nr451 all weeks discussions

What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse’s responsibility when EBP and patient and family practice do not match?

week 2

The Clinical Question (graded)Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes.

• Formulate a significant clinical question that will be the basis for your capstone change project.
• Relate how you developed the question.
• Describe the importance of this question to your clinical practice.
• Define meta-analysis, and explain how this relates to evidence -based practice (EBP).
• Describe what a research-practice gap is.

Now that you have identified your capstone change project, it is time to look its feasibility.

• What tangible and intangible resources will be needed to implement your project?
• What improved outcomes do you anticipate will occur that could indicate the project produced a successful return on investment (ROI) of these resources?
• How will you communicate your plan for change with key decision makers so that they will support the allocation of the resources you are seeking?

How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?

week 5

Core Competencies for Nurses (graded)Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at http://www.qsen.org. How can the QSEN competencies for nurses be implemented into your workplace or professional nursing setting? If you are not currently employed as a nurse, consider a previous work setting that would have benefited from implementation of the QSEN competencies.

week 6

Implementing Change Despite Resistance (graded)Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.

week 7

Please go to www.whitehouse.gov/blog/2016/03/23/look-six-years-affordable-care-act to read the latest about the Affordable Care Act from the White House.

Respond to the questions below.

• What are some benefits of the healthcare reform that has been prompted by the Affordable Care Act (ACA)?
• Why is it important to be aware of changes in healthcare policy?
• Why do you believe we spend more on healthcare than any other country but have the worst outcomes?

What does the following statement mean to you?

In order to meet the challenges of taking care of older and sicker patients, incorporate patient safety and quality of care into practice, and understand economics and its effect on the workforce, nurses must take a leading role in the future of healthcare and remain current in their profession by means of engagement in lifelong learning.

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