NR439 2019 January Full Course Latest

NR439 RN Evidence-Based Practice
Week 1 Discussion
Role of Research and the Importance of the Searchable Clinical
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.
As you contemplate your role in the research process, read the following article.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.
Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.
Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.
Remember to integrate references.
 
NR439 RN Evidence-Based Practice
Week 2 Discussion
Search for Literature and Levels of Evidence
CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.
Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study.
 
NR439 RN Evidence-Based Practice
Week 3 Discussion
Research Problems, Designs, and Sample
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
CO4 Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)
This week, we will discuss the research design and sample for your nursing clinical issue. The research design flows from the research question and outlines the plan for the study that will answer the research question. The design identifies the major components of the study. It is important to remember that there is no one best design for a research study.
After you review the designs, describe which research design you would expect to find when searching for evidence relevant to your own research question from Week 2. Why? Explain your answer.
The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications for using a convenience sample on the way you interpret and use the findings?
 
NR439 RN Evidence-Based Practice
Week 4 Discussion
Ethical and Legal Issues
CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
CO3 Identify ethical issues common to research involving human subjects. (PO 6)
CO4 Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
Read one of the following.
Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. Article link (Links to an external site.)Links to an external site.
Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86. Article link (Links to an external site.)Links to an external site.
Questions for first article:
Describe one reason for adhering to high standards in ethics.
What are the dangers of conflict of interest?
Questions for second article:
Discuss the difference between ethical responsibility and ethical dilemma.
Share an experience of ethical dilemma or moral distress in nursing today.
 
NR439 RN Evidence-Based Practice
Week 5 Discussion
Data Collection and Measurement
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
CO4 Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
Access the following information. You may read the PDF online or download it.
American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf (Links to an external site.)Links to an external site.
Review the secondary data presented in the ANA Fast Facts and describe what the results say about this sample of the nursing workforce.
Describe the purpose and the intent of the ANA sharing these results?
The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.
Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.
 
NR439 RN Evidence-Based Practice
Week 6 Discussion
Data Results and Analysis
CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
 After the data are collected, it is time to analyze the results!
Discuss one of the four basic rules for understanding results in a research study.
Compare clinical significance and statistical significance. Which one is more meaningful when considering applying evidence to your practice?
Compare descriptive statistics and inferential statistics in research. Please give an example of each type that could be collected in a study that would be done on your nursing clinical issue you identified in previous weeks.
 
NR439 RN Evidence-Based Practice
Week 7 Discussion
Applying and Sharing Evidence to Practice
CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
CO4 Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.
Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.
Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.
 
NR439 RN Evidence-Based Practice
Week 8 Discussion
Where Do You Go From Here?
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)Improving patient outcomes is paramount to healthcare improvement today.
How has your thinking changed about nursing research and evidence- based practice as the result of this course?
Will the information you learned during this course be helpful in your nursing role today?
 
 
 
NR439 RN Evidence-Based Practice
Week 3 PICOT/Evidence Appraisal Assignment
PICOT Worksheet Guidelines
Purpose
Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
Course Outcomes
This assignment enables the student to meet the following Course Outcome.
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)
Due Date
Submit the completed PICOT Worksheet Form by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
This assignment is worth 200 points.
Directions
Read these guidelines including the grading rubrics below.
Download and use the required PICOT Worksheet form (Links to an external site.)Links to an external site..
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form.
Submit the completed PICOT Worksheet form.
Example 1:
What is the PICO(T) question?
Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers
Example 2:
What is the PICO(T) question?
For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days
 
 
NR439 RN Evidence-Based Practice
Week 5 Reading Research Literature
Purpose:   The student will read research literature to determine the research purpose, question, design, population, sample strategy, data collection, conclusions, and study impact on nursing.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO2:  Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)
CO5:  Recognize the role of research findings in evidence-based practice. (PO 7 & 8)
Submit the completed Reading Research Literature Worksheet Assignment by Sunday, 11:59 p.m. MT at the end of Week 5.
Assignment Directions:
This assignment has 2 articles and you must complete 8 questions for each article on the required worksheet.
Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric. You can find the worksheet here: Reading Research Literature Worksheet (Links to an external site.)Links to an external site.
Download or access the required two articles.  The required two articles must be used.
First article:
Jenson, H., Maddux, S., & Waldo, M. (2018). Improving oral care in hospitalized non-ventilated patients:
         Standardizing products and protocol. MEDSURG Nursing, 27(1), 38–45. Retrieved from
         https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? (Links to an external site.)Links to an external site.
         direct=true&db=a2h&AN=128049905&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Second article:
Woolston, W., & Connelly, L. (2017).  Felty’s syndrome: A qualitative case study. MEDSURG Nursing, 26(2),
       105-118. Retrieved from https://chamberlainuniversity.idm.oclc.org/login? (Links to an external site.)Links to an external site.
        url=https://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=122315812&site=eds- (Links to an external site.)Links to an external site.
        live&scope=site (Links to an external site.)Links to an external site.
 (Links to an external site.)Links to an external site.4.  You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
5.  You are required to complete the assignment worksheet using the productivity tools required by Chamberlain  University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site) (Links to an external site.)Links to an external site.. Click the envelope at the top of the page.
6. Use mostly your own words, type your answers to the questions directly on the required worksheet. Be sure to cite  paraphrased and direct quoted sentences.
7. Use correct grammar, spelling, punctuation, and APA in text formatting for cited sentences.
8. Submit the completed Reading Research Literature Worksheet to the Week 5 Assignment.
 
NR439 RN Evidence-Based Practice
Week 6 Research Article Critique Paper
Research Article Critique Guidelines
This assignment will be uploaded automatically to Turnitin when you submit your assignment.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course. 
TII File Upload Diagram
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.)Links to an external site. explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.)Links to an external site. lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.)Links to an external site. helps you view your instructor feedback.
Please contact your instructor if you have any questions.
Purpose
The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article.
Course Outcomes
Through this assignment, the student will demonstrate the ability to meet the following course outcomes:
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)
CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)
CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
Points
The assignment is worth a total of 175 points.
Due Date
You are to submit your paper by Sunday 11:59 p.m. MT at the end of Week 6.
Requirements
Through this assignment, the student will:
Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)
Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5).
Guidelines to Writing the Paper
This assignment is completed as an APA paper. APA resources can be found on the Course Resources Module. You are required to complete the paper using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Download the required article for analysis:
O’Connor, M., Tanner, P. , Miller, L.,  Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine
         screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved
         from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? (Links to an external site.)Links to an external site.
         direct=true&db=ccm&AN=120885176&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Link to article: Link (Links to an external site.)Links to an external site.
Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.
Provide a brief description of the research article to be discussed.
Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.
You will need to summarize and analyze the information from the article in your own words
Describe the research question for this study in a paragraph.
Describe the research in greater detail.
Include your observations about this question.
Discuss events or trends that could have affected this question.
You will need to summarize and analyze the information from the article in your own words
Describe the research design of this study, and in your own words discuss the design.
Discuss the research design of the study.
Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.
You will need to summarize the information from the article in your own words
Describe the sample.
Briefly describe the sample size used for this study
Make a judgment as to whether the sample size was adequate and defend your answer.
Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.
Are these numbers adequate? Discuss gaps in that you identified.
You will need to summarize and analyze the information from the article in your own words
Describe the data collection method(s)’
Who collected the data?
What tools were used?
What were the ethical considerations addressed and discuss gaps you identified.
You will need to summarize and analyze the information from the article in your own words
Describe the limitations of the study.
Identify the limitations within the study
Describe how the limitations could be overcome in subsequent studies
Comment on why limitations are important to list and discuss within a study
You will need to summarize and analyze the information from the article in your own words
Describe the findings reported in the study.
Describe the findings reported in the study
Discuss whether the findings of the study answered the research question posed within the study
Discuss the credibility of the findings
If the findings do not support the research question posed within the study, what do you believe is the reason?
You will need to summarize and analyze the information from the article in your own words
Summary of Required Article
Summarizes important points from the required article.
Discuss your rationale for whether a practice change is warranted.
Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice or an idea for practice, or an idea for practice?
End with a concluding statement.
Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source.
Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references.
Submit the completed paper by 11:59 p.m. MT on Sunday at the end of Week 6.