GCU NRS490 All Weeks Discussions Latest 2019 July
NRS490 Professional Capstone and Practicum
Week 1 Discussion
DQ1 Identify
two GCU Library scholarly databases that will help you find the best research
articles to support your EBP proposal. Discuss why these two databases are
better than Google Scholar or a general Internet search.
DQ2 The
Institute of Medicine has stated a goal that 90% of practice be evidence-based
by 2020. According to HealthyPeople.gov, the United States is currently at
approximately 15%. Discuss two barriers that might hold nursing practice from
achieving this goal, and suggest ways in which identified barriers may be
addressed.
NRS490 Professional Capstone and Practicum
Week 2 Discussion
DQ1 During
your practicum, determine what clinical problem or issue the organization is
facing. Discuss two implications for nursing.
DQ2 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.
NRS490 Professional Capstone and Practicum
Week 3 Discussion
DQ1 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 the article may or may
not provide sufficient evidence for your practice change.
DQ2 Name
two different methods for evaluating evidence. Compare and contrast these two
methods.
NRS490 Professional Capstone and Practicum
Week 4 Discussion
DQ1 Why is
understanding the health care system at the local level important to consider
when planning an EBP implementation? Conduct research and solicit anecdotal
evidence from your course mentor that you will take into consideration for your
own change project.
DQ2 Compare
and contrast two change theories, and determine which theory makes the most
sense for implementing your specific EBP project. Why? Has your mentor used
either theory, and to what result?
NRS490 Professional Capstone and Practicum
Week 5 Discussion
DQ1 Stakeholder
support is necessary for a successful change proposal project implementation.
Consider your internal stakeholders, such as the facility, unit or health care
setting where the change process is situated, and your external stakeholders,
like an individual or group outside the health care setting. Why is their
support necessary to the success of your project, and how you will go about
securing that support?
DQ2 Technology
is integral to successful implementation in many projects, through either support
or integration or both. Name at least one technology that could improve the
implementation process and the outcomes of your EBP project. Do you plan to use
this technology? If not, what are the barriers that prevent its use?
NRS490 Professional Capstone and Practicum
Week 6 Discussion
DQ1 After
discussion with your mentor, name one financial aspect, one quality aspect, and
one clinical aspect that need to be taken into account for developing the
evidence-based practice project. Explain how your proposal will directly and
indirectly impact each of the aspects.
DQ2 Now
that you have completed a series of assignments that have led you into the
active project planning and development stage for your project, briefly
describe your proposed solution to address the problem, issue, suggestion,
initiative, or educational need and how it has changed since you first
envisioned it. What led to your current perspective and direction?
NRS490 Professional Capstone and Practicum
Week 7 Discussion
DQ1 Describe
one internal and one external method for the dissemination of your EBP project
results. 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 will your
communication strategies change for each group?
DQ2 In
order to evaluate an evidence-based practice project, 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.
NRS490 Professional Capstone and Practicum
Week 8 Discussion
DQ1 Based
on how you will evaluate your EBP project, which independent and dependent
variables do you need to collect? Why?
DQ2 Not all
EBP projects result in statistically significant results. Define clinical
significance, and explain the difference between clinical and statistical
significance. How can you use clinical significance to support positive
outcomes in your project?
NRS490 Professional Capstone and Practicum

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Week 9 Discussion
DQ1 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 if you want to present your
findings in a more formal setting.
DQ2 Sustaining
change can be difficult, as there are many variables that can affect
implementation. One critical component of EBP is to ensure that practice change
is part of an organization’s culture so it will continue to impact outcomes
over time. Name two potential barriers that may prevent your EBP change
proposal from continuing to obtain the same desired results 6 months to a year
from now, and your strategies for overcoming these barriers.
NRS490 Professional Capstone and Practicum
Week 10 Discussion
DQ1 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. Identify
one professional journal and one nursing or health care conference where you
might present your project. Discuss why each of your choices is the best option
for you to disseminate your new knowledge.
DQ2 Discuss
why EBP is an essential component of the practice of a BSN-prepared RN.
Identify two ways in which you will continue to integrate evidence into your
practice and encourage it within your work environment. What obstacles could
challenge this plan, and what steps will you take to minimize their impact?