DQ1 Nursing’s Ways of Knowing

Week 2 discussion

DQ1 Nursing’s Ways of Knowing

From the perspective of your practice change interest (clinical outcomes, safety and quality, leadership or health policy) consider the specific ways of knowing as they have played into your awareness of the need for practice change?

Further, consider how intuitive/personal or ‘unknowing’ knowing dimensions of practice integrate with broader social, cultural and theoretical dimension to create meaning and inform ideas for practice change.

Give two specific examples from your practice. For example, let’s say that your practice change interest is in the way treatment decisions are made in end-of-life care for elderly patients. Which ‘Ways of Knowing’ have played primarily in to your observations and insights about this problem?

Examples of integration with broader social and cultural dimensions in this scenario of treatment decisions in end-of-life care: how does your intuitive/personal knowing integrate with what patients and families say about their experiences? What do you know about the cost of care, access to care or quality of care relative to the issue?

DQ2 Formatting your Problem Statement into a PICOT Question

In preparation for this discussion, first prepare interview notes with the following questions:

I’d like to validate a problem statement and begin to formulate a PICOT question with the needs of your organization in mind.

A problem I’d like to work to improve is _________ and some of the causes of this problem seem to be _______________. Would you agree? Are you asking questions within the organization about this problem? Do you have additional insights to the specific problem statement and the etiology I’ve come up with?

What Outcomes would you hope result from addressing this problem?

Next make a phone interview (5-10 minute) appointment with a nursing or other leader in your chosen organization. The purpose of your interview will be to validate with the interviewee (from their point of view), whether your initial problem statement agrees with their needs.

With this interview information validating or changing your problem statement, you can move forward.Keeping the main ideas from the problem statement you drafted in Week 1 wherein you identified the problem and the etiology; now state the problem in the PICOT format.

What Population you will be working with to improve outcomes?

What intervention possibilities are there (these would be aimed at the etiology portion of your statement)?

To what existing practice in health care are you comparing the outcome of your intervention?What outcome do you expect to see as a result of your intervention?

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