NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change – Step-by-Step Guide
The first step before starting to write the NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change, it is essential 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 audience of the paper and its purpose so that it can 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, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.
How to Research and Prepare for NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the 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 PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in 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 about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start 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 NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
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 conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.
How to Write the In-text Citations for NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
In-text citations help the reader to give credit to the authors of the references they have used in their works. 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 Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight 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 NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
When writing the conclusion of the paper, start by restarting 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. End with a call to action that leaves a lasting impact on the reader or recommendations.
How to Format the Reference List for NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
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, in sentence sentence care. 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
Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456
Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.
Instructions for NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale. Check NUR-590 Topic 4: Data Collection and Data Analysis.
Example NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
The change model I am proposing is based on my operational observations of a post-acute nursing facility, is the over dependence of antibiotic products, of which I believe is contributing to the proliferation of antibiotic resistant organisms. Additionally, I would argue that the proverbial cat is out of the bag, in terms of the amount of drug resistant microorganisms currently understood, as there should be major steps taken to mitigate the proliferation of new strains of these types of organisms.
Complex and chronic wounds are often treated with antibiotic products and in some instances wound healing may be stalled by reinfection, thus creating a need to treat the patient with additional antibiotic products. Two models that may help my evidenced based practice proposal is the Iowa Model of Evidence-Based Practice and the Kotter and Cohen’s Model of Change. The Iowa Model of Evidence-Based Practice (IM-EBP) benefits from a recent revision in which the main framework of the model consisting of three decision points were refined to allow small units within large organizations to operate (Buckwalter et al., 2017).
In Kotter and Cohen’s Model of Change there are eight steps within the framework that are pinned by the overall guiding principle of the model which is focusing on the emotional and lived experiences than regurgitating facts on why change should occur (Melnyk & Fineout-Overholt 2018). Of both models discussed above, the Iowa Model of Evidence Based Practice would facilitate change at two levels including upper organizational levels, and local levels.
The Iowa Evidenced Based Practice model has been utilized to develop and deploy process changes within clinical practice settings within a local organization that may translate to organizational wide implications. An example of the IM-EBP includes the development of procedural guidelines in the administration of hyperosmolar 3% NaCl solutions via peripherally intravenous access versus, central venous access, as both venous access points have inherent risks yet peripheral administration is prone to less lethal complications (Janotta et al., 2021).
In the IM-EBP mentioned above, the framework consisting of five steps including step 2 which is establishing an interdisciplinary team, integrated input from committees such as Neurocritical Care quality improvement, Clinical Nursing, Intravenous Therapy Nursing, and Pharmacy (Janotta et al., 2021). In my own evidence-based practice project, I would integrate similar committees into the disciplinary team, for instance Pharmacy services, Wound Treatment Specialists, Clinical Nursing Operations.
References
Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp, R. T., & Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation. Worldews on Evidence-Based Nursing, 14(3), 175–182. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12223
Jannotta, G. E., Gulek, B. G., Dempsey, J. S., Blissitt, P. A., Sullivan, H. C., Tran, K., Joffe, A., & Lele, A. V. (2021). Administration of 3% Sodium Chloride Through Peripheral Intravenous Access: Development and Implementation of a Protocol for Clinical Practice. Worldviews on Evidence-Based Nursing, 18(2), 147–153. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12501
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.
Example 2 of NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
When looking at different models and frameworks for facilitating change, it is important to know the characteristics of each and which ones would be the best fit. Two examples of models used to facilitate change in the healthcare setting include the Iowa Model “Revised” Evidence-Based Practice to Promotor Excellence in Health Care (Iowa Model) or the Advancing Research and Clinical practice through close Collaboration (ARCC) Model. These two models can be used for systematic change.
The process of taking evidence from research and implementing it can be daunting without solid guidance. The Iowa Model and ARCC model have been used by many researchers around the world. The Iowa Model uses step-by-step processes with feedback loops (Tucker, et al. 2021). Step-by-step processes help researchers plan how they will implement research into clinical changes. The Iowa Model also uses a team-based approach which is beneficial to implementation in the clinical setting where other team members can give input and help guide decisions for future needs.
The ARCC model relies on the assessment of the facility’s culture and readiness for change which is the strength of this model (Tucker, et al. 2021). This model is not as easy to implement as the Iowa model which has a step-by-step road map to follow.
When comparing the two models, I feel that the Iowa Model would be the best model to use for my EBP project because of the step-by-step process that is easy to follow. The Iowa Model was found to be very easy to use because of its easy-to-follow nature and very straightforward (Buckwalter, et al. 2017). A study in 2017 stated that 68.4% of the participants found it easy to follow. Having a user friendly model for EBP implementation can help clinicians in the field who are very busy.
Reference
Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12223
Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S. C., Kim, B., Cullen, L., & Kitson, A. (2021). Implementation Science: Application of Evidence‐Based Practice Models to Improve Healthcare Quality. Worldviews on Evidence-Based Nursing, 18(2), 76–84. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12495
Example 3 of NUR 590 Topic 3 DQ 2 Review the different models and frameworks that can be used to facilitate change
According to Melnyk and Fineout-Overholt (2018), models are developed to organize our perception of evidence-based practice and to understand how the different aspects of EBP related to each other to provide improved care and results. There are eight models created to guide the incorporation of EBP to improve change. The Stetler Model is also called a practitioner-oriented model due to its emphasis on critical thinking and utilization of finding by individual practitioners (Kim, 1999; Stetler & Marram, 1976, as cited in Melnyk & Fineout-Overholet, 2018).
The Stetler model has five phases. Phase I (Preparation) identifies the priority need and the EBP project purpose. Phase II (Validation) determines the level and quality of sources of evidence. Phase III (Comparative Evaluation/ Design Making) summarizes the evidence results and evaluated the similarities and differences of sources of evidence. Phase IV (Translation/ Application) identifies practice indication that justifies the implementation of findings for change. Phase V (Evaluation) determines the expected results and assesses if the goal of EBP has been met or not (Springer Publishing Connect, n.d.).
The other model is the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP). According to Springer Publishing Connect (n.d.), this method applies a problem-solving approach to clinical decision-making. This model is used to meet the needs of nurses in direct care. There are three steps which are practice question, evidence, and translation. Practice question is when the EBP question is identified. Evidence is when the research team describes the quality of evidence and strength of the evidence. The translation is when the action plan is made, change is implemented, and evaluation.
In my evidence-based practice proposal, I believe the use of Johns Hopkins Nursing Evidence-Based practice is helpful because the said method focuses on the direct care of nurses. In relation to that, my proposal focuses on providing practice changes to make patients comfortable and increase quality care after the surgery. Additionally, my proposal started with practicing questioning on how to lessen the use of opioids/ narcotics to the patient after surgery while still will be able to provide quality care. According to Wyant (2017), the John Hopkins model is clinician-focused and allows fast and suitable application of current research and best practices. My proposal is guided by a variety of current studies and research that supports the positive impact of the proposed project on the improvement of quality patient care.
References
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.
Springer Publishing Connect. (n.d.). Appendix: Evidence-based practice models. https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1
Wyant, T. (2017, November 21). Adopt an evidence-based practice model to facilitate practice change. ONS Voice. https://voice.ons.org/news-and-views/adopt-an-evidence-based-practice-model-to-facilitate-practice-change
