NHS8065 Discussions Latest 2021 March (Full)

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 1 Discussion

DQ1 Mastering the First Step in EBP: PICO(T)

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Click the Vila Health: PICO(T) Process media piece. For your initial post:

Share the PICO(T) question you wrote for the exercise, then compare your question with the PICO(T) question created by Vila Health.

Did your question identify the same or different PICO(T) ??components?

Was your question more or less clear and concise compared to the one created by Vila Health?

Consider and discuss the intervention (I) in your question and in the question created by Vila Health.

How would you determine if the suggested intervention (I) in either question is evidence-based?

What additional actions or information is needed to refine the PICO(T) question with a specific evidence-based intervention (I)?

Reflect on what you have learned about the PICO(T) process.

What components were the most challenging to identify?

In what ways can you ?master the skills needed to create an appropriate PICO(T) question?

DQ2 Differences Among EBP, Research, and Quality Improvement

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

For your initial post:

Discuss two unique characteristics for each of the three processes: EBP, research, and quality improvement.

Describe how the EBP process differs from research and quality improvement.

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 2 Discussion

Finding the Best Evidence to Answer Different PICO(T) Questions

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Choose one of the three PICO(T) questions below.

In patients with acute respiratory distress syndrome (P), will the implementation of a pulmonary hygiene protocol (I) compared with standard positioning care (C) improve weaning parameter metrics (O) during the next three months (T)?

For Long Island Hospital (P), will the integration of patient preferences into a pain management program (I) compared with the current program (C) affect the average level of pain scores reported to CMS (O) within a six-month reporting period (T)?

For greater metro peer review organization (P), will the addition of an online automatic metrics rate calculator (I) compared to a metrics submission page without an automatic rate calculator (C) reduce metrics rates-related customer service calls (O) in 12 weeks (T)?

For your initial post, create a four-column table with the following headings:

PICO(T) component.

Best evidence design/method.

Search terms.

Sources of external evidence (databases).

Use the four columns to list the following:

Include each component of the PICO(T) question you chose.

Identify, using EBP evidence levels, the study design/method that would provide the best evidence to support the intervention.

Define three different search terms you would use to begin your search for the best evidence, based on the PICO(T) question you chose.

Determine the most appropriate databases to perform your search.

After the table, describe your search strategy and its relation to the PICO(T) question, as shown in the table.    

DQ2 Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Personal Writing Intentions

Describe your results from the Personal Writing Assessment. Then, select three areas for improvement in your writing and explain why these areas are important for doctoral-level writing.

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 3 Discussion

Critical Appraisal

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

In the article, “Evidence-Based Practice: Critical Appraisal of Qualitative Evidence,” the author asserts that all qualitative critical appraisals base their criteria on three primary questions: 1) Are the study findings valid? 2) What were the results of the study? and 3) Will the results help me in caring for my patients? Each of these three primary questions is addressed in its own table in the article, Tables 2, 3, and 4 respectively.

In your initial post, select a sub-question from each table and use that sub-question as a foundation for the discussion.

Choose and list a sub-question from Table 2. Sub-questions to Further Answer, Are the Study Findings Valid? and address these questions in relation to it.

In appraising the validity of a qualitative study, how does the sub-question you chose help to determine the validity of the study?

What would you look for in the study to answer the sub-question?

Choose and list a sub-question from Table 3. Sub-questions to Further Answer, What Were the Results of the Study? and address these questions in relation to it.

For appraising the quality of the results of a study, what does the sub-question you chose ask the appraiser to determine?

How will answering this sub-question add value to the critical appraisal of a qualitative study?

Choose and list a sub-question from Table 4. Sub-questions to Further Answer, Will the Results Help Me in Caring for My Patients? and address these questions in relation to it.

In terms of caring for your patients, how will answering the sub-question you chose determine whether or not the results will help you do this?

What other sub-question would be most beneficial to appraising the results of the qualitative study as they relate to patient care?

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 4 Discussion

DQ1 Levels of Evidence

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

After completing this week’s readings and the Levels of Evidence Pyramid media presentation, you performed a search to find one scholarly, qualitative research study and one quantitative research study to support your discussion points.

In your initial post, for the one qualitative study and the one quantitative study you found:

Cite and briefly summarize each study, including its design, methods, and results.

Use the Levels of Evidence Pyramid to identify the grade or level of evidence that each of your studies represent.

Discuss how each study you found does or does not provide an example of evidence that may be applied in EBP to improve a health care challenge.

In addition to the above, address the following question in your discussion:

What other evidence might need to be integrated or synthesized, along with the research evidence found in either one of your studies, before the evidence can be implemented into practice to improve a health care challenge?

DQ2 Reflections on Writing This Week’s Assignment

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Using the writing feedback that you received from your instructor and the writing feedback that you received from Smarthinking, share your reflections on the experience of writing the Unit 3 assignment. Discuss what you learned from the feedback that you received from your instructor and Smarthinking and how you plan to improve your writing abilities in order to prepare to succeed in the writing of your doctoral project.

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 6 Discussion

DQ1 Reflections on Writing This Week’s Assignment

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Using the writing feedback that you received from your instructor and the writing feedback that you received from Smarthinking, share your reflections on the experience of writing the Unit 5 Assignment. Discuss what you learned from the feedback that you received from your instructor and from Smarthinking, and how you plan to improve your writing abilities in order to prepare to succeed in the writing of your doctoral project.

DQ2 Evidence-Based Leadership

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

As a leader in a health care organization, you will need to engage in evidence-based leadership, serve as a role model for evidence-based decision making, and implement interventions and initiatives to create and sustain an evidence-based organization. This discussion focuses on strategies to do so.

In your initial post:

Describe interventions necessary to facilitate the behavioral change of staff and providers to create an evidence-based culture in an organization.

Explain, based on the four leadership styles discussed in the textbook on pages 334–337, which style you think you might use to support evidence-based processes at your organization.

Provide an example from your own role where you would have an opportunity to promote evidence-based decision-making.

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 8 Discussion

Reflections on Writing Last Week’s Assignment

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

Using the writing feedback that you received from Smarthinking and your instructor, share your reflections on the experience of writing the Unit 7 Assignment. Discuss what you learned from the feedback and how you plan to improve your writing abilities in order to succeed in the writing of your doctoral project.

 

NHS8065 Foundations of Evidence-Based Practice in Health Care

Unit 10 Discussion

The Ethics of Evidence

Note: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.

This discussion focuses on ethical issues and safeguards to prevent them in EBP, Quality Improvement (QI), and research.

For your initial post, reflect on your own role (or future role) as a health care leader and your role as a doctoral learner as these relate to ethically appropriate activities:

Discuss the difference between safeguards and strategies that may be employed in EBP, in QI, and in research to ensure that activities are ethically appropriate.

Identify one area in your health care leadership role and one area in your current role as a doctoral learner in which potential ethical issues may arise.

Answer these questions:

As a health care professional, what strategies do or would you employ to ensure the ethical appropriateness of activities you undertake in your role?

What strategies or safeguards will you employ to ensure the ethical appropriateness of your own doctoral project?