Discussion Post ONE

Which EBP model would best support the exploration of the practice problem you utilized for Application #5?
Evidence-based practice enhances nursing knowledge, quality of care, and collaborative services among nursing and other professions. Research studies reveal that numerous barriers inhibit integrating evidence-based practice into specific practice settings (Fineout-Overholt & Williamson., 2011).
The Health Behavior Model (HBM) relates to promoting health and adopting a proactive approach rather than a reactive approach to addressing health problems. This theoretical model has proven to address middle-range theories nursing problems. Azevedo and colleagues support the efficacy of the Health Behavior Model to identify and manage pregnancy specifically among the adolescent population (Azevedo & Diniz et al., 2015). Hence, the Health Behavior Model (HBM) context is most appropriate to address the identified practice problem.
Include a summary of your practice


 

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Discussion Response Post 1

Biomedical Theory Used in Health Care
Theories from biomedical sciences have impacted nursing snice the times of Florence Nightingale. They play a very important in nursing practice but sometimes they can be taken for granted. An example is the Germ Theory and Principles of Infection, as nurses we put this into practice every day. From the moment we walk into a patient’s room, the first thing we do is to sanitize our hands. Prior leaving the room we perform hand hygiene and clean our stethoscopes to prevent spreading disease from patient to patient and even amongst ourselves (McEwen & Wills, 2019). Now more than ever this has come true to our hearts with the COVID19 pandemic. People globally has been made aware of the importance to keep germs under control, by the simple method of washing our hands the right way and covering our mouths and noses when we cough or sneeze.
Cancer Stem Cell Theory
The Cancer Stem Cell Theory (CSC) div


 

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Discussion Post 1

Applying Middle Range Theories to Practice
Middle range nursing theory consists of many theories that are more specific in focus and offer more concrete connections between Grand Nursing Theories and Nursing Practice (Fawcett, J., & Garity, J. 2009). The concepts of Middle-Range theories are less abstract and can be verify through testing. McEwin, M., & Wills, E. M. (2019) stated that Middle range theory lies between the grand nursing models but are more restricted and concrete in ideas. This means that they are composed of relatively concrete concepts and propositions that can be defined and empirically tested. Jacqueline Fawcett I (2004) submitted that Middle-range theories are more concrete and narrower than grand theories; they are made up of a limited number of concepts and propositions that are written at a relatively concrete and specific level. Jacqueline Fawcett I (2004) pointed out that the development of knowledge is gradually moving from the conceptual


 

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Discussion Post 1
The best process by Academic (2019) states to begin with the “start my nursing research” from Walden’s research page and, if need, different research topic wording by the “and” tab to create a broader search of update-to-date peer-viewed scholarly journal entries. This method aids in the discovery of specific systematic reviews or meta-analyses. Some databases provide tabs for systematic reviews or meta-analyses to make it easier to locate relevant papers for critical evaluation of a structure. Another idea is to break down a subject into separate concept searches. The Thoreau database is commonly used to incorporate research from other disciplines related to the subject area of interest. For this course, doctoral students are expected to choose specific databases such as CINAHL for more of a “cumulative index to nursing and allied health literature” (Academic, 2019, 18:04). Academic Guides (2018) defines systematic reviews as a filtered study in which a


 

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Discussion 1

Practice Problem: Evidence-based practice protocol to improve glucose control in individuals with type 2 diabetes mellitus (Evans, 2010).
Complex diabetic treatments and regimens may be difficult for some to implement independently. According to the compelling research reviewed in this article, the “involvement of an advanced practice nurse (APN) may empower patients to care for their chronic illness and maintain their optimal level of wellness (Evans, 2010). The author explores how the implementation of an evidenced-based protocol involving a follow-up telephone intervention by an advanced practice nurse can improve glucose monitoring and glycemic control in individuals living with diabetes mellitus (p. 318).
Theoretical Framework: Orem’s Theory of Self-Care
Orem’s Self-Care Theory was the theoretical framework applied to the evidenced-based intervention used in Evan’s evidenced-based practice project. I enjoyed reading this article and appreciat


 

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Response 1

My motivation to learn is intrinsic value and my readiness to learn is life related. Contemporary Learning: The Andragogical Model is where I landed. Although, I was a bit surprised when I read that, as it is more about the process and less about the content. That part confused me at the time I took the survey. Reflecting on what I have learned about adult learners, I know they are more self -directed, internally motivated, and ready to learn. This makes more sense now than it did before I dug a bit deeper into adult learning. So, my results make more sense and do sound more like me now because I have a better understanding of Andragogy and what it means. Implications of understanding this information is myself having a better understanding of the difference between adult and children learners. I also know that Andragogy has received critique over the years, as some of its assumptions have not been empirically proven. However, many researchers believe that t


 

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RESPONSE 1
My thought on the classroom techniques to use in the classroom are more of a facilitator than a traditional educator. After reading Chapter 14 on facilitating learning and Knowles retrospect, I resonate with this view of how teaching is more of a partnership. The educator is on the same journey as the students learning from the educator. Knowles (2015) acknowledges putting in extra time and resources to become a facilitator from attending a seminar. Knowles (2015) returns to the classroom discussing with the students changing the course, using different approaches to teach, and informing them about a higher level of responsibility. Also, Knowles (2015), showing vulnerability while at the same time humble experience with the students. “Getting rewards from controlling students is replaced with getting rewards from releasing students” (Knowles et al., 2015, p.247). The value of students to understand, apply, and problem-solving content in the classroom to real-world issue


 

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Response 1

The online student population is rapidly becoming more diverse as digital access continues to increase worldwide. Educators are looking for new strategies to facilitate the learning needs of the diverse students in their courses. Knowles (1984) Adult Learning Theory postulates that adults bring their life experiences with them into their learning (Merriam et al., 2007). Students with diverse backgrounds can present a variety of rich cultures in the class and also diverse learning needs. The importance of understanding and respecting differing cultures, values, and attitudes of the student population cannot be understated (MacDaniel, 2020). Educators must facilitate inclusiveness, value diversity, and support cultural sensitivity and humility (MacDaniel, 2020).
The reading this week focused on western culture and other perspectives in learning. Growing up in the United States has given me a feeling of western is better than other ways of thinking and l


 

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