Module 7: In 600 words  

The instruction says it is related to module 2, so please see the attached Melnyk PowerPoint and the discussion question and the response the person that wrote module 2 for me provided. Please cover all questions appropriately and use in-text citations. All references used must have in-text citations.

Discussion Board Question:

1. The topic for this week is dissemination of research and evidence for practice. Often visualizing how you might share your work in the future may assist in giving you ideas about the planning and conducting of your project so you will have what you need when ready to share.  It may help you think ahead about your future audience. Share at least three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional and national level. (Related to MO2). I HAVE ATTACHED THE QUESTION AND WHAT YOU WROTE FOR ME IN THAT MODULE 2.

2.  When integrating and sustaining EBP Melnyk (2019) stated it is important to know about the current barriers and find ways to eliminate persistent barriers in the work environment. A. Find one peer review article which discusses one of the four models of organizational change discussed in your Melnyk chapter readings; B. discuss ways to b1. create and b2. sustain an environment for EBP, and C. share the evaluative outcomes implemented by the authors. 

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Chapter 3

Finding Relevant Evidence to Answer Clinical Questions

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Answering Clinical Questions

  • Searching for evidence that has already been appraised for validity and reliability decreases the amount of time needed to determine whether the information is reliable
  • Pre-appraised literature can include:
  • Systematic reviews and meta-analyses
  • Meta-syntheses
  • Integrative reviews
  • Synopses/critiques of single studies

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Hierarchy of Information Resources

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Databases Useful for Finding Individual Research Reports

  • MEDLINE®
  • CINAHL
  • PsycINFO®

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Databases Useful for Finding

Pre-Appraised Evidence

  • Cochrane Database of Systematic Reviews
  • BMJ Clinical Evidence
  • Database of Reviews of Effects (DARE)
  • National Guideline Clearinghouse (NGC)
  • Physician’s Information and Education Resources (PIER)
  • American College of Physicians Journal Club (ACP)

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Question

Which of the following sources of evidence would be the best evidence to use to suggest a clinical practice change?

  • A well-designed randomized controlled trial (RCT)
  • A systematic review that encompasses multiple studies
  • Expert opinion of experienced and educated nurses
  • A case study that addresses a similar clinical situation

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Answer

b. A systematic review that encompasses multiple studies

Rationale: Systematic reviews are pre-appraised evidence, which are considered to be higher on the hierarchy of evidence than expert opinion, individual RCTs, or case studies.

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Week 2

Discussion Board:

A. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.   

Refer back to last module’s discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project.  As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem? 


RESPONSE TO QUESTIONS

1.
A. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.   

For us as nurses, our delivery of safe, high-quality, patient-centered care is dependent upon our good understanding of evidence-based practice, and how to apply it successfully (Schmidt & Brown, 2022). Evidence-based practice examples from my work setting involves using the previous records in the hospital facility about hospitalization and conducting research where evidence about the issue is used for intervention for better health services to reduce hospitalization cases. Qualitative and quantitative research are critical in providing significant scientific evidence that is well-balanced and illuminated for the purpose of better findings that are unique in the process of supporting evidence-based care. Mixed research is more valuable because it makes it possible to get detailed information about the target research, like interviewing the participants using open-ended questions and structure some of the questions to serve a quantitative approach giving about the measurable outcome that influences a significant decision.

2A.
State the problem that you are considering for your DNP project.

The one problem that I consider significant in the DNP project is obtaining approval for the area of interest in the research, especially when targeting to source data from healthcare facilities and other sensitive areas that need a significant explanation and emphasis to get the opportunity. Healthcare facilities are keen on making sure that patients’ data are secured from

Weekly Discussion Board Grading Criteria

DISCUSSION BOARD RUBRIC

Student Points

QUALITY

POINT RANGE

Demonstrates thorough preparation, synthesis and informed opinion; addresses topic thoroughly; comments/ asks questions that contribute to group learning. Brings appropriate outside materials into the discussion; always listens to and supports the work of others. Meets the deadlines for posting responses as outlined by course requirements. Includes citations in the body of the post as well as references at the end of the post using APA format.

5- 4.5

Demonstrates some preparation and generally addresses topic; comments/asks questions; brings outside materials to class but may lack appropriateness; usually listens to and supports the work of others. May be inconsistent in responses or delayed in response to others. APA formatting errors in citations and references.

4.4 -2.5

Demonstrates inadequate preparation, marginal or off-topic posts, lacks synthesis, and reaffirms existing information, minimal / no contribution to group learning. Posts only within the last 24 hours of the week; rarely supports the efforts, ideas, and work of others. Late or no response to others. Posting lacks citations and references.

2.4- 0

ASSESSMENT, REASONING, AND SYNTHESIS

POINT RANGE

Sound synthesis of material and data analysis from assigned readings and activities; Draws appropriate conclusions; facilitates/stimulates interaction and discussion with peers and instructor. Presents new ideas to the group.

5- 4.5

Faulty or incomplete synthesis and conclusions of data analysis, offers superficial opinion; Responses are limited and may not reflect assigned weekly reading or activities. Interactions and ideas are limited.

4.4 -2.5

Unsatisfactory synthesis of data analysis and conclusions; content not relevant; absence of informed opinion; absence of new ideas; responses are weak and disjointed.

2.4- 0

POINT TOTAL

/10


NKU- DNP Peers’ Posts Needing Responses



Kayla Tackett

1.
Share at least 
three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional, and national level. (Related to MO2)

Disseminating evidence is very important when caring for patients. It is important to share the information quickly and efficiently to provide greater patient care from providers (Melnyk et al., 2019). When disseminating for my DNP project, I would use a poster presentation at the local level. I would post the poster in an area where the population that needs to be reached will be able to view. At the regional level, I would disseminate the results through an oral presentation where I would create a PowerPoint presentation to discuss the results and answer questions as necessary. At a national level, I would share a manuscript where individuals could find the information when searching for it.

2A. Find 
one peer review article which discusses one of the four models of organizational change discussed in your Melnyk chapter readings.

The article found was based on the Kotter and Cohen’s model of change. Baloh et al (2018) examined the change process by implementing team huddles in small rural hospitals. The authors followed eight hospitals that implemented the team huddles over a two-year time frame.

2B. Discuss 
ways to 
create and sustain 
an environment for EBP.

It is important in healthcare to create an environment of evidence-based practice. Unfortunately, creating the environment is one of the easier parts. Sustaining the EBP environment creates more of a challenge. While sustaining the EBP process is top priority, the first step is to find an EBP mentor. The EBP mentor can be any advanced clinician whether this is an APRN, RN, or another healthcare provider. This mentor will be highly knowledgeable in EBP and able to work constructively with a team to ensure the mentors are valued and knowledgeable as well (Melnyk et al., 2019). The mentor, facilitators, and champions of EBP share the new EBP, disseminate the information, and ensure the change is carried out. The mentor will ensure the change continues following the implementation. Not only does the mentor ensure the change is carried out, but he/she ensures the clinicians are competent in caring for patients utilizing EBP (Bianchi et al., 2018).

2C. Share the evaluative outcomes implemented by the authors.  (Related to MO1,2,3)

The authors worked with the Kotter and Cohen’s model of change to implement the team huddles into the small rural hospitals. The list of outc


NKU- DNP Peers’ Posts Needing Responses



Kayla Tackett

1.
Share at least 
three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional, and national level. (Related to MO2)

Disseminating evidence is very important when caring for patients. It is important to share the information quickly and efficiently to provide greater patient care from providers (Melnyk et al., 2019). When disseminating for my DNP project, I would use a poster presentation at the local level. I would post the poster in an area where the population that needs to be reached will be able to view. At the regional level, I would disseminate the results through an oral presentation where I would create a PowerPoint presentation to discuss the results and answer questions as necessary. At a national level, I would share a manuscript where individuals could find the information when searching for it.

2A. Find 
one peer review article which discusses one of the four models of organizational change discussed in your Melnyk chapter readings.

The article found was based on the Kotter and Cohen’s model of change. Baloh et al (2018) examined the change process by implementing team huddles in small rural hospitals. The authors followed eight hospitals that implemented the team huddles over a two-year time frame.

2B. Discuss 
ways to 
create and sustain 
an environment for EBP.

It is important in healthcare to create an environment of evidence-based practice. Unfortunately, creating the environment is one of the easier parts. Sustaining the EBP environment creates more of a challenge. While sustaining the EBP process is top priority, the first step is to find an EBP mentor. The EBP mentor can be any advanced clinician whether this is an APRN, RN, or another healthcare provider. This mentor will be highly knowledgeable in EBP and able to work constructively with a team to ensure the mentors are valued and knowledgeable as well (Melnyk et al., 2019). The mentor, facilitators, and champions of EBP share the new EBP, disseminate the information, and ensure the change is carried out. The mentor will ensure the change continues following the implementation. Not only does the mentor ensure the change is carried out, but he/she ensures the clinicians are competent in caring for patients utilizing EBP (Bianchi et al., 2018).

2C. Share the evaluative outcomes implemented by the authors.  (Related to MO1,2,3)

The authors worked with the Kotter and Cohen’s model of change to implement the team huddles into the small rural hospitals. The list of outc


NKU- DNP Peers’ Posts Needing Responses



Kayla Tackett

1.
Share at least 
three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional, and national level. (Related to MO2)

Disseminating evidence is very important when caring for patients. It is important to share the information quickly and efficiently to provide greater patient care from providers (Melnyk et al., 2019). When disseminating for my DNP project, I would use a poster presentation at the local level. I would post the poster in an area where the population that needs to be reached will be able to view. At the regional level, I would disseminate the results through an oral presentation where I would create a PowerPoint presentation to discuss the results and answer questions as necessary. At a national level, I would share a manuscript where individuals could find the information when searching for it.

2A. Find 
one peer review article which discusses one of the four models of organizational change discussed in your Melnyk chapter readings.

The article found was based on the Kotter and Cohen’s model of change. Baloh et al (2018) examined the change process by implementing team huddles in small rural hospitals. The authors followed eight hospitals that implemented the team huddles over a two-year time frame.

2B. Discuss 
ways to 
create and sustain 
an environment for EBP.

It is important in healthcare to create an environment of evidence-based practice. Unfortunately, creating the environment is one of the easier parts. Sustaining the EBP environment creates more of a challenge. While sustaining the EBP process is top priority, the first step is to find an EBP mentor. The EBP mentor can be any advanced clinician whether this is an APRN, RN, or another healthcare provider. This mentor will be highly knowledgeable in EBP and able to work constructively with a team to ensure the mentors are valued and knowledgeable as well (Melnyk et al., 2019). The mentor, facilitators, and champions of EBP share the new EBP, disseminate the information, and ensure the change is carried out. The mentor will ensure the change continues following the implementation. Not only does the mentor ensure the change is carried out, but he/she ensures the clinicians are competent in caring for patients utilizing EBP (Bianchi et al., 2018).

2C. Share the evaluative outcomes implemented by the authors.  (Related to MO1,2,3)

The authors worked with the Kotter and Cohen’s model of change to implement the team huddles into the small rural hospitals. The list of outc


MODULE 7

Discussion Board Question:

1. The topic for this week is dissemination of research and evidence for practice. Often visualizing how you might share your work in the future may assist in giving you ideas about the planning and conducting of your project so you will have what you need when ready to share.  It may help you think ahead about your future audience. 
Share at least 
three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional and national level. (Related to MO2)

2.  When integrating and sustaining EBP Melnyk (2019) stated it is important to know about the current barriers and find ways to eliminate persistent barriers in the work environment.
A. 
Find one peer review article which discusses one of the four models of organizational change discussed in your Melnyk chapter readings;
B. 
discuss ways to b1. 
create and b2.
 sustain an environment for EBP, and
C. 
share the evaluative outcomes implemented by the authors. 


ANSWER

Question 1: Share at least three of the ways you may consider disseminating your findings when your DNP project is completed on a local, regional, and national level

There are many ways that I can use to disseminate the findings from my project at all levels including local level, state and federal levels. They include:

·
Presenting program results to local community groups and other local stakeholders

Sharing the findings of research with communities makes it easier for such groups to have accessibility to the data that their involvement in research studies helped to produce. Societies may take advantage of these results by using this information to fulfill their regional growth objectives and safeguard their rights. I can prepare a PowerPoint presentation of my findings, and organize for a periodic program to disseminate my findings to the local community. To ensure that they can understand my results would be sure to use simple language that most people can understand. Since physical presentation may be challenging, I would additionally print out posters and handouts and place them in one place that may community members are likely to access, for instant, in a grocery store

·
Making presentations at national conferences and association gatherings

Delivering clinical or operational studies at a professional gathering gives the potential to communicate study results fast, because the lag time involving conducting the investigation and delivering at a meeting might be brief. Additionally, meetings are generally hosted by professionals in the area, that are more inclined to be initial integrators