Discuss why the change is necessary (EBP support/ROL).

Evidence-based practice is a framework used by nurses and other healthcare professionals to deliver optimal health care through the integration of best current evidence, clinical expertise, and patient/family values (QSEN, 2015).
The inclusion of evidence-based practice in nursing has allowed for an increase in collegial discussion among nurses and physicians. Nurses are no longer the task doers for physicians; we are practitioners of nursing care and what we do, we do because we know it is the best for those in our care. Defining nursing as its own profession is still a constant battle, but our armor and our defense is research. The ability to read research, know its strength, and translate its meaning allows nurses to advocate even more strongly for our best practices. Once you are in the habit of reading and translating research, you can then begin to enact experiments. These experiments may be evidence-based practice studies, original research, or even quality projects. Many times, when working at the bedside, nurses begin with quality projects on the basis of evidence-based best practices.
Quality studies are the most relatable studies that many nurses are involved in almost daily. Through experiencing these studies and relating them to research, you can grow in your ethical knowledge as well as knowledge into evidence-based practice and nursing research.
This module addresses the following AACN MSN Essentials:
AACN MSN Essential II: Organizational and Systems Leadership
AACN MSN Essential III: Quality Improvement and Safety
AACN MSN Essential IV: Translating and Integrating Scholarship into Practice
Required Reading & Resources
Chapters 2, 3, & 4 in Scott, B & Thompson, M. (Eds). (2019). Transitioning from RN to MSN: principles of professional role development. New York, NY: Springer Publishing Company.
American Sentinel University (2019). Building Research Skills for Success.
Recommended Reading & Resources:
Agency for Healthcare Research and Quality. (2016). The six domains of health care quality.
https://www.ahrq.gov/talkingquality/measures/six-domains.html for Healthcare Research and Quality [AHRQ] (2015). Patient safety indicators.
Agency for Healthcare Research and Quality. (2017). Patient safety primer: High reliability.
American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. https://psnet.ahrq.gov/primer/high-reliability
American Nurses Association. (2014). Nursing informatics: Scope and standards of practice (2nd ed.). Washington, DC: Author. https://www.aacnnursing.org/AACN-Essentials
Department of Health and Human Services. (2017). The Belmont Report: Ethical principles and guidelines for the protection of human subjects of research. https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34–38. doi:10.7748/nr.21.6.34.e1252
Institute for Health Care Improvement (IHI). Develop a culture of safety.
The Joint Commission National Patient Safety Goals 2020
Quality and Safety Education for Nurses
Transforming Health Through Information Technology. (2017). The evolution of TIGER competencies and informatics resources. https://www.himss.org/resources/evolution-tiger-competencies-and-informatics-resources
Wamsley, L. (2017). Utah nurse arrested for doing her job reaches $500,000 settlement [blog post]. National Public Radio.
Instructions:
1. Topic Proposal: Provide a brief introductory paragraph of your proposed topic for a hypothetical Quality Improvement and Safety EBP change project and a brief review of the planned change.
Note: You will NOT be implementing or completely planning out a change project in this course. You will be completing a basic introduction and planning for a hypothetical Quality Improvement and Safety EBP change project topic so that you begin learning the process before progressing on to your specialization courses. You will fully develop a change project plan in your Capstone course N555, so this assignment could potentially, but not necessarily, be a start to that process.
2. Discuss why the change is necessary (EBP support/ROL). Consider health policy and advocacy and discuss why this proposed change is necessary. Consider support such as metrics, organizational issues and patient safety issues. Include at least three (3) scholarly resources from the literature that would support this change.
3. Theory: Select an applicable change theory, nursing theory, or non-nursing theory and provide an overview of the major components. Outline the components of the theory as they relate to your specific project idea. You may create a table, graph or chart.
4. Potential Obstacles, Barriers & Challenges: Consider at least two potential obstacles, barriers and challenges for the hypothetical project. Identify how these issues could be addressed or avoided.
5. Ethical Considerations: Discuss how you would apply at least two ethical principles such as beneficence, justice, and respect for the hypothetical change project.
6. Legal Considerations: Discuss how you would apply at least two legal concepts and considerations for the hypothetical change project.
7. Cultural Competency: Discuss at least two cultural considerations for the hypothetical change project.
8. Expected outcomes: Discuss the anticipated measurable outcomes for the hypothetical change project. Explain how the outcomes would be measured.
9. Self-reflection: Discuss your learning experience for this project plan. How would the MSN influence your ability to make this change? Would you implement this project if it were possible?

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