NR 505 Week 8: Future Use of Evidence-Based Practice

Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 505 Week 8: Future Use of Evidence-Based Practice              

Whether one passes or fails an academic assignment such as the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 505 Week 8: Future Use of Evidence-Based Practice              

The introduction for the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 505 Week 8: Future Use of Evidence-Based Practice              

After the introduction, move into the main part of the NR 505 Week 8: Future Use of Evidence-Based Practice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 505 Week 8: Future Use of Evidence-Based Practice              

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 505 Week 8: Future Use of Evidence-Based Practice              

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 505 Week 8: Future Use of Evidence-Based Practice

I work in the emergency room and during my shifts I come across at least one person whose chief complain is related to chronic pain. For the most part, the primary care providers provide them with some sort of analgesic in order to manage their pain. We definitely have our regulars who come in at least once a week demanding morphine or dilaudid. PCP’s have a constant pressure to maintain high patient satisfaction scores and feel the need to negotiate the plan of care with these patients. However, many are reluctant to order or prescribe opioids or controlled substances even though because they don’t see it as appropriate to chronic pain management. Nonetheless, if these patients don’t get the drugs they seek, one knows they will be unsatisfied with their care. As mentioned by Henson and Jeffrey (2016), pilot studies can provide a better insight of the developing research, they assess sample size, data collection and clarify many questions before the implementation process. Pilot studies tend to foretell what one must expect from the actual study, therefore providing one with the opportunity to alter and adjust one’s methods.

Implementing a pilot study in the ER will be challenging for me. For the most part the ER consist of pharmacological intervention and in this fast phase setting it would be difficult to implement nonpharmacological interventions. Currently, in my ER we divide our patients in two sections. One section is for our acute patients whom need to be seen by a PCP as soon as possible or whom will require numerous resources such as blood draw, xray, radiology, etc. The other section is our “fast track”, this portion of the ER sees nonemergent cases or those whom will require one to two resources such as those whom need small sutures or medication refill. Many time, some of the patients whom are complaining of chronic pain will go to the fast track section, medication will be provided, and they will be discharged. Given this setting is less acute and patients are more stable, I believe I could integrate nonpharmacological teaching and interventions. Nonetheless, in order to intergrade a pilot study, one must take many things into consideration.

Henson, A., & Jeffrey, C. (2016). Turning a clinical question into nursing research: the benefits of a pilot study. Renal Society of Australasia Journal, 12(3),99-105.

Sample Answer 2 for NR 505 Week 8: Future Use of Evidence-Based Practice

This weeks discussion looks forwards and asks about the future use of evidence-based practice in our workplace setting.  We are to imagine ourselves as nursing leaders in the advance practice setting and answer the listed questions above.  To begin, i would role model evidence-based practice in my future setting by basing decisions and practices on the latest research.  This can be achieved by using transparency with co-workers as to why a certain change was implemented and needed.  At my current place of employment, certain protocols such as sepsis bundles were rolled out to staff in this manner.  The need for a change to old protocols was first identified using current data at the time that showed a delay in our implementation of sepsis treatments as well as data showing our patient outcomes compared to others.  Then, the latest research was shown to staff showing how effective new sepsis bundles were for patients and this was used as the reason for needed changes. 

Committee’s were also formed so that any staff member that wanted to participate in the research and changes could do so.  The successful implementation of EBP is a dynamic process dependent on a number of variables. Individual experiences, bias and attitudes alongside professional, organisational and workplace factors can act as hurdles or barriers to the translation of empirical knowledge into practice and as such this process can take many years. (Williams, Perillo, & Brown, 2015).  In order to foster a culture of EBP for an organization, it takes time, competence and motivation.  Members of the organization from top to bottom must lead by example and show that they also value this type of culture.  An open-door, non-punitive  policy to new ideas for needed changes is a great method to promote this.  Asking staff to openly search for areas of improvements and forming committee’s to research how to resolve problems is another method that allow staff to become part of the process for researching and implementing changes.  If a staff member is stating that things have never been done this way, they may be resistant to change.  I would offer them to participate in a committee or current project as well as educate them on the importance of EBP in the workplace.  

References

Williams, B., Perillo, S., & Brown, T. (2015). Review: What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurse Education Today, 35e34-e41. doi:10.1016/j.nedt.2014.11.012

Sample Answer 3 for NR 505 Week 8: Future Use of Evidence-Based Practice

 As a family nurse practitioner (FNP), utilizing evidenced based practice and working on continued research will be vital to the continued success of my clinical setting. As a leader, I can be a role model and advocate for ensuring the clinical practice is focusing on improved outcomes and best practice based on current data. Implementing evidenced based practice starts with changing the culture and mind set of the environment and establishing foundational guidelines that foster research and improving the lives and safety of patients and their families. Alam (2016) discusses the importance of support from management and leaders and encouraging consistent feedback from members of the team on what they are seeing in the clinical setting and areas that need to be improved. As a leader and a FNP, I will seek to encourage further research on best practice and encourage teamwork and feedback on implementing new ideas and interventions that will improve patient care.

Fostering a culture that utilizes evidenced based practice within the clinical setting and throughout an organization comes from communication and leadership. For example, after completing this course, I feel my outlook on research and evidenced based practice has deepened significantly and I find my self looking to see what current research says about clinical situations I may be faced with. I recently attended a learning session with corporate leaders presenting a slideshow presentation outlining current data and how clinical outcomes improve when best practice is utilized. I left the meeting excited and inspired to encourage my fellow team members on the utilization of new research and immediately changed certain areas of my own practice based on the presentation. Levin and Chang (2014) encourage clinicians to focus on the PICOT and search for the best evidence available and continue to foster a spirit of inquiry among co- workers.

Assisting reluctant co-works with the utilization of evidenced based practice is something I am very familiar with and have found success by getting to the root of the reluctancy to implement change. Many times, team members have fear or anxiety about implementing a new system and other times they may just enjoy being a pessimist. Helping team members understand how and why a new method needs to be implemented could help reduce anxiety and provide a better understanding to the benefits of the applied intervention. Levin (2014) encourages leaders to engage team members in the action of the research, review, and implementation of the data to encourage excitement and application of the information.      

Alam, A. Y. (2016). Implementing evidenced based patient safety practices. JPMA. The Journal of The Pakistan Medical Association, 66(6), 637-638.

Levin, R. F., & Chang, A. (2014). Tactics for Teaching Evidenced-Based Practice: Determining the Level of Evidence of a Study. Worldviews on Evidence-Based Nursing,11(1), 75-78. doi:10.1111/wvn.12023

Sample Answer 4 for NR 505 Week 8: Future Use of Evidence-Based Practice

As a family nurse practitioner (FNP), utilizing evidenced based practice and working on continued research will be vital to the continued success of my clinical setting. As a leader, I can be a role model and advocate for ensuring the clinical practice is focusing on improved outcomes and best practice based on current data. Implementing evidenced based practice starts with changing the culture and mind set of the environment and establishing foundational guidelines that foster research and improving the lives and safety of patients and their families. Alam (2016) discusses the importance of support from management and leaders and encouraging consistent feedback from members of the team on what they are seeing in the clinical setting and areas that need to be improved. As a leader and a FNP, I will seek to encourage further research on best practice and encourage teamwork and feedback on implementing new ideas and interventions that will improve patient care.

Fostering a culture that utilizes evidenced based practice within the clinical setting and throughout an organization comes from communication and leadership. For example, after completing this course, I feel my outlook on research and evidenced based practice has deepened significantly and I find my self looking to see what current research says about clinical situations I may be faced with. I recently attended a learning session with corporate leaders presenting a slideshow presentation outlining current data and how clinical outcomes improve when best practice is utilized. I left the meeting excited and inspired to encourage my fellow team members on the utilization of new research and immediately changed certain areas of my own practice based on the presentation. Levin and Chang (2014) encourage clinicians to focus on the PICOT and search for the best evidence available and continue to foster a spirit of inquiry among co- workers.

Assisting reluctant co-works with the utilization of evidenced based practice is something I am very familiar with and have found success by getting to the root of the reluctancy to implement change. Many times, team members have fear or anxiety about implementing a new system and other times they may just enjoy being a pessimist. Helping team members understand how and why a new method needs to be implemented could help reduce anxiety and provide a better understanding to the benefits of the applied intervention. Levin (2014) encourages leaders to engage team members in the action of the research, review, and implementation of the data to encourage excitement and application of the information.      

Alam, A. Y. (2016). Implementing evidenced based patient safety practices. JPMA. The Journal of The Pakistan Medical Association, 66(6), 637-638.

Levin, R. F., & Chang, A. (2014). Tactics for Teaching Evidenced-Based Practice: Determining the Level of Evidence of a Study. Worldviews on Evidence-Based Nursing,11(1), 75-78. doi:10.1111/wvn.12023

Sample Answer 5 for NR 505 Week 8: Future Use of Evidence-Based Practice

Role modeling is an essential characteristic of a leader, and evidence based practice is fundamental in nursing practice. Using systematic approaches to problem solving based on best nursing practices as well as my own nursing experience as a nurse to achieve patient-centered care  would be the best example of EBP advanced degree nursing.

The way I would foster an organizational culture that promotes EBP would be by demonstrating strategic leadership.Strategic Leadership is the ability to influence others to voluntarily make decisions that enhance the prospects for an organizations long-term success while maintaining long-term financial stability. There are five keys to the process of strategic leadership. Competence is the first concept. Competence is when knowledge or skill have been mastered that demonstrate the ability to meet needs in a distinct area. The second step in strategic leadership is the development of a vision for the company. vision is the ideal of what the organization or situation should look like at a specific point in the future. Effectively communicating the vision to the appropriate internal group is the next step in the strategic process. Finally one must serve others to make the vision a reality. “When in the act of service and sacrifice for others, one builds influence. After influence is built, one earns the right to be called leader. The paradox is that by being selfless and serving others, the leader enhances self.” (Strand, 2014) Communication is the last step in the process, but it is also the glue that keeps the vision intact. communication must be effective in order to promote the idea with stakeholders. 

Addressing a staff member that does not like change: “Planned change in nursing practice is necessary for a wide range of reasons, but it can be challenging to implement. Understanding and using a change theory framework can help managers or other change agents to increase the likelihood of success” (Mitchell, 2013). That is what I would implement to assist with the challenge of an employee resistant to change. A change model details and breaks down a process so that the principals may be applied by strategic leaders. There are several key elements of a model for change which include; strategic orientation, knowledge of which system level change occurs, the use of champion, mobilization of knowledge, and transformation. Many change models have been developed over time to provide structure in approach. Some examples of models for change are; The Plan-Do-Study-Act model, Lippitt’s Change Theory, and Lewin’s Change Model. It is up to the leader to select the most appropriate model based on the specific circumstances of the work environment. In utilizing any of the models for change, effective leaders approach mobilizing the change process with these ideas in mind: Be an example, have the mind of a teacher, challenge “the old way” of  thinking, engage participants, build a strong team, measure outcomes, know how to take action, hold yourself accountable. Proper communication is an essential component of every phase of the change process and almost all researchers cite it as fundamental to effective application (Mitchell 2013). Once change has been initiated, leadership must ensure the change is accepted and implemented. In order to sustain the results the leader should be present for support, monitor what must be sustained, and make the change unavoidable. Choosing the change theory that best fits the situation can Simplify the process for change agents and help stakeholders to be more receptive to the change.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management,20(1), 32-37. doi:10.7748/nm2013.04.20.1.32.e1013

Strand, R. (2014, January 14). Strategic Leadership of Corporate Sustainability. Retrieved March 30, 2018, from https://doi.org/10.1007/s10551-013-2017-3