Imagine it is the final week of the course, and you are ready to present your solution to address your indentified practice problem at your practicum site. You present your evidence and plan and recommend the implementation of your proposed solution. Upon hearing your presentation, a stakeholder raises questions about the implementation based on a similar practice problem affecting a business outside of nursing. Unfortunately, you had not explored sources outside of your field, and you neglected to incorporate this evidence into your plan and recommendations.

Evidence is critical in understanding a problem and determining potential solutions to address a change. However, evidence is only as good as the exploration of sources used to gather this evidence. Flawed evidence generation can occur when sources are not carefully, thoughtfully, and thoroughly explored. Furthermore, flawed evidence generation occurs if evidence is outdated, ignored, or not considered within the context of the proposed solution or practice problem it is meant to address.  

For this Discussion, you will explore the sources of evidence necessary for your identified practice problem. These sources of evidence may be derived from library databases related to nursing, or you may find sources necessary for your practice problem in the form of interviews or library databases related to other fields. Consider where you might explore sources of evidence for your practice problem. Where might you find these sources outside of your typical evidence locations? Consider why this exploration is important and meaningful for your proposed change. 


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


· Review the Learning Resources covering the exploration of evidence.

· Consider the evidence necessary for your identified practice problem and consider what types of sources might need to be explored.

· Explore sources beyond the Walden Library database, and consider where evidence might be found outside of “typical” avenues. 


Post a response detailing your exploration of sources of evidence for your practice problem. Consider multiple sources of evidence, rather than simply resources from the library: formal and informal interviews, national organizations, internal/external to your organization and/or practice. Consider library sources of information outside of nursing literature (e.g., business journals). Consider the impact of not including resources from specific sources. How might this create a flaw in your ability to support a proposed practice change? Be specific and provide examples.

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