NR 500 NP Week 6 Area of Interest

NR 500 NP Week 6 Area of Interest

NR 500 NP Week 6 Area of Interest

NR 500 Week 5 Area of Interest PowerPoint Presentation

AREA OF INTEREST

Education Specialty Track

NR 500

Chamberlain University

June 2019

INTRODUCTION

What is Evidence Base Practice (EBP) ?

EBP Conceptual Model 

Area of Interest: Education Specialty Track 

Clinical Nurse Preceptor 

Recommendation For Change

Influencing Change

AACN Master’s Essentials 

Conclusion

References

My introduction to my presentation includes:

What is EBP,  and why is it important for Masters prepared nurses to conduct  EBP.

John Hopkins Nursing Evidence-based practice Model  as EBP conceptual model. I will further explain using a diagram.

Specialty track in education and the rationale behind choosing it. 

Specific area of interest diving into the importance of clinical nurse preceptor training.

Current issue of lack of health care access, lack of funds and lack of education.

NR 500 Week 5 Area of Interest PowerPoint Presentation

Recommendations for change in methods of clinical nurse preceptor training.

How to create and influence change in learning retention.

AACN Master’s essential to a Nurse Educator

Conclusion

References

2

Importance of Master’s – Prepared Nurse in EBP Projects

Why is EBP projects important?

– Improves quality of nursing practice

– Improve patient outcomes

EBP in Master’s prepared nurse Education

Nursing research as a foundation

Lead to create positive change

NR 500 Week 5 Area of Interest PowerPoint Presentation

What is Evidence Based Practice? Evidence-based practice is an integral approach designed to provide nursing care. It integrates the best available evidence to guide nursing care and improve patient outcomes.

Why is Evidence Based Practice important? Evidenced Based Practiced helps to improve quality of practice, improves patient outcomes, and increases nurse satisfaction.  Nurses can improve current care by translating evidence-based research (EBR) findings into practice (Limoges, Acorn, & Osborne , 2015). EBP also improves quality of nursing care and also provide nurses with skills and knowledge to competently care for patients and to ensure best possible patient care is produced for positive outcomes  (Farokhzadian, Khajouei, & Ahmadian, 2015).

What is the Importance of Masters prepared nurses conducting EBP?   For the profession of nursing to continue to advance nursing practice, the use of research must be the foundation of comprehensive, evidence based clinical practice. By using EBP in education, specifically in preceptorship training,  critical thinking and using evidence-based inquiry leads to practice changes, quality improvements, delivery of care, and overall patient satisfaction. 

3

Conceptual Model:
John Hopkins EBP Model

According to Loversidge (2016), evidence-based models  is to addresses any clinical and health policy problems that  may arise in the nursing profession. It is guided by translating research into practice to improved patient outcomes, quality care, and patient satisfaction 

NR 500 Week 5 Area of Interest PowerPoint Presentation

The Johns Hopkins EBP model  is designed to meet the needs of the practicing nurse.  It uses a three-step process called PET: practice question, evidence, and translation. The goal of the model is to ensure that the latest research findings and best practices are quickly and appropriately incorporated into patient care (“Center of Evidenced based practice”, 2017)

Explanation of the model – It begins with an inquiry, in which an individual or team seek to identify whether current practice reflects the best evidence for a specific problem, patient, or population. The second step looks at the on going cycle of inquiry, practice, and learning.  The few steps in this process which begins with a practice question; this involves gathering team members, formulating, and refining EBP question. The second step looks at searching for evidence, evaluating the quality of evidence and developing practice recommendations. The final stage is translation, this involves planning, implementation, evaluation and concludes the end result, which leads to best practice and implementation or practice improvements. 

Explanation of PET process – The PET process is a systematic approach to solving clinical questions, finding best published evidence, and translating the data into practice.  Using this process means that new insight and knowledge into the subject is being produced and if the collected data supports a practice change, evidence translation is completed to a change in practice (Dang & Dearholt, 2018).

4

Area of Interest

Facilitate learning development

Emphasis in nursing education and research

Serve as a role model and mentor for nurse colleagues, students, and patients

SPECIATY TRACK

NR 500 Week 5 Area of Interest PowerPoint Presentation

I have chosen the nurse educator role for my specialty program track.  Learning is an ongoing process and a master’s in nursing education will guide me in learning instructional methods, program assessment and evaluation, and curriculum development. Nurse educators play a key role in the development of nursing students by teaching them critical thinking skills and clinical skill sets.   A clinical nurse educator teaches nurses most up to date education on skills, procedures, treatment and protocols.  They bring knowledge, skills and a deep understanding of contemporary nursing practice (Adelman-Mullally, Mulder, McCarter-Spalding, Hagler, Gaberson, Hanner,  & Young, 2013).

5

Clinical Nurse Preceptor

Preceptorship is an effective teaching and learning model

Serve as a role model and mentor for patient safety

Preceptors inspires learning

A clinical nurse preceptor can be an effective medium for teaching and learning.  They help bring out a different mode of thinking or response from the preceptee by engaging them with questions about nursing routines and different clinical situations.  A preceptor engages students or preceptees focused on the plan of care, interventions and keeping them on track which promotes safety.   Also,  preceptors guide preceptees where to obtain sources  of evidence- based guidelines (Lim, Weiss & Herrera-Capoziello, 2016).

6

Recommendation For Change

Need for retention of graduate clinical preceptors

Develop clear cut roles and responsibilities of clinical preceptors 

Lack of ongoing social support

NR 500 Week 5 Area of Interest PowerPoint Presentation

Need for intra-professional collaboration among nursing faculty, administrators, and clinicians to facilitate the recruitment, cultivation, and retention of graduate clinical preceptors to meet the demand of increasing enrollments of graduate nursing students and emerging new graduate programs like Master of Science in Nursing, and Doctor of Nursing Practice (Donley, Flaherty, Sarsfield, Burkhard, O’Brien, & Anderson, 2014). 

In addition,  clinical preceptors lacks the opportunities to share experiences, have no means to network with other preceptors.  These interaction among other preceptors help support one another, have a way to share  experiences, reduce stress, boost confidence, and be able to improve professional practices (Goldman & Cojocaru, 2017).

7

Influencing Change

Internal Factors

Use of preceptor training  modules and developing specific preceptor classes 

Effective communication abilities

External Factors 

Collaboration with the advanced practice nurses within health agencies, nursing faculty, administrators, and clinicians 

Support though benefits, rewards, support and role commitment.

I will be providing factors that might influence the recommended change and Identify  two internal factors and two external factors  that have the potential to influence the change.

The use of preceptorship is widely used and the in the clinical education is important in developing an effective teaching-learning environment. The use of online preceptor training program modules is studied in an article by Easton, O’Donnell, Morrison, & Lutz, (2017).  It was used as an adjunct for continuing professional development including giving importance in debriefing and communication between preceptors and students. 

NR 500 Week 5 Area of Interest PowerPoint Presentation

Developing class to enhance the preceptor role.  Education for preceptors in a classroom setting, presented by a clinical  educator, to explain to role the role of the preceptor, go over learning styles, endorse growth and development of new staff,  learn to evaluate competency assessment, and critical thinking (Sanford, Tipton,  2016).

The need for collaboration not only with the Schools of nursing but also with health agencies to encouraged an organized formal preceptor orientation.  Also to develop support by  recognition programs, improve opportunities for promotion or advancement within their organization  (Donley, Flaherty, Sarsfield, Burkhard, O’Brien, & Anderson, 2014).

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AACN Master’s Education in Nursing Essential III

Implement evidence-based plans on trend analysis and quantify the impact on quality and safety.

Promote a professional environment that includes accountability and high-level communication skills when involved in peer review, advocacy for patients and families, reporting of errors, and professional writing.

Direct quality improvement methods to promote culturally responsive, safe, timely, effective, equitable, and patient-centered care. 

                                                           (AACN, 2011)

I will discuss how the ACCN Master’s Essentials III and IX apply to the nurse educator role.   Obtaining a Master’s education, “equips nurses with valuable knowledge and skills to lead change, promote health, and elevate care in various roles and settings” (AACN, 2011)”

9

NR 500 Week 5 Area of Interest PowerPoint Presentation

AACN Master’s Education in Nursing Essential IX

Use of information and communication technologies to advance patient education, enhance accessibility of care and improve over all health care outcomes.

Use leadership skills to teach, coach, and mentor other members of the healthcare team.

Apply learning, and teaching principles to the design, implementation, and evaluation of health education programs in a variety of settings

(AACN, 2011)

10

Conclusion

EBP is important in obtaining the best practice to solve problems using research studies. 

Education specialty track to provide education to future and current nurses using clinical and academic strategies.  

A  nurse clinical preceptor, valuable teaching and learning experiences and to role model safe patient care using evidence-based practice can be achieved. 

There are some hurdles that can be presented as a clinical preceptor.

 Using EBP, learning and change in practice can occur. 

The Essentials of master’s education in nursing practice provides guidelines for the nurse educator to incorporate into practice.  

11

NR 500 Week 5 Area of Interest PowerPoint Presentation

References

Adelman-Mullally, T., Mulder, C. K., McCarter-Spalding, D. E., Hagler, D. A., Gaberson, K. B., Hanner, M. B., & Young, P. K. (2013). The clinical nurse educator as leader. Nurse Education In Practice, 13(1), 29-34. doi:10.1016/j.nepr.2012.07.006

Conley, S. R., Flaherty, S. M. J., Sarsfield, E., Burkhard, A., O’Brien, S., & Anderson, K. M. (2014). Graduate Clinical Nurse Preceptors: Implications for Improved Intra-Professional Collaboration. Online Journal of Issues in Nursing, 19(3), 1. https://doi-org.chamberlainuniversity.idm.oclc.org/10.3912/OJIN.Vol198No03PPT01

Dang, D., & Dearholt, S. (2017). Johns Hopkins nursing evidence-based practice: model and guidelines. 3rd ed. Indianapolis, IN: Sigma Theta Tau International.

Easton, A., O’Donnell, J. M., Morrison, S., & Lutz, C. (2017). Development of an Online, Evidence-Based CRNA Preceptor Training Tutorial (CPiTT): A Quality Improvement Project. AANA Journal, 85(5), 331–339. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=125553518&site=ehost-live

Farokhzadian, J., Khajouei, R., & Ahmadian, L. (2015). Evaluating factors associated with implementing evidence-based practice in nursing. Journal Of Evaluation In Clinical Practice, 21(6), 1107-1113. doi:10.1111/jep.12480

Goldman, I., & Cojocaru, S. (2017). The Need for Social Support among Nursing Preceptors. Social Research Reports, 9(1), 7–21. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=sih&AN=129832160&site=ehost-live

Sanford, P. G., & Tipton, P. H. (2016). Is nursing preceptor behavior changed by attending a preceptor class? Proceedings (Baylor University. Medical Center), 29(3), 277–279. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=27365870&site=ehost-live

Lim, F., Weiss, K. A., & Herrera-Capoziello, I. (2016). Preceptor education: Focusing on quality and safety education for nurses. American Nurse Today, 11(1), 44–47. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=112468162&site=ehost-live

Limoges, J., Acorn, S., & Osborne, M. (2015). The scholarship of application: Recognizing and promoting nurses ’ contribution to knoledge development, 46(2). https://doi.org/10.3928/00220124-20151217-02

Loversidge, J. M. (2016). An evidence-informed health policy model: Adapting evidence-based practice for nursing education and regulation. Journal of Nursing Regulation, 7(2), 27–33. 

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NR 500 NP Week 6 Area of Interest

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NR 500 NP Week 6 Area of Interest

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