Question description

QUESTION: Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.

RESPONSE 1: My project focused on correctional nursing and inmate health because that is the field I work in. Correctional nurses are often the first health care professional to see an inmate about a medical condition. Correctional nurses must often work closely with corrections officers in situations such as emergencies in the housing units or monitoring inmates for medical attention. These nurses are challenged to provide maximum health care in a setting with a mission and design for security and public safety. Often resources can be limited and creativity is needed. Like I mentioned in my project every new piece of equipment or idea for something new must be approved by corrections. Submission of my research regarding inmate non-compliance with chronic health conditions would benefit the correctional health field. I would most likely attempt to present my project to The Journal of Correctional Health Care. This journal focused on correctional nursing. It features original research, case studies, best practices, literature reviews and more to keep correctional health care professionals informed of important trends and developments. Topics addressed include clinical care, health services and support, personnel and staffing, ethical issues, medical records, quality improvement, risk management and medical-legal issues (Journal of Correctional Health Care, n.d.). I could also present my project at the National Conference on Correctional Health. The conference addresses major health care issues that commonly affect incarcerated individuals, including diabetes, hepatitis, HIV, hypertension, mental illness, oral health and substance abuse. It also addresses new practices for the treatment of major health care issues in order to better manage common medical, nursing, dental and mental health problems found in correctional settings. It is difficult for people to understand issues that we face in correctional nursing unless you have worked in this field before. The population is very diverse and these people often undereducated and are from low-income communities. Finding ways to take care of these individuals in order for them to be successful members of society is always the goal.

Journal of Correctional Health Care. (n.d.). Retrieved from https://www.ncchc.org/journal-of-correctional-heal…

RESPONSE 2:

Last week we wrote about public speaking and sharing our information with others. As you may recall, my subject is on adopting an opiate abuse risk assessment tool into practice for nurses. I cannot think of a better place to share the information that at Pain Week. Pain Week is a national conference, now in its 12^thyear. This year it will be held in Las Vegas in September but has been held at other places as well. Pain Weekendwas held in Scottsdale, Arizona this past March. Continuing education credits are available, and Pain Week also has podcast and a journal available through the website. The website states that those who should attend Pain Week, “includes primary care physicians, physician assistants, nurse practitioners, pharmacists, psychologists, and those in other medical specialties.” (PAINWeek, 2017). It seems to me that it would also be quite beneficial to nurses as well.

If I were to submit my project based on evidence-based practice, I would want to be published in the American Nurses Association’s OJIN, or the Online Journal of Issues in Nursing. The OJIN states on the website, “Authors are encouraged to submit manuscripts, related to any previously posted OJIN topic, that present research, thinking, and/or experiences furthering the discussion of the topic.” (The American Nurses Association, 2017). The website is beneficial in that it provided specifics on how manuscripts are to be submitted and exactly what is needed within each manuscript. The reason I would like to submit to the OJIN is that it is seen by thousands of nurses and is known for its reliability and professionalism. In my opinion the ANA is the benchmark for all other nursing organizations, and much of what we have accomplished as nurses is in part due to the support of the ANA.

References:

PAINWeek.org (2017). FAQS. PAINWeek.org. Retrieved from https://www.painweek.org/attendees/faqs.html

The American Nurses Association (2017). Author submission guidelines. The American Nurses Association. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/AuthorInformation

RESPONSE 3

Dissemination is an important component of the research process. Effective communication is an important aspect of dissemination. Evidence dissemination has several goals relating to evidence and information such as increasing the reach to a variety of individuals and increasing motivation to use and apply evidence-based practice (Wilson et al., 2010).

One professional journal where I would want to present my project would be the Research and Theory for Nursing Practice International Journal. This journal focuses on issues relevant to improving nursing practice, education and patient care. This international journal also covers topics of significant importance to nurses’, educators, and researchers.

One healthcare conference where I would want to present my project would be the International Conference on Sexually Transmitted Diseases, Infections and AIDS. The aim of this conference is to exchange new scientific and clinical information within the field of sexually transmitted infections and HIV/AIDS. This conference will also unveil the latest in technologies and innovations relevant to STI related fields. Sharing and presenting my project and study findings is essential and beneficial and more importantly can lead to successful implementation (Wilson et al., 2010).

Wilson, P. M., Petticrew, M., Calnan, M. W., & Nazareth, I. (2010). Disseminating research findings: what should researchers do? A systematic scoping review of conceptual frameworks. Implementation Science : IS, 5, 91. http://doi.org/10.1186/1748-5908-5-91

QUESTION Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

RESPONSE 4

Intergrading Evidenced based practice is important to the practice of BSN prepared nurses because evidence-based practice is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery (Salinas, 2017). Consideration of individual needs, preferences and resources are also included. EBP replaces policies and procedures based on other sources of evidence such as tradition or authority. It takes into account three things nursing students should consider at all times: best practice evidence, patient preferences and clinical expertise. Having further education like a BSN is needed to better understand research and why it’s needed. Healthcare is constantly changing and to remain relevant within the field you must always stay informed. This means need to continue education, this is why nurses require a certain amount of continuing education credits to renew their licenses. I will continue integrate evidence into practice in my place of work by staying informed on technology and what will work for this particular setting. We will continue to use the patient handout education system that was implemented due to my EBP project. I would also like to propose some type of system to track inmates’ compliance progress after discharge from the prison. I would like to be able to integrate more materials and possible education classes for inmates to take if they are willing obstacles that I will face will be budget and the need for approval of new practices and materials. I would like for the medical team to be able to take a nurse that works in the facility with them to their monthly meetings. This would be beneficial because the nurses can provide insight on the reality of situations we are faced with. I think this will be beneficial in providing reasoning on why we request certain things that are needed within the facility.

Salinas, A. (2017, April 07). Why evidence-based practice matters to students. Retrieved from https://www.nurse.com/blog/2017/02/22/why-evidence…

RESPONSE 5

Not long before I started this class I accepted a position as a Case Manager. I am the CM for a 32-bed ICU in a Level I trauma center. This position allows me to have frequent contact with patients. I do many things, but the main objective is to help patients transition from the inpatient side to returning to their lives as seamlessly as possible. In doing so I also have to be a good problem solver and often be creative in finding solutions to complicated issues. The issues may be physical, emotional, or psycho-social, or any combination of the above. I was able to achieve this position for multiple reasons. First, I have a wide variety of professional experiences. Secondly, the manager knew I was weeks away from obtaining my BSN. If it were not for the BSN I would not have been offered the job. It didn’t hurt that many of my coworkers.

Evidence-based practice plays an important role in my job. I can be called upon to deal with situations that may not fall within my scope of experience and knowledge. EBP, and knowing how to access the information, can provide me with the most up-to-date information quickly. My job is face-paced, I must be able to find information quickly and easily if I am to keep up with my case load. Joo and Huber (2014) found that, “This study gives evidence that Nursing Case Manager’s practice in community-based settings provides coordinated care services while achieving patients’ positive qualitative outcomes”. Throckmorton and Windle (2009), stated that, Evidence-based practice supports professionalism, patient safety, and quality care.” The authors concluded that due to heavy workloads, Case Managers should take advantage of EBP in systemic reviews as to obtain information in the most efficient way. When time is an asset we don’t always get to enjoy, it is important the we understand EBP but also the many forms it comes in. This includes understanding how research is conducted and how we can ge the most out of our limited time.

References

Joo, J., and Huber, D. (2014). Evidence-based nurse case management practice in community health. Professional Case Management. Retrieved from http://alliedhealth.ceconnection.com/files/EvidenceBasedNurseCaseManagementPracticeinCommunityHealth-1412772793478.pdf

Throckmorton, T., and Windle, P. (2009). Evidenced-based case management practice, part 1: the systematic review. Professional Case Management. Retrieved from https://journals.lww.com/professionalcasemanagementjournal/Abstract/2009/03000/Evidenced_Based_Case_Management_Practice,_Part_1_.5.asp

RESPONSE 6

Nursing education is responsible for preparing and providing society with knowledgeable and competent nurses who are ready to engage in evidence-based practice for improved patient outcomes. Studies have revealed that BSN students display above average self-confidence in their evidence-based practice competencies. A workforce that is BSN trained offers a great number of benefits such as enhanced training and skill development in critical thinking, leadership, and evidence-based practice (Ashktorab et al., 2015).

The nursing profession has sometimes been reluctant to change practice even in light of research that challenges the traditional way of doing things. One way to continue to integrate and encourage evidence in practice is to keep staff updated on EBP activities and projects by generating EBP newsletters. Another way to continue use of EBP is conduct sessions to teach staff about EBP practice, integrating EBP into the philosophy of nursing, and building policies and procedures to be evidence-based. Obstacles that can challenge this plan would be lack of support from managers/leaders and staff. Research has shown that support is the key to developing a work environment that supports EBP. While evidence-based activities are critical to transforming the organizations culture, the most important change needs to be the individual nurse’s view about research and evidence (Manspeaker & Van Lunen, 2011).

Ashktorab, T., Pashaeypoor, S., Rassouli, M., & Alavi-Majd, H. (2015). Nursing students’ competencies in evidence-based practice and its related factors. Nursing and Midwifery Studies, 4(4), e23047. http://doi.org/10.17795/nmsjournal23047

Manspeaker, S., & Van Lunen, B. (2011). Overcoming barriers to implementation of evidence-based practice concepts in athletic training education: Perceptions of select educators. Journal of Athletic Training, 46(5), 514–522.

 

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Question description

This course project will help you utilize the concepts in this class, by doing a thorough analytical and in depth review and comparison of “change” in two companies. You will accomplish this project through 5 deliverables in the course:

1. Proposing and having approved your project topic. (2 references) (Week 1)
2. Researching two publicly traded companies, and comparing and contrasting their methods of handling a significant change in their organizations. Analyze and write about images of change in those organizations. (4 new references) (Week 2)
3. Diagnosing the change in those companies and their barriers and resistors. (4 new references) (Week 4)
4. Analyzing and creating applications for a change project communication based on the change in one of your researched companies. (2 new references) (Week 6)
5. Utilize multiple references using online research, Keller Graduate School of Management’s live or online libraries, perhaps your public library for print resources, and any other primary or secondary research source you feel would be appropriate for this project. You will complete an annotated bibliography at the end of the term of strong references to support your findings. At least 12 total references used in the project. (All term – bibliography due Week 7).

Important Note!

Note! Keller Librarians are a wealth of information – and will help you find sources. Using the chat feature you can talk to them about what you need to find, and they will teach you how to use the library!

Do not use Wikipedia as a reference source. If you find useful information from Wikipedia, triangulate your research and find other, more credible source(s) which provide the same (or better) information, and then utilize the information from that more credible source in your paper and reference page/bibliography.

Your project will have five separate parts, due throughout the term. It will incorporate the learning of the course as we go through – and hopefully will cement the process for you. At the end of the term, your final exam will contain 4 randomly selected Change Management questions based on YOUR Course Project companies and research findings as related to the course content, as well as other questions (multiple choice and essay) which are not specifically related to your project (but are related to Change Management course content!).

Thus, the initial “topic selection” where you pick the companies you will research throughout the term is critical for you to ensure you are interested enough in the material that it will keep you engaged throughout the term.

Here are some examples:

Example: Both Ford and GM experienced serious issues during the pre, during and post TARP period causing them to restructure and change how they do business. Each of them reacted to these pressures differently. A paper comparing and contrasting the way both companies reacted to this pressure would be very interesting and easy to set up in an organized fashion. Further, utilizing the images grid, you can discuss how they did handle these pressures (using which image) and how a different style of leader (image) might have handled it differently.

Example: Both HP and Home Depot have had issues with selecting a new CEO for their company. Reviewing the last 10 years of CEO history, a paper comparing and contrasting the pressures involved, and how they impacted the overall productivity of the companies would be sustainable throughout the term.

Example: Review any two companies in the airline industry, their entrance into (and possibly their completion of) bankruptcy, and how they handled the changes through management as a result. (i.e. United Airlines and American Airlines)

Example: Review any two companies who have recently been through some part of Merger and Acquisition change and how they handled the culture changes.

Example: Review any two companies who have had industry changes and how they have reacted either successfully, or unsuccessfully and how their reactions perhaps resulted in their success or failure. (i.e. Yahoo vs. IBM)

These are simply illustrative – you can do research and find any of many companies and topics of change which could work for this paper – and you are encouraged to do so. If you have questions or need more ideas, please ask your Professor for help!

Part 1: Topic Selection (Due Week 1)

Pick out your two companies and their change. In 1 double spaced page, please submit your company selections, with a brief write-up on the changes you will be comparing in the two companies. Pick two companies which have undergone some type of fairly substantial change in the recent past. Find the company and the change information online, using EBSCO, or using a company’s case described somewhere in our textbook. (See page 388 of the textbook index for page numbers and names of each of the cases described in the textbook.) Other ways to find information: utilize Google or Yahoo Finance, or Reuters, and look up Annual Reports of companies which interest you. Often reading the first sections of these reports (i.e. letters from CEO’s) will give you ideas about changes they have gone through in the past year(s).

Be sure that:

1. Your companies are publicly traded so that their information will be easy to research and find
2. Your change in the two companies are comparable (i.e. don’t compare a new CEO to a change in HRIS – DO compare two changes in CIO) and
3. The changes happened in the recent past so that you will find plenty of online information about how they were handled, but not so recent that the information about the change “results” is still up in the air.

Your topic will be graded/approved and returned to you so that you know your topic will work for the course. You must get approval to move forward with your project. This section will be worth 25 points and must have at least two references.

How this will be graded:

Item	Total points
Topic includes two companies which have undergone a somewhat similar type of change over the past 10 years (or longer if you have plenty of information about it)	5
Write up sufficiently tells the instructor the names of the companies, the information you have found about the changes, and why you find this project topic interesting	15
Includes at least two references to articles or items about the companies and the change	5
Total Points	25

Part 2: The Change Analysis – Images of Change (Due Week 2)

The “Images” section focuses on the six different images of managing change and how each “approach” to change effects all that follows in its implementation and continued support. Download the “Week 2 Project Images Grid” from doc-sharing. Pick three of the “images of change” explained in the Week 2 lecture from the grid, and analyze how those particular “images” would affect the ensuing diagnosis and implementation in your two selected companies on their change plans.

Here’s what to do:

1. Working with the information that you provided in your topic proposal, and any feedback you have received from your Professor, flesh out the facts and information from your original proposal.
2. Review the changes in each company and describe them thoroughly in a word document. Explain how the change impacted the companies, and who it impacted. Compare some of the similarities and differences between the change in the two companies.
3. Look at your grid and pick three images of change from your grid. Fill out the empty blocks on the grid for those three images using outlines, bullet points, and rough ideas for both company’s change.
4. Now, in a Word document, analyze, compare and contrast the three images and explain how the behaviors of those images would be different or the same during your companies’ changes, and how those differences could (or did) impact the success (or failure) of the change, comparing and contrasting the results at both companies.
5. Explain which image (or combination of images) you feel would have best facilitated the described change and why.
6. Based on the information you actually read about the results of this change, state which image you think the leader of the change actually resembled the most. You may speculate here on which image you feel best represents the “change agent” at either or both of the companies. This will depend on how much information you found about the internal workings of the company during the change.

This paper should focus on evidence that demonstrates how the management of the organization integrated one or more of the six images of managing change (Chapters 2 and 3) how effective the change was and what management could have done differently to increase the probability of successfully implementing the strategic change initiative. Again, this is a compare and contrast paper – so include information about both companies in your report.

Grading rubric for paper #2 – Change Images

Item	Total points
Properly filled out and submitted change grid showing your initial analysis and notes.	10
Two companies selected, “briefed”, and referenced.	20
Thorough description of the change explained	20
Comparison of the two companies, similarities/differences of the changes and the results	25
Image analysis	25
At least 4 new references, properly cited.	10
Total Points	110

This paper could be as short as 3 pages or as long as 7. Use APA formatting (double spaced, decent font.) Include your references on the final page. You should have at least 4 additional/new outside references, excluding the textbook. References should be scholarly.

Part 3: Diagnosing the Change (Due Week 4)

Select a Diagnostic Model (see Chapter Five) that you utilize to review aspects of change activities and actions that have been taken by the companies chosen. Here we are looking at the “parts” of the companies as well as their strategies, as surmised by your research in Part 1. It is acknowledged that this information will not be complete, as you are looking at these companies as an outsider; but a thoroughly researched paper will give enough data to allow some (well-defended) assumptions on your part.

Here’s what to do:

1. Choose one Diagnostic Model (i.e. 6-box, 7S, congruence, or etc.) to apply to the two chosen companies. Choose the model which you feel best identifies and measures the relevant aspects of the organization’s performance and therefore the diagnostic choices made will affect your findings.
2. Apply the data obtained in your research through an analysis of the appropriate chosen model. This will allow you to create a diagnosis of where each company is today (as per the criteria of the model).
3. Create a SWOT Analysis for each of the two chosen companies change plans/programs, utilizing information obtained in the diagnosis. (Strengths, Weaknesses, Opportunities, Threats.)
4. Compare the two company analyses to each other and offer your perspective (value judgment) of the effectiveness of the changes made to date in each case.
5. Identify potential areas of resistance that may occur and at least one strategy to respond to each. (This will most likely come from your Weaknesses/Threats section of your SWOT. If not, take another look at your SWOT.)
6. Recommendations for further actions within the organizations and the rationale chosen for these recommendations.
7. Write your paper including each of the above sections, and analyses

Grading rubric for paper #3 – Diagnosing the Change:

Item	Total points
A comprehensive review of the Change Diagnostic model chosen that details the components included as well as some background about the model itself through research from the author(s).	20
Your rationale defending why you chose that particular model. You can utilize a review of internal/external pressures that have affected the companies chosen.	20
A SWOT analysis that you created based on the above. Compare the two company analyses to each other and offer your perspective (value judgment) of the effectiveness of the changes made to date in each case.	20
Potential areas of resistance that were encountered or that you anticipate may be encountered and possible actions to minimize the negative effects of such resistance.	20
Recommendations for further actions within the organizations and the rationale chosen for these recommendations.	20
Use of 4 new references, properly cited.	10
Total Points	110

Part 4: Communicating the Change (Due Week 6)

An important part of any change project is how the change is communicated to the organization, to the change agents, to the line workers, to the customers, and to the public. Along with media relations issues, communicating change (especially in a publicly traded company) can involve multiple legal and regulatory aspects, as well as personnel and management concerns. Perhaps the single most difficult piece of handling Kotter’s “establish a sense of urgency” is that too many inexperienced or immature change agents read this to mean “panic the troops.” Never do this.

This project piece will have 3 parts:

1. The main part of your project this week will ask you to pick ONE of the company’s change plan, and develop a communication plan for the company. This plan should be submitted by using an excel spreadsheet, setting out the Stakeholders, the timeline of the communication plan, the method of communication, the rationale for why you chose this method of communication, the purpose of the communication and identifying “who” will do the communicating. The grid for this project can be found in doc-sharing, entitled “Grid for Week 6 – Communication Plan.”
2. Pick ONE of the communication pieces which you would have used which is listed in your communication plan, and write the communication in a Word document (either the text or the script, if the communication would have been oral.) Be sure to review the Week 6 lecture and the examples of communication plans and types there for more assistance on this piece of the project. If you use any form of communication from templates you find online or in a textbook, be sure to cite your source. Your instructor will grade this based on how well it relates to the audience/stakeholder group to which it is intended.
3. The “real world” aspect of this project is that you will write a 1-2 page analysis of one of the media pieces about one of the company’s changes written (or provided via oral media) by the company. For this section of the project, please analyze any media, news, or other communications which explained the change going on in the organization. Explain in your paper how the company handled communicating the change to its stakeholders.

Grading rubric for Part 4 – Communicating the Change

Item	Content item	Content points available
Excel spreadsheet grid	ID of stakeholders		8
	Timeline of communication		8
	Type of communication		8
	Rationale		20
	ID correct communicator		8
	At least 4 Communication pieces listed on spreadsheet (no more than 6)		8
Your analysis of the actual communication plan as seen from the “public eye.”			20
Your sample communication piece.			20
Your reference page (at least 2 new references)			10
	Total Points		110

More details about grading your excel spreadsheet:

1. You have properly identified the appropriate stakeholders
2. The timeline of your communication shows understanding of reality and attempt to be honest while ensuring no panic and production/service not interrupted.
3. The type of communications described show that you have a good grasp of proper, business communications
4. The rationale behind the communication makes sense
5. You have properly identified the “right” communicator for the communication

Part 5 – Annotated Bibliography (Due Week 7)

List of all of your references you used in the project to date (you should have at least 12 at this point) and create an annotated bibliography. Basically, for this assignment, you will use your reference list, in alphabetical order, and provide a 2-4 sentence summary (brief!!) of what that reference said. This is a summary style document! Your grade will be based on your ability to BRIEFLY summarize the important points in the document as well as the strength of your reference materials. (i.e. if you used mainly low-level reference documents like encyclopedias, online dictionaries, anonymous articles, etc. this will negatively impact your grade.)

1. Use of at least 12 references, properly annotated: 24 points (roughly 2 points each)
2. Strength of references overall: 6 points (roughly .5 points each.)
3. Use of one of the 5 Keller-approved citation methods

Grading Rubric	Points per item:	Total points possible:
Use of 12 references (at least)	1	12
Brief summary (2-4 sentences tops!)	1	12
Strength of references	.5	6
Proper use of one of the 5 Keller-approved citation methods	Not applicable	5
Total Points		35

Final Exam

You will be asked up to four questions about your project covering all aspects of Change Management and all of the COs in the course. However, the majority of the questions WILL be on “implementing the change.” Be prepared to analyze how your companies in your project “implemented” the change using various models that we have covered throughout the term. Your knowledge of your project information and the course theories will be your success key to doing well on the Final Exam.

You will also have MC questions covering Change Management concepts in the course and at least one essay not directly related to your project.

 

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