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Purpose: Discussion class 504 .Unit 8
Things to remember:
Discussion post is at least 200 words.
Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
3 References, try to find resources that are 5 years or less
No errors with APA format 6thEdition
To Discuss:
· Topic 1: Evidence-Based Change
Locate an article from a peer-reviewed nursing journal where a practice change was made based on research, preferably a change that could relate to your area of practice or organization. Note: You are seeking to find an evidence-based article that describes some change in practice that was based on research; this is all about applying research, not doing research. Thus, you are not looking for a research article, but you are looking for an article that uses evidence from research to make a change.
1. Describe the change made and comment on the strength of the research evidence utilized and the whether the change led to improved patient outcomes.
2. Note any barriers to change that were identified and how they were overcome.
3. End your discussion with a reflection on how this article is useful to you as you consider your role as an advanced practice nurse leading others to use the best evidence to strengthen nursing practice and improve nursing-sensitive patient outcomes
Textbook Readings
Evidence-Based Practice in Nursing and Healthcare
· Chapter 14: “Creating a Vision and Motivating a Change to Evidence-Based Practice in Individuals, Teams and Organizations”
Journal Readings
Please retrieve and read the following Journal articles from the Library and/or Course Documents. Articles can be located through a search in the CINAHL database, OVID database, the Library (links to these are located under the Student Resources in Course Resources) or by using the link at the end of the reference if provided.
Shekelle, P. G., Woolf, S. H., Eccles, M., & Grimshaw, J. (1999). Clinical guidelines: Developing guidelines. British Medical Journal, 318(7183), 593–596.
Sandstrom, B., Borglin, G., Nilsson, R., & Willlman, A. (2011). Promoting the implementation of evidence-based practice: A literature review focusing on the role of nursing leadership. Worldviews on Evidence-Based Nursing, 8(4), 212–213.
Thompson, G., N., Estabrooks, C. A., & Degner. L .F. (2006). Clarifying the concepts in knowledge transfer: A literature review. Journal of Advanced Nursing, 53(6), 691–701.
Yip, W. K., Mordiffi, S. Z., Shen, L., Ang, E. N., Zhang, X., & Majid,S. (2013). Nurses’ perception towards evidence-based practice: A descriptive study. Singapore Nursing Journal, 40(1), 34–41.
Web Resources
Continuing to educate yourself is important to being an effective change-agent. Revisit the NCQA website and review the Education and Resources for Clinicians.
· National Committee on Quality Assurance. (2015). Retrieved from
http://www.ncqa.org/Clinicians.aspx
Review the following website that focuses on nursing-sensitive patient outcomes.
· Patient Safety Measures and Tools. U.S. Department of Health and Human Services. Agency for Healthcare Research and Quality. (2015). Retrieved from
http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/index.html
Practice
1. Identify an area of change in your organization where you are currently employed, or were recently employed.
2. Write a brief summary about how that change is being implemented and any evidence-based practice or quality outcomes that are being measured.
3. Use table 14.1 Eight Steps for Successful Change, on page 321, to compare how change was implemented within your workplace.
4. Post the summary for peer and instructor feedback in Discussion Topic 2.
>Discussion Board GRAD
Initial posts for each discussion question (DQ) is due no later than Saturday of the unit week. The initial post must be an answer to the DQ topic, not a comment on other posts. Initial posts for each DB must also include a minimum of three peer-reviewed citations. Citations must include outside sources and no more than one citation from assigned course readings may be used each week. Additionally, comments should also include a citation to support assertions. While the eCollege discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references.
Average 2 N/A .00
0 N/A 5% 0.00 0.00 10% 0.00 10% 0.00 N/A N/A 0.00 0.00 4 Percentage Low High Low High 0 0 100% 0 0 0 0 0 0 0
Discussion Board (DB) Participation Rubric
Discussion boards (DBs) are what make an online course a course and not an independent study. DBs are vital to demonstrating that the learner has met the expected course level outcomes. Collaboration between peers and your instructor in the DB is an important aspect of the online learning experience and is expected in the course. Any exceptions to the following DB rubric will be at the instructor’s discretion.
The purpose of a DB is to stimulate critical thinking in a scholarly manner. Critical thinking consists of synthesis, creating solutions, application to real world situations, and testing, debating, and defending evidence-based solutions. Critical thinking is not repetition of assigned reading material. Outside research of the literature is a vital part of the DB. Posts need to be substantive. This means that responses such as “I agree” or “great post” do not meet grading rubric requirements.
Inappropriate
Below
Average
Above Average
Score
Weight
Final Score
1
3
4
Initial post timeliness
Provides an initial post on or after Sunday.
N/A
Provides an initial post by Saturday.
1
5%
0
Additional comment requirement
Does not post responses to others.
Posts one comment per Discussion topic.
Posts 2 comments per Discussion topic on separate days. At least one comment includes a citation.
Posts more than 2 comments per Discussion topic on separate days (resulting in total participation on three different days throughout the discussion). At least two comments include a citation.
10%
0.0
Engagement
Participates, but does not post anything that encourages others to respond to the posting.
Attempts to motivate the group discussion.
Frequently attempts to motivate the group discussion.
Content Quality Initial Response
Submission does not relate to the topic.
Answers some question/topics with some clearly stated opinions. Supports post using text only.
Answers all questions with opinions and ideas that are stated clearly. Supports post using text and at least two peer-reviewed sources.
Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
35%
APA Format
Major errors or no APA format used.
Minor errors with APA format.
Rare errors with APA format.
No errors with APA format.
Spelling/
Grammar/ Formatting/ MechanicsSignificant errors in spelling and/or grammar. Major flaws in writing mechanics and formatting.
Poor spelling and grammar are apparent.
Uses Standard American English with rare errors and misspellings.
Consistently uses Standard American English with no misspellings. Appropriate mechanics and formatting.
Length
Submission does not meet length requirements.
The initial post is at least 200 words. This does not include repeating the DB question or the citations and references.
15%
100%
Final Score 0
Percentage
ERROR:#DIV/0!
Total available points =
Instructions: First enter total points possible in cell C15, under the rubric. Next enter scores (between 0 and 4) into yellow cells only in column F.
Rubric Score
Grade points
Low
High
3.5
4.0
90%
2.5
3.49
80%
89.99%
1.7
2.49
70%
79.99%
0.0
1.00
69.99%
