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Running head: NOVICE TO EXPERT
2
NOVICE TO EXPERT
Novice to Expert: The Nurse’s Role in Research and Evidence-
based Practice
Svetlana Alpin, Fantasia Batchelor, Evelin Andujar, Holly
Booker
NUR 4165
Broward College
ASL Objectives:
6.1 Outline the Fundamental Principals of Evidence-Based
Practice
6.2 Describe the Relationship between Research and Evidence-
Based Practice
Novice to Expert: The Nurse’s Role in Research and Evidence-
based Practice
Nursing is a field of practice with processes, policies, and
procedures that are constantly evolving. Such changes do not
come about by mere chance but rather on the shoulders of the
many nurse researchers who lend a hand in nursing research and
the fruition of such research is implemented as evidence-based
practice (EBP). Throughout this reflection the terms nursing
research and evidence-based practice will be utilized quite
often, what do these terms really denote? Polit and Beck (2018)
explain nursing research as an inquiry that is designed to
retrieve trustworthy evidence about issues relevant to nurses
and their clients. Evidence-based practice is identified as using
the best evidence to guide patient care decisions and such
evidence is typically generated from nurses and other health
care professionals who engage in research (Polit and Beck,
2018).
Relevant and Meaningful Service within the Community
Knowing how important research is to the continued
quality improvement within our field our group set out on a
mission to educate fellow nurses about the need to engage in
such research and aid in the implementation of evidence-based
practice. The opportunity presented itself on April 16th, 2019 at
the Hallandale Outpatient Surgical Center (HOSC). Our primary
goal was to educate the nurses of the HOSC about the need to
involve themselves in nursing research and evidence-based
practices and to seek out opportunities around their workplace
where extra research may lead to quality improvement.
Enhanced Academic Learning
Our ASL group utilized objectives: 6.1 Outline the fundamental
principles of evidence-based practice, and 6.2 Describe the
relationship between research knowledge and evidence-based
practice. The theory that served as the backbone to our
presentation was Patricia Benner’s theory of Novice to Expert.
Nursing theorist Patricia Benner adapted the Dreyfus theory to
nursing clinical practice and utilized the same five stages
novice, advanced beginner, competent, proficient and expert to
evaluate the progression of a nurse (Fishman, 2018). As nurses
obtain the necessary experience from years on the job they
become assets in the recognition of areas within the field that
has room for change or improvement and may even be able to
offer well-established solutions if they are able to involve
themselves in nursing research. Using objective 6.1 we analyzed
a few key principles to evidence-based practice some of which
include identifying the best research evidence, listening to
patient preferences and utilizing clinical expertise. Objective
6.2 allowed us to dig deeper and show our audience the
connection between knowledge gained from research and
implementing such knowledge by means of evidence-based
practice.
Purposeful Civic Learning and Reflection
By enrolling in this baccalaureate program and learning about
how much nursing thrives off research we are driven to share
this information with our fellow nurses and others who work
alongside them. Our audience was thrilled with our presentation
and we had good participation in our question and answer
segments because some already had an idea as to what nursing
research and EBP involves. By the end of our presentation, we
noticed we had added to the knowledge base of our audience
because the participation and answers we received for the final
question and answer section proved it.
Critical Thinking
It is often said with increased knowledge comes greater
responsibility and this is true in our case. We have learned a lot
from both our class material and our ASL project. We all see
the need to not just occupy a job position but rather become
active members in our field. We also implored our audience to
do the same, make a difference. In identifying qualities that are
used to distinguish an excellent nurse Paans, Robbe, Wijkamp,
and Wolfensberger (2017) highlight that such a nurse should be
analytical able to critically think and reason on complex
situations as well as evidence-driven, willing to improve
interventions and analyze research. Being able to critically
think, do research and advance through Benner’s stage all work
hand in hand.
Conclusion
In a field that is never stagnant there is always room for
growth. As nurses, we help to advance or practice by
participating in research and adhering to evidence-based
practice. Never do we wish to become complacent but rather we
wish to always seek out the opportunity to help other members
within our field to see the value behind research.
References
Fishman, G. A. (2018). Attending registered nurses: Evolving
role perceptions in clinical care teams. Nursing Economics,
36(1), 12-17,22. Retrieved from
http://db03.linccweb.org/login?url=https://search-proquest-
com.db03.linccweb.org/docview/2007005750?accountid=3
9901
Paans, W., Robbe, P., Wijkamp, I., & Wolfensberger, M. V. C.
(2017). What establishes an excellent nurse? A focus group
and delphi panel approach. BMC Nursing, 16
doi:http://dx.doi.org.db03.linccweb.org/10.1186/s12912-
017-0239-x
Polit, D., F., & Beck, C., T. (2018). Essentials of Nursing
Research. Appraising Evidence For
Nursing Practice (9th Ed). Philadelphia. Wolters Kluwer.
Running head:
NOVICE TO EXPERT
1
Novice to Expert:
The Nurse’s Role in
Research and Evidence
-
based Practice
Svetlana Alpin
,
Fantasia Batchelor
,
Evelin Andujar
,
Holly Booker
NUR 4165
Broward College
ASL Objectives:
6.1 Outline the Fundamental Principals of
Evidence
-
Based Practice
6.2 Describe the Relationship between Research and Evidence
-
Based Practice
Running head: NOVICE TO EXPERT
1
Novice to Expert: The Nurse’s Role in Research and Evidence-
based Practice
Svetlana Alpin, Fantasia Batchelor, Evelin Andujar, Holly
Booker
NUR 4165
Broward College
ASL Objectives:
6.1 Outline the Fundamental Principals of Evidence-Based
Practice
6.2 Describe the Relationship between Research and Evidence-
Based Practice
Technologies of Global e-Commerce
Successful
E-Commerce
Web site
Porter’s Generic Strategy
-Value Proposition
-Egg Diagram
-Resource System
-Revenue Model
Cultural considerations
Business Principles
Write-up must have:
My Website is:
Selling Workout Equipment
My Target Market is:
US, Saudi Arabia, Canada
My Porter’s Generic Strategies is:
Differentiation/Focus better product and service.
1
Write-up
8-15 pages text (discussion); exhibit or table space does not
count as discussion space.
Use sub-headings on various sections.
Use exhibits to shorten text and then use text to go in-depth on
exhibits. Walk reader through exhibits. Don’t throw in exhibits
as after thought.
Number all pages and exhibits.
Proof read - no grammatical or spelling errors.
2
To be effective, organization goals, objectives, culture, and
activities must be consistent with organization strategy.
Porter’s Four Competitive trateges
Components of a Business Model
Value Cluster
Marketspace Offering
Resource System
Financial Model
Developing a business model in the networked economy
requires four key choices on the part of the senior management:
Specify the value proposition or the value cluster for the
business
Articulate the online product, service and information offer
Define how the company needs to align its resources to deliver
the value proposition
Define and select the most appropriate revenue model to pursue
4
Value Proposition/Cluster
Target
Segments
The definition of the value proposition is the result of a
combination of choices about the customers, the benefits
offered and the unique capabilities of the firm:
Key Benefits
Offered
Unique
Capabilities
Value
Proposition
+
+
Here is my value Proposition:
“Exercise Equipment offers all the devices you need. We will
provide you with best devices in the market. We guarantee the
high quality of our devices and reasonable prices.”
5
Decision Process
Need Recognition
Search for Ideas and Offerings
Purchase Decision
Message Selection
Post-Sale Support and Perks
Build Relationship
Egg Diagram
Evaluation of Alternatives
Product/Service Offering
6
Case Study: Schwab
Resource System
Schwab’s resource system is centered around Schwab’s three
main benefits: low price, innovative products and superior
services.
Optimize Staff in Branches
Lower Prices
Train IT Staff
24/7 Access
Media General
S&P
Hoovers
Phone
Branch
Online
Charge for Value- Added Services
Provide
Lower
Commission
for Frequent
Traders
Innovative Products
Center of Knowledge and Innovation
Invest-ment in R&D
Cutting-Edge Technology
Investment in IT
System Reliability
Multiple Points of Access
Hire IT Staff
Competitive Commission Rates
Streamlined Operations
Learning Center
= Resources
= Capabilities
= Core Benefits
Superior Service
Partnerships with Content Providers
Invest in CSR Training
Align CSR
Compensation
with Quality
of Service
Customer Service
OneSource
7
Revenue Models
While firms can pursue a number of revenue models, some are
used most frequently:
Advertising
Advertising revenues can be generated through the selling of
ads, site sponsorships, event underwriting, etc. (e.g., Yahoo,
AOL, Business2.com)
Product, Service, Information
Revenues can be generated from the sales of goods and services
(e.g., Amazon, CDNow, Buy.com)
Transaction
Revenues can be accrued from charging a fee or taking a
portion of the transaction sum for facilitating a customer-seller
transaction (e.g., Schwab, eBay)
Subscription
Website can gain revenues by offering subscription services for
information (e.g., FT.com, NYTimes.com)
8
Cultural Considerations
Hofstede’s Cultural Dimensions
Make assumptions for each of the four dimensions and discuss
site adjustments as a result for each of your targeted markets
Language Translation issues
Other cultural issues such as color etc.
9
NUR 4667 ASL Outline and Plan
Group members:
Svetlana Alpin (Research, PowerPoint) Evelin
Andujar (Research, PowerPoint)
Roberto Alvarez (Group Leader, Research, Reflection)
Location: Cleveland Clinic Florida 2950 Cleveland Clinic Blvd
Weston, Fl 33331
Audience: Nursing Staff
Topic: Nursing Care of Diverse Population
Goal: At the end of the presentation, the staff will understand
what culturally competent care is and how it affects their
patient population.
ASL Objectives:
5.3 Describe steps toward developing cultural competence.
5.4 Determine outcomes of culturally competent care.
Theory: Madeleine Leininger Transcultural Care Theory
Plan:
Pre-Q&A (5 questions)
Lecture
PowerPoint presentation
Discussion, Q&A
NUR 4667
ASL Outline and Plan
Group members:
Svetlana Alpin (Research, PowerPoint)
Evelin Andujar (Research, PowerPoint)
Roberto Alvarez (
Group Leader,
Research, Reflection)
Location:
Cleveland Clinic Florida 2950 Cleveland Clinic Blvd Weston,
Fl 33331
Audience:
Nursing
Staff
Topic:
Nursing Care of Diverse Population
Goal:
At the end of the presentation, the staff will
understand
what culturally competent care is
and how it affects t
heir patient population.
ASL Objectives:
5.3 Describe steps toward developing cultural competence.
5.4 Determine outcomes of culturally competent care.
Theory:
Madeleine
Leininger Transcultural Care Theory
Plan:
Pre
-
Q
&A
(5 questions)
Lecture
PowerPoint presentation
Discussion, Q&A
NUR 4667 ASL Outline and Plan
Group members:
Svetlana Alpin (Research, PowerPoint) Evelin Andujar
(Research, PowerPoint)
Roberto Alvarez (Group Leader, Research, Reflection)
Location: Cleveland Clinic Florida 2950 Cleveland Clinic Blvd
Weston, Fl 33331
Audience: Nursing Staff
Topic: Nursing Care of Diverse Population
Goal: At the end of the presentation, the staff will understand
what culturally competent care is
and how it affects their patient population.
ASL Objectives:
5.3 Describe steps toward developing cultural competence.
5.4 Determine outcomes of culturally competent care.
Theory: Madeleine Leininger Transcultural Care Theory
Plan:
Pre-Q&A (5 questions)
Lecture
PowerPoint presentation
Discussion, Q&A

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1Running head NOVICE TO EXPERT2NOVICE TO EXPERT.docx

  • 1. 1 Running head: NOVICE TO EXPERT 2 NOVICE TO EXPERT Novice to Expert: The Nurse’s Role in Research and Evidence- based Practice Svetlana Alpin, Fantasia Batchelor, Evelin Andujar, Holly Booker NUR 4165 Broward College ASL Objectives: 6.1 Outline the Fundamental Principals of Evidence-Based Practice 6.2 Describe the Relationship between Research and Evidence- Based Practice Novice to Expert: The Nurse’s Role in Research and Evidence- based Practice Nursing is a field of practice with processes, policies, and
  • 2. procedures that are constantly evolving. Such changes do not come about by mere chance but rather on the shoulders of the many nurse researchers who lend a hand in nursing research and the fruition of such research is implemented as evidence-based practice (EBP). Throughout this reflection the terms nursing research and evidence-based practice will be utilized quite often, what do these terms really denote? Polit and Beck (2018) explain nursing research as an inquiry that is designed to retrieve trustworthy evidence about issues relevant to nurses and their clients. Evidence-based practice is identified as using the best evidence to guide patient care decisions and such evidence is typically generated from nurses and other health care professionals who engage in research (Polit and Beck, 2018). Relevant and Meaningful Service within the Community Knowing how important research is to the continued quality improvement within our field our group set out on a mission to educate fellow nurses about the need to engage in such research and aid in the implementation of evidence-based practice. The opportunity presented itself on April 16th, 2019 at the Hallandale Outpatient Surgical Center (HOSC). Our primary goal was to educate the nurses of the HOSC about the need to involve themselves in nursing research and evidence-based practices and to seek out opportunities around their workplace where extra research may lead to quality improvement. Enhanced Academic Learning Our ASL group utilized objectives: 6.1 Outline the fundamental principles of evidence-based practice, and 6.2 Describe the relationship between research knowledge and evidence-based practice. The theory that served as the backbone to our presentation was Patricia Benner’s theory of Novice to Expert. Nursing theorist Patricia Benner adapted the Dreyfus theory to nursing clinical practice and utilized the same five stages novice, advanced beginner, competent, proficient and expert to evaluate the progression of a nurse (Fishman, 2018). As nurses obtain the necessary experience from years on the job they
  • 3. become assets in the recognition of areas within the field that has room for change or improvement and may even be able to offer well-established solutions if they are able to involve themselves in nursing research. Using objective 6.1 we analyzed a few key principles to evidence-based practice some of which include identifying the best research evidence, listening to patient preferences and utilizing clinical expertise. Objective 6.2 allowed us to dig deeper and show our audience the connection between knowledge gained from research and implementing such knowledge by means of evidence-based practice. Purposeful Civic Learning and Reflection By enrolling in this baccalaureate program and learning about how much nursing thrives off research we are driven to share this information with our fellow nurses and others who work alongside them. Our audience was thrilled with our presentation and we had good participation in our question and answer segments because some already had an idea as to what nursing research and EBP involves. By the end of our presentation, we noticed we had added to the knowledge base of our audience because the participation and answers we received for the final question and answer section proved it. Critical Thinking It is often said with increased knowledge comes greater responsibility and this is true in our case. We have learned a lot from both our class material and our ASL project. We all see the need to not just occupy a job position but rather become active members in our field. We also implored our audience to do the same, make a difference. In identifying qualities that are used to distinguish an excellent nurse Paans, Robbe, Wijkamp, and Wolfensberger (2017) highlight that such a nurse should be analytical able to critically think and reason on complex situations as well as evidence-driven, willing to improve interventions and analyze research. Being able to critically think, do research and advance through Benner’s stage all work hand in hand.
  • 4. Conclusion In a field that is never stagnant there is always room for growth. As nurses, we help to advance or practice by participating in research and adhering to evidence-based practice. Never do we wish to become complacent but rather we wish to always seek out the opportunity to help other members within our field to see the value behind research. References Fishman, G. A. (2018). Attending registered nurses: Evolving role perceptions in clinical care teams. Nursing Economics, 36(1), 12-17,22. Retrieved from http://db03.linccweb.org/login?url=https://search-proquest- com.db03.linccweb.org/docview/2007005750?accountid=3 9901 Paans, W., Robbe, P., Wijkamp, I., & Wolfensberger, M. V. C. (2017). What establishes an excellent nurse? A focus group and delphi panel approach. BMC Nursing, 16 doi:http://dx.doi.org.db03.linccweb.org/10.1186/s12912- 017-0239-x Polit, D., F., & Beck, C., T. (2018). Essentials of Nursing Research. Appraising Evidence For Nursing Practice (9th Ed). Philadelphia. Wolters Kluwer. Running head: NOVICE TO EXPERT 1
  • 5. Novice to Expert: The Nurse’s Role in Research and Evidence - based Practice Svetlana Alpin , Fantasia Batchelor , Evelin Andujar , Holly Booker NUR 4165 Broward College ASL Objectives: 6.1 Outline the Fundamental Principals of Evidence - Based Practice 6.2 Describe the Relationship between Research and Evidence - Based Practice
  • 6. Running head: NOVICE TO EXPERT 1 Novice to Expert: The Nurse’s Role in Research and Evidence- based Practice Svetlana Alpin, Fantasia Batchelor, Evelin Andujar, Holly Booker NUR 4165 Broward College ASL Objectives: 6.1 Outline the Fundamental Principals of Evidence-Based Practice 6.2 Describe the Relationship between Research and Evidence- Based Practice Technologies of Global e-Commerce Successful E-Commerce
  • 7. Web site Porter’s Generic Strategy -Value Proposition -Egg Diagram -Resource System -Revenue Model Cultural considerations Business Principles Write-up must have: My Website is: Selling Workout Equipment My Target Market is: US, Saudi Arabia, Canada My Porter’s Generic Strategies is: Differentiation/Focus better product and service. 1 Write-up 8-15 pages text (discussion); exhibit or table space does not count as discussion space. Use sub-headings on various sections. Use exhibits to shorten text and then use text to go in-depth on exhibits. Walk reader through exhibits. Don’t throw in exhibits as after thought.
  • 8. Number all pages and exhibits. Proof read - no grammatical or spelling errors. 2 To be effective, organization goals, objectives, culture, and activities must be consistent with organization strategy. Porter’s Four Competitive trateges Components of a Business Model Value Cluster Marketspace Offering Resource System Financial Model Developing a business model in the networked economy requires four key choices on the part of the senior management: Specify the value proposition or the value cluster for the business Articulate the online product, service and information offer Define how the company needs to align its resources to deliver the value proposition Define and select the most appropriate revenue model to pursue
  • 9. 4 Value Proposition/Cluster Target Segments The definition of the value proposition is the result of a combination of choices about the customers, the benefits offered and the unique capabilities of the firm: Key Benefits Offered Unique Capabilities Value Proposition + + Here is my value Proposition: “Exercise Equipment offers all the devices you need. We will provide you with best devices in the market. We guarantee the high quality of our devices and reasonable prices.” 5 Decision Process Need Recognition
  • 10. Search for Ideas and Offerings Purchase Decision Message Selection Post-Sale Support and Perks Build Relationship Egg Diagram Evaluation of Alternatives Product/Service Offering 6 Case Study: Schwab Resource System Schwab’s resource system is centered around Schwab’s three main benefits: low price, innovative products and superior services.
  • 11. Optimize Staff in Branches Lower Prices Train IT Staff 24/7 Access Media General S&P Hoovers Phone Branch Online Charge for Value- Added Services Provide Lower Commission for Frequent Traders Innovative Products
  • 12. Center of Knowledge and Innovation Invest-ment in R&D Cutting-Edge Technology Investment in IT System Reliability Multiple Points of Access Hire IT Staff Competitive Commission Rates Streamlined Operations Learning Center = Resources = Capabilities = Core Benefits Superior Service Partnerships with Content Providers Invest in CSR Training Align CSR Compensation with Quality of Service Customer Service OneSource 7 Revenue Models While firms can pursue a number of revenue models, some are used most frequently: Advertising
  • 13. Advertising revenues can be generated through the selling of ads, site sponsorships, event underwriting, etc. (e.g., Yahoo, AOL, Business2.com) Product, Service, Information Revenues can be generated from the sales of goods and services (e.g., Amazon, CDNow, Buy.com) Transaction Revenues can be accrued from charging a fee or taking a portion of the transaction sum for facilitating a customer-seller transaction (e.g., Schwab, eBay) Subscription Website can gain revenues by offering subscription services for information (e.g., FT.com, NYTimes.com) 8 Cultural Considerations Hofstede’s Cultural Dimensions Make assumptions for each of the four dimensions and discuss site adjustments as a result for each of your targeted markets Language Translation issues Other cultural issues such as color etc. 9 NUR 4667 ASL Outline and Plan Group members: Svetlana Alpin (Research, PowerPoint) Evelin Andujar (Research, PowerPoint) Roberto Alvarez (Group Leader, Research, Reflection) Location: Cleveland Clinic Florida 2950 Cleveland Clinic Blvd
  • 14. Weston, Fl 33331 Audience: Nursing Staff Topic: Nursing Care of Diverse Population Goal: At the end of the presentation, the staff will understand what culturally competent care is and how it affects their patient population. ASL Objectives: 5.3 Describe steps toward developing cultural competence. 5.4 Determine outcomes of culturally competent care. Theory: Madeleine Leininger Transcultural Care Theory Plan: Pre-Q&A (5 questions) Lecture PowerPoint presentation Discussion, Q&A NUR 4667 ASL Outline and Plan Group members: Svetlana Alpin (Research, PowerPoint) Evelin Andujar (Research, PowerPoint) Roberto Alvarez ( Group Leader,
  • 15. Research, Reflection) Location: Cleveland Clinic Florida 2950 Cleveland Clinic Blvd Weston, Fl 33331 Audience: Nursing Staff Topic: Nursing Care of Diverse Population Goal: At the end of the presentation, the staff will understand what culturally competent care is and how it affects t heir patient population. ASL Objectives: 5.3 Describe steps toward developing cultural competence. 5.4 Determine outcomes of culturally competent care. Theory:
  • 16. Madeleine Leininger Transcultural Care Theory Plan: Pre - Q &A (5 questions) Lecture PowerPoint presentation Discussion, Q&A NUR 4667 ASL Outline and Plan Group members: Svetlana Alpin (Research, PowerPoint) Evelin Andujar (Research, PowerPoint) Roberto Alvarez (Group Leader, Research, Reflection) Location: Cleveland Clinic Florida 2950 Cleveland Clinic Blvd Weston, Fl 33331 Audience: Nursing Staff Topic: Nursing Care of Diverse Population Goal: At the end of the presentation, the staff will understand
  • 17. what culturally competent care is and how it affects their patient population. ASL Objectives: 5.3 Describe steps toward developing cultural competence. 5.4 Determine outcomes of culturally competent care. Theory: Madeleine Leininger Transcultural Care Theory Plan: Pre-Q&A (5 questions) Lecture PowerPoint presentation Discussion, Q&A