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Nursing questions

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients

A final-week discussion question that reads like an opinion prompt and is graded like a research-utilisation exercise: one named practice from your own unit, traced to the evidence that put it there, and carried by current citations.

Editorial process

Last reviewed · July 28, 2026

01

What is NRS 433 Week 5 DQ 1 actually asking?

The verb that decides your grade is see, not define. NRS 433 spends five weeks on how nursing research is produced and appraised, and this closing discussion asks whether you can now recognise the product of that research sitting in your own unit — a protocol, an order set, a bundle, a screening tool — and say where it came from. A post that opens by defining evidence-based practice has answered a question the prompt did not ask.

The prompt is anchored to the course text: "According to the textbook…". The rubric's top band then rewards analysis and synthesis "representative of knowledge gained from the course readings for the module and current credible sources". So the textbook's framing of research-based practice is your starting point, not the whole post — state how your reading defines research utilisation, then test that definition against one practice you can actually observe on shift.

The hard part is a clash of registers. "In your workplace" invites a first-person account, while the class instructions require in-text citations, at least two references with one peer-reviewed journal article, and no direct quotations at all — everything summarised or paraphrased. Weak posts resolve the clash by dropping one side: an uncited story about the unit, or a cited essay about evidence-based practice in general with no unit in it. The post that earns the depth marks does both in the same sentence — "our sepsis bundle requires a repeat lactate within one hour, which follows the Surviving Sepsis Campaign recommendation (citation)" — so the personal observation and the evidence trail arrive together.

Watch the boundary between evidence-based practice, quality improvement, and research, because it is the distinction the module's readings are built on. Auditing hand-hygiene compliance on your floor is quality improvement. Collecting data to answer a new question is research. Adopting or changing a practice because appraised external evidence supports it is evidence-based practice. Picking an example from the wrong category is the most common way this post loses marks, since it shows the five weeks of content did not land.

Reconcile the specifications before you write, because this record carries three that do not agree. The discussion instructions set a 150-word minimum and two references. The welcome announcement sets a 200-word minimum for an initial post and says references should be no more than five years old. The rubric's Excellent band expects support from "at least three current credible sources". Write to the strictest reading of all three — 200-plus words, three sources dated within five years, at least one of them a peer-reviewed journal article — and you satisfy every version at once instead of guessing which one the marker is holding.

Likely learning objectives

  • Likely assessed on whether you can separate research utilisation from conducting research and from quality improvement, which is the distinction the module's readings build toward.
  • The assessor tends to reward a named, observable practice traced to a specific evidence source, rather than a general endorsement of evidence-based practice as a good thing.
  • Likely looking for the course text to be engaged and then extended by current literature, since the rubric asks for course readings and current credible sources in the same breath.
  • Probably credits an honest account of what limits uptake where you work — time, authority to change a procedure, database access off-shift — because that is where the module's implementation content applies.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

NRS 433 Week 5 Discussion 1 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

Course-wide instructions that accompany this question

Important information for writing discussion questions and participation Hi Class, Please read through the following information on writing a Discussion question response and participation posts. Contact me if you have any questions. Important information on Writing a Discussion Question Your response needs to be a minimum of 150 words (not including your list of references) There needs to be at least TWO references with ONE being a peer reviewed professional journal article. Include in-text citations in your response Do not include quotes—instead summarize and paraphrase the information Follow APA-7th edition Points will be deducted if the above is not followed Participation –replies to your classmates or instructor A minimum of 6 responses per week, on at least 3 days of the week. Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article Each response needs to be at least 75 words in length (does not include your list of references) Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count. Follow APA 7th edition Points will be deducted if the above is not followed Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points. Here are some helpful links Student paper example Citing Sources The Writing Center is a great resource Welcome to class Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to. I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you. Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted. If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations. Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements. Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week. I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course! Name: Discussion Rubric Grid View List View 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 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. 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. 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: Discussion Rubric });

02

Turn the brief into deliverables

  1. 01An initial discussion response of a minimum of 150 words not including the reference list (discussion instructions); the course welcome announcement sets a 200-word minimum for initial posts.
  2. 02At least TWO references, ONE of which must be a peer-reviewed professional journal article.
  3. 03In-text citations in the response, with no quotations — the instructions require you to summarise and paraphrase instead.
  4. 04APA 7th edition formatting throughout, with references no more than five years old unless recommended as a class resource.
  5. 05The discussion rubric's Excellent band expects the main posting to be supported by at least three current credible sources.
  6. 06Participation: a minimum of six responses per week on at least three days, each at least 75 words and each carrying at least one reference with citations.
03

How do you structure the workplace-EBP post?

01

Name the practice before you define anything

Open by naming one specific protocol, screening tool, order set or bundle in use where you work, and the client decision it changes. This sentence is what proves you are answering "how do you see this being applied" rather than "what is evidence-based practice".

What the assessor is likely looking for

That a real, named practice from a specific setting appears early, instead of a general claim that the unit uses evidence.

02

Anchor it to the textbook's framing, then move past it

State how the module's reading defines research-based or evidence-based practice, and use that definition as the test your example has to pass. The prompt cites the textbook, so the textbook has to appear — briefly, and as a tool rather than the content.

What the assessor is likely looking for

Whether course reading is applied to the example rather than summarised for its own sake, which is what the rubric means by synthesis representative of the module's readings.

03

Trace the practice back to its evidence

Say where the practice came from — a clinical practice guideline, a systematic review, an evidence report — and cite that trail. This is the research-utilisation link the whole course has been building toward.

What the assessor is likely looking for

Whether the evidence behind the practice is named and cited; a guideline or review identified by name outscores an unsupported "research shows".

04

Show how it travelled from the literature onto the unit

Describe the translation route — a practice council, a nurse champion, a policy revision, a formal model such as the Iowa Model or the Johns Hopkins PET process — so the post explains how findings actually reach decisions and client interactions.

What the assessor is likely looking for

Evidence that translation is understood as an organisational process with a named route, which is where implementation reading is meant to surface.

05

Say honestly what limits it where you work

Name the barriers you observe — time to read, staffing, authority to change a procedure, database access off-shift — and support them with a recent study rather than an opinion.

What the assessor is likely looking for

That barriers are backed by a current peer-reviewed source and matched to the setting described, not listed as generic complaints about workload.

06

Close so classmates can reply

End with the question your example raises for other settings, since six substantive participation posts are due that week and peers need a handle to respond to.

What the assessor is likely looking for

Whether the ending gives a discussable opening; the participation rubric rewards replies that add information, and a closed summary invites none.

04

Where do you find the evidence behind your practice?

Recommended databases

  • CINAHL Complete (EBSCO)
  • PubMed / MEDLINE
  • PubMed Central (PMC) for open-access full text
  • Cochrane Library
  • AHRQ Effective Health Care Program evidence reports

Search sequence

  1. 1.Choose the workplace practice first, then search for its evidence base by name — "sepsis bundle lactate", "Morse fall scale", "CHG bathing CLABSI" — instead of searching the phrase evidence-based practice generally.
  2. 2.In CINAHL, tick peer-reviewed and set the publication date from 2021 onward, so every hit already satisfies the five-year currency rule the announcement imposes.
  3. 3.When the library link resolves to a paywall, take the PMCID from the PubMed record and open the same article in PMC for free full text.
  4. 4.Find one recent implementation study for the barriers paragraph: search evidence-based practice implementation barriers nurses, limited to 2021 onward.
  5. 5.Read the module chapter on research utilisation for the definition you will anchor on, then locate one current article that supports or complicates it, so the textbook and the literature are in conversation rather than stacked.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nursing Professional Development Evidence-Based Practice

StatPearls Publishing, National Library of Medicine (NCBI Bookshelf) · 2023

Review before citing

The cleanest short statement of the boundary you have to respect in this post: evidence-based practice versus quality improvement versus research, plus the seven-step EBP process. Use it to check that your workplace example is in the right category. It is a reference text, not a peer-reviewed study, so it does not satisfy the peer-reviewed journal requirement on its own.

A peer-reviewed, open-access study that satisfies both the journal-article and the currency requirements. Its finding that organisational factors dominate — manager support and an evidence-based nursing committee as facilitators, insufficient time and limited authority to change procedures as barriers — gives you a citable backing for the limits paragraph instead of an opinion.

A second current peer-reviewed option, useful if your barriers are staffing and resources rather than authority: it reports barriers outweighing individual engagement as a predictor of implementation. Its sample is Korean hospital nurses, so frame it as comparable evidence rather than a description of your own setting.

QSEN: Knowledge, Skills, and Attitudes Associated With Evidence-Based Practice (Table 9.4)

Nursing Management and Professional Concepts, Chippewa Valley Technical College (NCBI Bookshelf) · 2022

Review before citing

The competency language to describe your own role in the practice you name — locating evidence reports, basing the plan of care on evidence and patient values, questioning routines that produce poor outcomes. Handy for making the first-person half of the post sound professional rather than anecdotal.

06

Review before submission

Common mistakes

  • Opening with a textbook definition of evidence-based practice and never naming a practice on your own unit — the prompt asks what you *see*, and the marker is looking for one observable example.
  • Describing a quality-improvement audit or a unit in-service and calling it evidence-based practice; appraised external evidence is what makes a change evidence-based, not internal performance data.
  • Writing the workplace half as an uncited first-person story, when the instructions require in-text citations and forbid direct quotation.
  • Stopping at the course text plus one website, when the rubric's top band asks for at least three current credible sources and one of them has to be a peer-reviewed journal article.
  • Using a landmark model or classic study as the citation that carries currency. Name the Iowa Model or the Johns Hopkins PET process for the framework, then pair it with a journal article inside the five-year window.
  • Ending on a flat summary sentence, when six substantive participation posts are due that week and a closing question is what gives classmates something to build on.

Submission checklist

  • Initial post runs to at least 200 words excluding the reference list, which is the stricter of the two stated minimums.
  • One named practice, protocol, tool or bundle from your own setting appears by name within the first few sentences.
  • At least three sources are cited in text, all dated within five years, and at least one is a peer-reviewed journal article.
  • No direct quotations anywhere in the post; every source is summarised or paraphrased.
  • The example is genuinely evidence-based practice rather than a quality-improvement audit or a research study you helped run.
  • APA 7th edition in-text citations and reference list, and a closing question that gives classmates an opening for the six required participation posts.

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Ryan Harper

MSc, Health Sciences

evidence-based practice implementation and care-transition safety

Ryan leads the Brinevia editorial desk. He works on how nursing coursework briefs translate into a plan a student can actually execute on a real unit.

Reviewed by

Dr. Laura Bennett

DNP, RN, CNE

Evidence-based practice and clinical education

Laura is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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