Developing and Evaluating New Practice Approaches

Developing and Evaluating New Practice Approaches

One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Project issue – Hypertension in African American Women you identified in Week 2.

To prepare:
Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Project (identified during Week 2).

Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.

What are the theoretical bases for your proposed strategies?

What might be the economic impact of implementing your proposed strategies?
By Day 3, post a cohesive response that addresses the following:
Briefly summarize your selected issue Hypertension in African American Women – and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.

Discuss the potential economic impact of your suggested strategies.

How could the new practice strategies improve health care quality?

Required Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources.


Course Text: Translation of Evidence Into Nursing and Health Care Practice
Chapter 6, “Translation of Evidence for Leadership”

In Chapter 6, Mary Terhaar stresses that without effective leadership, financial accountability and public health cannot be improved. She discusses how the work of translating evidence into practice can be used to connect people with purpose and improve the outcomes for patients, organizations, and communities. She then presents leadership strategies and practices for “nurse leaders” within the context of the language of translation and evidence-based practice.
Article: Bakke, C. K. (2010). Clinical and cost effectiveness of guidelines to prevent intravascular catheter-related infections in patients on hemodialysis. Nephrology Nursing Journal, 37(6), 601-616.
Retrieved from the Walden Library using the Academic Search Complete database.

This article provides an example of how to examine the impact of guidelines on health outcomes. The framework used to guide the study was the Synergy Model, created by the American Association of Critical-Care Nurses (AACN). The author also provides an explanation for how change strategy and leadership were incorporated into the project.
Article: Conway, A., Page, K., Rolley, J. X., & Worrall-Carter, L. (2011). Nurse-administered procedural sedation and analgesia in the cardiac catheter laboratory: An integrative review. International Journal of Nursing Studies, 48(8), 1012-1023.
Retrieved from the Walden Library using the ScienceDirect database.

This article serves as a good example of conducting an analysis of the current evidence to determine best practices or the need for new practice guidelines as well as the economic impact.
Article: Douglas, L., & Berry, S. (2011). Developing clinical guidelines in eye care for intensive care units. Nursing Children & Young People, 23(5), 14-20.
Retrieved from the Walden Library using the Academic Search Complete database.

This article describes the process of implementing evidence-based practice in intensive care units. It provides an example of the successful implementation of new health care practices that improve the quality of patient care. The authors cite that good clinical leadership is indispensable to the success of any change process.
Article: Kelly, M. M., & Penney, E. D. (2011). Collaboration of hospital case managers and home care liaisons when transitioning patients. Professional Case Management, 16(3), 128-136.
Retrieved from the Walden Library using the Ovid database.

In this article, nurse case managers develop guidelines to work with home care liaisons to improve practice. The authors discuss how collaboration and role clarification improved the coordination of care services for patients and families.
Article: Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279-286.
Retrieved from the Walden Library using the ScienceDirect database.

In this article, the author discusses evidence-based practice (EBP) and knowledge transformation and how nursing societies can implement EBP strategies to positively impact the quality of health care.

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