DEFINING AND REFINING THE PROBLEM

You have now spent 3 full weeks working on an identified practice problem. You have spent time with your team and preceptor at your practicum site, and you have begun to evaluate the scope of the problem and need for change. Based on your experiences in these first 4 weeks, what is working? What is not working? What has or has not worked in the past?

For this Discussion, you will consider your identified practice problem to help define and refine the work that you have done thus far. Consider what is working, what is not working, your stakeholders, and what has worked and has not worked in the past. Review the evidence gathered to determine how you might need to refine your identified practice problem. 

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).  Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.

· Chapter 5, “Searching for Evidence” (pp. 99–120) 

· Hickey, J. V., & Giardino, E. R. (Eds.). (2021).  Evaluation of quality in health care for DNPs (3rd ed.). Springer Publishing.

· Chapter 2, “The Nature of Evidence as a Basis for Evaluation” (pp. 37–64)

· Chapter 3, “Models for Evaluation in Advanced Nursing Practice” (pp. 65–92)

· Benson, L. A. (2021).  Chapter 14: The DNP degree: A fundamental requirement for the chief nursing offer.   The DNP professional: Translating value from classroom to practice. Slack.

· Benson, L. A. (2021).  Chapter 15: Leaders, change agents: The unique contributions of a DNP-prepared nurse executive.   The DNP professional: Translating value from classroom to practice. Slack. 

· Benson, L. A. (2021).  Chapter 16: Aligning DNP practice with the mission and strategic priority of the organization.   The DNP professional: Translating value from classroom to practice. Slack. 

· Foster, M., Shurtz, S., & Smith, M. L. (2014).  Translating research into practice: Criteria for applying literature search results to your workLinks to an external site. .  Health Promotion Practice,  15(2), 157–160. https://doi.org/10.1177/1524839913511628

· Haas, M., & Mortensen, M. (2016).  The secrets of great teamwork.Links to an external site.   Harvard Business Review,  94(6), 70–76. https://hbr.org/2016/06/the-secrets-of-great-teamwork

· Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018).  Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational changeLinks to an external site. .  Journal of Innovation & Knowledge,  3(3), 123–127. https://doi.org/10.1016/j.jik.2016.07.002

· Jones, E. P., Brennan, E. A., & Davis, A. (2020).  Evaluation of literature searching and article selection skills of an evidence-based practice teamLinks to an external site. .  Journal of the Medical Library Association,  108(3), 487–493. https://doi.org/10.5195/jmla.2020.865

· Merner, B., Lowe, D., Walsh, L., Synnot, A., Stratil, J., Lewin, S., Glenton, C., von Philipsborn, P., Schonfeld, L., Ryan, R., O’Connor, D., Hoving, J. L., & Hill, S. (2021).  American Journal of Public Health Links to an external site. ,  111(7), 1210–1215. https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2021.306252

· Smith, L. W. (2000).  Stakeholder analysis: A pivotal practice of successful projectsLinks to an external site. . https://www.pmi.org/learning/library/stakeholder-analysis-pivotal-practice-projects-8905

TO PREPARE

· Review the Learning Resources that address problem identification.

· Analyze the work done thus far on your identified practice problem, specifically analyzing what management has done to date with the problem.

· Review your practice focused question, meetings with your team and preceptor, and your identification of stakeholders.

Post a response discussing your selected practice problem. After meeting with your team, describe the following:

· What is currently working? 

· What has not worked?

· What changes might you implement?

· What changes might you consider in addressing the problem?

· Are these changes supported by evidence?

In your response, share what you have been working on throughout the first 4 weeks of the course, focusing specifically on defining your practice focused question, meeting with your team, and identifying stakeholders. Be specific. What leadership strategies might you use to support the problem you have identified? Explain whether you have refined your practice focused question and why.

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Rubric

NURS_8502_Week4_Blog_Rubric