May 30, | nursing, med, NURS, Paper
systems theory essay – Transitioning From Closed to Open Systems
For this week’s systems theory essay – Transitioning From Closed to Open Systems Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.
To prepare:
ORDER A PLAGIARISM-FREE PAPER HERE
Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes? systems theory essay – Transitioning From Closed to Open Systems.
Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.
Please include introduction, summary and references should be within the last five years. in text citation should have the page numbers or paragraph. Thank you. systems theory essay – Transitioning From Closed to Open Systems.
Transitioning From Closed to Open Systems
Introduction
In systems theory, a system is defined as a whole entity comprised of various individual components but which are interdependent. According to Peters (2014), p. 2), “the healthcare system harbors complexity” cultivated by the multifaceted nature of its stakeholders and roles to the society. systems theory essay – Transitioning From Closed to Open Systems. As an organization strives to adapt amid the complexity, the system perspective –open or closed – guiding the adaptation acts as the success determinant either facilitating or hindering the optimal performance of the system as it interacts with the environment. This paper provides an example of healthcare problem rooted in the closed system perspective and discuss its alternative, the open system perspective, as an adequate solution.
Problem highlight
I interned in a healthcare organization with clear-cut hierarchy amongst the different professionals with an eminent dominance of the physicians over the rest. As such, the nurses and the physicians seemingly worked as different independent teams with little interaction between the two. As a result, the management-received complaints from the patients that when they aired their concerns to nurses in most cases the physicians did not seem to take into count. In this case, it was evident that the department was marred by misunderstandings instigated by miscommunication.
Problem from a closed-system perspective
The eminent misunderstandings and inadequate information flow is fueled by adopted closed system operation. In a closed system, the components of the system restrict the flow of information internally without adequate external information flow, which “inhibits the system’s ability to respond to external environment effectively” (Cordon, 2013, p. 4). In the case of the healthcare organization, the professional hierarchies act as individual components with adequate communication only happening within each circle. The professional hierarchies often hinder free interaction amongst the team members working in different departments prompting each to work independently. However, as Dobrzykowski, and Tarafdar (2015) observes, “information exchange relationship among the physician and a hospital’s healthcare providers is an essential element of coordination and key to delivering experiences which patients find valuable.” In this regard, when communication breakdown occurs between the healthcare providers the result is the organization’s inability to respond to the dynamics in both their internal and external environments, in this case, the patient’s concerns. systems theory essay – Transitioning From Closed to Open Systems.
Addressing problem from an open-system perspective
Healthcare institutions constitute of different professionals each with a distinct role but all serving as a single entity. In this regard, the institution should nurture adequate communication between the professionals by crippling the professional superiority complex. Adoption of an open system would sufficiently counter the challenges resulting from the culture of “us versus them” in terms of professions. According to May, Johnson, and Finch (2016, p. 9), entities in an open system although distinct in their roles recognize “the dynamic features of context that shape self-organization in complex adaptive social systems.” As such, components in open systems uphold the interrelation and symbiotic relation required for the benefit of the whole system, which in turn heightens the system’s ability to react with their environments by adapting to external and internal factors. As such, adoption of the open system perspective would facilitate interaction of healthcare administrators and practitioners in different departments systems theory essay – Transitioning From Closed to Open Systems.
Summary
In conclusion, there is a need for adoption of open systems in healthcare organizations to enhance efficiency in healthcare provision. Open system operations in healthcare services would go a long way in fostering communication and ensure that healthcare institutions meet the dynamic needs emanating from the external environment thus facilitating efficiency in healthcare provision systems theory essay – Transitioning From Closed to Open Systems
References
Cordon, C. P. (2013). System theories: An overview of various system theories and its application in healthcare. American Journal of Systems Science, 2(1), 13-22.
Dobrzykowski, D. D., & Tarafdar, M. (2015). Understanding information exchange in healthcare operations: Evidence from hospitals and patients. Journal of Operations Management, 36, 201-214.
May, C. R., Johnson, M., & Finch, T. (2016). Implementation, context and complexity. Implementation Science, 11(1), 141 systems theory essay – Transitioning From Closed to Open Systems.
Peters, D. H. (2014). The application of systems thinking in health: why use systems thinking?. Health Research Policy and Systems, 12(1), 51.
For this systems theory essay – Transitioning From Closed to Open Systems Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)
To prepare:
Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
Research professional standards that are pertinent to your identified problem.
Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.) systems theory essay – Transitioning From Closed to Open Systems.
Write a 4 page paper (page count does not include title and reference page) that addresses the following:
Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
Based on this information, explain how you would address the problem as follows:
Formulate a desired outcome systems theory essay – Transitioning From Closed to Open Systems.
Identify goals and objectives that would facilitate that outcome.
Translate those goals and objectives into policies and procedures for the department or unit.
Describe relevant professional standards.
Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.
Please paper should have introduction, summary and in text citation should have paragraph number or page number. References should be within the last five years. Thank you
Applying Systems Theory systems theory essay – Transitioning From Closed to Open Systems.
Question 1. Describing the department using systems theory terminology
As a nursing professional, I am employed in the emergency department of Morgan Stanley Children’s Hospital. I am engaged in offering nursing services. The facility is located in New York City and is under the management of Presbyterian Hospital within the same city (New York – Presbyterian Hospital, 2018). The emergency department serves three critical functions. Firstly, it is concerned with accurately assessing the patients who arrive at the facility. Secondly, it is concerned with diagnosis. systems theory essay – Transitioning From Closed to Open Systems. Finally, it offers the appropriate emergency medical care. In order to carry out the three core functions, the department has employed a multidisciplinary team of medical professionals that includes nurses and physicians. The team integrates the efforts of each individual and profession, focusing on concerted exertions to ensure that all patients who access the department receive the best possible emergency care that includes a safe environment, alleviating and stabilizing their condition, and facilitating speedy recovery. To facilitate the realization of these objectives, the facility has dedicated resources towards acquiring medical equipment and employing adequate staff levels. As a result, the medical equipment, staff and resources employed in the department can be considered as the facility’s input in the emergency department. Additionally, the management services in the emergency department is that throughput that systemizes the inputs, and orders and organizes medical services with a view to achieve the department’s primary goals. Reasonably, the patients who pass through the emergency department having received care are the output. Also, the turnover volumes reported for the patients is the measure of effectiveness for the emergency department. Given that the facility, including the emergency department, is profit oriented as a sustainability measure interpreted through offering the best possible care, then revenue and profit figures would be considered as the cycle of events. In addition, the performance indicators for the medical department, particularly the reviews offered by the public on staff and services performance, acts as the feedback for the department (Huber, 2013; Meyer & O’Brien-Pallas, 2010).
Question 2. Describing the problem using an open- systems approach, and stating where the problem exists using the systems theory model
In spite of the emergency department reporting a devotion and commitment to offering the best possible care to its patients, the patients have reported a general inability by the nursing personnel to correctly evaluate and manage their pain levels. In fact, the department scores poorly in pain management since the patients indicate that their pain is either inadequately addressed or ignored. The patient reviews show that pain management measures applied in the facility are largely ineffective with the nursing personnel receiving some negative reviews in that regard. To put it more succinctly, some of the patients who pass through the emergency department have indicated that nursing efforts are inadequate systems theory essay – Transitioning From Closed to Open Systems. The implication is that the performance indicators for the department presents subpar figures as nurses are unable to accurately perceive the patients’ pain levels (Meyer & O’Brien-Pallas, 2010). Pope and Deer (2017) explores the issue of ineffective pain management within a medical facility by reporting that it is a common problem. In fact, pain evaluation is only reported to capture 20% of the required information while losing 80% information. Should this statistics turn true for the emergency department, then there is a need to develop and apply better pain evaluation methods that would capture the remaining 80% of the information that had previously been lost. At the very least, inefficient pain evaluation holds true for the nursing personnel in the emergency department since one of their key responsibility is to apply assertive strategies in collecting and disseminating pain assessment information. When the patients complain that their pain has not been well managed, then it implies that nurses have failed to collect and disseminate the right information. To address this issue, there is a need for the nursing personnel to assume a leadership position in the multidisciplinary teams, focusing on developing appropriate solutions to the existing problem, executing the solution, and interpreting the feedback to identify areas that should be improved systems theory essay – Transitioning From Closed to Open Systems.
Question 3. Explaining the desired outcome
The problem existing in the emergency department has been identified the patients’ complaints about ineffective pain management strategies. The nursing personnel do not collect all the required information and end up applying the wrong pain management strategies. As such, the desired outcome is to ensure that pain is well managed in the department by collecting all the information on pain and development a management strategy based on the collected information.
Question 4. The goal and objective that will facilitate the desired outcome
The goal is to improve pain management results in the department. This would be assessed through patients’ reviews that report whether or not the applied pain management strategy was effective. The objective is to improve revenues and profits by receiving positive reviews from patients that increases their possibility for patronage or recommending the facility to others systems theory essay – Transitioning From Closed to Open Systems.
Question 5. Goal and objective translation into policies and procedures
Translating the identified goal and objective into policies and procedures for the department takes the form of improving pain assessment to allow for more pain information to be collected thus allowing for an effective pain management strategy to be selected and applied. Decoding this would entail actively engaging the patients through communication so that the nurses have an accurate awareness of the patients’ pain levels. This means that the new policies and procedures would focus on improving the interactions between the nurses in the emergency department and their patients. Also, the new procedures would be reviewed to prioritize costs so that the department does not report unfavorable revenues and profits. systems theory essay – Transitioning From Closed to Open Systems. Besides that, drug interactions, adverse reactions, tolerance and addiction must also be accounted for within the new policies.
Question 6. The relevant professional standards
All through the pain management process as applied within the emergency department, the nursing staff will ensure that their focus does not move away from addressing the patients’ pain. Any duties that are acknowledged as exceeding the nurses’ capabilities and scope will be transferred to the appropriate individuals or offices (Tintinalli et al., 2016). For example, if the pain medication being used within the department turns harmful, then the hospital administrators will be informed to assess the medication and approve the acquisition of safe medication. Besides that, the nursing staff will receive pain assessment and management training that improves their interactions with the patients to collect the right information (Cherry & Jacob, 2013). In this respect, the nursing staff will establish a pain baseline, scrutinize the currently applied strategies, formulate an appropriate response for the patients’ complaints, and develop an action plan to ensure that patients present a positive review about their pain management. systems theory essay – Transitioning From Closed to Open Systems.
Question 7. How the proposed resolution will uphold the organization’s mission and values and improve the culture and climate
The proposed solution will uphold the facility’s mission and values while improving culture and climate by ensuring that pain management in the department is effective. This would allow the department to offer appropriate care that is accompanied by high satisfaction levels by the patients to improve profit and revenue figures.
References
Cherry, B. & Jacob, S. (2013). Contemporary Nursing, Issues, Trends, & Management (6th ed.). Amsterdam: Elsevier Health Sciences.
Huber, D. (2013). Leadership and Nursing Care Management (5th ed.). St, Louis, MO: Elsevier/Saunders. systems theory essay – Transitioning From Closed to Open Systems.
Meyer, R. & O’Brien-Pallas, L. (2010). Nursing Services Delivery Theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828-2838.
New York – Presbyterian Hospital (2018). Morgan Stanley Children’s Hospital. Retrieved from http://www.nyp.org/morganstanley
Pope, J. & Deer, T. (2017). Treatment of Chronic Pain Conditions: A comprehensive handbook. New York, NY: Springer.
Tintinalli, J., Stapczynski, S., Ma, J., Cline, D. & Meckler, G. (2016). Tintinalli’s Emergency Medicine: A comprehensive study guide (8th ed.). New York, NY: McGraw Hill Professional systems theory essay – Transitioning From Closed to Open Systems.
Transitioning From Closed to Open Systems
Introduction
In systems theory, a system is defined as a whole entity comprised of various individual components but which are interdependent. According to Peters (2014), p. 2), “the healthcare system harbors complexity” cultivated by the multifaceted nature of its stakeholders and roles to the society. systems theory essay – Transitioning From Closed to Open Systems. As an organization strives to adapt amid the complexity, the system perspective –open or closed – guiding the adaptation acts as the success determinant either facilitating or hindering the optimal performance of the system as it interacts with the environment. This paper provides an example of healthcare problem rooted in the closed system perspective and discuss its alternative, the open system perspective, as an adequate solution.
Problem highlight
I interned in a healthcare organization with clear-cut hierarchy amongst the different professionals with an eminent dominance of the physicians over the rest. As such, the nurses and the physicians seemingly worked as different independent teams with little interaction between the two. As a result, the management-received complaints from the patients that when they aired their concerns to nurses in most cases the physicians did not seem to take into count. In this case, it was evident that the department was marred by misunderstandings instigated by miscommunication.
Problem from a closed-system perspective
The eminent misunderstandings and inadequate information flow is fueled by adopted closed system operation. In a closed system, the components of the system restrict the flow of information internally without adequate external information flow, which “inhibits the system’s ability to respond to external environment effectively” (Cordon, 2013, p. 4). In the case of the healthcare organization, the professional hierarchies act as individual components with adequate communication only happening within each circle. The professional hierarchies often hinder free interaction amongst the team members working in different departments prompting each to work independently. However, as Dobrzykowski, and Tarafdar (2015) observes, “information exchange relationship among the physician and a hospital’s healthcare providers is an essential element of coordination and key to delivering experiences which patients find valuable.” In this regard, when communication breakdown occurs between the healthcare providers the result is the organization’s inability to respond to the dynamics in both their internal and external environments, in this case, the patient’s concerns. systems theory essay – Transitioning From Closed to Open Systems.
Addressing problem from an open-system perspective
Healthcare institutions constitute of different professionals each with a distinct role but all serving as a single entity. In this regard, the institution should nurture adequate communication between the professionals by crippling the professional superiority complex. Adoption of an open system would sufficiently counter the challenges resulting from the culture of “us versus them” in terms of professions. According to May, Johnson, and Finch (2016, p. 9), entities in an open system although distinct in their roles recognize “the dynamic features of context that shape self-organization in complex adaptive social systems.” As such, components in open systems uphold the interrelation and symbiotic relation required for the benefit of the whole system, which in turn heightens the system’s ability to react with their environments by adapting to external and internal factors. As such, adoption of the open system perspective would facilitate interaction of healthcare administrators and practitioners in different departments.
Summary
In conclusion, there is a need for adoption of open systems in healthcare organizations to enhance efficiency in healthcare provision. Open system operations in healthcare services would go a long way in fostering communication and ensure that healthcare institutions meet the dynamic needs emanating from the external environment thus facilitating efficiency in healthcare provision systems theory essay – Transitioning From Closed to Open Systems.
References
Cordon, C. P. (2013). System theories: An overview of various system theories and its application in healthcare. American Journal of Systems Science, 2(1), 13-22.
Dobrzykowski, D. D., & Tarafdar, M. (2015). Understanding information exchange in healthcare operations: Evidence from hospitals and patients. Journal of Operations Management, 36, 201-214.
May, C. R., Johnson, M., & Finch, T. (2016). Implementation, context and complexity. Implementation Science, 11(1), 141.
Peters, D. H. (2014). The application of systems thinking in health: why use systems thinking?. Health Research Policy and Systems, 12(1), 51. systems theory essay – Transitioning From Closed to Open Systems.
May 30, | nursing, med, NURS, Paper
NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments
NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Week 1: Developing a Focus in Your Specialty Area
As a nurse and a doctoral student, you have already developed a set of skills and the expertise that have enabled you to contribute to the nursing profession and to those you serve. Yet, your call to advanced practice warrants a deeper understanding of issues and approaches, particularly in your area of specialty practice. To practice at the highest level, you must be able to analyze a health care problem using reasoning, theory, research, and experience.
ORDER A PLAGIARISM-FREE PAPER HERE
As you move forward in this course, you will create an Evidence-Based Practice (EBP) Project, in which you will evaluate the scientific foundations of a health care issue in your specialty area, apply effective practices, identify and evaluate outcomes, and develop new practice guidelines. This week, you will become familiar with the requirements of the EBP Project, which will be completed as part of your practicum experience. To help you prepare for your practicum, this week you reflect on your own potential for professional growth and create learning objectives to guide your experience. The EBP Project must be completed during this practicum experience and is not the same as your DNP project that you are developing with the guidance of your DNP faculty chair and committee in the mentoring courses. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Learning Objectives
Students will:
Formulate a EBP Project question incorporating theory, knowledge, research, reasoning, and nursing practice
Assess areas for professional growth within the practicum experience
Looking Ahead
You are required to keep a log of the time you spend related to your practicum experience. You can access your time log from the Welcome page in your Meditrek account. Please make sure to continuously input your hours throughout the term. Time logs are reviewed by your instructors in weeks 3, 7, and 11.
Photo Credit: ERproductions Ltd / Blend Images / Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments
Chapter 2, “Developing the Researchable Problem”
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdf
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109.
McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.
Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.
Note: You will access this article from the Walden Library databases.
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.
Note: You will access this article from the Walden Library databases.
Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186.
Note: You will access this article from the Walden Library databases.
Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/
Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available at http://ojni.org/issues/?p=2860
Document: Clinical Time Log and Journal (Word document)
Document: Literature Review Matrix (Word document)
Document: NURS 8410 Practicum Journal Template (Word document)
Discussion: Developing an Evidence-Based Practice (EBP) Project Question
Consider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession?
The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments Think about aspects of your specialty area, and begin to formulate a question that relates to your nursing practice.
The primary purpose of this Discussion is to provide a forum in which you and your colleagues can support each other in cultivating a practice-related question.
To prepare:
Develop your EBP Project question using the PICO (patient group, issue or intervention, comparison, outcome) method as described in Chapter 2 of Clinical Research for the Doctor of Nursing Practice(p. 29) and other resources. Depending on your specialty area, you may modify the PICO method as necessary to be appropriate for your target population.
Begin to complete the “Literature Review Matrix,” reviewing at least four to six research articles relevant to your specialty area and your EBP Project question. Note any areas of difficulty that you encounter, as well as any strategies or insights that might be beneficial to others.
Reflect on the information presented in the McCurry, Revell, and Roy article listed in the Learning Resources.
What questions or concerns, if any, do you have about how to develop your project question and/or expand your expertise in your specialty area?
By Day 3
Post a cohesive scholarly response that addresses the following:
Share your project question, as you have developed it thus far.
Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.
Pose any questions or concerns you may have related to developing your project question or literature review. You may also include any other issues related to expanding your expertise within your specialty area.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues by providing feedback on their project question:
Consider the following when providing feedback:
Is the project question easily understood?
Is the answer to the project question not immediately obvious?
Can the project question be answered in the time available to the researcher?
NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments
You may also respond to your colleagues in the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective, using readings from the classroom and/or from your own research in the Walden Library. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
ORDER A PLAGIARISM-FREE PAPER HERE
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 1 Discussion
Assignment: Introduction to the Evidence-Based Practice (EBP) Project
As a part of your practicum experience in this course, you will engage in a small-scale Evidence-Based Practice (EBP) Project. This project will enable you to apply many of the concepts presented in the Learning Resources; it provides an authentic learning experience to enhance your specialty area knowledge and support your growth as a scholar-practitioner.
Select the following link for an overview of the full EBP Project assignment.
Document: Evidence-Based Practice (EBP) Project Overview (Word document)
The document includes due dates. You do not need to submit anything this week, but begin thinking about and planning for this project as soon as possible. You may wish to discuss it with your Practicum Mentor as well.
Practicum: Planning Learning Objectives
The practicum experience allows you to develop and expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level. During week 1 you will submit two to three individual learning objectives that you wish to achieve during this practicum experience. You should prepare a set of measurable learning objectives, using Bloom’s Taxonomy. Your practicum objectives should reflect your interest in expanding knowledge. They are not to include activities related to your DNP project. These objectives will be identified during your mentoring course (NURS 8700P, 8700, 8701). Practice experiences should be designed achieve specific learning objectives related to the DNP Essentials and specialty competencies (AACN, 2006).
Your practicum objectives should include the following:
Two to three learning objectives using Bloom’s Taxonomy.
Description of how these objectives will expand your advanced nursing knowledge and skills at the aggregate, organizational, or policy level.
Relationship of the learning objectives to the DNP Essentials.
NOTE: Learning objectives must be submitted using APA style. Points may be deducted for lack of references, writing style, and APA format. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Submit by Day 7
Ensure that all of the necessary paperwork has been submitted and approved. Remember, final approval for your practicum experience must come from your Instructor, and your practicum may not begin until the required documentation has been submitted and you have received Instructor approval.
Reminder:
Begin keeping track of your practicum hours using the provided time log. This time log needs to include the date, times (start and finish), total hours for the week, a brief description of what you did or observed during each time interval, and the objectives that are being addressed through your practicum activities. You can have more than one objective for each time interval.
In addition, you will submit a journal entry (along with your time log) in Weeks 3, 7, and 11. Journal entries need to connect your previous professional experience with your practice, competencies/concepts in the program, and the literature.
Submission and Grading Information
To submit your completed Practicum for review and grading, do the following:
Please save your Practicum using the naming convention “WK1Practicum+last name+first initial.(extension)” as the name.
Click the Week 1 Practicum
Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK1Practicum+last name+first initial.(extension)” and click Open.mNURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submitbutton to complete your submission.
To access your rubric:
Week 1 Practicum Rubric
Check Your Practicum Draft for Authenticity
To check your Practicum draft for authenticity:
Submit your Week 1 Practicum draft and review the originality report.
Submit Your Practicum by Day 7
To submit your Practicum:
Week 1 Practicum
Practicum: Journal Guidelines
You will submit your Clinical Time Log and Journal located in the Week 1 Learning Resources in Weeks 3, 7, and 11. Journal entries need to connect your previous professional experience with your practice, competencies/concepts in the program, and the literature. Your journal entry should be week-based and sequential so that all journal entries are contained in one file.
Describe the observed activity (1point)
Using an evidence-based approach, analyze the problem, issue, or situation. Address questions posed in the weekly practicum pages if appropriate. (2 points)
Reveal how the real-world might mirror or diverge from program-related evidence, concepts, and/or theories. (2 points) NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments
Time Log submission (1 point)
Week in Review
This week, you formulated an EBP Project question and assessed areas for professional growth within the practicum experience.
Next week, you will develop your small-scale Evidence-Based Practice (EBP) Project in your practicum setting.
To go to the next week:
Week 2
Week 2: Applying Complex Reasoning Strategies
You likely make countless decisions in your day-to-day practice—many with significant consequences. How do you gather and assess information? Evaluate its significance? Weigh possible actions? As a DNP-prepared nurse, it is essential to engage in self-reflection and further your awareness of how your decision-making processes and use of professional judgment can promote the application of effective practices in your specialty area.
Reasoning strategies guide current practice as well as the development and adoption of new, innovative approaches to improve practice in the specialty areas—a topic that will be explored in depth during upcoming weeks of this course.
This week you begin to develop your small-scale Evidence-Based Practice (EBP) Project in your practicum setting. In Application 1—the first in a series of assignments in which you will convey your insights and analysis of the EBP Project—you are asked to identify an issue related to practice in which an outcome is different from what would be expected according to the research literature. This issue provides the foundation for future development of the project. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Learning Objectives
Students will:
Apply reasoning strategies in a nursing specialty area
Evaluate outcomes in a specialty practice area that differ from the research evidence
Photo Credit: [Science Photo Library – PASIEKA]/[Brand X Pictures]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 1, “The Importance of Research in the Doctor of Nursing Practice Degree”
Read pages 12-18 beginning with “The DNP Graduate With an Aggregate Focus”In this section of Chapter 1, the author explains relationship between the DNP clinician, the research process, and developing an effective evidence-based practice. The author also discusses facilitating change in practice based on critically appraised and validated evidence. In addition, Carper’s four essential patterns of “knowing” in nursing and Rosswurm and Larrabee’s six-phase model for reviewing research are highlighted.
Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.
Note: You will access this article from the Walden Library databases.
Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43.
Note: You will access this article from the Walden Library databases.
Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.
Note: You will access this article from the Walden Library databases. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.
Note: You will access this article from the Walden Library databases.
Discussion: Reasoning in a Specialty Area
Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?
Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?
In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.
To prepare:
Consider the definition of clinical reasoningand how it is distinguished from other terms in the Simmons article.
Bring to mind key characteristics of your specialty area. Is the concept of clinical reasoning relevant and sufficient to describe the processyou utilize as you make decisions and solve problems in your area of specialization? Why or why not? If not, what terminology would be more useful for defining or characterizing this process?
Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s).
Reflect on your EBP Project question(s). Reexamine your project question(s) through this lens of clinical, or alternately termed, reasoning. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
By Day 3
Post a cohesive scholarly response that addresses the following:
How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.
How can you apply reasoning strategies to the refinement of your EBP Project question(s)?
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective, using readings from the classroom and/or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 2 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 2 Discussion
Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project
In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.
For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.
Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment.
To prepare for Application 1:
Consider the specifics of your practicum setting, as well as practice-related challenges in your specialty area that interest you. Brainstorm practice issues in which an outcome is different from what would be expected according to the research literature. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Select one issue to focus on for this assignment. This will be your issue for the entire EBP Project, so be sure it is one that will enable you to fulfill the project requirements (e.g., you can develop new approaches to practice). You may wish to speak with your Practicum Mentor about your selection.
Explore the research literature on this issue.
To complete:
In a 1- to 2-page paper, address the following:
Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note:The issue you select must be suitable for completing the entire EBP Project.)
By Day 7
Application 1 is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.
Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submitbutton to complete your submission.
Grading Criteria
To access your rubric:
Week 2 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 2 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 2 Assignment
Practicum
As you begin your practicum activities, make sure that you have submitted and received approval for all of the required paperwork. Be sure to keep track of your practicum hours using the provided time log.
By Day 7 of Week 3
Reminder: You submit your time log and a journal entry during Week 3. See the Practicum Guidelines in the Practicum area of the Course Overview page for a complete description of the practicum. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Week in Review
This week, you evaluated outcomes in a specialty practice area different from research evidence and applied reasoning strategies in a nursing specialty area.
Next week, you will examine the current state of science in your specialty area.
To go to the next week:
Week 3
ORDER A PLAGIARISM-FREE PAPER HERE
Week 3: Translating Science in Advanced Nursing Practice
Health care is an increasingly complex field fueled by the explosion of information available at one’s fingertips. As technology, medical research, and information systems continue to evolve, more emphasis is being placed on incorporating science and effective practices into health care. Nurses are increasingly called upon to implement best practices based on scientifically sound evidence.
This week, you examine the current state of science in your specialty area. This is an essential step for being able to assess and promote evidence-based practice, whether or not you are directly involved in the delivery of patient care. For instance, you may investigate the latest research in leadership, economics, management, education, and so on, and apply that research in your specialty practice area.
Also this week, you submit your time log and a journal entry for your practicum experience.
Learning Objectives
Students will:
Evaluate the state of the current context of science in your specialty area in nursing and health care
Assess the practicum experience
Evaluate current literature pertaining to an issue in a specialty area NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Photo Credit: [GIPhotoStock]/[Cultura]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
Chapter 1, “Evidence-Based Practice”
Chapter 2, “The Science of Translation and Major Frameworks”
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Pages 15-18, “The Process of Translating Evidence Into Clinical Practice”
Chapter 3, “Conducting a Literature Review”
Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
Note: You will access this article from the Walden Library databases. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51
Note: You will access this article from the Walden Library databases.
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.
Note: You will access this article from the Walden Library databases.
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Note: You will access this article from the Walden Library databases.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.
Note: You will access this article from the Walden Library databases.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.
Note: You will access this article from the Walden Library databases.
Additional Research
Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.
Optional Resources
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 14, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project”
Chapter 15, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project”
Chapter 16, “The Impact of Evidence-Based Design”
Chapter 17, “The Lived Experience of Chronic Pain in Nurse Educators”
As you develop sections of your Project Premise, you may wish to review these examples of completed EBP project.
Discussion: The State of the Science in Practice
The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?
Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?
To prepare:
Bring to mind an issue related to your practice. You may use the issue you are exploring for your EBP Project, or another current issue in your specialty area.
If possible, examine practices and/or practice guidelines established to address your selected issue and determine how current the evidence is that supports them. NURS 8410 – Best Practices In Nursing Specialties weekly discussion essay assignments.
Using the Walden Library, locate recently published articles that discuss research translated into evidence that applies to your selected practice issue. If you are unable to locate current articles (within the last five years), use the Internet to find evidence-based practice articles on this topic.
Consider the following questions:
How current is the science that supported the practice or practice guidelines?
What new evidence has emerged since the practice guidelines were crafted and adopted?
By Day 3
Post a cohesive scholarly response that addresses the following:
Discuss the state of the scientific underpinnings that relate to your selected issue.
How current is the science that supported the practice or practice guidelines?
What new evidence has emerged since the practice guidelines were crafted and adopted? Provide one or two examples that support your assessment.
Read a selection of your colleagues’ responses.
By Day 6
Respond to two of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any i
