DNP-815A Scientific Underpinnings

DNP-815A Scientific Underpinnings INDIVIDUAL PROJECT

Topic Connecting Nursing Theory and Evidence-Based Change Models

Evidence-based practice (EBP) results from the integration of available research, clinical expertise, and patient preferences to individualize care and promote effective care decision-making. The Direct Practice Improvement (DPI) project focuses on a measurable patient outcome from the perspective of a departmental, local health service, organizational, or community-level need. It is not an individual practice change. All projects will require the use of both a nursing theory and an EBP change model.

For the DPI Project, the theoretical framework is based on nursing theory. The primary purpose of nursing theory is to improve practice by allowing nurses to articulate and translate evidence that justifies methodology for practice change, which in turn may positively impact patient outcomes. The relationship between theory and practice is reciprocal. The practice is the basis for the development of nursing theory, whereas nursing theory must be validated in practice.

An EBP change model guides nurses in translating existing research into practice by using a systematic approach to implement the best evidence into clinical practice. Change models also aid in the sustainability of an EBP change. Evidence-based practice change models come from a variety of sources. Examples of models for EBP are the Johns-Hopkins nursing evidence-based practice model, the Stetler model, and the Iowa model of evidence-based practice to promote quality care. Other models are based on business management, examples include Kotter’s 8-step change model, Kurt Lewin’s change model, and Plan-Do-Study-Act (PDSA). Although there are many models to choose from, the DPI Project requires an appropriate linkage of the nursing theory to the appropriate change model for your DPI Project.

General Guidelines:

Use the following information to ensure the successful completion of the assignment:

· Use the “Connecting Nursing Theory and Evidence-Based Change Models” template, located in the DC Network under the “DNP-815 or DNP-815A” folders, to complete this assignment.

· This assignment requires that at least four peer-reviewed scholarly articles published in the past 5 years related to this topic, and at least one in-text citation from each seminal (original/empirical) nursing theory and evidence-based change model

· Doctoral learners are required to use the APA style for their writing assignments.

· This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

· You are required to submit this assignment to LopesWrite. 


This section identifies and describes the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project.

Following the “Connecting Nursing Theory and Evidence-Based Change Models” template, the following sections are required to be completed substantively:

Write a paper (1,500-2000 words) discussing the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project. Refer to the “Connecting Nursing Theory and Evidence-Based Change Models” template to complete this section.



Book: Philosophies and Theories for Advanced Nursing Practice. Read Chapter 5 in Philosophies and Theories for Advanced Nursing Practice.

Book: A Theoretical Model of Spousal Caregiving Postintensive Care. Read Burns, M. E. (2019). A theoretical model of spousal caregiving post intensive care. Nursing Science Quarterly, 32(2), 120-126.

Book: A Proposed Middle-Range Theory of Nursing in Hypertension Care. Read Drevenhorn, E. (2018). A proposed middle-range theory of nursing in hypertension care. International Journal of Hypertens, 2018, 1–11.

Book: Middle Range Theories. Read Liehr, P., & Smith, M. J. (2017). Middle range theories. In J. Fitzpatrick (Ed.), Encyclopedia of Nursing Research (4th ed.). Springer Publishing Company. Credo Reference.