The incorporation of a model when making practice changes is very important for several reasons. Dearholt and Dang (2012, p. 33) indicate that using an appropriate model can help ensure projects better align with the organization where they are being implemented. Selecting an appropriate model to use is an important step in the process. Buckwalter et al. (2017, p. 181) discuss that the Iowa Model may be especially useful for healthcare providers trying to make evidence-based practice changes because it can help users to identify current research and focus on the results from a patient perspective. Melnyk and Fineout-Overholt (2015, p. 278) explain that the use of models can help clarify and guide changes throughout the process which should ultimately lead to better patient care.
Effort and Benefit
The use of a change model requires both time and effort. However, the risks of not using a change model are significant and could potentially lead to a less than optimal result. Helping to ensure the success of a project that will benefit health outcomes for patients is worth the effort. Dearholt and Dang (2012, p. 60) explain, that questions being addressed by EBP projects are important and the use of a model can help ensure that the time and energy are not wasted.
Conclusion
Careful selection of a change model is an important step when undertaking EBP projects. As nurses, we have a responsibility to work toward improving patient outcomes as well as working to further nursing research. The use of change models can help accomplish both goals and therefore is vital to the process.
References
Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., …
Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and
validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. doi:
10.1111/wvn.12223
Dearholt, S. L. & Dang, D. (2012). Johns Hopkins Nursing evidence-based practice: Models and
guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and
healthcare: A guide to best practice (3rd ed.). Philadelphia, PA: Wolters Kluwer Health
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Nice post. I don’t know about you, but it seems that all the definitions and information regarding when to use the z-test and t-test are the same. There seems to be no discrepancy regarding this. The z-test is for sample size greater then 30 and when the standard deviation is known. Otherwise the t-test is used. I cannot find if there are any exceptions to this rule. Have you come across any exceptions to the t-test and z-test rules of when to use each hypothesis ?
I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE
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An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.
Questions:
On the initial home visit by the nurse, what assessments should be made?
The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
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Part 1: How does a person’s difference in age, culture, race, gender and living situation impact your comfort as a nurse in communicating with them? Reflect on how those experiences impact your nursing practice now?
Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.
Part 3: Create a community education plan to address ageing bias.
The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials
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3 page paperThis assignment requires proper APA format. This includes a title page, reference page, and proper headings.
Please use AHRQ , an organizational evidence-based standard and/or applicable education Best Practice to guide your topic development.The introduction gives some history of the topic, the reason it is important to nursing practice and/or nursing education.
Include title page and reference page addressing the following:
Background of a clinical practice problem or educational problem related to your practice. The PICO(T) format is used to organize research evidence to address clinical problems. You will use the PICO(T) question to identify relevant studies needed to develop evidenced based practice or best practices in nursing education.
This assignment is the first step in completing the final paper on a researchable topic in either nursing practice or nursing education.
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Discussion: Using Emotional Intelligence and Appreciative Inquiry to Promote Quality
Through communication—inquiry and dialogue—every person makes a contribution, and by being involved in the process, people can shift their attention and action away from a problem-oriented focus to dreams that are worthy to them and to productive possibilities for the future.
—Watkins & Mohr, 2001
Without a doubt, promoting health care quality and patient safety presents a meaningful aim.
To achieve this goal, nurse leader-managers need to be able to evaluate a situation from many different viewpoints and frame questions that elicit valuable insights. They must be able to promote skillful problem solving and interdisciplinary teamwork.
In this Discussion, you examine how you can use emotional intelligence and appreciative inquiry to facilitate positive changes that lead to improved quality and safety.
To prepare:
Review the information on emotional intelligence and appreciative inquiry presented in this week’s Learning Resources.
If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment.
Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results?
Think about how your identified emotional intelligence strengths and opportunities for growth relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality. How and why is emotional intelligence valuable for promoting optimal patient outcomes and creating systems-level change?
As indicated on pages 53–55 of the Bradberry and Greaves text, develop a plan for improving your skills in one area of emotional intelligence. Evaluate strategies for applying your strengths in the workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety.
Also review the information on appreciative inquiry in this week’s Learning Resources. Have you used appreciative inquiry before? If so, how? How does the application of appreciative inquiry relate to your role as nurse leader-manager and/or to efforts to promote health care quality?
Reflect on your experiences working in health care and identify an issue or problem that required, or requires, a change. Consider how you could apply emotional intelligence and appreciative inquiry strategies to this situation to facilitate positive results that lead to improved quality.
Post a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional resources.
Required Readings
Bradberry, T., & Greaves, J. (2009). Emotional intelligence 2.0. San Diego, CA: TalentSmart.
Chapter 1, “The Journey” (pp. 1–12)
Chapter 2, “The Big Picture” (pp. 13–22)
Chapter 3, “What Emotional Intelligence Looks Like: Understanding the Four Skills” (pp. 23–50)
The first three chapters of this book introduce foundational concepts related to emotional intelligence, and provide the background for the online assessment that you will take in preparation for this week’s Discussion. In addition to these chapters, you should read the rest of the book once you have completed the assessment.
Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment.
Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 1, “Understanding the U.S. Healthcare System” (pp. 1–30)
This chapter sets the context for understanding quality-related issues within the U.S. health care system (macroenvironment). The authors discuss health care access and costs, which may be viewed as part of a triad with quality.
Ingram, J., & Cangemi, J. (2012). Emotions, emotional intelligence and leadership: A brief, pragmatic perspective. Education, 132(4), 771–778.
Retrieved from the Walden Library databases.
Nel, H., & Pretorius, E. (2012). Applying appreciative inquiry in building capacity in a nongovernmental organization for youths: An example from Soweto, Gauteng, South Africa. Social Development Issues, 34(1), 37–55.
Retrieved from the Walden Library databases.
This article examines how appreciative inquiry can be used to foster meaningful change in organizations. It outlines the principles of appreciative inquiry and the four phases: discovery, dream, design, and delivery.
Sadri, G. (2012). Emotional intelligence and leadership development. Public Personnel Management, 41(3), 535–548.
Retrieved from the Walden Library databases.
Emotional intelligence has been proposed as a key element of leadership. This article examines that argument, with attention to how and why it has been challenged.
Copperrider, D. L., & Godwin, L. N. (2010). Positive organization development: Innovation-inspired change in an economy and ecology of strengths. Retrieved from http://appreciativeinquiry.case.edu/intro/comment.cfm
The authors present a framework for Innovation-Inspired Positive Organization Development (IPOD), which draws from appreciative inquiry.
Required Media
Laureate Education (Producer). (2013c). The importance of emotional intelligence. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 5 minutes.
Dr. Kenneth Rempher shares insights on the importance of emotional intelligence for health care leaders. He also discusses using appreciative inquiry to address health care quality concerns.
Accessible player
Optional Resources
Cooperrider, D. L., & Whitney, D. (n.d.). A positive revolution in change: Appreciative inquiry. Retrieved March 18, 2013, from http://appreciativeinquiry.case.edu/uploads/whatisai.pdf
Momeni, N. (2009). The relation between managers’ emotional intelligence and the organizational climate they create. Public Personnel Management, 38(2), 35–48.
Retrieved from the Walden Library databases.
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An 8-year-old child was admitted to the hospital with body aches, fatigue, cough and fever. He was diagnosed with a viral infection that spreads via large droplets. Nursing diagnoses established in the plan of care for this patient include Ineffective thermoregulation, Social Isolation and Impaired Comfort.
Initial Discussion Post:
Describe the precautions and personal protective equipment required to care for this patient.
Choose one (1) nursing diagnosis from this patient’s plan of care
Identify three (3) interventions for this patient.
Discuss infection control practices for this patient related to each intervention you have identified.
Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum
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FOLLOW EVERY INSTRUCTION.. YOU HAVE TO USE THE DOCUMENTS ATTACHED BELLOW TO ANSWER THE SSIGMENT.. USE RUBRICS TO ANSWER THE ASSIGMENT..HAS TO BE FREE OF PLAGIARISM.
Details:
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
RUBRICS
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Thegoal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.
After reading these recommendations answer the following questions.
1. what are the clinical interventions for patients unwilling to quit cigarettesmoking?
2. According to the best practices what are the best strategies to help your clients quit smoking?
3. are there any specific smoking cessationrecommendationsfor especial populationssuch as teenagersor the elderly?
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