Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Example of questions are below. If you are okay with this, you should be okay with the questions.True & FalseProbability-based sampling occurs when everyone in the population has an equal chance of being selected in the research study.True b) FalseWhen researchers compare social media platforms (Twitter, Facebook, Instagram) by generational groups (Baby Boomers, Millennials), they are comparing at least 5 variablesTrue b) FalseA pre-test or a pilot-test is a necessary step in conducting a survey because it allows the researcher to gauge the strength of the questionnaire.True b) FalseBeneito-Montagut (2011) recommended that expanded ethnography offer multi-site, multi-media, and a user-centered methodological approach.True b) FalseIn order to increase the credibility of a qualitative study, the researcher may seek longer exposure to their research participant(s) in order to gather additional information.True b) FalseMultiple ChoiceWhich trait is not shared between qualitative and quantitative data analysis?Researchers infer from empirical details to abstract ideasBoth use public process to describe in detail the methodologyResearch is available for others to inspectAnalysis begins after data is collectedBoth rely on assessing the quality of data (validity, reliability, and trustworthiness, for example)When writing a survey questionnaire, it is important to:Refer to the recent pastBe simpleBe specificAll the above(a) and (c) only“Do Zombies like human brains and salsa dancing?” is an example of:A double-barreled hypothesisJargon/slang type questionPrestige biasA double-barreled questionUnethical researchEsther Honig’s research regarding beauty is considered:In-depth interviewsSurvey sampleA probability-based sampling strategyQualitative researchNone of the aboveMany qualitative researchers use the following criteria in order to establish the trustworthiness of qualitative findings:Credibility, transferability, dependability, and confirmabilityValidity, transferability, reliability, and confirmabilityCredibility, authenticity, dependability, and confirmabilityValidity, authenticity, reliability, and dependabilityAuthenticity, transferability, reliability, and dependabilityAnswers:T&F: 1a, 2b, 3a, 4a, 5aMC: 1d, 2d, 3d, 4d, 5a

InstructionsGiven a significant outbreak in your community [see details], develop a strategic Plan of Care that addresses the needs of families, groups, or communities. To promote the resolution of this community health crisis, follow the guidelines of the nursing process and address assessment, diagnosis, planning, implementation, and evaluation.Step 1. Complete your Community Survey ToolFollow Health Insurance Portability and Accountability Act (HIPAA) guidelines in your documentation, and record pertinent findings from the assessment.COMPLETED.Step 2. Analysis of the Community Survey (2-3 pages)To analyze your assessment findings: Prioritize the most pressing needs of your community. Provide a rationale for your prioritization.Identify which needs respond best to nursing intervention and label these interventions as primary, secondary, or tertiary Identify additional groups that will need to be involved in addressing the overall needs of your community Step 3. Complete the Groups or Communities Care Plan Complete the Plan of Care chart below, using the data and pertinent findings from the community analysis. Remember, all care plan components must be traceable to the community analysis you completed in Step 2.The Plan of Care should:Analyze the community health crisisConsider who should be involved in resolving the problemList patient goals that are SMART (specific, measurable, attainable, realistic and time oriented)two short-termtwo intermediate termtwo long-term care goalsInclude two nursing interventions appropriate to the accomplishment of each of the identified patient goals*Discuss the evaluative findings the nurse expects from successful interventions.Plan of CareAnalysis of the problemIndividuals to involve in the resolution of the problemSMART GoalsShort (2)Intermediate (2)Long Term (2)Nursing Interventionsappropriate to the patient goalsShort (2)Intermediate (2)Long Term (2)Evaluative FindingsGoals metInterventionsSuccessfulUnsuccessful
Step 4. Conclusion (2-3 paragraphs)Based on the success of your care plan and reflections, identify the most effective intervention for your patient care problem. Describe the evidence and explain how to resolve the patient care problem demonstrating critical reasoning.

I’m working on a nursing discussion question and need an explanation to help me learn.

The Homeless Patient Evaluation & Management Plan
The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”.
The man appears to be in some type of distress and experiencing pain. The man walks slowly, using a guarded manner, and he appears diaphoretic. His mucous membranes also appear pale. The patient’s blood pressure is 210/98. The patient reports that he has not been diagnosed with hypertension previously. The patient reveals that he has severe abdominal pain that is radiating to his back. The nurse finds a heart rate of 110, respirations 30 with shallow inspirations, and temperature 102.2°F. The patient’s skin is cool and clammy.
The patient reports a history of alcoholism, homelessness, and lack of access to health care. He says that the symptoms have been present and worsening over 3 days. The man says he thinks he might have pancreatitis again, which he had “a couple of years ago”. The NP recommends that the man should be seen at a hospital for his condition, but the patient says he does not have health insurance, so he does not want to go.
The NP proceeds with a physical examination, finding severe abdominal pain in the epigastric area, yellowed sclera, no abdominal distention, and hypoactive bowel sounds. The clinic is equipped with basic materials but no means to conduct lab or radiologic testing. Discuss the following:

Considering the patient’s homelessness and lack of insurance, what action should the practitioner take?
When the patient asks why his condition cannot be managed outside of the hospital, how should the practitioner respond?
When the patient arrives at the hospital for further diagnostic work-up, what tests will likely be performed to evaluate the patient’s condition?
How will the severity of the pancreatitis be assessed when the patient is hospitalized?
How should the patient’s condition be managed when hospitalized?
What patient education should be included after the pancreatitis is resolved?

One of the most important parts of working with parents (or being a parent) is finding appropriate resources about a specific topic. Each of you will pick a topic to find 5 resources to share with families. Three of the five resources must be focused on school-aged children. You should have already selected your topic during Module 5 (if you didn’t email me and I will assign you a topic). The purpose of this assignment is to start building your own resource list of services you may want to share with the families you work and interact with. One of the most important tasks when working with families is providing them resources for the many challenges, concerns, and questions parents may have. You will start your assignment by writing up a short vignette about a mock family who is interested in gaining resources about the topic you have selected. There isn’t a minimum amount of words for your vignette you just need to give enough information to direct your search for resources and for me to understand your thought process. A successful assignment will have resources that have been well researched for relevance, quality, and have all the important information that a parent might want about that resource. If you are unsure about the quality of your resources, see if it meets the CRAP test (Links to an external site.). There is no “correct” answer, but there should be enough information that a family knows exactly what resource you are sharing and how they can access it themselves. There is no page requirement, but you must have at least 5 resources with 3 being specific to school-aged children. Finally, any discriminatory language or themes will result in lost points. See below for formatting suggestions. You must use Times New Roman and size 12 font. TaskPoints PossibleSubmitted On Time, Follows Formatting Guidelines20Has at least 5 resources that are relevant to the assigned topic; 3 resources are specifically for School-Aged Children25Resources were well researched and add to the easily available resources for families25Resources have all the information available so that families will be able to take advantage of that resource25Writing is clear, concise, and free from obvious errors of grammar or spelling25Total120