Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based NURS 8100

Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based NURS 8100

Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based NURS 8100

Assignment: Application 1: Identification of
a Practice Issue for the Evidence-Based

Practice (EBP) Assignment

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) Assignment.
Before you proceed with this assignment, you may wish to review the overview of the
full EBP 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.
 Select one issue to focus on for this assignment. This will be your issue for the entire
EBP Assignment, 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 Assignment.)
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 link. 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 button. 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 Submit button 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.

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

 

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.
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 Assignment question.
To prepare:
 Consider the definition of clinical reasoning and 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 process you 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 Assignment question(s).
 Reflect on your EBP Assignment question(s). Reexamine your project question(s)
through this lens of clinical, or alternately termed, reasoning.
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 Assignment
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.
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