HCA699-Full Course-January 2016

DISCUSSIONS

GC HCA699 WEEK 1 DQ 1 & DQ 2

DQ 1

 

What is the difference between research and evidence-based practice (EBP) projects? Provide an example of each one and the reason for the difference. Why should health care workers be interested in learning about EBP?

DQ 1

 

Many businesses/organizations have performance problems that can be reevaluated to improve performance. Explain Research Problem and Problem Statement.

 

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 2 DQ 1 & DQ 2

DQ 1

 

What strategies will you use in your new role in health care to review and critique literature pertinent to your practice?

 

DQ 2

 

“Nobody likes change” is a frequent comment, but creating a culture that allows for new ways of knowing takes a unique set of leadership skills. As a leader, how would you create a culture of change?

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 3 DQ 1 & DQ 2

 

DQ 1

 

What levels of evidence are present in relation to research and practice and why are they important regardless of the method you use?

DQ 2

 

What factors must be assessed when critically appraising quantitative studies (i.e., validity, reliability, and applicability)? Which is the most important? Why?

 

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 4 DQ 1 & DQ 2 

 

 

DQ 1

Define “methodology” and explain how your research problem can be studied. Share your methodology.

DQ 2

 

What are some of the obstacles or barriers to implementing EBP in the health care field? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless you are providing new information.

 

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 5 DQ 1 & DQ 2

DQ 1

 

Reliability and validity are related qualities but independent. They are similar to the terms “precision” and “accuracy,” respectively. A wind-up clock that does not work is accurate (valid) twice a day. But it lacks precision (reliability). A digital clock that is always 5 minutes slow is never accurate (valid) but is very precise (reliable). Elaborate on the assessment instrument used in your project to ensure validity and reliability.

DQ 2

 

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 6 DQ 1 & DQ 2 

DQ 1

When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?

DQ 2

What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 7 DQ 1 

 

 

DQ 1

Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?

 

 

 

 

 

 

 

GC HCA699 WEEK 8 DQ 1 & DQ 2

 

DQ 1

 

Post your Evidence-Based Practice Proposal Project Presentation as directed by the instructor. Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.

 

DQ 2

 

There is power in having data to support change. The EBP process is one way of advancing improvements in health care. Identify three strategies that you will now incorporate into your role in health care based on this course. Explain your rationale.

 

 

 

 

ASSIGNMENTS

 

GC HCA699 WEEK 2 ASSIGNMENT 

 

 

Search Method Example

Search Method

A comprehensive electronic search was completed using the following databases:

Cochrane Central Register of Controlled Trials

Cochrane Database of Systematic Reviews

National Guideline Clearinghouse

CINAHL

Ovid

Medline

 

The search included English-only published articles between 1990 and 2005.

Key words used in the search were:

Pediatric asthma education

Self-management

Self-monitoring

Grade school children

Systematic reviews

Randomized controlled trials

 

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

 

 

 

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 3 ASSIGNMENT 

 

Evaluation Table Template

Column headings are suggestions only; table can be adapted as needed.

 

 

 

GC HCA699 WEEK 4 ASSIGNMENT 

 

Details:

Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

Proposed Solution

Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention.

Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If it is, you may need to go back and make changes to your PICOT before continuing.

Organization Culture

Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

Expected Outcomes

Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

Method to Achieve Outcomes

Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

Outcome Impact

Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Paper Guidelines

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine Section C for your final submission.

 

 

 

 

 

GC HCA699 WEEK 5 (Implementation Plan)ASSIGNMENT 

 

Details:

In 500-750 words (not including the title page and reference page) provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Module 5 with the narrative, the instruments should be placed in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Module 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Module 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine Section E for your final submission.

 

 

 

 

 

 

 

 

 

 

GC HCA699 WEEK 5 (Change Model) ASSIGNMENT 

Details:

Roger’s Diffusion of Innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s Change Curve Model or the Transtheoretical Model of Behavioral Change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa Model and ARCC Model) can also be used as a framework for applying your evidence-based intervention in a health care setting.

In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan.

1. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
2. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine Sections D for your final submission.

GC HCA699 WEEK 6 ASSIGNMENT 

 

Details:

In 500-750 words (not including the title page and reference page) develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome data.
2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
4. Describe strategies to take if outcomes do not provide positive results.
5. Describe implications for practice and future research.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine Section F for your final submission.

 

 

 

 

 

 

GC HCA699 WEEK 7

Throughout this course you will be developing a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed, but they should be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word count.

Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.

This project contains six formal sections:

1. Section A: Problem Description
2. Section B: Literature Support
3. Section C: Solution Description
4. Section D: Change Model
5. Section E: Implementation Plan
6. Section F: Evaluation of Process

Each section (A-F, to be completed in Topics 1-5) will be submitted as separate assignments so your instructor can provide feedback for revision (refer to each Topic for specific assignments).

The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Refer to the “EBP Implementation Plan Guide, the “Evidence-Based Practice Project Proposal Format,” and the “Evidence-Based Practice Project Student Example” as tools for developing your proposal.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.