NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

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NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions – Step-by-Step Guide With Example Solution

The first step before starting to write the NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”

How to Write the Conclusion for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions Instructions

Purpose

The purpose of this assignment is to examine an evidence-based intervention that will serve as the possible solution for improved outcomes at your practicum site. Have a look at NR730 Week 5 Discussion | The Ethical and Legal Aspects of Practice Change.

Instructions

Reflect on your readings this week and provide your proposed DNP practice change project evidence-based intervention. Respond to the following:

  1. Examine how the evidence-based intervention you have identified will resolve the practice problem at your specific practicum site.
  2. Identify your evidence-based intervention and explain if it is in the public domain or if authorization is required to use the intervention.
  3. Identify if the evaluation tool you plan to use for your DNP practice change project is in the public domain or if authorization is required to use the evaluation tool.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page: 

  • Link (webpage): DNP Discussion Guidelines.
Program Competencies

This discussion enables the student to meet the following program outcomes:

  1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
  2. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
  3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
  4. Appraises current information systems and technologies to improve health care. (POs 6, 7)
  5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
  6. Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)
  7. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)
Course Outcomes

This discussion enables the student to meet the following course outcomes:

  1. Prioritize and apply ethical considerations and theories relevant to translation science. (PCs 1, 3, 8; POs 3, 4, 5)
  2. Apply clinical scholarship methodologies for designing, developing, implementing, and evaluating quality improvements and the translation of evidence-based practice, to improve healthcare outcomes at the micro, meso, or macrosystem level. (PCs 1, 3, 5; POs 3, 5, 9)
  3. Appraise and synthesize the highest level of evidence available to improve the quality, cost-effectiveness, and healthcare outcomes of diverse populations. (PCs 1, 2, 3, 4, 6, 8; POs 4, 5, 6, 8)

NR730 Week 4 Discussion | The Connection Between Practice Problems, Evidence and Interventions Example

  1. Examine how the evidence-based intervention you have identified will resolve the practice problem at your specific practicum site.

Early ambulation was identified as a critical organizational need and was given high importance. During a progression of care rounds (POCR) with the interdisciplinary team, we identified one significant barrier to our post-operative spine patients’ discharge: the delay in mobilization and awaiting physical therapy. During meaningful leadership rounds, patients have also expressed frustration with waiting for the physical therapist to arrive. We then asked, “Why can’t the nurse ambulate the patient?”.

Rupich et al. (2018) have explored a nurse protocol to ambulate patients early, which can impact patient outcomes and, in turn, decrease the length of stay. Part of the Enhanced Recovery After Surgery (ERAS) protocol identified three phases of care for perioperative spine patients and determined that early ambulation after surgery for spine patients improved clinical outcomes and decreased the impact of postoperative complications (Debono et al., 2021). This has been supported by Kim & Mobbs (2021), who systematically reviewed ten articles on early ambulation for post-operative spine patients, noting that these articles share themes related to decreased length of stay. The evidence-based intervention will address the organization’s problem and achieve its goal for fiscal year 2024.

  • Identify your evidence-based intervention and explain if it is in the public domain or if authorization is required to use the intervention.

Early ambulation is a public health concern. It has been studied and explored in different areas of healthcare, from medicine to surgery. It is also available on most government websites as part of quality interventions.

  • Identify if the evaluation tool you plan to use for your DNP practice change project is in the public domain or if authorization is required to use the evaluation tool.

No evaluation tool is needed for the practice change. The outcome measure will utilize the length of stay. The length of stay is available in our data, managed by our informatics team and value-based coordinators.

References:

Debono, B., Wainwright, T. W., Wang, M. Y., Sigmundsson, F. G., Yang, M. M. H., Smid-Nanninga, H., Bonnal, A., Le Huec, J. C., Fawcett, W. J., Ljungqvist, O., Lonjon, G., & de Boer, H. D. (2021). Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Spine Journal, 21(5), 729–752. https://doi.org/10.1016/j.spinee.2021.01.001.

Kim, S. J., & Mobbs, R. J. (2021). Systematic review of the top 10 ranked spine articles in the last 10 years [2011–2021]. Annals of Translational Medicine, 9(13). https://doi.org/10.21037/atm-21-2393.

Rupich, K., Missimer, E., OʼBrien, D., Shafer, G., Wilensky, E. M., Pierce, J. T., Kerr, M., Kallan, M. J., Dolce, D., & Welch, W. C. (2018). The Benefits of Implementing an Early Mobility Protocol in Postoperative Neurosurgical Spine Patients. The American journal of nursing, 118(6), 46–53. https://doi.org/10.1097/01.NAJ.0000534851.58255.41.