Week 1 discussion
DQ1 Why I Chose to Pursue a DNP Degree
For over a decade, the Doctor of Nursing Practice (DNP) has been integrated as a terminal practice degree into nursing education. Reflect upon your pathway to pursuing your DNP degree to answer the following questions.
What are your short-term and long-term career goals?
Why did you decide to pursue a DNP degree?
How will your DNP degree assist you in accomplishing your career goals?
DQ2 Practice Problem in Two Distinct Statements
Clinical practice problems emerge from everyday nursing practice. Nurses identify practice problems related to (a) patient, families, and community; (b) new information/knowledge; (c) staff or practice environment issues; and/or (d) QI/practice change projects or research.
Identify a nursing practice problem from a clinical setting and not an academic setting. In this discussion, you will have the opportunity to learn the skills required to write a problem statement based on a nursing practice problem. This problem statement is not required to be used for your DNP Project although may potentially be the problem identified for your eventual DNP Project. There are many process steps you will need to complete in future courses to identify and gain approval for your practice problem.
Briefly describe the nursing practice problem.
From this problem, write a problem statement.
Identify and discuss potential etiologies contributing to the problem from nursing research literature.
Week 2 discussion
DQ1 Nursingâ€™s Ways of Knowing
Nurses have sought to understand the art and science of nursing since the time of Florence Nightingale. Carper (1978) identified four fundamental patterns of knowing in nursing. She described these ways of knowing as (a) empirics, (b) aesthetics, (c) ethics, and (d) personal knowing. To this work, two ways of knowing were subsequently added: unknowing and socio-political knowing. Consider the nursing practice problem you identified in Week 1 to address the following.
Which two ways of knowing have provided insight into this nursing practice problem?
Compare and contrast these two ways of knowing using scholarly nursing literature.
DQ2 Formatting your Problem Statement into a PICOT Question
In this discussion, you will have the opportunity to formulate a PICOT question based on the nursing practice problem that you identified in Week 1. This PICOT question is not required to be used for your DNP Project although this may potentially be the first iteration of the PICOT question for your eventual DNP Project. There are many process steps you will need to complete in future courses to identify and gain approval for your project PICOT question. Consider the following to formulate your PICOT question.
P=Population ? What population is impacted by the problem?
I= Intervention ? What is your proposed intervention?
C=Comparison ? What is currently happening that has led to the problem?
O=Outcome ? What data will you collect to evaluate the effectiveness of the intervention?
T=Time frame ? What is the proposed time frame for the intervention to achieve an outcome?
Week 3 discussion
DQ1 Nursing's Grand Theories and Conceptual Models
Grand theories are complex and broad in scope and often incorporate various other theories. Orem, Roger, Neuman, Levine, Johnson, King and Roy are influential theorists who impacted the nursing profession through grand theories.
Select one of the above grand nursing theories or a conceptual model and explain how you do or will apply the theory/conceptual model to your nursing practice. Please note that borrowed theories, middle-range theories, and change models are not relevant to this discussion and should not be used. Consider the following in your post.
Describe the major concepts of the selected nursing grand theory.
Explain how this selected nursing theory applies to the nursing metaparadigm regarding a) person, (b) health, (c) environment and (d) nursing.
Apply this selected nursing theory to a nursing practice problem
DQ2 Use of Nursing Theory to Guide DNP Projects
As the nursing profession evolves, practice knowledge is increasing and theories are moving ever closer to the bedside. Conduct a literature search in a nursing databases to locate a research article that utilizes a nursing grand theory as a theoretical foundation and describe how this theory was operationalized.
Week 4 discussion
DQ1 Nursing Theories and Middle-Range Theories
Middle-range theory are considered essential to the structure of nursing knowledge.
Differentiate grand theories from middle-range nursing theories, including their impact on the profession and practice of nursing.
Conduct a nursing literature search to address a nursing practice problem. Identify a nursing research article that uses middle-range nursing theory as a theoretical foundation and describe how this theory was operationalized.
DQ2 Critical Appraisal Criteria for Evaluation of Theory
Fawcettâ€™s (2005) criteria for evaluation of nursing theories involves judgments about the extent to which nursing theories meet identified criteria. Review Fawcettâ€™s article, Criteria for Evaluation of Theory, and consider the following.
Select and describe two criteria for evaluation.
Critically appraise a nursing theory using these two appraisal criteria.
Week 5 discussion
DQ1 Application of Borrowed Theories to Advanced Nursing Practice
Borrowed theories are theoretical or conceptual models/frameworks from disciplines other than nursing that are used within the nursing profession. Select a borrowed theory and consider the following.
List the concepts that constitute the theory.
Describe how these concepts align with the profession and practice of nursing.
Provide an example of how this borrowed theoretical perspective is used within the profession and practice of nursing. Please review the Graduate Discussion Grading Guidelines and Rubric (Links to an external site.)Links to an external site. for complete discussion requirements.
DQ2 Scholarship of Evidence-based Practice
Evidence-based Practice (EBP) has captured the attention of healthcare providers, healthcare organizations, and consumers to positively influence patient outcomes. However, confusion abounds about how evidence-based practice differs from research.
Compare and contrast EBP from research. How are they similar? How do they differ?
What are optimal evidence sources to use to inform nursing practice?
Week 6 discussion
DQ1 Evidence-based Practice Change and Quality Improvement Models
In Week 5, evidence-based practice was differentiated from research. Evidence-based practice is also often conflated with quality improvement. Select an evidence-based practice change model or a quality improvement model and consider the following.
Compare and contrast an evidence-based change model from a quality improvement mode How are they similar? How do they differ?
Explain how the selected model may be applied to create change within the healthcare domain.
DQ2 Evidence Supporting the Clinical Question and Suggested Interventions
Credible evidence is essential to address nursing practice problems; sources of information must provide the most appropriate answer to solve the issue. Conduct a nursing literature search to address a nursing practice problem. Select two sources of evidence and consider the following.
Identify the etiology or causative factors influencing the problem.
Describe the proposed intervention(s).
Appraise the evidence for use in nursing practice.
Week 7 discussion
DQ1 Interprofessional Collaboration for Improving Practice
Consider the reading for this week and reflect upon the role of the DNP-prepared nurse in leading interprofessional collaboration.
How will you advance interprofessional collaboration as a DNP-prepared nurse?
Give specific examples of your current actions and future plans and tell why your actions are likely to improve outcomes as a DNP graduate.
DQ2 Emerging Roles for the DNP-Prepared Nurse
Todayâ€™s complex healthcare environment requires state of the art nursing knowledge and practice expertise to assure quality patient outcomes. DNP graduates are well-positioned to improve healthcare delivery and practice. Reflect upon your future practice considering the following.
What emerging roles for the DNP-prepared nurse do you imagine yourself in upon completion of your degree?
What skills and/or competencies do you anticipate will be most beneficial to you as you take on an advanced role?Compare your role in performing traditional advanced practice actions to your future role as a DNP-prepared nurse.
Week 8 discussion
This week, you will gain theoretical and practical exposure to practices and perspectives that lead to greater happiness and human flourishing (enjoyment, engagement, being socially connected, meaning and effectiveness), or a life rich in purpose, relationship, and enjoyment.
Select one of the human flourishing resources from this weekâ€™s readings or from your own knowing and consider the following.
Identify two character strengths and describe how you use these strengths in your education and practice.
Conduct a search for literature and locate a foundational theory or research that examines practices and perspectives that lead to a happier life.
Summarize the articleâ€™s conclusions and discuss the relevancy of the findings to enhancing your health and happiness and for positively impacting your relationships and community?
How likely you are to incorporate those practices into your life?
Week 5 Inquiry Paper
The purpose of this paper is to present the story of your inquiry process thus far on the road to developing your DNP project. An inquiry essay differs from other traditional academic essays in that its purpose is not to argue for a specific idea, but rather to illustrate your inquiry and thinking process, and to demonstrate your understanding of how theoretical and process models guide your DNP project development
This assignment provides documentation of student ability to meet the following course outcomes:
CO2: Identify practice problems at the microsystem, mesosystem and macrosystem levels of health care systems (PO #3).
CO3: Assimilate nursingâ€™s ways of knowing and the development of nursing science (PO #3).
CO7: Analyze the implementation of selected theoretical perspectives into evidence-based practice. (PO #5)
CO11: Summarize scientific knowledge to determine the nature and significance of a practice problem (PO #3)
This assignment is worth 275 points.
Submit your completed application under the assignment submission area by Sunday 11:59 p.m. MT of Week 5 as directed.
1. To complete this application, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library. The PDF tutorials for database searches are in the â€œNeed Help?â€ box on every library page. To ask for assistance from a librarian, use one of the contact methods in the â€œAsk A Librarianâ€ box at the top right of every page.
2. When clicked, it reveals a list of "Tools" or PDFs on how to do conduct various searches of the required databases (CINAHL, MEDLINE, Cochrane, and JBI) through the portals (EBSCO and OVID) provided.
3. The Inquiry Paper is worth 275 points and will be graded on the required components as summarized in the directions and grading criteria/rubric.
4. Create your manuscript using the version of Microsoft Word required by Chamberlain College of Nursing. You can tell that the document is saved as a MS Word document because it will end in â€œ.docxâ€
5. Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum.
6. The length of the paper will be about between 5-7 pages excluding title page and reference pages.
7. A minimum of 5 scholarly references (not your text books but primary sources of theory and research).
a. The textbook required for this course may be used as a reference for this assignment but does not count towards the required minimum number of scholarly references.
8. APA format and effective writing is required for the paper. Use your APA manual or Purdue Owl to check and correct your formatting. Use Grammarly, Tutor.com found under General Resources on the Course Resources page or in the student portal, the grammar and spelling check on your Word Processor and criteria for effective writing (available through the Writing Call and Coaches) to assure that your paper well written.
PREPARING THE PAPER
The following are best practices for preparing this paper:
1. Outline your paper at the beginning of the term and begin adding notes to the content headings as you read critically and begin to synthesize and as insights occur in your mind. Following your outline will help you establish and maintain context throughout the paper.
2. Review your studies, discussion and exercises from week 1 forward in this class. Keep the MEAL plan in mind as you begin drafting paragraphs.
3. Create purposeful structure throughout your paper and in your paragraphs, having a sense of introduction, development and conclusion. Your outline and notes will facilitate this purposeful structure.
4. Be sure that your content is original and appropriate to the topic as assigned. Validate your ideas with substantiated thinking and appropriate use of valid sources. In other words, provide evidence and examples to illustrate your statements.
5. Assure proper conventions and content: Check the usage, spelling, punctuation, sentence structure, format, citing and so on using tools such as Grammarly, Word Spell and Grammar Check, APA manual, Purdue Owl, Listening to the Writing Calls, Contacting your faculty or using a writing coach if necessary.
6. An effective conclusion should include the main ideas and major conclusions. Do not add new information in the conclusion.
Week 7 Practice Problem Summary with Annotated Bibliography
An annotated bibliography is an organizing tool that helps compile evidence sources; especially research, in one location when working on a research or evidence-based practice/quality improvement project. It also provides quick access to the information contained in each source as you move throughout the program.
The purpose of preparing an annotated bibliography is to allow you to further explore literature that supports the practice problem and intervention ideas that you have for your DNP project. (Hint: if you keep adding to this list throughout the program, your final project will become much easier since you will have already collected everything you need here to support your project).
To complete this assignment, start by performing a literature search for initial sources of research and evidence related to your practice change (PICOT) question and intervention ideas.
1. Conduct a focused review of literature related to the identified clinical problem, including (a) description of the problem, (b) etiology, and (c) evidence based interventions.
2. Describe the problem and the significance of the problem as they show up in the literature and in your practice knowledge and insights.
3. State the practice question in PICOT format as you have worked it out this term.
4. Consider the quality of the sources you choose. Look at the date of publication, author/sponsor/publisher, and purpose of the reference. Include only the highest quality references.
5. Provide a summary of 5 scholarly peer-reviewed references (i.e., research, systematic reviews, etc.) regarding the proposed approaches to the identified clinical problem.
6. Clearly and succinctly synthesize the literature. Here is a tool to assist your practice in writing syntheses. https://writingcenter.fiu.edu/resources/synthesis-matrix-2.pdf
This assignment meets the following course outcome:
CO 11: Summarize scientific knowledge to determine the nature and significance of a clinical problem at the microsystem level. (PO 3)
DUE DATE: Submit to the assignment submission area by Sunday - end of Week 7 at 11:59 p.m. MT.
The paper should be 8-10 pages in length in order to develop each section substantively without writing excessively. It should including the following sections:
1. An introduction, which tells your reader what the paper is about and briefly sets the context through discussion of the PICOT and clinical question.
a. As you write, direct what you say to your scholarly peers, and you may assume that they have only a casual familiarity with your topic or issue.
b. The introduction will present a description of the practice problem (recall two distinct statements from week 1, including the impact on patient/client and family, healthcare system, or society.
c. The Introduction is placed underneath the paperâ€™s title, and it has no level heading. In other words, do not use the word â€œIntroductionâ€ as a title heading. Just head the paper with the title and begin writing the introduction text.
d. The introduction should be approximately 1-2 pages in length and may include a subheading for PICOT question section.
2. An annotated bibliography of at least five resources, approximately 3-5 pages in length (about half to 1 page per annotation) and include the following:
a. Write the source in APA format as you do a reference listing (this is your level 2 heading for each entry).
b. Follow the source listing in a new paragraph with a brief annotation that summarizes the source in your own words (not from the abstract of the article) in 3-5 sentences.
c. Include your assessment on the referenceâ€™s strengths and weaknesses.
d. Explain the sources relevance and importance to your practice change project.
3. Synthesis of Evidence: Approximately 2 pages. Follow the annotations with a synthesis of the evidence related to the identified clinical problem and PICOT question. Here is a tool to facilitate the synthesis writing process: https://writingcenter.fiu.edu/resources/synthesis-matrix-2.pdf
4. Conclusion: Approximately 1 page or less. The conclusion restates your paperâ€™s main idea (the problem you are going to address by using evidence found in the literature), refers to the synthesis points, and provides a final impression about your project.
5. Reference list that starts on the next page after the conclusion and includes each of the annotated bibliography references in addition to others you may have cited but chose not to include in the annotated bibliography.
Week 8 You Decide Reflection
The purpose of this application is to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR 700 course.
This assignment provides documentation of student ability to meet the following course outcomes:
â€¢ CO3: Assimilate nursing ways of knowing and the development of nursing science (PO 3).
â€¢ CO7: Analyze the implementation of selected theoretical perspectives into evidence-based practice (PO 5).
This assignment is worth a total of 100 points.
Submit your completed assignment by Wednesday 11:59 p.m. MT of Week 8 as directed.
1. The You Decide Reflection is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in â€œ.docxâ€
3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum.
4. The length of the reflection is to be within three to six pages excluding title page and reference pages.
5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):
Note: Introduction â€“ Write an introduction but do not use â€œIntroductionâ€ as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).
a. You Decide Reflection
PREPARING YOUR REFLECTION
The DNP Essentials (AACN, 2006) outline a number of scientific underpinnings for practice competencies for the DNP-prepared nurse. Reflect on the NR 700 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:
1. â€œIntegrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice.
2. Use science-based theories and concepts to: determine the nature and significance of health and health care delivery phenomena; describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate; and evaluate outcomes.
3. Develop and evaluate new practice approaches based on nursing theories and theories from other disciplinesâ€ (AACN, 2006, p. 9).
American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.