NURS 3100 IN3002 Nurses at the Forefront of Issues and Trends Assignment Example

NURS 3100 IN3002 Module02 Nurses at the Forefront of Issues and Trends AssignmentNURS 3100 IN3002 Module02 Nurses at the Forefront of Issues and Trends Assignment

NURS 3100 IN3002 Nurses at the Forefront of Issues and Trends Assignment Example

  1. Explain The Critical Importance of Nursing Leadership

Nursing is a constantly evolving profession, with significant transformations occurring annually. It is essential for nurses to develop leadership skills to enhance communication throughout the healthcare system for both patients and staff. The 2017 article “How an Aging Population is Transforming Nursing” highlights that leadership roles represent a substantial shift in nursing responsibilities. As nurse leaders, it is our duty to advocate for patient care, ensure safe nursing practices, provide evidence-based care, collaborate effectively, and apply critical thinking skills. These elements are crucial for establishing a strong role in nursing leadership.

Reference

Wessel, K. (2017). How an Aging Population Is Transforming Nursing. Home Healthcare Now, 35(4), 221-223. doi: 10.1097/NHH.0000000000000543.

You Can Also Check Other Related Assessments for the NURS 3100 – Issues and Trends in Nursing Course:

NURS 3100 IN3003 Module03 Quality and Safety Practices for Healthcare Solutions Assignment Example

  1. Consider the issues of staffing, nursing shortages, and the aging population. Choose one, describe the issue, and explain the factors that contribute to it.

Nursing shortages are an increasingly serious issue in the healthcare profession. According to a 2019 article by the American Association of Colleges of Nursing, there is a projected shortage of Registered Nurses (RNs), which is expected to worsen as Baby Boomers age and the demand for healthcare rises. This profession is seeing a decline in the number of nurses, often due to factors such as inadequate pay, high stress levels, and challenges in maintaining work-life balance. A 2022 article published by Health Affairs noted that the number of RNs decreased by over 100,000 from 2020 to 2021, the largest drop in four decades. Factors contributing to these shortages include workplace stress, poor management practices, understaffing, nurses retiring, insufficient pay, and illnesses exacerbated by the pandemic.

References

American Association of Colleges of Nursing. (2019). Nursing shortage. Retrieved from https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

Health Affairs Forefront. (2022). A Worrisome Drop In The Number Of Young Nurses. DOI: 10.1377/forefront.20220412.311784

  1. The Essence of Nursing

Fitzpatrick’s 2015 article, “The Essence of Nursing: It’s Time to Put the Basic Nursing Care Back in the Spotlight,” underscores that the core of nursing lies in its fundamental practices. Nurses are present during patients’ most critical and vulnerable moments, necessitating the establishment of trust. It is vital for nurses to return to the basics of nursing care, emphasizing face-to-face interactions, compassion, empathy, advocacy, and active listening. Nurse leaders, empowered by these foundational principles, can improve patient outcomes by coordinating care and advocating for patients through direct engagement and a multidisciplinary approach.

Reference

Fitzpatrick, J. (2015). The Essence of Nursing: It’s Time to Put the Basic Nursing Care Back in the Spotlight. Nursing, 45(4), 1-2.

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NURS 6052/5052 EB003 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project AssignmentNURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment

NURS 6052/5052 EB003 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment

Assignment Instructions Overview

In this Evidence-Based Project, you will engage in a comprehensive exploration of a clinical issue by conducting a systematic review and developing a structured approach to clinical inquiry. This assignment will allow you to apply evidence-based practice (EBP) principles, formulate a clinical question using the PICO(T) framework, and present your findings and recommendations in a clear and professional manner.

Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Develop Clinical Inquiry Skills: This project will help you formulate precise clinical questions using the PICO(T) framework. This is crucial for guiding effective research and identifying relevant evidence.
  • Conduct Systematic Reviews: You will learn to conduct systematic reviews by searching for, evaluating, and synthesizing high-level evidence from peer-reviewed sources. This process will enhance your ability to critically appraise the literature and draw meaningful conclusions.
  • Apply Evidence-Based Practice: By utilizing the principles of evidence-based practice, you will identify, evaluate, and implement interventions aimed at improving clinical outcomes. This will involve integrating the best available evidence with clinical expertise and patient values.
  • Enhance Presentation Skills: Developing a PowerPoint presentation will refine your ability to communicate complex information clearly and effectively. This is an essential skill for professional practice and advocacy in healthcare settings.

The Student’s Role

As a student, your role in this assignment includes the following steps:

  • Identify a Clinical Issue: Select a relevant clinical issue that has a significant impact on patient care and clinical practice. This issue should be broad enough to allow for comprehensive research but focused enough to provide actionable insights.
  • Develop a PICO(T) Question: Formulate a specific, focused PICO(T) question that addresses the chosen clinical issue. This will guide your literature search and help in identifying relevant evidence.
  • Perform a Literature Search: Utilize academic databases such as PubMed, CINAHL, MEDLINE, and Cochrane Library to search for peer-reviewed articles. Identify at least four high-level evidence articles, such as systematic reviews, meta-analyses, or critically-appraised topics.
  • Analyze and Synthesize Evidence: Critically appraise the selected articles to evaluate the levels of evidence and their relevance to your PICO(T) question. Summarize the findings in a matrix worksheet to organize and compare the evidence.
  • Create a PowerPoint Presentation: Develop a 6- to 7-slide PowerPoint presentation that summarizes your chosen clinical issue, PICO(T) question, literature search process, and the evidence you found. Include an evaluation of the levels of evidence and the strengths of systematic reviews.

Competencies Measured

This assignment measures the following competencies:

  • Formulating Clinical Questions: Demonstrating the ability to use the PICO(T) framework to develop focused clinical questions.
  • Evidence Retrieval: Proficiency in using various databases to conduct systematic searches and retrieve high-level evidence.
  • Critical Appraisal: Skills in critically appraising and synthesizing evidence to determine its relevance and validity.
  • Application of Evidence-Based Practice: Applying evidence to clinical practice to improve patient outcomes and healthcare processes.
  • Effective Communication: Presenting research findings and recommendations clearly and professionally in a PowerPoint format.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment Example

NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment Example

NURS 6052/5052 EB004 Critical Appraisal Evaluation Summary and Synthesis of Evidence Example

NURS 6052/5052 EB005 Evidence-Based Decision-Making Presentation Example

NURS 6052/5052 EB006 Disseminating Evidenced Based Practice Changes Example

NURS 6052/5052 EB003 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

Matrix Worksheet Template and Developing the PICO(T) Question

Clinical Issue: Workplace Incivility in Nursing

Workplace incivility among nurses and healthcare professionals is a significant issue, manifesting through disrespectful behaviors such as belittling remarks, gossiping, or ignoring colleagues. These behaviors can erode teamwork, reduce job satisfaction, and contribute to burnout, ultimately affecting the quality of patient care and overall healthcare outcomes. Addressing this issue is crucial for maintaining a positive work environment and ensuring high standards of patient care.

Developing the PICO(T) Question

Identifying the Problem

To address workplace incivility effectively, a focused clinical question needs to be developed. This process starts with identifying a clear and specific problem within the broader issue of workplace incivility. For this assignment, the clinical issue of interest is the impact of educational interventions on managing nurse-to-nurse incivility.

Formulating the PICO(T) Components
  • P (Population): Nurses experiencing workplace incivility
  • I (Intervention): Educational programs and cognitive rehearsal training
  • C (Comparison): Standard workplace policies without specific educational interventions
  • (Outcome): Reduction in incidences of workplace incivility, improved job satisfaction, and enhanced teamwork
  • T (Time): Over a period of six months
Constructing the PICO(T) Question

Based on these components, the PICO(T) question is formulated as follows:

In nurses experiencing workplace incivility (P), how effective are educational programs and cognitive rehearsal training (I) compared to standard workplace policies (C) in reducing incidences of workplace incivility, improving job satisfaction, and enhancing teamwork (O) over a period of six months (T)?

Searching for Evidence

Keywords and Databases

To find relevant evidence, key terms derived from the PICO(T) question are used. These include “nurse incivility,” “educational programs,” “cognitive rehearsal,” “workplace incivility,” “job satisfaction,” and “teamwork.”

The search is conducted in the following databases:

  • PubMed
  • CINAHL (Cumulative Index to Nursing and Allied Health Literature)
  • PsycINFO
  • Cochrane Library

Reflection on the Process

Creating a PICO(T) question and searching for peer-reviewed research involves several critical steps. Initially, it is essential to thoroughly understand the clinical issue and its impact on both healthcare professionals and patient care. The PICO(T) framework helps in structuring the question clearly, ensuring all necessary elements are included to guide the research effectively.

Searching multiple databases enhances the comprehensiveness of the evidence gathered. It is crucial to use specific keywords and Boolean operators to refine the search results, making sure the selected studies are highly relevant to the PICO(T) question. This process not only aids in finding high-level evidence but also in understanding the different methodologies and outcomes related to the clinical issue.

Full Citation of Selected Articles

Article #1 Article #2 Article #3 Article #4
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536.

 

Reasons for Selection & Relation to Clinical Issue

Article #1: This study focuses on using education and cognitive rehearsal to address nurse-to-nurse incivility. It shows how training can help nurses recognize and cope with incivility, ultimately promoting a healthier work environment. This is relevant because understanding and managing incivility can lead to better teamwork and patient care (Kile et al., 2019).

Article #2: Abdollahzadeh et al. (2017) explore nurses’ views on preventing workplace incivility, highlighting practical measures such as improving communication and support systems. This perspective is valuable as it comes directly from those experiencing the issue, providing real-world solutions to enhance the work environment.

Article #3: Armstrong (2018) provides a comprehensive review of various strategies to manage incivility in healthcare settings. By synthesizing evidence from multiple studies, this article offers a robust foundation for implementing effective interventions that ensure a respectful workplace.

Article #4: Razzi and Bianchi (2019) describe a quality improvement program that uses cognitive rehearsal training to tackle incivility. This study demonstrates the practical application of educational interventions and their positive impact on job satisfaction and organizational commitment.

Aims of Research

Article #1: To evaluate the effectiveness of cognitive rehearsal techniques in reducing nurse-to-nurse incivility through educational interventions (Kile et al., 2019).

Article #2: To identify strategies for preventing workplace incivility from the perspective of nurses, focusing on improving communication and support (Abdollahzadeh et al., 2017).

Article #3: To review and synthesize existing evidence on interventions for managing workplace incivility in nursing, providing a comprehensive overview of effective strategies (Armstrong, 2018).

Article #4: To implement and assess a quality improvement program using cognitive rehearsal training to address incivility and improve the workplace environment (Razzi & Bianchi, 2019).

Research Methodology

Article #1: Kile et al. (2019) used a mixed-methods approach, combining qualitative and quantitative data. Surveys were conducted before and after the intervention to measure its effectiveness. This approach allowed for a comprehensive evaluation of the educational program’s impact.

Article #2: Abdollahzadeh et al. (2017) used qualitative methods, specifically semi-structured interviews, to gather in-depth insights from nurses. This method allowed participants to share their experiences and suggestions in detail, providing rich qualitative data.

Article #3: Armstrong (2018) conducted a systematic review, analyzing ten studies on workplace incivility. This method is strong in its ability to provide a broad view of the evidence, summarizing findings from multiple sources to identify effective interventions.

Article #4: Razzi and Bianchi (2019) used quantitative methods, utilizing the Nursing Incivility Scale (NIS) to measure the impact of their cognitive rehearsal training program. This approach provided clear, measurable data on the program’s effectiveness.

Strengths of Research Methodologies

Article #1: The mixed-methods approach provided a balanced view, combining statistical data with personal insights, enhancing the study’s reliability and validity (Kile et al., 2019).

Article #2: The qualitative approach allowed for detailed, personal accounts of incivility, giving voice to the nurses’ experiences and making the findings highly relevant and applicable (Abdollahzadeh et al., 2017).

Article #3: Systematic reviews, like the one conducted by Armstrong (2018), are highly reliable as they aggregate data from multiple studies, offering comprehensive and evidence-based recommendations.

Article #4: The quantitative method used by Razzi and Bianchi (2019) provided precise measurements of the intervention’s impact, ensuring that the findings are accurate and can be generalized to similar settings.

General Notes/Comments

Article #1: Highlights the importance of educational programs in promoting a respectful workplace, leading to better patient care (Kile et al., 2019).

Article #2: Emphasizes the need for improved communication and support among nurses to prevent incivility, offering practical solutions from those directly affected (Abdollahzadeh et al., 2017).

Article #3: Provides a comprehensive overview of evidence-based strategies to manage incivility, supporting the implementation of effective interventions (Armstrong, 2018).

Article #4: Demonstrates the effectiveness of cognitive rehearsal training in reducing incivility, enhancing job satisfaction, and organizational commitment (Razzi & Bianchi, 2019).

Conclusion

The reviewed articles highlight the significance of addressing workplace incivility in nursing. They emphasize the role of education, improved communication, and evidence-based interventions in creating a respectful and supportive work environment. Implementing these strategies can lead to enhanced staff well-being, better teamwork, and ultimately, higher quality patient care.

References

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106

Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709

Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536. https://doi.org/10.1111/nuf.12366

PowerPoint Presentation Slides

Slide 1: Introduction

  • Title: Addressing Workplace Incivility in Nursing
  • Overview: Workplace incivility is a significant issue affecting nurses and healthcare professionals, impacting both staff well-being and patient care.

Speaker Notes: Welcome everyone. Today, I will be discussing workplace incivility in nursing, a problem that affects both the quality of patient care and the well-being of healthcare professionals.

Slide 2: Research Question and Databases

  • Research Question: How can evidence-based interventions effectively manage workplace incivility in nursing?
  • Databases Used: PubMed, CINAHL, PsycINFO, Cochrane Library.

Speaker Notes: Our research focused on finding evidence-based strategies to manage workplace incivility in nursing. We searched through several databases, including PubMed and CINAHL, to gather relevant studies.

Slide 3: Selected Systematic Reviews

  • Article #1: Education and Cognitive Rehearsal for Incivility Management (Kile et al., 2019)
  • Article #2: Nurses’ Perspectives on Incivility Prevention (Abdollahzadeh et al., 2017)

Speaker Notes: We selected four key articles for our review. The first two focus on educational interventions and the perspectives of nurses on preventing incivility.

Slide 4: Selected Systematic Reviews (Continued)

  • Article #3: Systematic Review of Evidence (Armstrong, 2018)
  • Article #4: Quantitative Assessment using NIS (Razzi & Bianchi, 2019)

Speaker Notes: The next two articles provide a systematic review of evidence-based strategies and a quantitative assessment using the Nursing Incivility Scale.

Slide 5: Ethics Considerations & Aims of Research

  • Ethics: Voluntary participation, confidentiality, informed consent.
  • Aims: Raise awareness, prevent incivility, synthesize evidence, implement interventions.

Speaker Notes: Ethical considerations are crucial in research. All studies ensured voluntary participation and confidentiality. The aims included raising awareness about incivility, finding ways to prevent it, and implementing evidence-based interventions.

Slide 6: Conclusion & Recommendations

  • Conclusion: The reviewed articles provide valuable insights and evidence-based strategies for managing workplace incivility.
  • Recommendations: Implement educational programs, improve communication, and use quality improvement initiatives to promote a positive work environment.

Speaker Notes: In conclusion, addressing workplace incivility is essential for a positive work environment. We recommend implementing educational programs, improving communication, and using quality improvement initiatives to tackle this issue effectively.

References Slide

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106

Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709

Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536. https://doi.org/10.1111/nuf.12366

Detailed Assessment Instructions for the NURS 6052/5052 EB003 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment

Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

By Day 7 of Week 5

Submit Part 2 of your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 5 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 “WK5Assgn+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.

Learning Resources

Note: To access this module’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

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
  • Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N

Note: You will access this article from the Walden Library databases.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). 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. doi:10.1097/01.NAJ.0000368959.11129.79

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

Note: You will access this article from the Walden Library databases.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

Required Media

Laureate Education (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.

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NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Example

NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project AssignmentNURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment

NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment

Assignment Overview

In this assignment, you will engage in a clinical inquiry to explore the difference between common practice and best practice within healthcare settings. By critically analyzing peer-reviewed research articles, you will identify clinical areas of interest and investigate research methodologies employed to maintain or improve clinical practices.

Understanding Assignment Objectives

The primary objective of this assignment is to develop your skills in identifying and critically analyzing research methodologies used in clinical inquiry. You will select a specific clinical issue of interest and explore relevant peer-reviewed articles to understand the aims, methodologies, and strengths of the research conducted.

The Student’s Role

As a student undertaking this assignment, your role is to:

  • Identify a clinical issue of interest within the healthcare context.
  • Conduct a comprehensive search using appropriate keywords in Walden Library databases to locate relevant peer-reviewed research articles.
  • Reflect on the selection process and analyze the methodologies employed in the identified research articles.
  • Utilize the Matrix Worksheet template to document and critically evaluate each selected article’s research methodology.

Competencies Measured

This assignment assesses the following competencies:

  • Ability to formulate clinical questions for inquiry.
  • Capacity to conduct effective literature searches in academic databases.
  • Skill in critically analyzing research methodologies employed in peer-reviewed articles.
  • Understanding of the importance of evidence-based practice in healthcare decision-making.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment Example

NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

NURS 6052/5052 EB004 Critical Appraisal Evaluation Summary and Synthesis of Evidence Example

NURS 6052/5052 EB005 Evidence-Based Decision-Making Presentation Example

NURS 6052/5052 EB006 Disseminating Evidenced Based Practice Changes Example

NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Example

Identifying Research Methodologies in Clinical Inquiry

Clinical issues significantly impact the quality of care, health providers’ well-being, patient safety, and service delivery. Workplace incivility, characterized by disrespect and discourteous actions among employees, is prevalent in nursing practice and can profoundly affect confidence, interprofessional collaboration, teamwork, and productivity if left unchecked. Moreover, it adversely affects psychological well-being, leading to anxiety, burnout, and high job turnover rates. Effective management of nursing incivility is crucial to enhancing and promoting quality care and patient safety. The following matrix worksheet presents four research articles addressing nursing incivility in the workplace.

Full Citation of Selected Articles

 

Article #1 Article #2 Article #3 Article #4
Kile, D., Eaton, M., DeValpine, M., & Gilbert, R. (2018). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management27(3), 543-552. https://doi.org/10.1111/jonm.12709 Asghari, E., Abdollahzadeh, F., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research22(2), 157-163. https://doi.org/10.4103/1735-9066.205966 Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety66(8), 403-410. https://doi.org/10.1177/2165079918771106 Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum54(4), 526-536. https://doi.org/10.1111/nuf.12366

 

Why Chosen & Relation to Clinical Issue

Article #1: This article was chosen for its comprehensive approach to enhancing awareness and utilizing educational programs to reduce nurse-to-nurse incivility. It underscores the importance of cognitive rehearsal techniques in managing and coping with incivility, supporting employees’ mental preparedness to address workplace stressors.

Article #2: Selected due to its focus on the detrimental effects of workplace incivility on healthcare workers’ health and patient care, providing insights into preventive strategies from nurses’ perspectives.

Article #3: This article aims to control workplace incivility by proposing practical interventions and evidence-based strategies, emphasizing the negative impact of incivility on nurses’ emotional well-being and patient safety.

Article #4: Chosen for its approach of implementing a quality improvement program through cognitive rehearsal training, aiming to promote a healthy workplace and enhance job satisfaction and commitment among nurses.

Aims of Research

Article #1: To raise awareness among nurses and reduce the impact of incivility by implementing cognitive rehearsal techniques.

Article #2: To prevent workplace incivility in healthcare settings from the perspective of nurses.

Article #3: To effectively control workplace incivility through proposed interventions.

Article #4: To educate nurses on identifying and managing incivility through cognitive rehearsal training.

Research Methodologies Used

Article #1: Mixed methods approach combining qualitative and quantitative methods, utilizing surveys before and after cognitive rehearsal training to assess effectiveness.

Article #2: Qualitative methods using semi-structured interviews and purposive sampling to explore nurses’ perspectives on incivility prevention.

Article #3: Quantitative research methodology conducting a systematic review of studies on workplace incivility.

Article #4: Quantitative research utilizing the nursing incivility scale (NIS) to evaluate the effectiveness of cognitive rehearsal educational modules.

Strengths of Research Methodologies

Article #1: Mixed methods provide comprehensive insights by addressing qualitative and quantitative aspects simultaneously, enhancing understanding and data validity.

Article #2: Qualitative methods allow in-depth exploration of incivility issues, providing nuanced insights into nurses’ experiences.

Article #3: Systematic reviews offer a robust synthesis of existing evidence, providing reliable information for clinical decision-making.

Article #4: Quantitative methods maintain objectivity and accuracy in data collection, ensuring reliability and validity of results.

In conclusion, these articles contribute valuable perspectives and interventions to address workplace incivility among nurses. Their methodologies, whether mixed, qualitative, or systematic, offer distinct strengths in understanding, preventing, and managing incivility. By synthesizing these findings, evidence-based practices can be developed to reduce incivility, promote a positive work environment, and enhance patient care.

References

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163.

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410.

Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552.

Razzi, C. C., & Bianchi, A. L. (2019, October). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536.

Detailed Assessment Instructions for the NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

By Day 7 of Week 3

Submit your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 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 “WK3Assgn+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.
  • Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Learning Resources

Note: To access this module’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

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
  • Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x

Note: You will access this article from the Walden Library databases.

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Note: You will access this article from the Walden Library databases.

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299

Document: Matrix Worksheet Template (Word Document)

Required Media

Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ

Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA

Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

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NURS 6052/5052 EB001 Where in the World Is Evidence-Based Practice Discussion Example

NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion AssignmentNURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment

NURS 6052/5052 EB001 Where in the World Is Evidence-Based Practice Discussion Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment

Assignment Overview

The purpose of this assignment is to explore the integration of evidence-based practice (EBP) within professional healthcare organizations by analyzing their respective websites. Students will critically examine the presence and extent of EBP within these organizations, evaluate the grounding of their work in EBP principles, and reflect on how this information influences their perception of the organizations.

Assignment Objectives

  • Review and reflect on the definition and goal of evidence-based practice (EBP) in healthcare.
  • Analyze a professional healthcare organization’s website to identify instances of EBP implementation.
  • Evaluate the extent to which the organization’s work is grounded in evidence-based practice.
  • Reflect on the impact of the organization’s commitment to EBP on one’s perception of the healthcare organization.

The Student’s Role

As a student in NURS 6052/5052 EB001: Essentials of Evidence-Based Practice, your role is to critically engage with healthcare organization websites to assess their adoption of EBP. By examining the mission, vision, philosophy, goals, and other relevant sections of the website, you will identify and analyze instances where EBP is evident. Subsequently, you will evaluate whether the organization’s activities are firmly grounded in EBP principles and consider the implications of this for healthcare quality and outcomes.

Competencies Measured

  • Ability to recognize and assess the application of evidence-based practice (EBP) in healthcare settings.
  • Capacity to critically evaluate organizational commitments to EBP based on website content.
  • Proficiency in articulating the influence of EBP adoption on one’s perception of healthcare organizations.
  • Skill in synthesizing information from diverse sources to inform professional practice and decision-making.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment Example

NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

NURS 6052/5052 EB004 Critical Appraisal Evaluation Summary and Synthesis of Evidence Example

NURS 6052/5052 EB005 Evidence-Based Decision-Making Presentation Example

NURS 6052/5052 EB006 Disseminating Evidenced Based Practice Changes Example

NURS 6052/5052 EB001 Where in the World Is Evidence-Based Practice Discussion Example

Introduction

In today’s healthcare landscape, evidence-based practice (EBP) is essential for delivering high-quality care and improving patient outcomes. By aligning clinical decisions with the best available evidence, healthcare organizations can ensure that their practices are effective and informed. This paper explores the commitment of healthcare organizations towards EBP, focusing specifically on the American Foundation for Suicide Prevention (AFSP) and the Centers for Disease Control and Prevention (CDC). By analyzing their respective websites and organizational strategies, we can gain deeper insights into how these entities integrate EBP principles into their work to address critical healthcare challenges.

American Foundation for Suicide Prevention (AFSP): A Closer Look

The AFSP is a leading organization dedicated to preventing suicide and promoting mental health awareness. A visit to their website reveals a comprehensive approach grounded in evidence-based principles. For instance, the AFSP’s emphasis on suicide statistics reflects their commitment to understanding the scope of the problem through empirical data (AFSP, 2020). Furthermore, the organization’s tailored prevention programs for specific populations, such as veterans and LGBTQ individuals, are developed based on the latest research findings in suicide prevention (AFSP, 2020).

Evidence-Based Utilization at AFSP

The AFSP’s mental health first aid program is a prime example of evidence-based utilization. This program equips individuals with practical skills derived from evidence-based guidelines to recognize signs of distress and provide appropriate support (AFSP, 2020). By integrating evidence into their programs, the AFSP ensures that their interventions are not only effective but also aligned with best practices in mental health care.

Grounding in EBP

The AFSP’s strong grounding in EBP is evident in its research initiatives. The organization actively funds studies focused on prevention, interventions, and treatments related to suicide (AFSP, 2020). By supporting research, the AFSP contributes to the generation of new evidence that informs their programs and advocacy efforts. Additionally, the AFSP’s engagement in public policy advocacy underscores its commitment to translating research findings into actionable policies that promote suicide prevention at local, state, and national levels.

Perception of AFSP

Exploring the AFSP’s website has deepened my perception of the organization. Previously viewed primarily as a resource for suicide prevention, I now recognize the AFSP as a pioneer in evidence-based mental health interventions. The organization’s holistic approach, combining research, advocacy, and community engagement, underscores its leadership in promoting evidence-based practices to address a critical public health issue.

Centers for Disease Control and Prevention (CDC): Unveiling EBP Practices

As a premier public health agency, the CDC plays a pivotal role in disease prevention and control both domestically and globally. A review of the CDC’s website reveals a robust commitment to evidence-based practices across its programs and initiatives.

Evidence-Based Utilization at CDC

The CDC’s approach to disease surveillance exemplifies evidence-based utilization. The agency collects and analyzes data on notifiable diseases, enabling evidence-based interventions to contain outbreaks and prevent further transmission (CDC, 2019). By leveraging research and technology, the CDC stays at the forefront of public health responses, ensuring that their strategies are informed by the best available evidence.

Grounding in EBP

The CDC’s foundation in EBP is reflected in its scientific approach to public health. Through rigorous research and evaluation, the CDC generates evidence that informs policy decisions and public health recommendations (CDC, 2019). The agency’s collaboration with national and international partners further strengthens its evidence-based initiatives, demonstrating a commitment to promoting health equity and improving population health outcomes.

Perception of CDC

Exploring the CDC’s website has reaffirmed my perception of the agency as a global leader in evidence-based public health. The CDC’s systematic integration of research into practice underscores its effectiveness in addressing complex health challenges. By translating evidence into action, the CDC plays a pivotal role in safeguarding public health and promoting well-being on a global scale.

Conclusion

In conclusion, the analysis of the AFSP and CDC websites highlights the critical importance of evidence-based practice in healthcare organizations. Both entities demonstrate a strong commitment to integrating research findings into their programs and initiatives, underscoring the transformative impact of EBP on healthcare delivery. By embracing evidence-based principles, these organizations contribute to improving patient outcomes, advancing public health, and addressing pressing healthcare needs in innovative ways. As future nursing professionals, understanding and advocating for evidence-based practice will be essential in driving positive change and promoting excellence in healthcare delivery.

References

American Foundation for Suicide Prevention. (2020). About AFSP. Retrieved February 26, 2020, from https://afsp.org/about-afsp/

Centre for Disease Control and Prevention (2019). Mission, Role and Pledge. Retrieved  February 26 ,  2020 from  https://www.cdc.gov/about/organization/mission.htm

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Melnyk, B. M., Fineout-Overholt, 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. doi:10.1097/01.NAJ.0000366056.06605.d2.

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer.

Response to Colleague 1

After reviewing your analysis of the AFSP’s website, I found additional examples of evidence-based practice (EBP) integration within the organization’s programs. One notable aspect is the AFSP’s emphasis on offering evidence-based interventions tailored to specific populations, such as veterans and LGBTQ individuals. These targeted programs reflect a nuanced understanding of diverse needs and preferences, aligning with EBP principles by incorporating research findings into practice. Furthermore, the AFSP’s commitment to funding research grants for prevention studies underscores its dedication to advancing EBP in the field of suicide prevention.

Response to Colleague 2

Upon visiting the CDC website as discussed in your post, I observed several examples of evidence-based practice (EBP) in action. One compelling instance is the CDC’s use of epidemiological data to inform public health interventions. By collecting and analyzing disease surveillance data, the CDC identifies trends and patterns that guide evidence-based strategies to prevent and control disease outbreaks. Additionally, the CDC’s collaboration with state agencies to report notifiable diseases demonstrates a systematic approach to integrating research into public health practice, reinforcing the agency’s commitment to EBP.

Detailed Assessment Instructions for the NURS 6052/5052 EB001 Where in the World Is Evidence-Based Practice Discussion Assignment

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Learning Resources

Note: To access this module’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

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, 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. doi:10.1097/01.NAJ.0000366056.06605.d2

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

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Writing Nursing Assignments Made Easy

Whether you’re dealing with complex topics, tight deadlines, or specific instructions, we’ve got your back. From crafting a custom nursing research paper to assisting with your nursing assignments, our professionals are here to lend a helping hand.

How We Can Assist You

Our pro nursing writers create outstanding nursing essay papers from scratch, addressing any topic, meeting any deadline, and following your specific instructions. At ReliablePapers.com, we understand the importance of your academic success.

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NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet AssignmentNURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment

NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment

Assignment Objectives

  • Evaluate a recent healthcare policy or regulation related to nursing informatics.
  • Analyze the impact of the selected policy or regulation on healthcare system implementation.
  • Assess how the policy or regulation affects clinical care, patient/provider interactions, and workflow.
  • Identify organizational policies and procedures designed to address the implications of the selected policy or regulation.

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Student’s Role

As a professional nurse, you are expected to apply your expertise in understanding and communicating healthcare policies and regulations. This assignment requires you to analyze and interpret the impact of a specific nursing informatics-related policy or regulation within a healthcare setting.

Competencies Measured

This assignment assesses your ability to:

  • Evaluate legislative policies and regulations in the context of health and nursing informatics.
  • Analyze the influence of policies and regulations on healthcare system operations and patient care delivery.
  • Demonstrate knowledge of organizational policies and procedures aimed at compliance with healthcare regulations and standards.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Example

Policy/Regulation Overview

The Medicare Access and CHIP Reauthorization Act (MACRA), enacted in 2015, represents a significant milestone in healthcare reimbursement, aiming to transition from traditional volume-based payment models to value-based care approaches. This legislation, replacing the Sustainable Growth Rate (SGR) formula, introduced two key payment tracks: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). MIPS amalgamates multiple prior quality programs—Physician Quality Reporting System, Value-Based Payment Modifier, and Medicare Electronic Health Record Incentive Program—into a comprehensive framework assessing performance based on quality, resource utilization, clinical practice enhancements, and meaningful use of certified electronic health record (EHR) technology (Centers for Medicare & Medicaid Services [CMS], n.d.; HealthIT.gov, 2018a). MACRA’s enactment signifies a paradigm shift towards incentivizing healthcare providers for delivering superior care outcomes and embracing value-based practices (American Association of Nurse Practitioners, 2018).

Impact on System Implementation

The implementation of MACRA has necessitated significant investments in advanced health information technology (HIT) infrastructure within healthcare systems. This includes upgrading or adopting electronic health record (EHR) systems capable of capturing and reporting the quality measures required for MIPS participation. These systems incorporate clinical decision support tools that prompt providers to adhere to evidence-based guidelines and track patient outcomes effectively (Centers for Medicare & Medicaid Services [CMS], n.d.; HealthIT.gov, 2018a).

In addition to upgrading EHR systems, successful MACRA implementation requires the integration of population health management tools into HIT systems. These tools enable healthcare organizations to monitor and manage patient populations more effectively, which is essential for meeting MACRA’s objectives of improving care quality and outcomes (McGonigle & Mastrian, 2017). This comprehensive approach to HIT infrastructure enhancement is crucial for healthcare systems to adapt to the shifting landscape of value-based care incentivized by MACRA.

Impact on Clinical Care, Patient/Provider Interactions, and Workflow

The enactment of MACRA has significantly influenced clinical care delivery, patient-provider interactions, and workflow within healthcare settings. With a heightened emphasis on value-based care and quality improvement, healthcare providers are incentivized under MACRA to prioritize preventive services and enhance care coordination (CMS, n.d.). This shift towards value-based care has reshaped patient interactions, making them more data-driven and focused on achieving improved health outcomes (HealthIT.gov, 2018b).

Healthcare providers now leverage technology, such as electronic health record (EHR) systems and patient portals, to engage patients in shared decision-making and monitor health outcomes over time. For instance, patient portals enable patients to access their health information, communicate with providers, and actively participate in their care, promoting patient engagement and empowerment (Centers for Medicare & Medicaid Services [CMS], n.d.).

Additionally, workflow redesign has become imperative to meet MACRA requirements effectively. Healthcare teams are now collaborating more closely to optimize patient outcomes and ensure compliance with quality reporting measures outlined by MACRA (McGonigle & Mastrian, 2017). This collaborative approach emphasizes the integration of technology and evidence-based practices to achieve the goals of value-based care and quality improvement mandated by MACRA.

Organizational Policies and Procedures

To effectively address the requirements of MACRA, healthcare organizations have implemented a comprehensive set of policies and procedures aimed at optimizing compliance and improving patient care outcomes.

Firstly, organizations have invested in advanced Health Information Technology (HIT) systems, including Electronic Health Records (EHRs) with integrated clinical decision support, to facilitate accurate and timely reporting of quality measures essential for MIPS participation (HealthIT.gov, 2018a). This infrastructure upgrade ensures that providers have the necessary tools to document and report quality measures effectively.

Continuous education and training programs are conducted to equip providers with the knowledge and skills required to navigate MACRA guidelines successfully (American Association of Nurse Practitioners, 2018). These educational sessions ensure that providers understand their roles in achieving performance goals under MACRA and remain updated on best practices in quality reporting and care delivery.

Healthcare organizations have established care coordination initiatives leveraging HIT tools to enhance communication and collaboration among providers, ultimately leading to improved patient outcomes (McGonigle & Mastrian, 2017). By implementing care coordination programs aligned with MACRA’s emphasis on coordinated care, organizations optimize resource utilization and patient care delivery.

Regular performance monitoring and feedback mechanisms are employed to track progress towards MACRA goals and identify areas for improvement using data analytics (CMS, n.d.). This continuous monitoring enables organizations to make data-driven decisions, enhancing quality reporting and care delivery processes.

Furthermore, healthcare organizations promote patient engagement through various strategies, including patient portals, telehealth services, and shared decision-making tools (HealthIT.gov, 2018b). These initiatives empower patients to actively participate in their care, improving patient-provider communication and overall care quality.

Lastly, dedicated compliance officers oversee MACRA compliance within organizations, conducting regular audits to identify and address compliance gaps and ensure adherence to regulatory requirements (CMS, n.d.). This proactive approach to compliance management minimizes risks associated with non-compliance and reinforces organizational commitment to meeting MACRA standards.

Conclusion

In conclusion, MACRA has driven significant transformations in healthcare policy and practice, emphasizing value-based care approaches and necessitating organizational adaptations to optimize compliance and enhance patient care outcomes. The successful implementation of MACRA requires a coordinated effort involving HIT infrastructure enhancements, provider education, care coordination initiatives, patient engagement strategies, and rigorous compliance oversight. By embracing these changes, healthcare organizations can effectively navigate the evolving landscape of value-based reimbursement and deliver higher-quality care to patients.

References

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare & Medicaid Services [CMS]. (n.d.). MACRA. Retrieved from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Detailed Assessment Instructions for the NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 11 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 “WK11Assgn+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.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

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NURS 6051/5051 TN004 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review AssignmentNURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment

NURS 6051/5051 TN004 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment

Assignment Overview

In this assignment, you will critically review and synthesize peer-reviewed research articles focused on the application of clinical systems to enhance healthcare outcomes and efficiencies. As healthcare professionals, it is imperative to understand how technology, such as electronic health records (EHRs) and other clinical systems, can positively impact patient care delivery and overall healthcare quality.

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Assignment Objectives

  • Explore the role of clinical systems in improving patient outcomes and operational efficiencies within healthcare settings.
  • Evaluate recent research studies (within the last 5 years) that provide evidence on the effectiveness of specific clinical systems in enhancing healthcare delivery.
  • Summarize and analyze key findings from selected peer-reviewed articles to identify trends, challenges, and lessons learned in the implementation of clinical systems.
  • Apply knowledge of nursing informatics and healthcare technology to inform clinical system strategies and decision-making.

The Student’s Role

As a student, your role is to conduct a comprehensive literature search to identify four relevant peer-reviewed research articles that demonstrate the impact of clinical systems on healthcare outcomes and efficiencies. You will analyze these articles, summarize their key findings, and synthesize the collective evidence to inform nursing practice and healthcare delivery strategies.

Competencies Measured

This assignment assesses your ability to:

  • Critically evaluate research literature related to clinical systems and healthcare technology.
  • Demonstrate understanding of the impact of clinical systems on patient outcomes and healthcare efficiencies.
  • Apply knowledge of nursing informatics principles to assess the effectiveness of clinical systems in practice.
  • Communicate findings effectively through a structured literature review format, adhering to APA guidelines.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN004 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Example

Introduction

In modern healthcare, the implementation of effective clinical systems is critical for optimizing patient care and operational efficiency. The adoption of evidence-based practices and health information technology (HIT), including electronic health records (EHRs), has shown promising outcomes in improving healthcare delivery. This paper presents an in-depth analysis of recent research studies that demonstrate the positive impact of EHRs on patient outcomes and operational efficiencies within healthcare settings.

Summary of Studies

Bowles, K. H., Dykes, P., & Demiris, G. (2015). The Use of Health Information Technology to Improve Care and Outcomes for Older Adults. Research in Gerontological Nursing, 8(1), 5–10. doi: 10.3928/19404921-20121222-01.

Bowles et al. (2015) emphasize the multifaceted benefits of EHRs, particularly in improving documentation accuracy and billing processes. For instance, they highlight a significant reduction in nosocomial pressure ulcers attributed to enhanced documentation with EHRs. Specifically, the use of structured EHRs enabled clinicians to consistently document pressure ulcer assessments, leading to targeted interventions and reduced incidence rates. Moreover, EHR implementation fostered a culture of teamwork and collaboration, resulting in sustained improvements in care quality and safety outcomes.

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The Use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature. Journal of Medical Systems, 42(11), 214. doi: 10.1007/s10916-018-1075-6.

Kruse et al. (2018) highlight how EHRs positively impact preventive care integration and infection control in intensive care units (ICUs). For instance, EHR systems facilitated the seamless integration of recommended preventive care guidelines into clinical workflows, resulting in improved patient outcomes and reduced infection rates within critical care settings. Additionally, EHRs played a pivotal role in promoting patient-centered care by enabling secure access to comprehensive patient information, enhancing care coordination, and supporting informed decision-making.

Manca, D. P. (2015). Do Electronic Medical Records Improve Quality of Care? Yes. Canadian Family Physician, 61(10), 846–851. doi: 10.14236/jhi.v18i1.751.

Manca (2015) underscores the role of EHRs in enhancing chronic disease management and preventive care, leading to better care quality and patient outcomes. For example, EHRs enable healthcare providers to set treatment goals and receive timely reminders for preventive screenings, resulting in improved adherence to clinical guidelines and better patient outcomes. Additionally, EHRs facilitate access to critical information at the point of care, empowering clinicians to make informed decisions and optimize treatment strategies based on real-time data.

Selvaraj, S., Fonarow, G., Sheng, S., Matsouaka, R., DeVore, A., Heidenreich, A., Hernandez, A., Yancy, W., & Bhatt, D. (2018). Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure. Journal of the American Heart Association, 7(7), e008158. doi: 10.1161/JAHA.117.008158.

Selvaraj et al. (2018) discuss the comprehensive impact of EHRs on care coordination and error reduction. Although EHR adoption alone did not significantly impact heart failure-related outcomes, the study underscores the importance of integrating EHRs with complementary interventions such as patient education and adherence monitoring to optimize clinical outcomes. By leveraging EHRs alongside targeted patient interventions, healthcare teams can enhance care coordination and improve overall care quality for patients with complex conditions like heart failure.

Campanella, P., Lovato, E., Marone, C., Fallacara, L., & Mancuso, A. (2015). The Impact of Electronic Health Records on Healthcare Quality: A Systematic Review and Meta-Analysis. European Journal of Public Health, 1(5), 60-4. doi: 10.1093/eurpub/ckv122.

Campanella et al. (2015) provide insights into the transformative impact of EHRs on care quality and operational efficiency. They highlight how EHRs streamline care processes, reduce medical errors, and enhance resource utilization. For example, EHRs facilitate automated chart reviews and quality assessments, allowing healthcare organizations to identify and address care gaps efficiently. By leveraging EHRs, healthcare providers can optimize time management, reduce unnecessary costs, and ultimately deliver more effective and safer care to patients.

Conclusion

In conclusion, the synthesis of these research studies underscores the significant role of EHRs in improving healthcare outcomes and operational efficiencies. The adoption of EHRs enables enhanced documentation accuracy, care coordination, and preventive care integration, ultimately leading to improved patient outcomes. While EHRs alone may not suffice for complex conditions, their integration with complementary interventions can further enhance care quality and optimize outcomes. Moving forward, healthcare organizations should continue to leverage clinical systems like EHRs to drive continuous improvements in care delivery and patient safety.

References

Bowles, K. H., Dykes, P., & Demiris, G. (2015). The Use of Health Information Technology to Improve Care and Outcomes for Older Adults. Research in Gerontological Nursing, 8(1), 5–10. doi: 10.3928/19404921-20121222-01.

Campanella, P., Lovato, E., Marone, C., Fallacara, L., & Mancuso, A. (2015). The Impact of Electronic Health Records on Healthcare Quality: A Systematic Review and Meta-Analysis. European Journal of Public Health, 1(5), 60-4. doi: 10.1093/eurpub/ckv122.

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The Use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature. Journal of Medical Systems, 42(11), 214. doi: 10.1007/s10916-018-1075-6.

Manca, D. P. (2015). Do Electronic Medical Records Improve Quality of Care? Yes. Canadian Family Physician, 61(10), 846–851. doi: 10.14236/jhi.v18i1.751.

Selvaraj, S., Fonarow, G., Sheng, S., Matsouaka, R., DeVore, A., Heidenreich, A., Hernandez, A., Yancy, W., & Bhatt, D. (2018). Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure. Journal of the American Heart Association, 7(7), e008158. doi: 10.1161/JAHA.117.008158.

Detailed Assessment Instructions for the NURS 6051/5051 TN004 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.
  • For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

  • Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
  • Include an introduction explaining the purpose of the paper.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
  • In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
  • Use APA format and include a title page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
  • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

 Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from

https://www.healthit.gov/faq/what-electronic-health-record-ehr

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221.

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40.

Required Media

Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.

 Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

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Worried about costs? Our online nursing papers come at affordable prices tailored for college students. We believe in accessibility without breaking the bank.

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NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion AssignmentNURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

Assignment Overview

In this assignment, you will explore the risks and rewards associated with utilizing big data in healthcare systems. Big data refers to large, complex datasets that offer valuable insights when analyzed using specialized approaches. As healthcare professionals, understanding how to leverage big data effectively is crucial for improving patient care and optimizing clinical outcomes.

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Understanding Assignment Objectives

The main objectives of this assignment are:

  • Analyze the potential benefits of incorporating big data into clinical systems.
  • Identify challenges and risks associated with utilizing big data in healthcare settings.
  • Propose strategies to mitigate these challenges and maximize the benefits of big data in clinical practice.

The Student’s Role

As a student in this assignment, your role is to critically evaluate the impact of big data on healthcare systems. Reflect on your experiences with health information management and consider how big data can influence clinical decision-making and patient outcomes.

Competencies Measured

This assignment measures your ability to:

  • Apply knowledge of informatics principles to healthcare data management.
  • Analyze the implications of standardized terminologies on healthcare practice.
  • Evaluate strategies for mitigating risks associated with big data utilization in clinical settings.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

Benefit of Utilizing Big Data in Clinical Systems

The use of big data in clinical systems offers significant advantages by enhancing evidence-based practice and improving patient outcomes. When we talk about big data in healthcare, we’re referring to the analysis of large datasets containing patient information, treatments, outcomes, and more. This analysis helps identify patterns and trends that can guide clinical decisions.

For example, in home healthcare, big data can be used to analyze rehospitalization rates. By looking at large amounts of patient data, such as past treatments and conditions, healthcare providers can pinpoint factors contributing to readmissions. This insight allows for targeted interventions—like better discharge planning or follow-up care—which can ultimately improve patient outcomes and reduce unnecessary hospital stays.

Wang, Kung, & Byrd (2018) highlight that big data enables a broader view of evidence-based practice, allowing clinicians to make informed decisions based on comprehensive datasets. This can lead to more effective treatments tailored to individual patient needs.

Challenge of Integrating Big Data into Clinical Systems

Despite its benefits, integrating big data into clinical systems comes with challenges. Chief nurse executives often face the daunting task of managing vast amounts of data, leading to information overload and potential inefficiencies (Thew, 2016). Each healthcare system may use different formats and definitions for data, making it challenging to unify and analyze information effectively.

For instance, when analyzing specific patient data, the definition of terms like “diagnosis” or “treatment” might vary between different electronic health record systems. This lack of standardization complicates data analysis and hinders efforts to derive meaningful insights.

Mitigation Strategy for Addressing Big Data Challenges

To address these challenges, healthcare organizations can implement proactive strategies focusing on data standardization. Bates et al. (2014) emphasize the importance of establishing uniform data formats and definitions across systems. By ensuring internal consistency in how data is represented and interpreted, healthcare providers can streamline data analysis processes.

For example, implementing standardized data exchange protocols like HL7 FHIR (Fast Healthcare Interoperability Resources) facilitates seamless data sharing between different systems. This promotes data consistency and interoperability, enabling more accurate and reliable insights from big data analytics.

In addition, investing in advanced analytics tools that automate data processing and interpretation can significantly alleviate the burden on clinicians. These tools not only enhance efficiency but also allow healthcare providers to focus more on patient care rather than data management.

References

Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014). Big data in healthcare: Using analytics to identify and manage high-risk and high-cost patients. Health Affairs, 33(7), 1123-1131.

Thew, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13.

Response 1

Your insights into data overload for nurse executives are pertinent to the discussion. In addition to data standardization, healthcare organizations should invest in robust data governance strategies to ensure data quality and interoperability across systems. For instance, establishing clear policies and procedures for data collection, storage, and sharing can help maintain data integrity and streamline information management processes. Implementing data governance frameworks, such as data stewardship programs, can empower clinicians to make informed decisions based on reliable and consistent data.

Response 2

I appreciate your focus on the benefits of big data in improving evidence-based practice. Another strategy to mitigate data standardization challenges could involve collaborative efforts between healthcare organizations to establish industry-wide data standards. By working together to define common data elements and formats, healthcare providers can enhance data interoperability and facilitate seamless information exchange. For example, initiatives like the Observational Health Data Sciences and Informatics (OHDSI) collaborative aim to develop shared data standards that enable large-scale analytics across diverse healthcare settings.

Detailed Assessment Instructions for the NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
  • Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw

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NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Paper Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies AssignmentNURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

Assignment Overview

The purpose of this assignment is to develop a comprehensive project proposal focused on leveraging nursing informatics to enhance patient outcomes and care efficiencies within a healthcare organization. Students will propose a nursing informatics project that aligns with emerging technologies and contributes to improved healthcare delivery.

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Understanding Assignment Objectives

The assignment aims to assess students’ ability to apply nursing informatics concepts to real-world healthcare scenarios. Students will demonstrate their knowledge of technology application in healthcare, specifically focusing on how emerging technologies like artificial intelligence can strengthen nursing informatics and impact patient outcomes.

The Student’s Role

As a student undertaking this assignment, you will take on the role of a nursing informatics advocate within a healthcare organization. Your task is to propose a project that addresses specific patient care needs and efficiencies through the integration of technology and data management strategies.

Competencies Measured

This assignment assesses several competencies critical to nursing informatics:

  • Understanding of technology application in healthcare settings.
  • Ability to analyze how emerging technologies can influence nursing informatics.
  • Project management skills in proposing and outlining a nursing informatics project.
  • Collaboration and team integration strategies within healthcare settings.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Paper Example

Introduction

In today’s complex healthcare environment, nursing informatics has emerged as a critical component in improving patient care and achieving positive health outcomes (McGonigle & Mastrian, 2017). Nursing informatics focuses on the integration of information technology and data management into nursing practice, enhancing communication, supporting clinical decision-making, and ensuring patient safety. This project proposal aims to introduce a sophisticated Clinical Decision Support System (CDSS) powered by artificial intelligence (AI) within our healthcare organization to revolutionize patient care processes.

Project Description

The proposed CDSS will serve as an advanced platform that leverages AI and machine learning algorithms to analyze patient data and provide real-time decision support to healthcare providers (Wang, Kung & Byrd, 2018). For instance, when a nurse inputs a patient’s vital signs into the system, the CDSS can rapidly analyze this data against evidence-based guidelines and alert the nurse to potential risks or recommend appropriate interventions. Moreover, the CDSS will incorporate predictive modeling capabilities to anticipate outcomes based on historical data and current patient risk factors.

Stakeholders Impacted

The implementation of the CDSS will have a profound impact on various stakeholders within our healthcare organization. Patients will benefit from personalized care plans and timely interventions, leading to improved health outcomes and increased satisfaction (Glassman, 2017). Nurses and healthcare providers will experience enhanced decision-making support, reduced cognitive workload, and streamlined workflow efficiency. Administrators will observe improvements in quality metrics, reduced costs associated with preventable complications, and optimized resource allocation. The IT department will play a crucial role in system integration and maintenance, while the Quality Improvement Team will utilize CDSS-generated data for performance monitoring and quality enhancement initiatives (Thew, 2016).

Patient Outcomes and Care Efficiencies

The introduction of the CDSS is expected to yield significant improvements in patient outcomes and care efficiencies. By providing real-time decision support, nurses and providers can make informed decisions promptly, leading to timely interventions and preventive measures. The system’s alerts and reminders will help reduce medication errors and ensure adherence to treatment protocols. Additionally, the CDSS will facilitate seamless communication and collaboration among interdisciplinary teams, promoting coordinated care delivery and patient-centered approaches. Patients will benefit from improved engagement through user-friendly interfaces and mobile applications, empowering them to actively participate in their care management (Glassman, 2017).

Technologies Required

To implement the CDSS effectively, several cutting-edge technologies will be essential. AI and machine learning algorithms will drive data analysis and predictive modeling, providing actionable insights for healthcare providers (Wang, Kung & Byrd, 2018). Integration with Electronic Health Record (EHR) systems will enable seamless access to patient data, supporting real-time decision-making and care coordination. Patient-centered mobile applications will enhance patient engagement and enable remote monitoring, improving accessibility and convenience. Scalable and secure cloud infrastructure will facilitate data storage, processing, and accessibility, ensuring compliance with privacy and security regulations.

Project Team and Nurse Informaticist Role

The success of this project hinges on the collaboration and expertise of a multidisciplinary team. A project manager will oversee planning, coordination, and stakeholder engagement. The Nurse Informaticist will play a pivotal role in leading the design, implementation, and optimization of the CDSS, ensuring alignment with nursing workflows and standards (Sipes, 2016). Data analysts and IT specialists will handle data integration, system development, and technical implementation. Clinical champions will engage frontline staff to promote adoption and usability of the CDSS. The Quality Improvement Team will leverage CDSS-generated data for continuous quality improvement initiatives and outcome measurement (Macieria et al., 2017).

Conclusion

In conclusion, the implementation of a sophisticated Clinical Decision Support System driven by nursing informatics will revolutionize patient care within our healthcare organization. By harnessing the power of AI and technology, we aim to enhance patient outcomes, improve care efficiencies, and empower healthcare providers to deliver high-quality, evidence-based care.

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

Detailed Assessment Instructions for NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  • Use APA format and include a title page and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration49(11), 543-548.

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

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NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement AssignmentNURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

Assignment Overview

In this assignment, you will analyze a global health issue by comparing and contrasting the approaches taken by the United States and another selected country. Through the completion of a Global Health Comparison Matrix and a narrative statement outlining a plan for social change, you will delve into key aspects of healthcare policies, social determinants of health, governmental approaches, and the impact on nursing roles and local healthcare organizations.

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Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Compare and contrast healthcare policies related to a selected global health issue in the U.S. and another country.
  • Analyze how social determinants of health influence the chosen global health issue.
  • Evaluate governmental strategies regarding cost, quality, and access to healthcare for the identified issue.
  • Examine the impact of healthcare policies on the global population and the role of nurses.
  • Assess the effects of global health issues on local healthcare organizations and policies in both countries.
  • Develop a plan for social change that integrates a global perspective into local nursing practice and leadership roles.

The Student’s Role

As a student undertaking this assignment, your role is that of a critical analyst and advocate for global health equity. You will explore complex healthcare systems and policies to identify strengths, weaknesses, and areas for improvement in addressing a global health issue. Furthermore, you will envision strategies for effecting social change through the incorporation of a global lens into local nursing practice and leadership.

Competencies Measured

This assignment will assess your ability to:

  • Analyze healthcare policies and their impact on global health issues.
  • Integrate knowledge of social determinants of health into healthcare policy analysis.
  • Evaluate governmental approaches to healthcare delivery in different countries.
  • Articulate the role of nurses in addressing global health challenges.
  • Synthesize how global health issues influence local healthcare organizations and policies.
  • Develop a strategic plan for incorporating a global perspective into local nursing practice and leadership.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

Part 1: Global Health Comparison Matrix

Aspect United States Japan
Health Issue Aging Population Aging Population
National Policies The United States addresses the challenges of an aging population through a combination of federal programs such as Medicare, Medicaid, and the Older Americans Act. Medicare provides health insurance for Americans aged 65 and older, covering hospitalization, outpatient care, and prescription drugs. Medicaid supports low-income elderly individuals, covering long-term care services. The Older Americans Act funds community-based services like nutrition programs and caregiver support. Japan’s response to its aging population is anchored in its Long-term Care Insurance System (LTCI) and the Medical Insurance System for the Aged. The LTCI, introduced in 2000, provides universal coverage for long-term care services, including home care and institutional care. The Medical Insurance System for the Aged ensures healthcare access for elderly citizens through insurance coverage for medical services and medications.
Strengths of Policies The strength of U.S. policies lies in their comprehensive coverage for seniors. Medicare emphasizes preventive care, reducing the burden of chronic diseases. The Older Americans Act supports community-based programs, promoting social engagement and well-being among the elderly. Japan’s policies excel in ensuring universal coverage for long-term care, reducing financial barriers to essential services. The focus on community-based care fosters independence and reduces institutionalization rates among the elderly.
Weaknesses of Policies Despite its comprehensive coverage, the U.S. healthcare system faces challenges related to high costs and disparities in access. The cost of Medicare and Medicaid continues to rise, impacting government budgets. Disparities in healthcare access persist based on socioeconomic factors, affecting the quality of care for vulnerable elderly populations. Japan’s aging population poses funding challenges to its healthcare system. The LTCI system faces financial strain due to the growing number of elderly beneficiaries. Access to services remains a challenge in rural areas, where healthcare infrastructure is less developed.
Social Determinants of Health In the United States, social determinants such as income, education, and geographic location significantly impact the health outcomes of the elderly. Low-income seniors face barriers to accessing quality care, resulting in health disparities across populations. Geographic disparities in healthcare access contribute to variations in health outcomes among elderly individuals. In Japan, social determinants like strong social support networks and cultural attitudes towards aging influence the health and well-being of the elderly. Family-based care remains prevalent, with cultural norms emphasizing filial piety and intergenerational support.
Government’s Approach (Cost, Quality, Access) Cost: The U.S. healthcare system faces escalating costs driven by technological advancements and an aging population.

Quality: Emphasis on innovation and advanced technologies leads to high-quality care but also contributes to rising healthcare expenditures.

Access: Disparities persist in healthcare access, impacting the quality of care received by elderly individuals.

Cost: Japan’s healthcare system grapples with the financial burden of caring for its aging population.

Quality: The emphasis on community-based care and integrated services ensures high-quality care for the elderly.

Access: Challenges in rural areas necessitate investment in healthcare infrastructure to improve access to services for elderly residents.

Impact on Global Health The U.S. influences global health policies through initiatives aimed at addressing aging-related challenges. Research funded by U.S. institutions contributes to global understanding of geriatric care and age-related diseases. Collaboration with international partners enhances knowledge sharing and capacity building in aging-related research and policy development. Japan’s innovative approaches to elder care, particularly its LTCI system, serve as a model for other countries facing aging populations. International collaborations in research and policy development promote the adoption of best practices in geriatric care worldwide.
Impact on Nursing Role The aging population in the U.S. underscores the importance of geriatric nursing. Advanced practice nurses play a critical role in managing complex health issues among elderly patients, emphasizing preventive care and health promotion. Japan’s emphasis on community-based care and interdisciplinary collaboration expands the role of nurses in gerontological care. Geriatric nurses in Japan are integral to care teams, providing holistic support to elderly patients and their families.
Impact on Local Healthcare Organizations In the U.S., healthcare organizations are adapting to the needs of an aging population by expanding geriatric services and integrating technology into elder care. Innovations in home-based care and telemedicine improve access and quality of care for elderly patients. Japan’s healthcare organizations prioritize community-based services and invest in elder-friendly infrastructure. The integration of technology, such as robotics and telehealth, enhances care delivery and supports aging in place initiatives.

 

Part 2: Plan for Social Change

As a nurse leader committed to advancing global perspectives in local healthcare practices, advocating for age-friendly policies and fostering international collaborations are essential components of promoting social change. This plan outlines specific strategies to incorporate a global lens into local practice, emphasizing the importance of cultural competence, research collaboration, community engagement, and policy advocacy.

Firstly, advocating for age-friendly policies requires engagement with policymakers and stakeholders to prioritize investments in long-term care infrastructure and community-based services for the elderly. Research has shown that age-friendly environments contribute to improved quality of life and health outcomes for older adults (World Health Organization, 2007). By advocating for policies that support aging in place and promote intergenerational programs, nurse leaders can influence the development of inclusive healthcare systems that address the diverse needs of elderly populations.

Secondly, education plays a crucial role in enhancing cultural competence among healthcare providers. Training programs on cultural sensitivity and diversity are essential to understanding the unique aging experiences of diverse populations (Jeffreys, 2015). By providing ongoing education and resources, nurse leaders can empower healthcare teams to deliver person-centered care that respects individual beliefs, values, and preferences.

Thirdly, fostering international collaborations in aging-related research is vital for identifying best practices and innovative approaches to elder care. Research partnerships enable knowledge exchange and capacity building across borders, leading to improved care outcomes and policy development (Mukaetova-Ladinska et al., 2019). By engaging in collaborative research projects, nurse leaders contribute to the global body of knowledge on aging and promote evidence-based practices in local healthcare settings.

Lastly, community engagement is essential for raising awareness about aging issues and promoting age-friendly initiatives. Community forums, outreach programs, and partnerships with local organizations enable nurse leaders to connect with stakeholders and mobilize resources to support elderly populations (Winters et al., 2020). By collaborating with community leaders and advocates, nurse leaders can drive grassroots efforts that promote social inclusion and well-being among older adults.

Incorporating a global perspective into local practice represents a commitment to advancing health equity and social change. By advocating for age-friendly policies, fostering cultural competence, engaging in collaborative research, and promoting community engagement, nurse leaders can contribute to creating inclusive healthcare systems that prioritize the needs of aging populations both locally and globally.

References

Jeffreys, M. R. (2015). Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation (2nd ed.). Springer Publishing Company.

Mukaetova-Ladinska, E. B., Stuart-Hamilton, I., Wilcock, G. K., & Benson, D. F. (2019). Case Studies in Geriatric Mental Health: Alzheimer’s Disease and Other Dementias. Springer Publishing Company.

World Health Organization. (2007). Global Age-Friendly Cities: A Guide. World Health Organization.

Winters, C. A., Bartlett, R., Day, R. A., Gaitz, C. M., & Hill, A. M. (2020). Global Perspectives on Human Migration: An Introduction. Springer Nature.

Detailed Assessment Instructions for the NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Assignment

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve NURS 6050 Policy and Advocacy for Improving Population Health.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1).

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/

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NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation AssignmentNURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment

NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment

Assignment Overview

In this assignment, you will assess outcomes of population health program/policy evaluations. You will conduct a healthcare program or policy evaluation based on established criteria and guidelines. The evaluation process will involve analyzing an existing healthcare program or policy to assess its effectiveness, outcomes, and impact on the target population. Through this analysis, you will gain insights into the role of nurses in program evaluation and their contribution to improving healthcare initiatives.

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Understanding Assignment Objectives

The primary objective of this assignment is to develop your skills in assessing healthcare program and policy evaluations. You will apply theoretical knowledge gained from course materials and external resources to critically evaluate the success and impact of a selected healthcare initiative. The assignment aims to enhance your understanding of program effectiveness, data analysis, stakeholder engagement, and the role of nurses in healthcare policy evaluation.

The Student’s Role

As a student, your role is to select a healthcare program or policy for evaluation, using the provided resources and analysis template. You will critically assess the program’s outcomes, success metrics, data sources, unintended consequences, stakeholder engagement, and alignment with original objectives. Your analysis will contribute to the broader understanding of program evaluation in nursing practice and healthcare management.

Competencies Measured

This assignment will measure several competencies critical to nursing practice, including:

  • Ability to analyze and interpret healthcare program outcomes.
  • Skill in evaluating the effectiveness of healthcare policies using evidence-based criteria.
  • Understanding of data sources and methodologies used in program evaluation.
  • Capability to identify and address unintended consequences of healthcare initiatives.
  • Proficiency in stakeholder engagement and the role of advocacy in healthcare policy evaluation.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Example

Introduction

Falls and incidents represent significant risks within nursing homes, demanding careful attention to resident safety by healthcare professionals (Harris, 2016). This evaluation critically examines the effectiveness of fall prevention strategies and incident/accident reporting policies implemented at Crestpark Nursing Home, LLC, with the primary goal of reducing fall-related injuries among residents.

Healthcare Program/Policy Outcomes

The key objectives of the fall prevention and incident/accident reporting policies are explicit: to prevent falls and mitigate associated injuries among residents. Despite the inherent risk of falls in long-term care settings due to age-related factors, the approach involves a comprehensive assessment of each fall incident, including detailed root cause analysis and the development of targeted preventive measures in collaboration with interdisciplinary teams (Milstead & Short, 2019).

Success of the Healthcare Program/Policy

The success of the program is assessed through structured Quality Improvement (QI) meetings involving various healthcare professionals within the facility (Lewinski & Simmons, 2018). These meetings analyze individual case studies and aggregate trends, allowing for the identification of areas for improvement within the policies. Success is defined by a significant reduction or stabilization in fall rates, ultimately leading to enhanced resident safety and well-being.

Number of People Reached

Approximately 300 individuals, including residents, staff members, and family representatives, actively participated in the evaluation process (Harris, 2016). This inclusive approach ensures that policy adjustments are evidence-based and reflective of the diverse perspectives and needs of stakeholders, ultimately enhancing the overall quality of resident care.

Timing of the Evaluation

Regular quarterly evaluations and QI meetings are a routine practice at Crestpark Nursing Home, LLC (Milstead & Short, 2019). Additionally, ad hoc assessments are conducted to address emerging concerns or unexpected trends. The March 2021 evaluation session marked the first meeting in nearly 7 months due to disruptions caused by the COVID-19 pandemic, highlighting the commitment to continuous improvement despite external challenges.

Data Sources

Primary data sources utilized during the evaluation included incident/accident reports, resident medical charts, hospital records, and diagnostic imaging reports (Harris, 2016). These comprehensive data sources facilitated a holistic understanding of each fall incident, enabling informed decision-making and targeted policy adjustments.

Potential Benefits and Unintended Consequences

An immediate benefit of the policies was the prompt notification of falls to designated personnel, ensuring timely assessment and intervention for affected residents (Glasgow et al., 2003). However, the implementation of new reporting protocols may have inadvertently caused feelings of inadequacy among experienced nursing staff. This unintended consequence was addressed through collaborative team discussions and additional training initiatives.

Stakeholders Involved

Stakeholders engaged in the evaluation process included residents, their families, nursing staff, administrative personnel, and the facility’s social worker (Milstead & Short, 2019). The central focus of the evaluation efforts remains resident safety and well-being, with stakeholders playing a crucial role in shaping policy outcomes and improvement strategies.

Evaluation of Success

The evaluation outcomes demonstrate tangible success, evidenced by a decline in fall occurrences and notable improvements in resident mobility and independence (Shiramizu et al., 2016). Ongoing policy assessments and adjustments based on evaluation findings will further strengthen safety protocols and ensure sustained positive outcomes for residents.

Recommendation for Continuation

Continuation of the existing fall prevention and incident/accident reporting policies is strongly advocated due to their demonstrable impact on resident safety and the reduction of fall-related incidents (Williams & Anderson, 2018). Policy refinements will be informed by continuous evaluations, stakeholder feedback, and evolving best practices in long-term care.

Involvement in Future Evaluations

Future involvement in policy evaluations will focus on expanding stakeholder engagement, particularly by soliciting feedback from residents’ families and spending additional time on the floor to gain firsthand insights into policy implementation challenges and successes (Lewinski & Simmons, 2018). This proactive approach will enhance the ability to identify and address emerging issues promptly.

References

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

Harris, M. J. (2016). Evaluating public and community health programs. Hoboken: John Wiley & Sons.

Lewinski, A. A., & Simmons, L. A. (2018). Nurse knowledge and engagement in health policy making: Findings from a pilot study. The Journal of Continuing Education in Nursing, 49(9), 407-415.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393.

Detailed Assessment Instructions for the NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Assignment

Assignment: Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described NURS 6050 Policy and Advocacy for Improving Population Health.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393.

Document: Healthcare Program/Policy Evaluation Template (Word document)

Required Media

Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author.

 Laureate Education (Producer). (2018). Peter Beilenson: Ethics and advocacy [Video file]. Baltimore, MD: Author.

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Why Trust Our Professionals?

Professionals at ReliablePapers.com are updated with the latest nursing trends, ensuring your nursing research paper stands out. Our skilled writers offer the best nursing writing services, meeting your desires and ensuring timely submissions.

As a nursing student, balancing assignments and class participation can be overwhelming. Seeking help enables you to submit research on time and ensures exceptional performance in your nursing research papers and assignments. Trust ReliablePapers.com for your academic success! Our online nursing essays are unmatched both in quality and affordability.

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