DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
To Prepare:
• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.
Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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LEARNING RESOURCES
Required Readings
• Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
o Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)
o Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427) DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
o Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)
• Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice changeLinks to an external site.. American Journal of Nursing, 111(3), 54-60.
• Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practiceLinks to an external site. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f
• Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a
• Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
• Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

 

 

WEEK 4 ASSIGNMENT – PRICING STRATEGY

WEEK 4 ASSIGNMENT – PRICING STRATEGY

OVERVIEW

Imagine that you work for a pricing strategy consulting business. Select a business to be your next client. Think of a scenario that would result in your client seeking advice from your consulting business. You will use this same business or client for the Week 10 assignment: Pricing Strategies and Decisions. WEEK 4 ASSIGNMENT – PRICING STRATEGY

INSTRUCTIONS

Develop a 2–4 page report about your client for your boss that includes the following components:

Company Description.

Describe the company, the products it makes or services it provides, and the problems or issues that the company is facing related to its pricing strategy.

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Pricing Strategies.

Evaluate the pricing strategies relative to the product life cycle for your client’s three top-selling products.

Summarize the critical factors (for example, technology, regulation, market information, and consumer preferences) that affect your client’s pricing decisions.

Describe the impact value has on the company’s pricing strategy and profitability, and the importance of market segmentation.

Determine the effectiveness or ineffectiveness of your client’s price and value communication strategies. WEEK 4 ASSIGNMENT – PRICING STRATEGY

References.

Use three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

Check with your professor for any additional instructions

The specific course learning outcome associated with this assignment is:

Assess the pricing strategy of a given company.

Requirements: 2-4pages. WEEK 4 ASSIGNMENT – PRICING STRATEGY

Discussion: Does Psychotherapy Have a Biological Basis?

Many studies have found that psychotherapy is as effective as  psychopharmacology in terms of influencing changes in behaviors,  symptoms of anxiety, and changes in mental state. Changes influenced by  psychopharmacology can be explained by the biological basis of  treatments. But how does psychotherapy achieve these changes? Does  psychotherapy share common neuronal pathways with psychopharmacology?  For this Discussion, consider whether psychotherapy also has a  biological basis.  Discussion: Does Psychotherapy Have a Biological Basis?

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Post an explanation of whether psychotherapy has a  biological basis.

Explain how culture, religion, and socioeconomics  might influence one’s perspective of the value of psychotherapy  treatments.

Support your rationale with evidence-based literature.

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

• Standard 1 “Assessment” (pages 44 & 45)

Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

• Chapter 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52) Discussion: Does Psychotherapy Have a Biological Basis?

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

 

Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006 

 

Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001

Document: Practicum Journal Template (Word document)

 

Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Document: NP Student Clinical Orientation (PowerPoint file)

Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=7356923

 

Required Media

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author. Discussion: Does Psychotherapy Have a Biological Basis?

Note: The approximate length of this media piece is 2 minutes.

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Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_6640_Week1_Discussion_Rubric

• Grid View
• List View

	Outstanding Performance		Excellent Performance	Competent Performance	Proficient Performance	Room for Improvement
Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.	Points Range: 44 (44%) – 44 (44%) Thoroughly responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. Discussion: Does Psychotherapy Have a Biological Basis? supported by at least 3 current, credible sources		Points Range: 40 (40%) – 43 (43%) Responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 75% of post has exceptional depth and breadth supported by at least 3 credible references	Points Range: 35 (35%) – 39 (39%) Responds to most of the discussion question(s) is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of post has exceptional depth and breadth supported by at least 3 credible references	Points Range: 31 (31%) – 34 (34%) Responds to some of the discussion question(s) one to two criteria are not addressed or are superficially addressed is somewhat lacking reflection and critical analysis and synthesis somewhat represents knowledge gained from the course readings for the module. post is cited with fewer than 2 credible references	Points Range: 0 (0%) – 30 (30%) Does not respond to the discussion question(s) lacks depth or superficially addresses criteria lacks reflection and critical analysis and synthesis does not represent knowledge gained from the course readings for the module. contains only 1 or no credible references
Main Posting: Writing	Points Range: 6 (6%) – 6 (6%) Written clearly and concisely Contains no grammatical or spelling errors Fully adheres to current APA manual writing rules and style		Points Range: 5.5 (5.5%) – 5.5 (5.5%) Written clearly and concisely May contain one or no grammatical or spelling error Adheres to current APA manual writing rules and style	Points Range: 5 (5%) – 5 (5%) Written concisely May contain one to two grammatical or spelling error Adheres to current APA manual writing rules and style	Points Range: 4.5 (4.5%) – 4.5 (4.5%) Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors	Points Range: 0 (0%) – 4 (4%) Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style
Main Posting: Timely and full participation	Points Range: 10 (10%) – 10 (10%) Meets requirements for timely and full participation posts main discussion by due date		Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) Does not meet requirement for full participation
First Response: Post to colleague’s main post that is reflective and justified with credible sources.	Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives		Points Range: 8.5 (8.5%) – 8.5 (8.5%) Response exhibits critical thinking and application to practice settings	Points Range: 7.5 (7.5%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting	Points Range: 6.5 (6.5%) – 7 (7%) Response is on topic, may have some depth	Points Range: 0 (0%) – 6 (6%) Response may not be on topic, lacks depth
First Response: Writing	Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English		Points Range: 5.5 (5.5%) – 5.5 (5.5%) Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English	Points Range: 4.5 (4.5%) – 4.5 (4.5%) Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited	Points Range: 0 (0%) – 4 (4%) Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited
First Response: Timely and full participation	Points Range: 5 (5%) – 5 (5%) Meets requirements for timely and full participation posts by due date		Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) Does not meet requirement for full participation
Second Response: Post to colleague’s main post that is reflective and justified with credible sources.	Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives		Points Range: 8.5 (8.5%) – 8.5 (8.5%) Response exhibits critical thinking and application to practice settings	Points Range: 7.5 (7.5%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting	Points Range: 6.5 (6.5%) – 7 (7%) Response is on topic, may have some depth	Points Range: 0 (0%) – 6 (6%) Response may not be on topic, lacks depth
Second Response: Writing	Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English		Points Range: 5.5 (5.5%) – 5.5 (5.5%) Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English	Points Range: 4.5 (4.5%) – 4.5 (4.5%) Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited	Points Range: 0 (0%) – 4 (4%) Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited
Second Response: Timely and full participation	Points Range: 5 (5%) – 5 (5%) Meets requirements for timely and full participation Posts by due date. Discussion: Does Psychotherapy Have a Biological Basis?		Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) NA	Points Range: 0 (0%) – 0 (0%) Does not meet requirement for full participation
Total Points: 100

 

Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

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An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology