NURS 8502 Week 5 Discussion Exploration of Sources of Evidence

Walden University NURS 8502 Week 5 Discussion Exploration of Sources of Evidence-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8502 Week 5 Discussion Exploration of Sources of Evidence 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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence                           

Whether one passes or fails an academic assignment such as the Walden University NURS 8502 Week 5 Discussion Exploration of Sources of Evidence 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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence                         

The introduction for the Walden University NURS 8502 Week 5 Discussion Exploration of Sources of Evidence 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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence                         

After the introduction, move into the main part of the NURS 8502 Week 5 Discussion Exploration of Sources of Evidence 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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence                         

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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence                           

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 NURS 8502 Week 5 Discussion Exploration of Sources of Evidence

In nursing practice, the provision of healthcare is based on evidence-based practice. By description, evidence-based practice (EBP) is a problem-solving strategy to deliver health care that incorporates the best evidence from studies and patient care data. Applying evidence-based practice (EBP) also considers the clinician’s expertise, patient preferences, and values.   In my practice problem identified in the week one discussion, I have pointed out that pressure ulcers among those in assisted living facility workshops are a problem. The data indicates that over 3 million adults worldwide are affected by pressure ulcers (Guzman, McClanahan & Vaughn, 2018). There are various interventions have been proposed to help curb pressure ulcers. However, there is still a gap to support for the implementation of the proposed interventions. Consequently, the proposed solutions still need to be backed up by the sources of pieces of evidence. In this discussion, I will explore multiple sources of evidence for the above practice problem.

Sources of Evidence

To support the evidence of interventions to reduce pressure ulcers, I would employ several sources of evidence to support the practice. The first source I would use is peer-reviewed journal articles. Peer-reviewed journal articles are scholarly sources written by experts in a particular field and by several other experts before the article is published in the journal, thus ensuring the article’s quality (Neilson, 2021). The second source I would consider for the identified practice problem is journals that contain articles written by professionals and academics. Examples of such journals include the American Journal of Critical Care, the American Journal of Public Health, and the Journal of Hospice and Palliative Nursing.

The third source I would use is scientific and reputable databases such as PubMed, CINAHL, and Clinical Key. These databases provide indexing for consumer health, nursing, allied health, and biomedical journals. These databases also include standards of practice that would support the practice problem identified. The fourth source of evidence I would include is the organizations that produce practice guidelines. Example of these organizations is the National Institutes of Health (NIH) and the American College of Physicians are made up of several institutes that conduct and support medical research and thus, guarantee the quality of the evidence (Jones, Brennan & Davis, 2020).

The Impact of not Including Resources

Failure to include evidence from scholarly articles means that the evidence is less likely to be scientifically valid in terms of providing reasonable conclusions. Databases such as PubMed provide supportive resources, including biomedical and life sciences literature, with the key objective of improving health–both globally and personally. These databased provide huge,  up to date, reliable and authoritative resources, and thus, failure to include resources  would mean insufficient evidence to support the practice problem (Hickey & Giardino, 2021)

Overall, deciding which sources of evidence to use for a practice problem depends on various factors. These factors include accessibility of the resource, search, and time available. However, it is important to use reliable sources (Hickey & Giardino, 2021). Such sources are not limited to selected websites and databases, peer-reviewed journal articles, and organizations that publish guidelines.

References

Guzman, J. L., McClanahan, R., & Vaughn, S. (2018). Development of guidelines for pressure ulcer prevention. Wounds International, 9, 4, 34-38.

Hickey, J. V., & Giardino, E. R. (Eds.). (2021). Evaluation of quality in health care for DNPs (3rd ed.). Springer Publishing.

Jones, E. P., Brennan, E. A., & Davis, A. (2020). Evaluation of literature searching and article selection skills of an evidence-based practice team. Journal of the Medical Library Association, 108(3), 487–493.

Neilson, C. J. (2021). Adoption of peer review of literature search strategies in knowledge synthesis from 2009 to 2018: An overview. Health Information & Libraries Journal, 38, 3, 160-171.

Sample Answer 2 for NURS 8502 Week 5 Discussion Exploration of Sources of Evidence

I did a stakeholder analysis and organizational readiness to change form for this practice problem. A unique way to gather evidence was through social media. On Facebook, I joined the doctoral peer mentoring group, and the posts I saw there led me to look at a repository of DNP projects. The doctoral project repository had a search bar that only showed one result on the topic I was looking at exploring, but it was a starting point for me. I believe that I do not have enough time in the day to reinvent the wheel, so I thought exploring completed projects would allow me to understand what was included in completing a project of this scope with the time I have available. Having a formula in place that has already been tested will guide me to complete the project.

Google scholar (2022) was another database that I had forgotten about but was reminded about in this course. I like google scholar because it has meta-analysis, peer-reviewed, scientific research that encompasses the content of many research areas. The fact that I could search for data that is up to date within the past few years was a bonus.

The last source of evidence I looked at was exploring the website for the American sleep association. The American sleep association (2022) has information on screening processes for specific sleep disorders. That will benefit the practice as I will be using relevant content that will hopefully enhance the learner’s experience and boost the learner’s confidence in independently implementing the screenings post-project.

Flaws of noninclusion

The impact of not including information from the national and social resources that are available could impact my research by providing irrelevant data or have me looking through overwhelming content. If I did not explore all the resources available, I might be missing out on an intervention that could make a difference in the educational change that I would like to pursue the practice problem. I look forward to reading classmates’ thought processes on how they collect evidence to grow as a scholar that is outside of the nursing journal realm.

References

American Sleep Association: Insomnia, Sleep Apnea & Snoring. (2022)

https://www.sleepassociation.org

Doctoral Project Repository- Doctors of Nursing Practice, Inc. and the DNP online community. www.doctorsofnursingpractice.org/project-repository/

Google Scholar.(2022) https://scholar.google.com

Sample Answer 3 for NURS 8502 Week 5 Discussion Exploration of Sources of Evidence

For this discussion, my sources of evidence will combine articles from quantitative, qualitative, and systematic reviews/integrative review studies and hand hygiene (HH) practice guidelines by organizations such as the World Health Organization (WHO). The selected sources underscore the significance of proper hand hygiene (HH) practices in healthcare settings by identifying the impacts of poor HH, highlighting relevant barriers, and proposing HH improvement approaches. For example, the qualitative study by Lambe et al. (2020) identified three primary dimensions that influenced healthcare providers’ HH practice. They include capacity (knowledge, behavioral regulation, skill, and memory, decision and attention processes), opportunity (environmental resource and context and social influences), and motivation (emotion, reinforcement, beliefs regarding consequences, and intentions and optimism). Lambe et al. (2020) further recommended that healthcare settings provide staff with HH-focused training typified by individualized and direct performance feedback, adequate handwashing stations and supplies, and mentorship to improve HH compliance.

Outcomes of a quasi-experimental survey by O’Donoghue et al. (2016) emphasize the significance of HH training in improving HH compliance. The study findings revealed a statistically significant difference in HH compliance between the pre-and post-intervention period. A systematic review by Seo et al. (2019) highlights the factors influencing HH compliance in the emergency department (ED); they include shift type, ED crowding, HH auditing, HH indications, attitudes towards HH, and patient location. The study further revealed that dual or multimodal interventions comprising strategies such as cues, campaigns, monitoring and feedback provision, education, and adequate handwashing stations and supplies improved HH compliance (Seo et al., 2019). Information contained in the above-mentioned studies can be used to validate the prevalence of HH incompliance in healthcare settings as well as the proposed interventions’ effectiveness. The training intervention increased healthcare workers’ awareness of HH opportunities and improved ABHR use. The WHO’s book titled “Guide to Implementation” (n.d.) contains detailed descriptions regarding the implementation of the HH improvement strategies proposed in the PICO question. Information in this particular source will guide the implementation and assessment of the proposed quality improvement (QI) initiative’s efficacy in the clinic.

Consider the Impact of not Including Resources from Specific Sources

It may be challenging to obtain additional resources and support from stakeholders unless I have the data to convince them otherwise. Also, my plan may lack some elements or activities critical for a successful implementation. For example, the WHO (n.d.) reports that conducting ward structure surveys is imperative. It would have been easy to overlook this step save for the WHO’s report.

How Might This Create a Flaw in Your Ability to Support a Proposed Practice Change? Be Specific and Provide Examples

One of the common problems in change management is employees’ skepticism and resistance to change. Providing high-quality data from credible sources may motivate them to change. For example, I can use the internal data on current practice performance and compare it to CMS’ quality performance data to demonstrate to employees that the clinic’s performance is low. This information may help increase their readiness for change. Thus, dealing with resistors will be difficult unless I have the necessary data to support my claims.

References

Lambe, K., Lydon, S., Madden, C., McSharry, J., Marshall, R., Boylan, R., Hehir, A., Byrne, M.,

Tujjar, O., & O’Connor, P. (2020). Understanding hand hygiene behaviour in the intensive care unit to inform interventions: An interview study. BMC Health Services Research, 20, 1–9. https://doi.org/10.1186/s12913-020-05215-4

O’Donoghue, M., N. S-H., Suen, L. K. P., & Boost, M. (2016). A quasi-experimental study to

determine the effects of a multifaceted educational intervention on hand hygiene compliance in a radiography unit. Antimicrobial Resistance & Infection Control, 5, 1–10. https://doi.org/10.1186/s13756-016-0133-4

Seo, H-J., Sohng, K-Y., Chang, S.O., Chaung, S.K., Wone, J.S., and Choib, M-J. (2019).

Interventions to improve hand hygiene compliance in emergency departments: A systematic review. Journal of Hospital Infection, 102(4), 394–406. https://doi.org/10.1016/j.jhin.2019.03.013

World Health Organization. (n.d.). Guide to Implementation: A Guide to the implementation of

the WHO multimodal hand hygiene improvement strategy. World Health Organization. retrieved March 17, 2022, from https://www.who.int/gpsc/5may/Guide_to_Implementation.pdf