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EBP, IS, AND QI (NO SUBMISSION DUE)

Evidence-based practice (EBP) involves a reliance on science to produce evidence that is then used to inform nursing practice and implementation. EBP can be defined as the process of reviewing and analyzing current scientific evidence with the goal of translating this evidence, along with clinical experience and patient preference, into clinical practice. EBP is the cornerstone of clinical practice.

Implementation science (IS) began in the early 2000s when researchers and practitioners recognized the importance of generating knowledge to promote translation of evidence into practice for improvements in the quality and safety of healthcare. Implementation knowledge consists of a growing number of empirical studies, as well as theories, frameworks, and models supporting the understanding of factors associated with successful implementation of evidence-based interventions (Tabak, Khoong, Chambers, & Brownson, 2012).

How does quality improvement (QI) fit into all this? Batalden and Davidoff (2007) described QI as “the combined and unceasing efforts of everyone—healthcare professionals, patients and their families, researchers, payers, planners and educators—to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development” (p. 2).

The overarching concept of QI means that we use select theories, frameworks, and models from implementation science to translate evidence into practice to improve quality. As a DNP-prepared nurse, you may not actually do the research, but it is your responsibility to be able to find the highest quality and most current evidence to support the practice changes with which you are involved.

Note: You will begin your Assignment this week, but you will not submit it until Week 6. Over the next 3 weeks you will learn more about the concepts required to complete this Assignment, including evidence-based practice (EBP), implementation science (IS), and quality improvement (QI).

Also Note: This Assignment is hypothetical in nature and is unrelated to your Practicum and DNP Project. However, the work you put in on this Assignment will help prepare you for the Practicum and DNP Project coming later in your program.

Remember: This is a two-part Assignment consists of a written paper and a PowerPoint presentation. Both are due by Day 7 of Week 6. 

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

· Chapter 5, “Searching for Evidence” (pp. 99–128)

Note: You previously purchased this text for NURS 8002.

· McEwen, M., & Wills, E. M. (2022). Theoretical basis for nursing (6th ed.). Wolters Kluwer.

· Chapter 12, “Evidence-Based Practice and Nursing Theory” (pp. 261–281)

· White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024).  Translation of evidence into nursing and healthcare (4th ed.). Springer.

· Chapter 1, “Evidence-Based Practice” (pp. 1–25) Note: Pay special attention to information about the PET model on pages 9–11.

· Chapter 2, “The Science of Translation and Major Frameworks” (pp. 25–53)

· Chapter 8, “Methods for Translation”

· “Quality Improvement and Rapid Cycle Performance Improvement” (pp. 174–176)

· Chapter 9, “Project Management for Translation” (pp. 191–220)

· Jones-Schenk, J., & Bleich, M. R. (2019).  Implementation science as a leadership and doctor of nursing practice competencyLinks to an external site.. The Journal of Continuing Education in Nursing, 50(11), 491–492. https://doi.org/10.3928/00220124-20191015-03

· Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).  Application of project management tools and techniques to support nursing intervention researchLinks to an external site..  Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

PowerPoint Resources

· Document:  College of Nursing PowerPoint Template (PowerPoint presentation) Download College of Nursing PowerPoint Template (PowerPoint presentation)

· Microsoft. (n.d.). Microsoft 365 for Mac quick startsLinks to an external site. . https://support.office.com/en-us/article/office-for-mac-quick-starts-5bccb480-0e5b-4b51-b072-66d3793ccad8 Note: If you are a Mac user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes. 

· Microsoft. (n.d.). PowerPoint for Windows trainingLinks to an external site. . https://support.office.com/en-us/article/powerpoint-for-windows-training-40e8c930-cb0b-40d8-82c4-bd53d3398787 Note: If you are a PC user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes.   

· Walden University Academic Skills Center. (n.d.).  How do I create a strong PowerPoint presentation?Links to an external site. https://academicanswers.waldenu.edu/faq/72804

· Walden University Academic Skills Center. (n.d.).  MS PowerPoint resources: Getting startedLinks to an external site. . https://academicanswers.waldenu.edu/faq/330533

Required Media

· IRL – Research and Science Course. (2019, August 30). What is implementation science?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=Cvk-cpDptOc

· IRL – Research and Science Course. (2019, August 30). Theories and frameworks in implementation scienceLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=fdaTFgX0II0

· OASIS. (n.d.). Locate evidence-based practiceLinks to an external site. [Interactive media]. Walden University. https://rise.articulate.com/share/Vse0q3v0-5hp4rEsu9dzBI_5Ndiq26XV#/

· Walden University. (2021). DNP glossaryLinks to an external site. [Interactive media]. Walden University Canvas. https://waldenu.instructure.com

· Walden University, LLC. (2011).  An evidence-based practice model [Video]. Walden University Canvas. https://waldenu.instructure.com

Note: In this video, Kathleen White discusses the PET model. Also Note: This resource is seminal to the field.

To Prepare

· Review the Learning Resources in Weeks 4, 5, and 6 that address evidence-based practice (EBP), implementation science (IS), and quality improvement (QI).

· Review the Learning Resources that address how to use PowerPoint and create narrated PowerPoint presentations.

· Identify three sites within your community that would benefit from an evidence-based practice (EBP) quality improvement (QI) project.

· Based on your professional experience, consider practice or organization issues that would make sense as the focus of an evidence-based practice (EBP) quality improvement (QI) project initiative. Select one on which to focus for this Assignment. Note: You should consider practice or organization issues that you are particularly interested in or passionate about.

· Search the Walden Library and/or the internet to identify at least five recent, peer-reviewed articles (published within the last 5 years) to support the development of a QI project that applies EBP to address the specific practice or organization issue you selected.

· Based on the practice or organization issue you selected, consider the key stakeholders who would be involved in a QI initiative at each of the three sites you selected. For each site, research the website and any other available information to identify:

· A department that leads QI initiatives or, if one does not exist, an employee within the organization who would be in charge of approving such initiatives

· Titles/roles of relevant stakeholders (including the highest level of required approval to the healthcare associates who might help implement changes in daily patient care)

· Select one of the three potential sites you identified that you think is the best option. Consider the factors on which you based your decision, as well as the mechanics of your decision-making process.

· Based on the practice or organization issue and the site you selected, consider various translation frameworks/models that may be a good fit for your evidence-based practice (EBP) quality improvement (QI) initiative.

· Select one translation framework/model that you think is the best fit. Then, consider the steps or processes required for an evidence-based practice (EBP) quality improvement (QI) initiative that follows this framework/model to translate research and evidence to improve practice. Note: Utilize the Week 5 Learning Resources and Discussion to help you with this.

· Begin outlining how you would present the elements of your proposed evidence-based practice (EBP) quality improvement (QI) initiative to key stakeholders of the site you selected in order to gain their approval. Note: You will use the College of Nursing PowerPoint Template document, provided in the Learning Resources, to develop this presentation to stakeholders.

Note: This is a two-part Assignment consisting of a written paper and a PowerPoint presentation. Both are due by Day 7 of Week 6.

The Assignment (4-5 pages)

Part 1: Key Project Elements (Written Paper)

For Part 1, you will present the specifics of your evidence-based practice (EBP) quality improvement (QI) initiative. You will also explain your decision-making processes.

In a 4- to 6-page paper (not including cover page and references page), do the following:

Site Selection (1–2 pages)

· Describe each of the three healthcare settings you identified as the proposed site for your evidence-based practice (EBP) quality improvement (QI) initiative. Be sure to address the following questions about the site:

· Who is the patient population(s)?

· What is their mission?

· Is it a public or private entity?

· Is it a stand-alone organization or a member of a larger corporation?

· What other information about the site do you think is relevant and significant?

· Compare the strengths and weaknesses of the three sites in terms of their viability as the location for an evidence-based practice (EBP) quality improvement (QI) initiative. Be specific and provide examples.

· Identify the one site of the three you selected. Describe the factors on which you based your decision. Explain your decision-making process.

Stakeholders (1 page)

· Identify the department that leads QI initiatives or, if one does not exist, an employee within the organization who would be in charge of approving such an initiative.

· Identify the titles/roles of relevant stakeholders (from the highest level of required approval to the healthcare associates who might help implement changes in daily patient care).

Practice or Organization Issue (1 page)

· Describe the practice or organization issue you selected.

· Explain why it makes sense as the focus of an evidence-based practice (EBP) quality improvement (QI) initiative. Be specific, provide examples, and cite at least five recent, peer-reviewed articles (published within the last 5 years).

Translation Framework/Model (1–2 page)

· Identify and briefly describe the one translation framework/model that you decided is the best fit for your evidence-based practice (EBP) quality improvement (QI) initiative.

· Explain why you selected it amongst all the alternatives.

· Describe the steps or processes required for an evidence-based practice (EBP) quality improvement (QI) initiative that follows the framework/model you selected to translate research and evidence to improve practice. Note: Use the Week 4, 5, and 6 Learning Resources to support Part 1 of your Assignment. Use proper APA format and style for all references and citations. Use the College of Nursing Writing Template for your Assignment submission.

Note: Use the Week 4, 5, and 6 Learning Resources to support Part 1 of your Assignment. Use proper APA format and style for all references and citations. The College of Nursing requires that all papers include a title page, introduction, summary, and references. Use the College of Nursing Writing TemplateLinks to an external site. for your Assignment submission.

Part 2: Proposal to Stakeholders (PowerPoint Presentation)

For Part 2, you will present your evidence-based practice (EBP) quality improvement (QI) Initiative proposal to (hypothetical) stakeholders at the healthcare organization site. Your goal is to persuade and obtain approval for the EBP QI initiative you are proposing.

In a 6- to 10-slide PowerPoint presentation (not including cover and references slides), address the following:

· Title

· Include the title of your presentation and your name.

· Introduction (1–2 slides)

· Identify the healthcare organization site.

· Introduce and describe the evidence-based practice (EBP) quality improvement (QI) initiative you are proposing.

· The Issue (2–3 slides)

· Introduce and describe the practice or organization issue you aim to address.

· Explain the goal of the project. Why is it important?

· Translation Framework/Model (2–3 slides)

· Introduce and describe the translation framework/model you will use to implement the project.

· Explain how it will work. Why will it be effective to achieve your goal?

· Conclusion (1–2 slides)

· Summarize your presentation. Ask for stakeholder support.

· References

· Cite the sources you used to support your presentation.

Note: You must Include detailed speaker notes for each slide. Your speaker notes should explain all of the points you would make to the stakeholders to convince them to approve your proposal.

Also Note: Use the Week 4, 5, and 6 Learning Resources to support Part 2 of your Assignment. Use proper APA format and style for all references and citations. Use the College of Nursing PowerPoint Template document Download College of Nursing PowerPoint Template documentfor your Assignment submission.

Remember: No Assignment submission is required this week.

Submit your Assignment by  Day 7 of Week 6.

WK 5 LEARNING RESOURCES

Learning Resources

Required Readings

· White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024).  Translation of evidence into nursing and healthcare (4th ed.). Springer.

· Chapter 2, “The Science of Translation and Major Frameworks” (pp. 25–53)

· Chapter 3, “Change Theories for Translation” (pp. 53–67)

PowerPoint Resources

Note: These resources were previously presented in Week 4.

· Document:  College of Nursing PowerPoint Template (PowerPoint presentation) Download College of Nursing PowerPoint Template (PowerPoint presentation)

· Walden University Academic Skills Center. (n.d.).  How do I create a strong PowerPoint presentation?Links to an external site. https://academicanswers.waldenu.edu/faq/72804

· Walden University Academic Skills Center. (n.d.).  MS PowerPoint resources: Getting startedLinks to an external site. . https://academicanswers.waldenu.edu/faq/330533

Required Media

· IRL – Research and Science Course. (2019, August 30). What is implementation science?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=Cvk-cpDptOc Note: This resource was previously presented in Week 4.

· IRL – Research and Science Course. (2019, August 30). Theories and frameworks in implementation scienceLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=fdaTFgX0II0 Note: This resource was previously presented in Week 4.

· Walden University. (2021). DNP glossaryLinks to an external site. [Interactive media]. Walden University Canvas. https://waldenu.instructure.com Note: This resource was previously presented in Week 4.

WK 6 LEARNING RESOURCES

Learning Resources

Required Readings

· White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024).  Translation of evidence into nursing and healthcare (4th ed.). Springer.

· Chapter 4, “Translation of Evidence to Improve Clinical Outcomes” (pp. 67–100)

PowerPoint Resources

Note: These resources were previously presented in Week 4 and 5.

· Document:  College of Nursing PowerPoint Template (PowerPoint presentation) Download College of Nursing PowerPoint Template (PowerPoint presentation)

· Walden University Academic Skills Center. (n.d.).  How do I create a strong PowerPoint presentation?Links to an external site. https://academicanswers.waldenu.edu/faq/72804

· Walden University Academic Skills Center. (n.d.).  MS PowerPoint resources: Getting startedLinks to an external site. . https://academicanswers.waldenu.edu/faq/330533

Required Media

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WK 4 ASSIGN THEOR

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