NR716 2021 October Discussions Latest (Full)

NR716 Analytic Methods

Week 1 Discussion

The Evidence-Based Intervention

Purpose

The purpose of this discussion is to demonstrate your understanding of the evidence-based intervention in a quantitative research study as the intervention in a practice change project. As you work to find solutions to a practice problem, the evidence-based intervention is found through the critical review and appraisal of quantitative research.

Instructions

As a DNP student, you are searching for an evidence-based intervention to translate into practice. Using the practice problem, you selected in NR715, continue your search and appraisal of evidence by analyzing one quantitative research study. This research study should not be one that was used in NR715.

Appraise the quantitative research study using the Johns Hopkins Research Appraisal Tool. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool.

Link (Word doc): Johns Hopkins Research Appraisal Tool (Links to an external site.)

Link (Word doc): Johns Hopkins Individual Evidence Summary Tool (Links to an external site.)

Include your completed Johns Hopkins Individual Evidence Summary Tool and permalink to the selected research study.

Analyze the evidence summary tool of the research study to address the following in the discussion:

Identify the outcomes specific to the intervention measured by the research team.

Considering implementation fidelity, identify the steps you would take to translate/ implement this intervention in a practice setting.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (POs 1, 3, 5, 7, 9)

Formulate an emerging practice question focusing on the evidence-based intervention to influence practice outcomes. (POs 1, 3, 4, 5, 6, 7, 9)

 

 

 

NR716 Analytic Methods

Week 2 Discussion

Synthesis

Purpose????

The purpose of this discussion is to demonstrate your understanding of a synthesis.

Instructions

Select one of the following options for your initial discussion post. Using the two research studies you appraised in NR715 and the one study you identified in Week 1 for the selected practice problem, write one paragraph where you apply the concepts of a synthesis.

Option 1: Use a synthesis of research study evidence and non-research evidence to introduce the practice problem.

Option 2: Use a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem that include the significance, mortality, and economic ramifications of the problem.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes????

This?discussion?enables the student to meet the following course outcomes:

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (POs 1, 3, 5, 7, 9)

Synthesize research study evidence and non-research evidence relevant to practice problems and a practice question. (POs 1, 3, 5, 9)

 

NR716 Analytic Methods

Week 3 Discussion

The Practice Question

Purpose

The purpose of this discussion is to demonstrate your understanding of the practice question in a practice change project.

Instructions

Using your selected practice problem, the appraised quantitative research study used in Week 1, and the evidence-based intervention from the Week 1 research study, write a one-sentence practice question.

Use the format tool (PICOT), Johns Hopkins Individual Evidence Summary Tool, and the quantitative research study used in Week 1 to determine if your practice question is feasible in a practice setting.

Identify the evidence-based intervention from the study.

Identify the specific patient population who would benefit from this intervention in a practice setting.

Identify the outcomes specific to the evidence-based intervention.

Describe all biophysiological measures, any surveys or questionnaires, and the timing the outcomes were measured. As an example, were the outcomes measured every other week?

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (POs 1, 3, 5, 7, 9)

Formulate an emerging practice question focusing on the evidence-based intervention to influence practice outcomes. (POs 1, 3, 4, 5, 6, 7, 9)

 

NR716 Analytic Methods

Week 4 Discussion

Translation Science Theories and Models

Purpose

The purpose of this discussion is to provide you an opportunity to examine the applicability of translation science theories and models to all phases of a practice change project with an emphasis on sustainability of the evidence-based intervention beyond implementation.

Instructions

Reflect on your practice problem as you consider possible solutions and address the following:

Select one of the four translation science theories or models introduced in this week’s lesson. These include Diffusion of Innovation, Knowledge-to-Action, i-PARIHS, and Normalization Process Theory.

Determine one sustainability strategy found in your selected translation science theory or model. Describe how the specific sustainability strategy you selected supports sustainability of the evidence-based intervention beyond the implementation phase of a practice change project.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Justify the use of translation science theory when designing, implementing, and evaluating a practice change project. (POs 3, 4, 5, 6, 8, 9)

 

NR716 Analytic Methods

Week 5 Discussion

Analyzing Descriptive Statistics

Purpose

The purpose of this discussion is for you to demonstrate an understanding of the DNP-prepared nurse’s role in the work of both appraising statistical tests in quantitative research studies and application of statistical tests to a practice change project.

Instructions

Consider the following scenario:

As a DNP-prepared nurse working in a rural clinic, you have a large population of patients with type 2 diabetes whose HbA1c levels are greater than 7% and body mass index (BMI) is over 30. You design a 9-month practice change project to impact these values.

Based on an exhaustive search and appraisal of research studies, you select an evidence-based intervention—diabetic self-management education (DSME)—to translate to your local rural clinic.

The evidence-based intervention includes exercise, healthy eating, and understanding the importance of regular blood glucose monitoring.

Before implementing the intervention, you retrieve aggregate data from 3, 6, and 9 months from medical records prior to the intervention being implemented. Data included HbA1c levels, BMIs, and numbers of patients with uncontrolled HbA1c. You also collected demographic data.

You collect the same data at 3, 6, and 9 months after implementation of the evidence-based intervention (DSME).

Pre-implementation and post-implementation data include the following.

Patient	Column A HbA1c Pre-implementation	Column B HbA1c > 7	Column C HbA1c Post-implementation	Column D HbA1c > 7
1	7.4	Y	6.9	N
2	7.8	Y	7.1	Y
3	7.1	Y	6.7	N
4	6.8	N	6.4	N
5	7.4	Y	6.8	N
6	7.8	Y	7.7	Y
7	7.8	Y	7.4	Y
8	8.2	Y	8	Y
9	7.5	Y	6.7	N
10	11.8	Y	11.3	Y

 

As a DNP-prepared nurse, you will analyze descriptive statistics, such as measures of central tendency and variability, to describe outcomes of a practice change project. Reflect upon this scenario and the data presented. What conclusions would you make at the end of this practice change project? What recommendations would you make to stakeholders for continuing the diabetes self-management education (DSME) program based on these results?

In order to respond to this discussion question, you will first need to complete the following calculations and consider responses to your analysis of the descriptive statistics.

Perform the following calculations:

Based on the data set provided, calculate the average percentage of patients with uncontrolled diabetes (HbA1c>7) both pre-implementation and post-implementation.

Next, calculate the mean pre-implementation and post-implementation HbA1c values for patients involved in this practice change project.

Now calculate the pre-implementation and post-implementation median score of HbA1c levels.

Next, calculate the pre-implementation and post-implementation standard deviation of HbA1c levels of patients involved in the practice change project. The standard deviation will determine the spread of increase or decrease in HbA1c levels.

Finally, calculate the pre-implementation and post-implementation range of HbA1c levels. If no outliers exist, the range will determine how close together HbA1c levels are in the patients involved.

Based on your analysis of the descriptive statistics, what determinations related to the mean HbA1c levels following implementation of the evidence-based intervention can be made?

As you reflect upon HbA1c levels, you observe that patient #10 HbA1c levels are an outlier. What does this do to your understanding of the data?

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external s

Course Outcomes

This discussion enables the student to meet the following course outcome(s):

Evaluate selected statistical methods for the purposes of critiquing research to complement the critical appraisal of evidence. (PO 3, 5, 9)

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (PO 1, 3, 5, 7, 9)

 

NR716 Analytic Methods

Week 6 Discussion

Using Non-parametric Statistical Tests

Purpose

The purpose of this discussion is to demonstrate your understanding of the use of non-parametric statistical tests.

Instructions

Select a practice-change problem and, from the literature, an intervention to impact outcomes. Imagine you are attempting to determine if the intervention is more effective than current practice. Explain the various types of non-parametric statistical tests that might be used to analyze the data collected during the implementation of the intervention. Provide a rationale for the use of non-parametric tests for this data set.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes?

This discussion enables the student to meet the following course outcomes:

Evaluate selected statistical methods for the purposes of critiquing research to complement the critical appraisal of evidence. (POs 3, 5, 9)

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (POs 1, 3, 5, 7, 9)

 

NR716 Analytic Methods

Week 7 Discussion

Appraising Systematic Reviews

Purpose??

The purpose of this discussion is to demonstrate your understanding of the review and appraisal of a systematic review that includes systematic review with meta-analysis, or meta-synthesis, and to use skills in the appraisal of research studies in your future role as a DNP-prepared nurse. Importantly, you will review the background and intention of the systematic review research study. As you work to find solutions to practice problems, critical review and appraisal of systematic reviews are required.

Instructions??

Using the practice problem, you selected in NR715, continue your search and appraisal of evidence by analyzing one systematic review research study. This research study should not be one that was used in NR715. Address the following in the discussion:

Appraise the systematic review research study using the Johns Hopkins Research Appraisal Tool. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool.

Analyze the evidence summary tool of the research study to address the following in the discussion:

Determine whether the research design—systematic review, systematic review with meta-analysis, or meta-synthesis —answers the research question. Explain your rationale.

Based on information in the published study, explain if the search was comprehensible and reproducible.

Based on the Johns Hopkins Individual Evidence Summary Tool, determine if there is an evidence-based intervention you might consider for translation to practice in a practice change project. Explain your rationale.

Based on the Johns Hopkins Individual Evidence Summary Tool Column Observable Measures, consider if you would use this systematic review research study as support for your selected practice problem. Explain your rationale.

Include your completed Johns Hopkins Individual Evidence Summary Tool and permalink to the selected research study.?

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes??

This?discussion?enables the student to meet the following course outcomes:??

Evaluate selected statistical methods for the purposes of critiquing research to complement the critical appraisal of evidence. (POs 3, 5, 9)

Analyze research and non-research data for the purposes of critical appraisal and judgment of evidence for translation into practice. (POs 1, 3, 5, 7, 9)

Synthesize high-level research and non-research evidence relevant to practice problems. (POs 1, 3, 5, 9)

 

NR716 Analytic Methods

Week 8 Discussion

Reflection on Learning and Practice Readiness

Purpose

The purpose of this discussion is to reflect on your own readiness to practice as a DNP-prepared nurse, to consider what you learned in this course and how this knowledge will impact your practice.

Instructions

Reflective inquiry allows for the expansion of self-awareness, identification of knowledge gaps, and assessment of learning goals. As you reflect on your own readiness for practice as a DNP-prepared nurse, it is important to consider what you learned in this course.

As you review the course outcomes and your experience in this course, address the following:

Analyze and evaluate how your thinking was challenged in this course related to translation science; summary, analysis, synthesis; and using an evidence-based intervention in a practice change project to address a practice problem.

Considering this new knowledge, examine how this learning prepares you to practice as a DNP-prepared nurse.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion Guidelines (Links to an external site.)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Evaluate selected statistical methods for the purposes of critiquing the research to complement the critical appraisal of evidence. (POs 3, 5, 7, 9)

Analyze research and non-research data for the purposes of critical appraisal and judgement of evidence for translation into practice (POs 1, 3, 5, 7, 9)

Justify use of a translation science theory or model when designing, implementing, evaluating, and disseminating findings from a practice change project. (POs 1, 4, 5, 8, 9)

Formulate a practice question focusing on the evidence-based intervention to influence practice outcomes. (POs 1, 3, 4, 5, 9)

Synthesize research study evidence and non-research evidence relevant to practice problems and a practice question. (POs 1, 3, 5, 9)

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