Journal Entry week one

  Journal Entries • Include references immediately follow the content. • Use APA style for your journal entry and references. Week 1 Journal needs to include: Week one: Contacted my preceptor to go over syllabus and set up times to meet. Preceptor gave me suggestions on my research project Evidenced based practice project on falls in an acute care setting. Preceptor encouraged me to do a project that is dear to me and what policy or procedure, I would to see a change. Discussed week one objectives. Discussed PICO question (Please find a scholarly article with meeting with your DNP preceptor and reference it) Week one objectives listed below NURS 8410 Practicum Journal Journal Entries • Include references immediately follow the content. • Use APA style for your journal entry and references. Week 1 Journal needs to include: Week one: Contacted my preceptor to go over syllabus and set up times to meet. Preceptor gave me suggestions on my research project Evidenced based practice project on falls in an acute care setting. Preceptor encouraged me to do a project that is dear to me and what policy or procedure, I would to see a change. Discussed week one objectives. Discussed PICO question (Please find a scholarly article with meeting with your DNP preceptor and reference it) Week one objectives listed below. Learning Objectives • Formulate a EBP Project question incorporating theory, knowledge, research, reasoning, and nursing practice • Assess areas for professional growth within the practicum experience Week 1: Developing a Focus in Your Specialty Area As a nurse and a doctoral student, you have already developed a set of skills and the expertise that have enabled you to contribute to the nursing profession and to those you serve. Yet, your call to advanced practice warrants a deeper understanding of issues and approaches, particularly in your area of specialty practice. To practice at the highest level, you must be able to analyze a health care problem using reasoning, theory, research, and experience. As you move forward in this course, you will create an Evidence-Based Practice (EBP) Project, in which you will evaluate the scientific foundations of a health care issue in your specialty area, apply effective practices, identify and evaluate outcomes, and develop new practice guidelines. This week, you will become familiar with the requirements of the EBP Project, which will be completed as part of your practicum experience. To help you prepare for your practicum, this week you reflect on your own potential for professional growth and create learning objectives to guide your experience. The EBP Project must be completed during this practicum experience and is not the same as your DNP project that you are developing with the guidance of your DNP faculty chair and committee in the mentoring course. Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. • Chapter 2, “Developing the Researchable Problem” American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdf Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52. Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53. Note: You will access this article from the Walden Library databases. Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. Note: You will access this article from the Walden Library databases. Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186. Note: You will access this article from the Walden Library databases. Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/ Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available at http://ojni.org/issues/?p=2860 Document: Clinical Time Log and Journal (Word document) Document: Literature Review Matrix (Word document) Document: NURS 8410 Practicum Journal Template (Word document) ________________________________________ Discussion: Developing an Evidence-Based Practice (EBP) Project Question Consider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession? The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. Think about aspects of your specialty area, and begin to formulate a question that relates to your nursing practice Development of the PICO Question Population: Adult Inpatients in Long Term Care Setting Interventions: Identification of high-risk patients, doing safety rounds, provision of safety companions and keeping patients engaged. Comparison: Evaluation of incident reports before and after implementation of the interventions to monitor the change in cases of falls. Outcome: A reduction in the number of falls reported within the acute care settings. PICO Question: What are the recommended practices towards reducing patient falls for adult inpatients in acute care settings in hospitals? Possible Question To develop the research project, some of the underlying questions that I would like to seek answers for include: 1. Should the project be based on a particular care setting or should I look into acute care settings in general? 2. What if the research does not produce the anticipated results or does not align to the findings of the previous researchers as depicted in the literature review? Does that invalidate the findings? References Currie, L. (2014). Chapter 10: Fall Prevention and Injury Prevention. In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., Shier, V., Saliba, D., Spector, W. & Ganz, D.A. (2013). Hospital fall Prevention: A Systematic Review of Implementation, Components, Adherence and Effectiveness. The American Geriatrics Society. Vol. 61(4): 483-494. McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52 Spiva, E.L. (2018). The Effectiveness of Team Training on Fall Prevention. Virginia. Toren, O. & Lipschuetz, M. (2017). Falls Prevention in Hospitals- the need for a New Approach. An integrative Article. Nursing & Care Open Access Journal. 2(3): 93-96.