Address the following questions: · What is peer review? · Why is peer review important in evidence-based practice? · How can peer review be facilitated? Overview: The PARiHS (Promoting Action on Research Implementation in Health Services) framework provides a way to implement research into practice. It is one of many different EBP models in use today. The author of our textbook has chosen this model and more information about it can be found on pages 307-312. The PARiHS EBP Model/Framework examines interactions between three key elements necessary for facilitation to occur (I=innovations or evidence, R=recipients or stakeholders, and C=context or setting). According to the PARiHS Model, successful implementation of research into practice is a result of facilitation. Facilitation requires the integration of the three elements identified above. The facilitation is the type of support needed to help people change their attitudes, habits, skills and ways of thinking and working. How to change brings us to the PDCA Model which is a Quality Improvement Model/Framework that supports this facilitation element as suggested by the author. This widely used QI framework consists of the Plan, Do, Check, Act (PDCA) cycle which has 4 stages: Plan: Determine goals for a process and needed changes to achieve them Do: Implement the changes Check: Evaluate the results in terms of performance Act: Standardize and stabilize the change or begin the cycle again, depending on the results. This assignment is designed to help you identify the PDCA Evidence-Based Practice Model and barriers and will be graded according to the Guidelines and Rubric for Models and Barriers. Instructions: · Use your week two topic “HOSPITAL READMISSION” and discuss barriers in practice to implementing a change related to your topic and what are four evidence-based practice interventions (supported by professional sources or research studies) nurses can implement to overcome these barriers. Two peer-reviewed journal sources are required to support your identified barrier and your identified four strategies for overcoming this barrier. You may additionally use your book. · Discuss how you would use the PDCA model in your workplace clinical practice or student clinical practice and why? Support this with your peer-reviewed sources and textbook information. · Use APA format- no more than two pages in content, excluding the title and reference pages. Details: · Take your topic “HOSPITAL READMISSION” and discuss the PDCA model and how to implement change related to your topic based on what you have learned by critiquing articles on your topic. You can use the articles you were approved on in weeks 4 and 6, and there is also an article in the week eight discussion board that gives you examples of barriers to practice. · Discuss in practice what barriers you might have to bring about change related to your topic. Discuss how the PDCA model is used and barrie ...

1. Address the following questions:
· What is peer review?
· Why is peer review important in evidence-based practice?
· How can peer review be facilitated?
Overview:
The PARiHS (Promoting Action on Research Implementation in
Health Services) framework provides a way to implement
research into practice. It is one of many different EBP models
in use today. The author of our textbook has chosen this model
and more information about it can be found on pages 307-312.
The PARiHS EBP Model/Framework examines interactions
between three key elements necessary for facilitation to occur
(I=innovations or evidence, R=recipients or stakeholders, and
C=context or setting). According to the PARiHS Model,
successful implementation of research into practice is a result of
facilitation. Facilitation requires the integration of the three
elements identified above.
The facilitation is the type of support needed to help people
change their attitudes, habits, skills and ways of thinking and
working. How to change brings us to the PDCA Model which is
a Quality Improvement Model/Framework that supports this
facilitation element as suggested by the author. This widely
used QI framework consists of the Plan, Do, Check, Act
(PDCA) cycle which has 4 stages:
Plan: Determine goals for a process and needed changes to
achieve them
Do: Implement the changes
Check: Evaluate the results in terms of performance

2. Act: Standardize and stabilize the change or begin the cycle
again, depending on the results.
This assignment is designed to help you identify the PDCA
Evidence-Based Practice Model and barriers and will be graded
according to the Guidelines and Rubric for Models and Barriers.
Instructions:
· Use your week two topic “HOSPITAL READMISSION” and
discuss barriers in practice to implementing a change related to
your topic and what are four evidence-based practice
interventions (supported by professional sources or research
studies) nurses can implement to overcome these barriers. Two
peer-reviewed journal sources are required to support your
identified barrier and your identified four strategies for
overcoming this barrier. You may additionally use your book.
· Discuss how you would use the PDCA model in your
workplace clinical practice or student clinical practice and why?
Support this with your peer-reviewed sources and textbook
information.
· Use APA format- no more than two pages in content,
excluding the title and reference pages.
Details:
· Take your topic “HOSPITAL READMISSION” and discuss the
PDCA model and how to implement change related to your topic
based on what you have learned by critiquing articles on your
topic. You can use the articles you were approved on in weeks 4
and 6, and there is also an article in the week eight discussion
board that gives you examples of barriers to practice.
· Discuss in practice what barriers you might have to bring
about change related to your topic. Discuss how the PDCA
model is used and barriers are overcome.
· Below is an example of barriers that are discussed in your
article from the week eight discussion board.
· Institutional and/or cultural barriers include lack of
knowledge, motivation, time management, physician and patient
factors, and limited access to up-to-date, user-friendly

3. technology and computer systems.
Rubric
Week 8 Assignment: Models and Barriers Paper
Week 8 Assignment: Models and Barriers Paper
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeThe PDCA Cycle
Define the PDCA Cycle and explain why you think this
model might work in your organization
40 pts
Meets or Exceeds Expectations
Model identified and at least one reason why it might work
cited
0 pts
Does Not Meet Expectations
No definition or explanation
40 pts
This criterion is linked to a Learning OutcomeBarriers
What barriers might you encounter
50 pts
Meets or Exceeds Expectations
Examples cited, supported by 2 peer-reviewed journal
references.
0 pts
Does Not Meet Expectations
No examples cited, not supported by 2 peer-reviewed journal
sources.
50 pts
This criterion is linked to a Learning OutcomeOvercoming
Barriers
How do you as a nurse overcome barriers
50 pts
Meets or Exceeds Expectations

4. 4 ways to overcome barriers listed
0 pts
Does Not Meet Expectations
No ways to overcome barriers cited.
50 pts
This criterion is linked to a Learning OutcomeAPA and
Mechanics
10 to >7.5 pts
Meets or Exceeds Expectations
Follows all the requirements related to format, length, source
citations, and layout. Written in a clear, concise, formal, and
organized manner. Responses are mostly error free. Information
from sources is paraphrased appropriately and accurately cited.
7.5 to >5.0 pts
Mostly Meets Expectations
Follows length requirement and most of the requirements
related to format, source citations, and layout. Writing is
generally clear and organized but is not concise or formal in
language. Multiple errors exist in spelling and grammar with
minor interference with readability or comprehension. Most
information from sources is paraphrased and cited correctly.
5 to >2.5 pts
Below Expectations
Follows few requirements related to format, source citations,
and layout. Writing may be unclear or informal in language.
Multiple errors exist in spelling and grammar, interfering with
readability or comprehension. Some information from sources is
paraphrased and cited correctly.
2.5 to >0 pts
Does Not Meet Expectations
Follows few requirements related to format, source citations,
and layout. Writing may be unclear or informal in language.
Multiple errors exist in spelling and grammar, interfering with
readability or comprehension. Some information from sources is
paraphrased and cited correctly.

5. 10 pts
Total Points: 150
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Discuss barriers to Evidence Based Practice.
Post a brief statement of your Evidence Based Practice (EBP)
findings. How do you overcome barriers to implementing
change in practice? Describe the anticipated barriers to the
change process in your institution (or where the change will be
implemented). Include the organization's culture, its reaction to
change, and your leadership role for a change.
See article below for inspiration:
Tacia, L., Biskupski, K.,
Pheley
Links to an external site., A., &
Lehto
Links to an external site., R. (2015). Identifying
barriers to evidence-based practice adoption: A focus group
study. Clinical Nursing Studies, 3(2):90–96.
http://dx.doi.org/10.5430/cns.v3n2p90
Describe which type of morality Kenny is displaying when he
makes the decision to steal medical supplies for the homeless
man. Watch both examples of Sara’s reporting decisions and
analyze the consequences of each decision. Think about what
you learned from the team leadership chapter in your text. What
benefits came from Sara reporting Kenny to Cathleen? Why is it
important for Sara to not only coach Kenny in this situation, but
also build her team and develop an effective organizational
team structure?
Please watch the video below prior to responding to the

6. discussion prompt.
https://youtu.be/F239znW8zqE