As frequently noted in the literature, there is often a gap between research evidence and practice. This is not a new phenomenon; however, with the rapid growth of knowledge, it is essential that nurses hone their ability to identify this gap, determine best practices based on the evidence, and then apply this evidence to practice through the development of new approaches. In order for that to transpire, nurses must be skilled in leading change efforts so that adoption of new practice approaches can be successful. For your EBP Assignment in Week 2 (Application 1), you identified an issue in your practicum setting in which the outcome is different from what would be expected according to the research literature. This week, continue to explore current research literature looking for new evidence to address the problem. In addition, you build on the work you began in this week’s Discussion and select an evidence-based practice model and change theory or framework that will support your efforts. To prepare for Application 2 address the following: How current is the science underlying the practices related to your EBP Assignment issue? Consider possible causes of the difference in outcomes from what would be expected according to the research literature. Evaluate the effect the EBP Assignment issue is having in practice. Using the Walden Library and other credible sources, locate current research evidence of new practices that are effective in addressing the issue. Use the GRADE model presented in the Guyatt et al. (2011) article to evaluate the research evidence. The full Application 2 is due by Day 7 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 4. To complete: In a 3 page paper, include the following: A brief summary of the currency of the science underlying the practices used to address your EBP Assignment issue Possible causes of the difference in outcomes from what would be expected according to the research literature The effect the EBP Assignment issue is having in practice Current research evidence on new practices for addressing the EBP Assignment issue A summary of the evidence-based practice model (including models from other disciplines as appropriate) and/or change theory or framework you will utilize to systematically integrate new approaches to practice to address the issue *****************use all subheadings****************** *******************Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60. Note: You will access this article from the Walden Library databases. Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. Note: You will access this article from the Walden Library databases. Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247. Note: You will access this article from the Walden Library databases. Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802. Note: You will access this article from the Walden Library databases. Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

LAYING THE FOUNDATION FOR NEW APPROACHES TO PRACTICE
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