NKU-DISCUSSIONSQUESTIONFORWEEK5.

COMPLETED WEEK 1

Discussion Board for Week 1:

1. After reading Moran et al. (2020) chapters 1 to 3 reflect on and discuss why nursing leaders encouraged the development of the practice doctorate nursing degree. (Related to MO 2)

2. After reading Moran et al. (2020) chapter 3, give a minimum of 2 examples of scholarship as it relates to the practice doctorate nursing degree. (Related to MO 1,4)

3. Explain the relevance of the DNP scholarly project to nursing clinical practice. (Related to MO 1,2,3, 4)

4. Now that you have explained the relevance of the DNP scholarly project to nursing clinical practice, begin to think about what you want to improve in your clinical setting. In next module”s discussion board, you will be asked to identify what you want to improve in your clinical setting. In preparation for the next module, list here in response to this #4, one or two potential problems that you are considering for your DNP project.

Discussion should show evidence of having read the textbook and other assigned sources. Comments should not be isolated or disjointed. Communication skills such as good listening are evident in well thought out discussions. Comments show evidence of a thorough reading and analysis of the material assigned . Ideally, there is a willingness to test new ideas rather than offer only cautious or ‘safe’ comments. Students may interact with other class members by asking questions or challenging conclusions.

RESPONSE TO QUESTIONS

Moran et al. (2020) discussed in detail the reasons why nursing leaders tend to encourage the development of the practice of doctorate nursing degree. The authors assert that nurse leaders are encouraging nurses to consider pursuing a doctorate nursing degree because the industry is challenging and demands new skills and knowledge to improve service delivery. The healthcare industry is dynamic, and there is the possibility that new diseases and infections are likely to be experienced, demanding that improving the knowledge and skills through education would assist in addressing such challenges. Secondly, nurses get the opportunity to learn new ideas and develop problem-solving skills that are critical in addressing the high and ever-increasing cost of care (Moran et al., 2020). Learning under a Doctorate nursing degree prepares the nurses in healthcare to improve health system performance, resulting in patients receiving more quality services. The education programs also prepare the nurses to collaborate more in the workplace, working with other professionals for quality care.

There are a number of scholarship available that relates to the practice doctorate nursing degree, two examples of these scholarship in practicing the doctorate nursing degree include the following- Clinical scholarship and analytical methods for evidence-based practice: Creates guidelines for putting research findings into practice, drawing on translational and implementation science findings. Improves health by applying research findings and using evidence to inform practice-based knowledge development (Moran et al., 2020). Health is improved, practice is influenced, and health systems are transformed as a result of research translation and the use of evidence. Creates ground-breaking medical inventions, recommendations, and new service offerings. Aids in or leads the conduct of systematic reviews, which summarize research findings and recommend treatments for pressing clinical problems.

Organizational and systems leadership for quality improvement and systems thinking: Funding for innovations in practice is secured through competitive means. Develops and assesses strategies for enhancing quality. Manages the process of creating, analyzing, and improving clinical practice models to improve health care delivery.

Relevance of the DNP scholarly project to nursing clinical practice

There is a high relevance in the DNP scholarly project in the clinical nursing practice because it makes it possible that the currently existing problems and needed are identified through the adoption of evidence-based search strategies and the significant appraisal of the literature (Kesten et al., 2021). The DNP project is also relevant because it improves patient quality of life and its outcome .

Future Improvement in my Clinical Setting. The potential problems include:

· The focus is on improving the nurses’ services to guarantee patient empathy.

· The determination of handling side effects of medicine to patients.

References

Kesten, K., Moran, K., Beebe, S. L., Conrad, D., Burson, R., Corrigan, C., Manderscheid, A., & Pohl, E. (2021). Practice scholarship engagement as reported by nurses holding a Doctor of Nursing practice degree. Journal of the American Association of Nurse Practitioners, 34(2), 298-309. https://doi.org/10.1097/JXX.0000000000000620

Moran, K. J., Burson, R., & Conrad, D. (2019). The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.

COMPLETED WEEK 2

Discussion Board:

A. Share an example of evidence-based practice from your work setting. B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.

Refer back to last module’s discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project. A. State the problem that you are considering for your DNP project. B. Find a peer-reviewed quantitative research article that addresses this problem. C & D. State the type of research design and the associated level of evidence in the article. E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article). F. How can you use this evidence from your chosen article to solve your clinical problem?

RESPONSE TO QUESTIONS

1. A. Share an example of evidence-based practice from your work setting. B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.

For us as nurses, our delivery of safe, high-quality, patient-centered care is dependent upon our good understanding of evidence-based practice, and how to apply it successfully (Schmidt & Brown, 2022). Evidence-based practice examples from my work setting involves using the previous records in the hospital facility about hospitalization and conducting research where evidence about the issue is used for intervention for better health services to reduce hospitalization cases. Qualitative and quantitative research are critical in providing significant scientific evidence that is well-balanced and illuminated for the purpose of better findings that are unique in the process of supporting evidence-based care. Mixed research is more valuable because it makes it possible to get detailed information about the target research, like interviewing the participants using open-ended questions and structure some of the questions to serve a quantitative approach giving about the measurable outcome that influences a significant decision.

2A. State the problem that you are considering for your DNP project.

The one problem that I consider significant in the DNP project is obtaining approval for the area of interest in the research, especially when targeting to source data from healthcare facilities and other sensitive areas that need a significant explanation and emphasis to get the opportunity. Healthcare facilities are keen on making sure that patients’ data are secured from possible exposure from a researcher that failed to follow the provided guideline. Due to the risks associated with the hospital, getting approvals is challenging for the research.

B. Find a peer-reviewed quantitative research article that addresses this problem. According to Savander et al. (2021), patients might fail to secure their data during an interview or follow-up survey and might share sensitive data that the researcher might expose. The article explains the role that healthcare organizations play in ensuring that participants, including their families, are given consent to be aware of the research being conducted to protect the interest of both parties.

C&D. Research design used in the study is quantitative research and a quasi-experimental design (Savander et al. (2021). The ultimate goal of using a quasi-experimental quantitative research design, helps with attempting to establish a cause-effect relationship from one variable to another.

E. What does this research mean for clinical practice?

The research means that there is the need for all researchers to follow the protocol of getting approvals before any research to get a credible outcome and protect the participants for future involvement in other research activities.

F. How can you use this evidence from your chosen article to solve your clinical problem? The hospital ensures that the process of getting approval is long, and the researcher has to share the intention of conducting the study and also get an opportunity to understand the procedure and guidelines to follow on using the data and giving the consent to the participants. The researcher also has to share their plan for securing the data and give assurance that they understand the consequences of the violation.

References

Savander, E. È, Hintikka, J., Wuolio, M., & Peräkylä, A. (2021). The patients’ practises disclosing subjective experiences in the psychiatric intake interview. Frontiers in Psychiatry, 12, 605760. https://doi.org/10.3389/fpsyt.2021.605760

Schmidt, N. A., & Brown, J. M. (2022). Evidence-based practice for nurses (Fifth edition ed.). Jones & Bartlett Learning.

Siedlecki, S. (2020). Quasi-experimental research designs. Clinical Nurse Specialist, 34(5), 198-202. https://doi.org/10.1097/NUR.0000000000000540

COMPLETED WEEK 3

Discussion Board:

1. Consider the two research paradigms: quantitative and qualitative research and discuss the researcher’s purpose for choosing one over the other.

2. A. Describe a clinical problem under which a DNP prepared nurse could utilize one of the following qualitative research designs which include: a) ethnography, b) phenomenology, and c) grounded theory. B. Describe why the chosen qualitative research design is appropriate for the clinical problem you have identified.

3. A, Locate a qualitative article in one of the major qualitative traditions (ethnography, phenomenology, or grounded theory) and B. briefly describe the article and C. how the research questions connects to the methodology.)

4. A. Locate a mixed method nursing research article that interest you and B. briefly describe how using both research methods in one study provides evidence for clinical practice. (Related to MO 1,3,4)

5.. A. Describe the clinical/practice problem that you have chosen to focus on for your DNP Project (or are considering focusing on) AND B. State your clinical/practice question using PICOT format. Please note the PICOT must be a clinical practice question….the PICOT cannot be related to an academic problem or any issue that would occur in an academic setting and/or involves working with students. AND C.1. Describe the influence that reviewing previous NKU DNP projects had on you developing your PICOT above. C.2. List the titles of at least 2 previous NKU DNP projects that you reviewed – I reviewed

RESPONSE TO QUESTIONS

Q1.Consider the two research paradigms: quantitative and qualitative research and discuss the researcher’s purpose for choosing one over the other.

Mathematical and computational methods from the field of statistics are at the heart of the quantitative study. It’s the method of taking careful observations, which increasingly incorporates the use of computers. Quantitative research is conducted primarily to create mathematical and statistical models, theories, and hypotheses related to the study at hand (Cuzco et al., 2021). In most cases, quantitative studies employ the generation of numerical data as a means of expressing the issue at hand. Non-numerical qualitative research seeks to understand the problem’s context by interviewing people about their experiences and eliciting their thoughts, feelings, and goals. This includes both fully and partially structured analyses (Cuzco et al., 2021). What distinguishes these two types of study is ultimately the researcher’s motivation for doing the investigation. The nature of the investigation drives the formulation and selection of research strategies. Quantitative methods are ideal for research that requires accumulative data sets.

Q2: Describe a clinical problem under which a DNP prepared nurse could utilize one of the following qualitative research designs which include: a) ethnography, b) phenomenology, and c)grounded theory. B. Describe why the chosen qualitative research design is appropriate for the clinical problem you have identified.

Clinical problem: Depression amongst first time college students.

Phenomenological research aims to provide a first-person account of an experience, such as living with depression. Researchers use an inductive method called “grounded theory research” when studying a phenomenon to create, test, and enhance a working theory. In this case, the researchers were able to recruit twelve students thru scripted class announcements. The participants completed the interview with the primary investigator, with the interviews starting with the same open-ended question. What was the experience of your freshman year in college? Few prompts were used because students freely elaborated on their experiences. When prompts were necessary, they typically occurred toward the end of the interview.

The most frequent prompt was: Is there anything else you would like to share? Each interview was audio recorded, transcribed verbatim, and reviewed by the primary investigator for accuracy (Brandy, Kesler & Grabarek, 2018). The process involved multiple stages of data analysis, transcripts were analyzed line by line, with open coding by the investigators (Brandy, Kesler & Grabarek, 2018). This design is appropriate because grounded theory is a structured, yet flexible methodology that aims to generate theory that is grounded in the data. In this case, depression amongst first time college students.

Q3 A Locate a qualitative article in one of the major qualitative traditions

B. Describe the article

The article, A grounded theory of clinical nurses’ process of coping during COVID‐19 written by Nowell et al. (2021) is about the emergence of the COVID-19 pandemic that disrupted the normal operations of clinical nurses. The article described the many challenges faced by nurses during the acute, and chronic phases of COVID. It explored the coping process and offered a framework on how nursing leaders can develop coping methods to support clinical nurses. The twenty nurses that participated in the study had more than 5 years of clinical experiences.

The acute phase occurred largely during the initial phase of the pandemic where there were still many unknowns and a lack of understanding of the disease (Nowell et al, 2021). Nurses were challenged by the constant changes, conflicting information, fear of exposure, uncertainty around supplies, lack of personal protective equipment (PPE) and lack of evidence to support best practices (Nowell et al, 2021). Working in the context of the acute COVID phase resulted in fear and anxiety among participants, with nurses describing feelings of been overwhelmed, anxious and nervous all the time, resulting in a lack of confidence in how to provide the best nursing care. (Nowell et al, 2021)

In contrast to working in the context of acute COVID, working in the context of chronic COVID occurred when nurses were confident in their abilities to manage during the pandemic (Nowell, et al, 2021). This transition was fostered by various drivers, such as confidence in the fact that adequate supplies are available to manage the pandemic, ability to trust resources and information about the pandemic and acceptance that COVID 19 is here to stay.

C. how the research questions connect to the methodology.

Participants were recruited based on their responses to a survey in an earlier phase of the study, to support theoretical development, the respondents included nurses working in academic, community, management, and clinical nursing roles (Nowell, et al, 2021). Data was collected using a semi structured interview guide and one on one interviews. The were 13 questions dealing with how COVID have affected the participant socially, personally at work and at home, support offered by organization, employers and nurse leaders, suggestion, and overall positive impact of COVID. The research question is connected to the qualitative methodology, which leads to getting detailed responses from research participants.

Q4. Locate a mixed method nursing research article that interest you and B. briefly describe how using both research methods in one study provides evidence for clinical practice

According to Moran & Conrad (2019), quantitative research was regaled as the highest level of truth; this had been demonstrated in the hierarchy of types of research and in the predominance of quantitative research. However, the scientific/laboratory view of controlling for variables has been difficult to transition to practice. As a result, this separation of research and practice has limited our ability to integrate new knowledge into practice and for practice to have an important influence on research (Moran & Conrad, 2019). Qualitative research often studies phenomenal about which little is known, have yet to be clearly identified or named. The in-depth, probing nature of qualitative research is well suited to the task of answering such questions as, “What is this phenomenon?” and “What is its name?”, quantitative research, by contrast, researchers begin with a phenomenon that has been previously studied or defined (Polit & Beck, 2017). It is understood that the complexities of health care cannot always be explained via a single model of research, in addition nursing’s holistic history implores a view of knowledge through multiple lenses (Moran & Conrad, 2019).

Cuzco et al. (2021), mixed research study aim to understand patients’ lived experience at intensive care unit (ICU) discharge and (b) to evaluate the impact of a nursing empowerment intervention (NEI) on patients’ anxiety and depression levels at ICU discharge. In the qualitative phase, the first phase, the hermeneutic phenomenological method was used, data was be gathered through in‐depth interviews and analyzed using content analysis (Cuzco et al, 2021). In phase 2 a quantitative data collection was built on the finding from the initial qualitative approach (Cuzco et al, 2021).

Evidence for clinical practice is achieved by using the applied detailed evidence that is quantified. Quantitative data can be used to bolster qualitative research components by finding representative patients or outlying cases. On the other hand, qualitative data would shed on quantitative research elements by assisting with the construction of the conceptual model or instrument.

Q5: Describe the clinical/practice problem State your clinical/practice question using PICOT format.

The clinical problem I am considering for the DNP project is depression among school-going adolescents. PICOT Question: “In the adolescent population with mental health issues, how does Ask Suicide-Screening Questions (ASQ) impact patient referrals to the psychiatric department over 8 weeks?” Reviewing previous DNP projects helps in a deeper understanding of developing PICOT questions and synthesizing my information. I reviewed the mental health project and nursing intervention and Belt it up: Utilizing Gait Belts at the point of care

References

Brandy, J. M., Kessler, T. A., & Grabarek, C. H. (2018). A Grounded Theory Investigation Into

Sophomore Students’ Recall of Depression During Their Freshman Year in College: A

Pilot Study. Journal of Psychosocial Nursing & Mental Health Services, 56(9),

44-50. https://doi.org/10.3928/02793695-20180329-02 References

Cuzco, C., Castro Rebollo, P., Marín Pérez, R., Núñez Delgado, A., Romero García, M., & Martínez Momblan, M. et al. (2021). Mixed‐method research protocol: Development and evaluation of a nursing intervention in patients discharged from the intensive care unit. Nursing Open, 8(6), 3666-3676. https://doi.org/10.1002/nop2.894

Denise F. Polit, & Cheryl Tatano Beck. (2017). Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.

Moran, K. J., Burson, R., & Conrad, D. (2019). The Doctor of Nursing Practice Project (3rd

Edition) Jones & Bartlett Learning.

https://bookshelf.vitalsource.com/books/9781284184549

Nowell, L., Dhingra, S., Andrews, K., & Jackson, J. (2021). A grounded theory of clinical nurses’ process of coping during COVID‐19. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15809

COMPLETED WEEK 4

Discussion Board:

1. The Melnyk (2019) describes how to access guidelines. Review the data bases and search for one clinical practice guideline that interests you. If your identified clinical problem and PICOT lend themselves to a clinical practice guideline, you may want to choose a clinical practice guideline related to your clinical problem and PICOT. It may be more than possible that there is not a clinical practice guideline that is related to your identified clinical problem and PICOT…..that is more than fine……then choose a clinical practice guideline that is simply of interest to you. A. Name the guideline. B. Name the resource (database) which housed this practice guideline. C. State the strength of the guideline based on the validity and reliability of its recommendation. D. Answer all of the questions listed in Box 8.4 Rapid Critical Appraisal checklist on page 245 of the Melnyk text to evaluate the attributes of the guideline.

2. After listening to the AGREE II overview tutorial and tutorial/ practice, note the necessary steps to evaluate a guideline. Find one article which the authors used the AGREE II tool to evaluate a practice guideline.

[Go to the library and use a medical/health database – use the search terms “practice guidelines” and “Agree tool. There are numerous articles.] (like this one I can find an article and send you the paper)

Summarize the following about the article you chose for discussion: A. What is the citation of the article? B. What were the findings and conclusion? C. What was the review rated? D. What was the overall assessment of the quality of the guideline? E. Did the guideline clearly present the author/s’ recommendations?

RESPONSE TO QUESTIONS

Q1

A. Guideline Name: “Implementation-ready evidence-based statements to guide clinical care of individuals with Duchenne muscular dystrophy DMD are provided with the potential to improve participation, function in the community and quality of life.”

B. Name of Resource: Google Scholar database. (Davidson et al., 2021).

C. Strength of the Guideline: There is a high validity and reliability of the recommendation because it was done by professionals specializing in Duchenne muscular dystrophy treatment and research and considering it viable for other new conditions.

D. The study was done to offer solutions to Duchenne muscular dystrophy and offer recommendations for future upcoming conditions. The study was conducted by consulting various health professionals and consumer advocacy groups. There was a deep analysis of the literature reviews. The instruments of major variables were significant and valid. A Delphi methodology was used, and a coefficient of variation was considered to analyze the data and draw insights (Davidson et al., 2021). The study was well conducted and relevant to most of the previous research but added value by having a recommendation on clinical practice guidelines. The research is of value in clinical practice because it improves the care and rehabilitation of DMD patients. The study is of value to the clinical setting in giving the necessary guidance on what is needed in the future especially for new conditions improving care interventions that benefit the population in general.

Q2

A. (Chorath et al., 2021)

B. These results illustrate the wide range in methodological quality among guidelines and consensus statements for diagnosing and treating newborn hearing loss. These findings can potentially inform future recommendations’ reporting and the selection and implementation of guidelines in clinical practice.

C. The source is peer-reviewed, indicating that professionals reviewed it and ensuring that it offers reliable and credible information about the practice guideline.

D. The overall assessment of the guideline showed a very good agreement in all its domains and was above average in general.

E. The guideline did not clearly present the author’s recommendation because it only highlighted that the guideline would be of value in future clinical practice. The guideline do not satisfy the use in the clinical setting showing that the author failed to describe it clearly.

References

Chorath, K., Garza, L., Tarriela, A., Luu, N., Rajasekaran, K., & Moreira, A. (2021). Clinical practice guidelines on newborn hearing screening: A systematic quality appraisal using the AGREE II instrument. International Journal of Pediatric Otorhinolaryngology, 141, 110504. https://doi.org/10.1016/j.ijporl.2020.110504

Davidson, Z., Bray, P., Rose, K., Rodrigues, M., Corben, L., & North, K. et al. (2021). Developing clinical practice guidelines for allied health and nursing assessment and management of Duchenne muscular dystrophy. Disability and Rehabilitation, 1-18. https://doi.org/10.1080/09638288.2021.1936221

Q5 The Melnyk (2019) describes how to access guidelines. Review the databases and search for one clinical practice guideline that interests you. If your identified clinical problem and PICOT lend themselves to a clinical practice guideline, you may want to choose a clinical practice guideline related to your clinical problem and PICOT. It may be more than possible that there is not a clinical practice guideline that is related to your identified clinical problem and PICOT…..that is more than fine……then choose a clinical practice guideline that is simply of interest to you.

5A. Name the guideline

Evidence-based practice (EBP) for nurses 2021.

B. Name the resource (databases)

PubMed for nurses’ database.

C. State the guideline’s strength based on its recommendation’s validity and reliability.

The validity and reliability of the evidence-based practice guideline are that it works in the interest of the targeted patients, where past experiences guide future processes, ensuring that mistakes are avoided. The evidence-based practice works where research is relied upon to get a detailed understanding of an issue resulting in a better outcome (Kesten et al., 2021). The guideline is valid and reliable because it has been tested and proved through research.

D.

Who were the guideline developers?

Gordon Guyatt and his colleagues created the guideline “evidence-based medicine” in 1991 to emphasize the importance of scientific, clinically relevant research in clinical decision-making.

Were developers part of the key stakeholders?

The developers, including Gordon Guyatt, were part of the stakeholders that joined hands with others, including the nurses, physicians, pharmacists, and social workers, in making the EBP guideline a success.

Who funded guideline development?

The EBP guideline was sponsored and developed by Latin America and the Caribbean.

E. Did the team have a valid development strategy?

The team had a valid development strategy that contributed to the success in the nursing sector since working together improves the quality of the services offered. The support system associated with teamwork results in a significant change.

F. Reproducible literature review within the past 12

The developers considered the vast land reproducible literature review that happened in the last 12 months after publication.

G. Outcome

The critical options and outcomes were considered, including the quality of the guideline and the consensus that was attained about the effectiveness of the quality in improving the healthcare offered by the nurses.

H. Guideline recommendations

The EBP experts recommend that the guideline be facilitated to support the process by which nurses and other healthcare professionals can gather research findings, process them, and condense them into concrete practice (Kesten et al., 2021).

I. Peer review and testing

The use of EBP guideline have been tested, reviewed, and validated for its process in the healthcare nurses have improved the quality of care it offers patients.

J. Intent of use

The EBP guideline would be of value in all sectors of healthcare from the local, national and regional levels because it is essential in changing service delivery to the patients.

K. Relevance

The recommendations are clinically relevant because they improve the nurses’ decision-making by examining the findings and previous experiences to ensure quality care is delivered.

L. Recommendations impact patients

The recommendations are of value to healthcare and significantly impact the patients where quality care is offered and characterized by limited medical errors.

M. Recommendations practicality

The recommendation is practical and feasible because, in the healthcare sector, the EBP is there to conduct research in various aspects, including diseases, for a better intervention that results in quality care (Kesten et al., 2021).

N. Recommendation significant variation to current practice

The measurement that is used for the EBP guideline is patient satisfaction because the adoption of the approach results in better care. Recommendations work to the benefit of the patients.

After listening to the AGREE II to the overview tutorial and tutorial/ practice, note the necessary steps to evaluate a guideline. Find one article which the authors used the AGREE II tool to evaluate a practice guideline

A. What is the citation of the article?

Clinical practice guidelines on newborn hearing screening: A systematic quality appraisal using the AGREE II instrument by Chorath, et al. (2021)

.B. What were the findings and conclusion?

The objective of the systematic review is to identify and evaluate existing guidelines and consensus statements for the detection and management of neonatal hearing loss (Chorath, et al., 2021). According to the Chorath, et al (2021), a critical evaluation of clinical practice protocols for the detection and management of newborn hearing loss using the AGREE II has not been previously conducted, so the goal was to assess the methodologic quality of national and international guidelines and consensus statements for newborn hearing screening protocols. It was concluded that clinical practice guidelines can optimize patient care, based on the AGREE II instrument, the methodologic quality of current guidelines and consensus statement for detection and management of neonatal hearing loss needs to be improved (Chorath, et al., 2021)

C. What was the review rated?

Twelve guidelines were assessed for critical evaluation. Only two guidelines were classified as ‘high quality’, and the remaining were ‘average’ or ‘low quality’ (Chorath, et at., 2021) The ‘Scope and Purpose’ domain achieved the highest mean score (91.3% ± 5.8%), and lowest was ‘Rigor of Development’ (35.8% ± 19.1%). ICC analysis showed good to very good agreement across all domains (0.63–0.95). (Chorath, et at., 2021)

D. What was the overall assessment of the quality of the guideline?

Based on the AGREE II instrument, the methodologic quality of current guidelines and consensus statement for detection and management of neonatal hearing loss needs to be improved (Chorath, et at., 2021)

E. Did the guideline clearly present the author/s’ recommendations?

The author’s recommendation is clearly stating the methodologic quality of current guidelines and consensus statement for detection and management of neonatal hearing loss needs to be improved (Chorath, et al., 2021)

References

Chorath, K., Garza, L., Tarriela, A., Luu, N., Rajasekaran, K., & Moreira, A. (2021). Clinical

practice guidelines on newborn hearing screening: A systematic quality appraisal using the

AGREE II instrument. International Journal of Pediatric Otorhinolaryngology, 141,

110504. https://doi.org/10.1016/j.ijporl.2020.110504

Kesten, K., Moran, K., Beebe, S., Conrad, D., Burson, R., & Corrigan, C. et al. (2021). Practice scholarship engagement as reported by nurses holding a doctor of nursing practice degree. Journal of The American Association Of Nurse Practitioners, 34(2), 298-309. https://doi.org/10.1097/jxx.0000000000000620

Moran, K., Burson, R., & Conrad, D. (2020). The doctor of nursing practice scholarly project: A framework for success. (3rd Ed.). Burlington, MA: Jones & Bartlett.

NEW-WEEK 5

Discussion Topic — Theory and Model Application

I need this in about 600 words and all the questions must be answered. Also, please use verifiable scholarly articles within the last 5 years.

1. A. Describe your thoughts on the use of middle range nursing theories in relation to nursing practice as compared to the use of other levels of nursing theory.

B & C. Briefly share what theory/theories you are considering for your scholarly DNP project and why.

Relate your response to the clinical issue or problem that you have identified for your scholarly project and the PICOT question you wrote earlier in the course. How can the theoretical concepts ( from the chosen theory) be used to describe, support, or explain practice? (Related to MO1,3,5)

2. A & B Summarize, compare and contrast two of the EBP models to change practice in an organization as listed in Melnyk text, pages 382-420. (Related to MO2,3,4)

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