NRS 490 Reflective Journal

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Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

NRS 490 all weeks discussions and assignments Entire Course

NRS 490 Entire Course

NRS 490  Week 1 Discussion 1

Which scholarly databases (name two) in the GCU Library will you choose in order to find the best research articles to support your EBP proposal? Discuss why these two (at least) databases are better than Google Scholar or a general Internet search?

NRS 490 Week 1 Discussion 2

NRS 490 Reflective Journal

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The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.

NRS 490 Week 2 Discussion 1

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

NRS 490 Week 2 Discussion 2

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

NRS 490 Week 3 Discussion 1

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.

NRS 490 Week 3 Discussion 2

Name two difference methods for evaluating evidence. Compare and contrast these two methods.

NRS 490 Week 4 Discussion 1

NRS 490 Reflective Journal

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With your mentor, discuss why understanding the health care system at the local level plays an important part in the logistics of an EBP implementation. Discuss one of your learnings from this conversation that you will take into consideration for your own change project.

NRS 490 Week 4 Discussion 2

Identify two change theories, and in your selection process include asking your mentor which one(s) he or she uses or has used. Compare and contrast each one and then note which theory makes the most sense for implementing your specific EBP project?

NRS 490  Week 5 Discussion 1

Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.

NRS 490  Week 5 Discussion 2

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.

NRS 490 Reflective Journal

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NRS 490  Week 6 Discussion 1

After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.

NRS 490  Week 6 Discussion 2

Access and review the “Capstone Project Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, take your discussion a step further and briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need. How has this changed since you first envisioned it, and what led to your current perspective and direction?

NRS 490  Week 7 Discussion 1

Determine one internal and one external method for dissemination of your EBP project. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How might your tactics change for each type of group?

NRS 490  Week 7 Discussion 2

While EBP is not research, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

NRS 490  Week 8 Discussion 1

NRS 490 Reflective Journal

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Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? What basic statistical analysis might be run to determine statistical significance?

NRS 490  Week 8 Discussion 2

Not all EBP projects result in statistically significant results. Explain what clinical significance is, the difference between clinical and statistical significance, and how you might use clinical significance to support positive outcomes in your project.

NRS 490  Week 9 Discussion 1

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills.

NRS 490  Week 9 Discussion 2

Sustaining change can be difficult, as there are many variables that can affect the process and implementation. One critical component of EBP is to ensure that practice change is hardwired so that it will thus continue to impact outcomes over time. Name two potential barriers that may impact your EBP change proposal from continuing to obtain the same desired results six months to a year from now, and your strategies for overcoming these barriers.

NRS 490  Week 10 Discussion 1

NRS 490 Reflective Journal

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Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Name one professional journal and one nursing or health care conference where you might present our project as a presentation or article and discuss why each of your choices is the best option for you to disseminate your new knowledge.

NRS 490  Week 10 Discussion 2

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Then name two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What problems or impediments do you foresee in being able to follow your EBP action plan? What steps can you take to minimize these?

NRS 490  Week 2 Assignment

In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 “supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.
Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experienceis to apply the learning from your research, community health, and leadership courses:

NRS 490 Reflective Journal

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After studying this course, you should be able to:
Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities

NRS 490 Reflective Journal

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Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.
In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.

NRS 490 Reflective Journal

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Attach the completed “Project Topic Checklist” to your assignment submission.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.

NRS 490  Week 3 Assignment

Review the PICO(T) resources listed in the topic readings.
Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.
In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:

NRS 490 Reflective Journal

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Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.

NRS 490  Week 4 Assignment

NRS 490 Reflective Journal

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In nursing practice, accurate identification and usage of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal Capstone Project.
For this assignment, the student will provide a synopsis of 15 peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the 15 articles. The articles should be current within the last 5 years and closely relate to the PICOT statement you developed earlier in this topic. Appropriate resources to include involve quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed Capstone Project.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.

NRS 490 Reflective Journal

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NRS 490  Week 6 Assignment

An implementation plan prepares students to apply the research they have identified and vetted to the problem or issue they have identified for their Capstone Change Proposal Project. A literature review enables students to map out and move into the active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which to synthesize what is known and unknown about the Project issue selected. Students will use the information from the PICOT Statement and Evaluation Table assignments prior in the course to develop a planned approach to implementing the evidence-based practice solution. The underlying purpose of this assignment is to analyze how the current research supports the PICOT, and to identify what is known and what is not known in the evidence, providing a logical, constructive argument.
Include the following sections:
1.     Title page
2.     Introduction section
3.     A comparison of research questions
4.     A comparison of sample populations
5.     A comparison of the limitations of the study
6.     A conclusion section, incorporating recommendations for further research

NRS 490 Reflective Journal

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While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in placefrom my faculty and practice mentor.

NRS 490 Reflective Journal

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