Topic Connecting Nursing Theory and Evidence-Based Change Models

Please use the attached instructions to help complete the assignment. Use the attached “Connecting Nursing Theory and Evidence-Based Change Models” template to complete the assignment. 4-5 references within the last 5 years required.

DNP-815A Scientific Underpinnings

INDIVIDUAL PROJECT

Topic Connecting Nursing Theory and Evidence-Based Change Models

Evidence-based practice (EBP) results from the integration of available research, clinical expertise, and patient preferences to individualize care and promote effective care decision-making. The Direct Practice Improvement (DPI) Project focuses on a measurable patient outcome from the perspective of a departmental, local health service, organizational, or community-level need. It is not an individual practice change. All projects will require the use of both a nursing theory and an EBP change model.

For the DPI Project, the theoretical framework is based on nursing theory. The primary purpose of nursing theory is to improve practice by allowing nurses to articulate and translate evidence that justifies methodology for practice change, which in turn may positively impact patient outcomes. The relationship between theory and practice is reciprocal. The practice is the basis for the development of nursing theory, whereas nursing theory must be validated in practice.

An EBP change model guides nurses in translating existing research into practice by using a systematic approach to implement the best evidence into clinical practice. Change models also aid in the sustainability of an EBP change. Evidence-based practice change models come from a variety of sources. Examples of models for EBP are the Johns-Hopkins nursing evidence-based practice model, the Stetler model, and the Iowa model of evidence-based practice to promote quality care. Other models are based on business management, examples include Kotter’s 8-step change model, Kurt Lewin’s change model, and Plan-Do-Study-Act (PDSA). Although there are many models to choose from, the DPI Project requires an appropriate linkage of the nursing theory to the appropriate change model for your DPI Project.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

· Use the “Connecting Nursing Theory and Evidence-Based Change Models” template, located in the DC Network under the “DNP-815 or DNP-815A” folders, to complete this assignment.

· This assignment requires that at least four peer-reviewed scholarly articles published in the past 5 years related to this topic, and at least one in-text citation from each seminal (original/empirical) nursing theory and evidence-based change model

· Doctoral learners are required to use APA style for their writing assignments.

· 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 LopesWrite. 

Directions:

This section identifies and describes the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project.

Following the “Connecting Nursing Theory and Evidence-Based Change Models” template, the following sections are required to be completed substantively:

Write a paper (1,500-2000 words) discussing the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project. Refer to the “Connecting Nursing Theory and Evidence-Based Change Models” template to complete this section.

Resources

Book: Philosophies and Theories for Advanced Nursing Practice. Read Chapter 5 in Philosophies and Theories for Advanced Nursing Practice.

Book: A Theoretical Model of Spousal Caregiving Postintensive Care. Read: Burns, M. E. (2019). A theoretical model of spousal caregiving postintensive care. Nursing Science Quarterly, 32(2), 120-126. https://doi.org/10.1177/0894318419826230

Book: A Proposed Middle-Range Theory of Nursing in Hypertension Care. Read: Drevenhorn, E. (2018). A proposed middle-range theory of nursing in hypertension care. International Journal of Hypertens, 2018, 1–11. https://doi.org/10.1155/2018/2858253

Book: Middle Range Theories. Read: Liehr, P., & Smith, M. J. (2017). Middle range theories. In J. Fitzpatrick (Ed.), Encyclopedia of Nursing Research (4th ed.). Springer Publishing Company. Credo Reference.

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Connecting Nursing Theory and Evidence-based Change Models

Submitted by

Insert Your Full Legal Name (No Titles, Degrees, or Academic Credentials) Comment by Author: For example: Jane Elizabeth Smith

Equal Spacing Comment by Author: Delete yellow highlighted “Helps” as project develops.

~2.0” – 2.5”

Grand Canyon University

Phoenix, Arizona

2

[Insert Current Date

Provide a brief overview of what this paper will outline. Tell the reader about the project and what they will be reading about. Have a transition statement that introduces the next section of the paper. Please keep the heading the same as outlined in this template.

In three to five sentences, introduce this section.

Nursing Theory

Start with an introduction to the nursing theory.

Theory (Use name). This section identifies and describes the chosen nursing theory and the steps/factors that are included in the theory. Connect those steps/factors and describe how they are being used, implemented, and/or supported in the project. This section identifies and describes the seminal source (original/empirical) for the nursing theory.

Clinical Question. This section discusses how the clinical question aligns with the respective nursing theory. Please use the following format for your clinical question based from your PICOT question:

To what degree does the implementation of _______________ (intervention) impacts __________________ (what) when compared to _____________ among _____________ (population) patients in a ______ (setting) in _______ (state)?

Synthesis of Theory. This section synthesizes how the nursing theory has been applied in at least three other evidence-based articles, research, or peer-reviewed projects.

Summary

Please provide a summary of the section and a transition into the next.

Start with an introduction to the change model.

Change Model (Use name).

This section identifies and describes the chosen change model and the steps/factors that are included in the model. Connect those steps/factors and describe how they are being used, implemented, and/or supported in the project. This section identifies and describes the seminal source for the change model

Clinical Question. This section discusses how the clinical question aligns with the respective change model.

Synthesis of Evidence-based Change Model. This section synthesizes how the change model has been applied in at least three other evidence-based articles, research, or peer-reviewed projects.

Summary

Please provide a summary of the section and a transition into the next.

The first sentence or two outlines the problem; why is this being addressed? Do not make statements that require a citation. The second statement discusses the gap at the site and the evidence found. Therefore, the purpose of this quantitative quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to current practice among ___________(population) in a ________ (setting i.e.: primary care clinic, ER, OR) in ________ (state) over four-weeks.

Conclusion

This section links the chosen nursing theory and evidence-based change model to the DPI projects purpose. Provide supporting evidence of why the nursing theory and evidence-based change model support the purpose of the DPI project. How does the nursing theory support the change model, how the change model supports the nursing theory, and how both support the purpose of the project. Prove no less than three examples.and how they identifies the theory or model upon which the project is built.

References



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