NURS 8114 Framing a Practice Problem as a Critical Question DQ

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NURS 8114 Framing a Practice Problem as a Critical Question DQ

NURS 8114 Framing a Practice Problem as a Critical Question DQ

Throughout this course you have focused on practice problems to address in applying nursing and
interdisciplinary theories, and in the application of evidence-based practice for quality improvement.
This week you begin exploring the components of evidence-based practice by framing a practice
problem as a critical question. You will begin a search of the literature for evidence to answer the
question and inform a practice change for quality improvement.

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To prepare:
 Identify the practice problem as the focus of your Discussion post. You may use the same
practice problem from earlier weeks or a different one.
 Review the chapter on practice questions in the Dang and Dearholt text and the Week 7 Media.
With guidance from the Learning Resources, cast your practice problem as a critical question.
 Search the Walden Library for 2–3 scholarly articles that address your critical question.
 Analyze the articles to identify evidence that would guide quality improvement.
 Return to the stakeholders that were the audience for your Module 3 Assignment. Identify the
specific quality improvement component in the evidence. Then consider how you would present
it to that set of stakeholders to secure agreement and action.
With these thoughts in mind …
By Day 3 of Week 7
Post a brief explanation of your critical question. Then, summarize the 2–3 articles you identified that
address your critical question. Using the same language you would use with stakeholders, explain the
critical question and the value of addressing it as a quality improvement initiative. Be specific. Cite the
scholarly articles and other resources to support your post.
Read a selection of your colleagues’ posts.
By Day 6 of Week 7
Respond to at least two of your colleagues on 2 different days by suggesting a different way of framing
their critical question. Cite sources to support your posts and recommend to colleagues.
Note: For this Discussion, you are required to complete your initial post before you will be able to view
and respond to your colleagues’ postings. Begin by clicking on the "Post to Discussion Question" link and
then select "Create Thread" to complete your initial post. Remember, once you click on Submit, you
cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully
before clicking on Submit!
Submission and Grading Information

Grading Criteria

To access your rubric:
Week 7 Discussion Rubric

Post by Day 3 of Week 7 and Respond by Day 6 of Week 7

To Participate in this Discussion:
Week 7 Discussion

What’s Coming Up in Week 8?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week you will expand your literature search to answer the critical question you developed in the
Week 7 Discussion. Be aware that your Week 8 Discussion is designed to support an effective search in
the Walden Library. The literature search is Part 1 of your Module Assignment, which will be due in
Week 10.
Next Week

To go to the next week:
Week 8

Week 7: Components of Evidence-Based Practice: Asking a Critical Question
Think about the experience of meeting a new patient and getting to know the person’s health history or
the specific problem to be addressed. How do you find out what you think you need to know? Most
likely, you ask questions. And the better your questions, the more they can elicit the specific information
for successful health maintenance or treatment.
Identifying a practice problem works in much the same way. Specifics are needed to define and refine.
Asking a critical question—the why or how or what or when—can clarify the aspect or element that is
the core issue. The critical question—and the type, quantity, and quality of evidence it generates—also

provides support with answering stakeholder concerns, and particularly whether a practice change is
justified.
This week you will begin exploring the components of evidence-based practice with a focus on finding
the critical questions in practice problems.
Learning Objectives
Students will:
 Analyze practice problems for critical question development
 Summarize peer-reviewed research to support critical questions
 Justify critical questions for quality improvement initiatives

Learning Resources

Required Readings (click to expand/reduce)

Dang, D., & Dearholt, S. L. (Eds.). (2018). Johns Hopkins nursing evidence-based             practice: Model
and guidelines (3rd ed.). Sigma Theta Tau International.
 Chapter 4, “The Practice Question” (pp. 63–78)

Walden University Library. (n.d.). Evaluating resources: Primary & secondary sources.
https://academicguides.waldenu.edu/library/evaluating/sources

Required Media (click to expand/reduce)

Walden University. (2011). An evidence-based practice model [Video]. Author
Accessible player

Optional Resources (click to expand/reduce)

Walden University Library. (n.d). Databases A-Z: Nursing.
https://academicguides.waldenu.edu/az.php?s=19981

Module 4: Components of Evidence-Based Practice
In Module 3 you assembled the components and requirements for quality improvement that applies
evidence-based practice. To formulate the practice that delivers the needed improvement, you have to
uncover the base: the evidence.
That is a process all its own and the focus of Module 4. This module image implies a familiar symbol of
thought and ideas, and in the 4 weeks ahead, the goal of this module is to shine a bright light on steps
and strategies in identifying and evaluating evidence to guide best practice in nursing and health care.
Each week will examine a key component: Asking a Critical Question (Week 7), Searching the
Evidence (Week 8), Appraising the Evidence (Week 9), and Grading the Evidence (Week 10). Your Module
4 Assignment will lead you through this process, and like your work in Module 3, offers a rehearsal for
the evidence search in your DNP Project.
What’s Happening in This Module?
Preview your module activities and schedule.
What do I have to do?     When do I have to do it?

Review your Learning Resources Days 1–7, Weeks 7, 8, 9, and 10

Week 7 Discussion: Framing a Practice Problem as
a Critical Question With Measurable Outcomes

Post by Day 3 of Week 7, and respond to
your colleagues by Day 6 of Week 7.

Week 8 Discussion: Search-Based Questions Post by Day 3 of Week 8, and respond to
your colleagues by Day 6 of Week 8.

Module 4 Assignment: Investigating a Critical
Practice Question Through a Literature Review

You will begin your Assignment in Week 8
and submit by Day 7 of Week 10.

Week 10 Discussion: Clarifying Connections: Post by Day 3 of Week 10, and respond to

Practice Problem, Evidence, Changing Practice your colleagues by Day 6 of Week 10.
Go to the Week's Content
Rubric Detail

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Name: NURS_8114_Week7_Discussion_Rubric

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Excellent
90%–100%

Good
80%–89%

Fair
70%–79%

Poor
0%–69%

Main Posting:

Response to the Discussion
question is reflective with
critical analysis and
synthesis representative of
knowledge gained from the
course readings for the
module and current credible
sources.

40 (40%) – 44 (44%)
Thoroughly responds to the
Discussion question(s).
Is reflective with critical
analysis and synthesis
representative of knowledge
gained from the course
readings for the module and
current credible sources.
No less than 75% of post has
exceptional depth and
breadth.
Supported by at least three
current credible sources.

35 (35%) – 39 (39%)
Responds to most of the
Discussion question(s).
Is somewhat reflective with
critical analysis and synthesis
representative of knowledge
gained from the course
readings for the module.
50% of the post has
exceptional depth and
breadth.
Supported by at least three
credible references.

31 (31%) – 34 (34%)
Responds to some of the
Discussion question(s).
One to two criteria are not
addressed or are superficially
addressed.
Is somewhat lacking reflection
and critical analysis and
synthesis.
Somewhat represents
knowledge gained from the
course readings for the
module.
Cited with fewer than two
credible references.

0 (0%) – 30 (30%)
Does not respond to the
Discussion question(s). Lacks
depth or superficially
addresses criteria.
Lacks reflection and critical
analysis and synthesis.
Does not represent knowledge
gained from the course
readings for the module.
Contains only one or no
credible references.

Main Posting:

Writing

6 (6%) – 6 (6%)
Written clearly and concisely.
Contains no grammatical or
spelling errors.
Adheres to current APA
manual writing rules and style.

5 (5%) – 5 (5%)
Written concisely.
May contain one to two
grammatical or spelling errors.
Adheres to current APA
manual writing rules and style.

4 (4%) – 4 (4%)
Written somewhat concisely.
May contain more than two
spelling or grammatical errors.
Contains some APA formatting

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errors.

0 (0%) – 3 (3%)
Not written clearly or
concisely.
Contains more than two
spelling or grammatical errors.
Does not adhere to current
APA manual writing rules and
style.

Main Posting:

Timely and full participation

9 (9%) – 10 (10%)
Meets requirements for timely,
full, and active participation.
Posts main Discussion by due
date.

8 (8%) – 8 (8%)
Meets requirements for full
participation.
Posts main Discussion by due
date.

7 (7%) – 7 (7%)
Posts main Discussion by due
date.

0 (0%) – 6 (6%)
Does not meet requirements
for full participation.
Does not post main
Discussion by due date.

First Response:

Post to colleague's main
post that is reflective and
justified with credible
sources.

9 (9%) – 9 (9%)
Response exhibits critical
thinking and application to
practice settings.
Responds to questions posed
by faculty.
The use of scholarly sources
to support ideas demonstrates
synthesis and understanding
of learning objectives.

8 (8%) – 8 (8%)
Response has some depth
and may exhibit critical
thinking or application to
practice setting.

7 (7%) – 7 (7%)
Response is on topic and may
have some depth.

0 (0%) – 6 (6%)
Response may not be on topic
and lacks depth.

First Response:
Writing

6 (6%) – 6 (6%)
Communication is professional
and respectful to colleagues.
Response to faculty questions
are fully answered, if posed.
Provides clear, concise
opinions and ideas that are
supported by two or more
credible sources.
Response is effectively written
in standard, edited English.

5 (5%) – 5 (5%)
Communication is mostly
professional and respectful to
colleagues.
Response to faculty questions
are mostly answered, if posed.
Provides opinions and ideas
that are supported by few
credible sources.
Response is written in
standard, edited English.

4 (4%) – 4 (4%)
Response posed in the
Discussion may lack effective
professional communication.
Response to faculty questions
are somewhat answered, if
posed.
Few or no credible sources
are cited.

0 (0%) – 3 (3%)
Responses posted in the
Discussion lack effective
communication.
Response to faculty questions
are missing.
No credible sources are cited.

First Response:
Timely and full participation

5 (5%) – 5 (5%)
Meets requirements for timely,
full, and active participation.
Posts by due date.

4 (4%) – 4 (4%)
Meets requirements for full
participation.
Posts by due date.

3 (3%) – 3 (3%)
Posts by due date.

0 (0%) – 2 (2%)
Does not meet requirements
for full participation.
Does not post by due date.

Second Response:
Post to colleague's main
post that is reflective and
justified with credible
sources.

9 (9%) – 9 (9%)
Response exhibits critical
thinking and application to
practice settings.

8 (8%) – 8 (8%)
Response has some depth
and may exhibit critical
thinking or application to
practice setting.

7 (7%) – 7 (7%)
Response is on topic and may
have some depth.

0 (0%) – 6 (6%)
Response may not be on topic
and lacks depth.

Responds to questions posed
by faculty.
The use of scholarly sources
to support ideas demonstrates
synthesis and understanding
of learning objectives.

Second Response:
Writing

6 (6%) – 6 (6%)
Communication is professional
and respectful to colleagues.
Response to faculty questions
are fully answered, if posed.
Provides clear, concise
opinions and ideas that are
supported by two or more
credible sources.
Response is effectively written
in standard, edited English.

5 (5%) – 5 (5%)
Communication is mostly
professional and respectful to
colleagues.
Response to faculty questions
are mostly answered, if posed.
Provides opinions and ideas
that are supported by few
credible sources.
Response is written in
standard, edited English.

4 (4%) – 4 (4%)
Response posed in the
Discussion may lack effective
professional communication.
Response to faculty questions
are somewhat answered, if
posed.
Few or no credible sources
are cited.

0 (0%) – 3 (3%)
Responses posted in the
Discussion lack effective
communication.
Response to faculty questions
are missing.
No credible sources are cited.

Second Response:
Timely and full participation

5 (5%) – 5 (5%)
Meets requirements for timely,
full, and active participation.
Posts by due date.

4 (4%) – 4 (4%)
Meets requirements for full
participation.
Posts by due date.

3 (3%) – 3 (3%)
Posts by due date.

0 (0%) – 2 (2%)
Does not meet requirements
for full participation.
Does not post by due date.

Total Points: 100
Name: NURS_8114_Week7_Discussion_Rubric

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