the change, etc.

NR701 Application of Analytic Methods

Week 6 discussion

DQ1 Meta-Analysis and Meta-Synthesis

Compare and contrast Meta-Analyses and Meta-Syntheses to one another. Which one would you most likely use to support a change in practice and why?

DQ2 Meta-Analysis: Evaluation of Evidence and Application to Practice Issue

As with any type of research, information from a Meta-Analysis has to be assessed/evaluated prior to using in a doctoral project.

For this discussion, visit the Chamberlain library to locate a Meta-Analysis associated with your DNP Project topic. Please be sure to limit your search to Meta-Analyses published within the past 5 years to ensure they are contemporary in nature.

If you are unable to find a Meta-Analysis specific to your topic idea, seek out the assistance of a librarian to help you locate one on a similar topic.

Download and save the article as a PDF, then add the file as an attachment to your primary response posting.

Address the following questions based on the article you shared:

What is the size of the sample (studies and subjects)? Is the sample large enough to provide meaningful data?

Is the analysis of the data thorough and credible? Why or why not?

How would you assess the overall rigor of this particular Meta-Analysis? Would you use data from this Meta-Analysis in your own DNP Project or other DNP scholarly type of work? Why or why not?

NR701 Application of Analytic Methods

Week 7 discussion

DQ1 Ethical Considerations in Research

Compare and contrast the ethical principles of beneficence, non-malfeasance, autonomy, and justice as they pertain to research and the application of research within EBP projects.

As you do this, be sure to also include examples of each principle to demonstrate your understanding of this week’s assigned readings.

DQ2 Ethical Decision Making

Review this document: NR701 Week 7 Discussion Resource: Case Studies (Links to an external site.)Links to an external site. and select one Case Study. For your initial post to this forum, state what Case Study you selected.

Share your thoughts in regard to the proposed research or EBP project in your selected Case Study. Critically think about the type of methodology that is being proposed, as well as how the nurse/student plans on recruiting subjects.

Identify the potential ethical considerations within your selected Case Study. Is the population of interest appropriate for the proposed research or EBP project? Why or why not?

What strategies could the researcher or Advanced Practice Nurse/DNP student use to overcome potential ethical issues and ensure the rights of subjects are protected? What would you do differently if you were proposing the same type of project and why?

NR701 Application of Analytic Methods

Week 8 discussion

You are almost finished with your second course on your DNP journey ~ congratulations!

One professional responsibility of doctoral-prepared nurses is sharing knowledge with their nursing colleagues. This type of sharing can occur in many ways, including both internal and external dissemination. It can also occur in more casual manners such as conversations you have within your workplace, at professional conferences, etc.

For the purpose of this discussion, let’s say you are approached by a BSN-prepared colleague. She has made it well known to you (and others) that advanced education is not something she is interested in. In fact, she goes on to say, “What is the deal with this evidence-based practice stuff I keep hearing about? It isn’t like I can ever do anything or make a change. I can’t stand research anyway, so why do I have to even bother with learning anything about it?”

From a DNP scholar perspective, what would you say to your colleague to not only help her understand what EBP is, but also promote its use, as well as explain the benefits it can provide to her practice?

NR701 Application of Analytic Methods

Week 3 assignment

Organizational Needs Assessment

PURPOSE

The purpose of this assignment is to ensure the student has a topic idea that is seen as needed within the practicum site where they intend to implement their future DNP Project. Theassignment will assist the student in facilitating communication with key decision-makers about the organizational needs of the practicum site, as well as provide the student with an opportunity to identify and apply research findings to support their potential project. A PICOT question will be developed, which can guide the student in future planning associated with their potential DNP Project.

COURSE OUTCOMES

This assignment provides documentation of student ability to meet the following course outcomes:

CO 1: Formulate and refine clinical research questions relevant to advanced nursing practice. (PO #3)

CO 8. Demonstrate competence in basic analysis of qualitative and quantitative data. (PO #3)

CO9: Differentiate between quality improvement, system change, research, and/or evidence-based practice initiatives. (PO #5)

This assignment is worth a total of 100 points.

DUE DATE

Submit your completed assignment by Sunday 11:59 p.m. MT of Week 3 as directed.

DIRECTIONS

1. Downloadthe Organizational Needs Assessment Worksheet document, which is located under Course Resources.Save the worksheet as a PDF document, which allows you to fill in the required sections of the worksheet.

a. If you have difficulty with PDF and are unable to open/save or fill out the worksheet, you will need to visit the following site to download the free Adobe Acrobat Reader to your PC or Mac:

i. https://acrobat.adobe.com/us/en/acrobat/pdf-reader.html

2. Please be sure to fill out all sections of the worksheet, as it is designed to guide you through the initial organizational needs assessment process.

3. If you have not done so already, schedule a time to meet with the decision-maker(s) within the practicum site as soon as possible.

a. Share details about your status in the program and the expectations for the DNP Project with the decision-maker(s)

b. Be sure to explain you will be implementing a change in practice based on already existing evidence).

4. Query the decision-maker(s) about the primary issues inherent within the organization to identify potential project ideas.

a. Remember your DNP Project must be based on the needs of the practicum site.

b. Overall, the practicum site will be required to provide a Letter of Support for your project once you are in your practicum.

5. Collaborate with the decision-maker(s) and determine the topic you can work on as part of your eventual DNP Project.

6. Once you identified a topic/issue, perform a search for evidence to determine potential ways you might be able to address it.

a. Please perform your search using any or all of the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library. When clicked, it reveals a list of “Tools” or PDFs on how to do conduct various searches of the required databases (CINAHL, MEDLINE, Cochrane, and JBI) through the portals (EBSCO and OVID) provided. This effort should have begun in NR700 with the development of the annotated bibliography.

7. Provide a brief summary of the primary findings from a minimum of 2 contemporary (no more than 5 years old) primary research articles to support your intervention(s).

a. Note you are required to use a minimum of one (1) quantitative article

b. Note the second (2) article can be quantitative, qualitative or mixed methods

c. Both articles must be primary research studies (meaning they are not systematic reviews, meta-analyses, etc.)

d. Both articles must be contemporary (no more than 5 years old) and from professional journals.

8. Follow the directions and grading criteria closely. Any questions about this assignment may be posted under the Q & A forum.

NR701 Application of Analytic Methods

Week 5 assignment

Critique of Quantitative and Qualitative Research Articles

Purpose

The student will compare quantitative and qualitative research articles to determine how theory and research are linked, and how they are utilized for nursing science.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 4: Compare and contrast the difference and similarities with selected characteristics of quantitative research designs. (PO#3)

CO 5: Evaluate appropriateness of qualitative research design for a specific clinical practice question. (PO#3)

CO 6: Evaluate appropriateness of quantitative research design for a specific clinical practice question. (PO#3)

For this assignment you must use the two assigned articles (please refer to the guidelines for the names of the articles you are required to use).

Your assignment is due by Sunday, end of week, by 11:59 p.m. (MT). The worksheet and guidelines and grading rubric are located below as well as in the Course Resources module.

REQUIREMENTS

1. Review the three categories below (highlighted), which include one quantitative and one qualitative article. Select one category you are most interested in and use the assigned articles under that category to complete your assignment.

Note the articles below may be found within the CCN library by clicking on the links below each article.

If you need further instructions/help, visit the “Need Help” or the “Ask a Librarian” sections of the library page associated with NR-701 Application of Analytic Methods”.

Category 1: Pressure Ulcers

Coyer, F., Gardner, A., Doubrovsky, A., Cole, R., Ryan, F., Allen, C., & McNamara, G. (2015). Reducing pressure ulcer injuries in critically ill patients by using a patient skin integrity care bundle (InSPiRE). American Journal of Critical Care, 24(3), 199-209. http://dx.doi.org/10.4037/ajcc2015930

Roberts, S., McInnes, E., Wallis, M., Bucknall, T., Banks, M., &Chaboyer, W. (2016). Nurses’ perceptions of a pressure ulcer prevention care bundle: A qualitative descriptive study. BMC Nursing, 15, 1-10. doi:10.1186/s12912-016-0188-9

Category 2: Compassion Fatigue

Berg, G., Harshbarger, J., Ahlers-Schmidt, C., &Lippoldt, D. (2016, January-February). Exposing compassion fatigue and burnout syndrome in a trauma team: A qualitative study. Journal of Trauma Nursing, 23(1), 3-10. doi:10.1097/JTN.0000000000000172

Kelly, L., &Lefton, C. (2017, November). Effect of meaningful recognition on critical care nurses’ compassion fatigue. American Journal of Critical Care, 26(6), 438-444. https://doi.org/10.4037/ajcc2017471

Category 3: End- of-Life Care

Holms, N., Milligan, S., &Kydd, A. (2014). A study of the lived experiences of registered nurses who have provided end-of-life care within an intensive care unit. International Journal of Palliative Nursing, 20(11), 549-556. doi:10.12968/ijpn.2014.20.11.549

Potash, J., HY Ho, A., Chan, F., Wang, X., & Cheng, C. (2014). Can art therapy reduce death anxiety and burnout in end-of-life care workers? A quasi-experimental study. International Journal of Palliative Nursing, 20(5), 233-240. doi:10.12968/ijpn.2014.20.5.233

2. Submit a 4-6 page APA-formatted paper (note a template for this assignment can be found in Course Resources):

a. Include an Introduction section entitled, Critique of Quantitative and Qualitative Articles (centered, not bolded), that indicates the purpose of your paper

b. Compare and contrast the articles with respect to (headings should be centered and bolded):

1. Research Design

2. Research Question(s)

3. Sampling Process and Sample Size

4. Methods for Data Analysis

5. Adhering to Ethical Standards

6. Reliability and Validity (Rigor)

7. Generalizability and Transferability of Findings

c. Summarization (centered and bolded); share your own thoughts regarding the usefulness and value of quantitative vs. qualitative research. Provide a rationale for your opinions and explain how each research methodology can be used to support a change in practice. Be sure to avoid the use of 1st person terminology by referring to yourself as the DNP student or the DNP learner, etc.

NR701 Application of Analytic Methods

Week 6assignment

PICOT/Evidence Table Assignment

The purpose of this assignment is twofold. First, the student will share their PICOT question and provide elaboration on its key components, as well as examine its feasibility as a future DNP Project. Additionally, this assignment provides the student an opportunity to critically appraise selected literary evidence, using a systematic template. This will serve as the foundation for building an evidence table to further develop their future DNP Project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 1: Formulate and refine clinical research questions relevant to advanced practice nursing. (PO #3)

CO 4: Compare and contrast differences and similarities with selected characteristics of qualitative and quantitative research designs. (PO #3)

CO 9: Differentiate between quality improvement, system change, research, and/or evidence-based practice initiatives. (PO #5)

CO 10: Employ an evidence-based practice model for quality improvement. (PO #5)

GENERAL DIRECTIONS

1. You will submit one (1) paper as part of this assignment; however, there are two components of the assignment:

a. PICOT (written/narrative)

b. Evidence Table

2. Your scholarly paper must follow APA format. Include a cover page and headings per 6th edition APA guidelines.

a. Download and use the Week 6 PICOT/Evidence Table Template provided for you, which is located in Course Resources.

PICOT (WRITTEN/NARRATIVE):

3. The PICOT (written/narrative) Component of the assignment should be no more than 5-7 pages (not including the title or references pages; nor the Evidence Table).

4. Include the following components in the PICOT part of your scholarly paper:

a. Title Page

b. Introduction

c. Problem Statement

d. PICOT Question

i. Population of Interest

ii. Intervention of Interest

iii. Comparison of Interest

iv. Outcome of Interest

v. Timeframe

e. Project Planning

i. Organizational Support

ii. Project Feasibility

iii. Resources Needed

f. Evidence Summary

g. Conclusion

h. References Page* (see #5 below)

5. The PICOT component of the assignment (does not include the Evidence Table) must be no more than 5- 7 pages in length (not including the cover page or references page).

EVIDENCE TABLE:

6. *Following the References Page, the Evidence Table part of the assignment is to be filled out in its entirety.

a. Identify a minimum of five original research studies from the literature review begun in NR700 to build a literature review for your project proposal.

i. Note all articles must be contemporary in nature (no more than 5 years old).

b. To complete this assignment, you may again need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute.

i. You may access these databases through the Chamberlain College of Nursing Online Library. When clicked, it reveals a list of “Tools” or PDFs on how to do conduct various searches of the required databases (CINAHL, MEDLINE, Cochrane, and JBI) through the portals (EBSCO and OVID) provided. This effort should have begun in NR700 with the development of the annotated bibliography.

7. All Chamberlain College of Nursing policies related to plagiarism must be observed.

8. Post questions about this assignment to the weekly Q & A Forum.

NR701 Application of Analytic Methods

Week 8 assignment

This assignment provides documentation of student ability to meet the following course outcomes:

CO1: Formulate PICOT/PICoT questions relevant to advanced nursing practice (PO #3).

CO4: Compare and contrast differences and similarities with selected characteristics of qualitative and quantitative research designs (PO #3).

CO5: Evaluate appropriateness of a qualitative research design for a selected PICoT question (PO #3).

CO6: Evaluate appropriateness of a quantitative research design for a selected PICOT question (PO #3).

CO8: Demonstrate competence in basic analysis of qualitative and quantitative data (PO #3).

CO9: Differentiate between quality improvement, system change, research, and evidence-based practice initiatives (PO #5).

POINTS

This assignment is worth a total of 100 points.

DUE DATE

Submit your completed application by Wednesday 11:59 p.m. MT of Week 8 as directed.

REQUIREMENTS

1. The You Decide Reflection is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”

3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum.

4. The length of the reflection is to be within three to six pages excluding title page and reference pages.

5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. You Decide Reflection

b. Conclusion

PREPARING YOUR REFLECTION

The DNP Essentials (AACN, 2006) outline a number of analytical methods for evidence-based practice competencies for the DNP-prepared nurse. Reflect on the NR701 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Use analytic methods to critically appraise existing literature and other evidence to determine and implement the best evidence for practice.

2. Design and implement processes to evaluate outcomes of practice, practice patterns, and systems of care within a practice setting, healthcare organization, or community against national benchmarks to determine variances in practice outcomes and population trends.

3. Design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care.

4. Apply relevant findings to develop practice guidelines and improve practice and the practice environment.

5. Use information technology and research methods appropriately to:

a. collect appropriate and accurate data to generate evidence for nursing practice

b. inform and guide the design of databases that generate meaningful evidence for nursing practice

c. analyze data from practice

d. design evidence-based interventions

e. predict and analyze outcomes

f. examine patterns of behavior and outcomes

g. identify gaps in evidence for practice

6. Function as a practice specialist/consultant in collaborative knowledge-generating research.

7. Disseminate findings from evidence-based practice and research to improve healthcare outcomes” (AACN, 2006, p. 12).

Reference:

American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.