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Unit outline_

NURS6030: Evidence Based Practice

Semester 2, 2021 [Normal day] - Westmead, Sydney

This unit of study builds on foundational research methods introduced within the pre-requisite units. It aims to prepare students to recognise the quality and appropriateness of research for translation into nursing knowledge and practice. The unit introduces students to the process of inquiry: to Ask, Acquire, Appraise, Apply and Evaluate. This involves the translation of uncertainty to an answerable question, systematic retrieval of the best available evidence, critically appraising studies for quality and appropriateness, summarising the evidence, and implementing findings where appropriate. The unit introduces students to the application of ethical principles to research. Students will apply frameworks that guide the implementation of findings into practice. They will learn to apply research evidence in the context of patient and family values and the organisational, ethical and policy environment.

Unit details and rules

Academic unit Nursing and Midwifery
Credit points 6
Prerequisites
? 
NURS5002 and NURS5006
Corequisites
? 
None
Prohibitions
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

Yes

Teaching staff

Coordinator Jennifer Fraser, jennifer.fraser@sydney.edu.au
Tutor(s) Julie Leask, julie.leask@sydney.edu.au
Type Description Weight Due Length
Tutorial quiz hurdle task group assignment Assessment 3: Appraising and utilising research
MCQ
20% Multiple weeks 8 to 10 hours
Outcomes assessed: LO2 LO5 LO4 LO3
Assignment hurdle task Assessment 2: Research implementation proposal
Written assignment
50% STUVAC
Due date: 21 Nov 2021 at 23:59
2000 words
Outcomes assessed: LO1 LO4 LO6 LO7 LO8
Assignment hurdle task Assessment 1: Research problem and search strategy
Written assignment
30% Week 03
Due date: 29 Aug 2021 at 23:59
1500 words
Outcomes assessed: LO1 LO2 LO4
hurdle task = hurdle task ?
group assignment = group assignment ?

Assessment summary

  • Assessment 1. Research problem and search strategy: This assessment aims to establish skills in being able to develop a clinical research question, and to perform a rigorous search for evidence so that you can find what you need when you are looking for guidance in the clinical setting. Students will be asked to develop the clinical research question and describe the strategy to search the existing literature to locate evidence to help answer it.
  • Assessment 2. Implementing the findings of research into practice: Students will be asked to develop an implementation proposal to implement evidence into practice using a provided template. Through this proposal, students will develop an understanding of using a range of approaches for transferring research into clinical practice.
  • Assessment 3. Appraising and utilising research: Students will be asked to prepare for an in-tutorial quiz based on lecture content. They will carefully review lecture content from the prior week/s, and come prepared to answer 10 multiple-choice questions. Students will be allocated to groups during tutorial 1. In those same groups, students will assemble each week and answer questions individually. They will then have a small group discussion and following that, make a second attempt at an individual quiz. Marks will be awarded for both first attempt and second attempt answers at a ratio of 8:2

Please note: Each student is required to submit all assessment items in order to pass this unit. Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name

Mark range

Description

High distinction

85 - 100

 

Distinction

75 - 84

 

Credit

65 - 74

 

Pass

50 - 64

 

Fail

0 - 49

When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

Academic integrity

The Current Student website provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

Use of generative artificial intelligence (AI) and automated writing tools

You may only use generative AI and automated writing tools in assessment tasks if you are permitted to by your unit coordinator. If you do use these tools, you must acknowledge this in your work, either in a footnote or an acknowledgement section. The assessment instructions or unit outline will give guidance of the types of tools that are permitted and how the tools should be used.

Your final submitted work must be your own, original work. You must acknowledge any use of generative AI tools that have been used in the assessment, and any material that forms part of your submission must be appropriately referenced. For guidance on how to acknowledge the use of AI, please refer to the AI in Education Canvas site.

The unapproved use of these tools or unacknowledged use will be considered a breach of the Academic Integrity Policy and penalties may apply.

Studiosity is permitted unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission as detailed on the Learning Hub’s Canvas page.

Outside assessment tasks, generative AI tools may be used to support your learning. The AI in Education Canvas site contains a number of productive ways that students are using AI to improve their learning.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week -01 1. Introduction to research: definitions, research paradigms, methods, and implementation; 2. Developing researchable and accessible questions Lecture (2 hr) LO1 LO2
1. Using research to help you address clinical questions; 2. Applying research to a topic 3. Complete survey Tutorial (2 hr) LO1 LO2
Week 01 1. Searching the research literature to inform decision making; 2. Boolean logic, databases and their appropriateness, and search terms 3. Cognitive heuristics and their influence on research. Lecture (2 hr) LO2 LO3 LO6
1. Introduction to research: identifying study types and applications; 2. Using PICO to develop searchable questions; 3. Critical appraisal using the CASP tool - (pre-reading required) Tutorial (2 hr) LO3 LO4
Week 02 Quantitative research methods and when they are appropriate. Lecture (2 hr) LO1 LO2 LO4 LO5
Literature searching - a guided exercise with the Sydney Nursing School librarians (no pre-reading required) Tutorial (2 hr) LO2 LO3
Week 03 Qualitative research methods and when they are appropriate. Lecture (2 hr) LO1 LO2 LO4 LO5
1. Quantitative research methods; 2. Analysing population health statistics, understanding bias, and reading and interpreting quantitative study results; 3. Critical appraisal using the CASP tool (pre-reading required); 4. Reviewing survey results. Tutorial (2 hr) LO1 LO2 LO4
Week 04 1. Implementation frameworks part 1; 2. Guidance on assessment 2; 3. Using research to improve clinical practice; 4. Clinical practice guidelines; 5. Introducing GRADE Lecture (2 hr) LO1 LO5 LO7
1. Qualitative research methods; 2. Critical appraisal using the CASP tool - (pre-reading required) Tutorial (2 hr) LO1 LO4 LO5
Week 11 1. Implementation and evaluation frameworks part 2; 2. Using the hospital library service Lecture (2 hr) LO1 LO3 LO5 LO7 LO8
Using an implementation framework to apply research in practice (team exercise) Tutorial (2 hr) LO1 LO5 LO7 LO8
Week 12 Implementing research into practice and assessing the process and outcomes for patients and communities - guest lecture. Lecture (2 hr) LO1 LO2 LO5 LO7 LO8
Assessing the quality of clinical practice guidelines. Tutorial (2 hr) LO1 LO2 LO5
Week 13 Ethical issues in research Lecture (2 hr) LO1 LO5 LO6
1. Applying ethical principles to research; 2. Considering ethical issues in Aboriginal and Torres Strait Islander health research; 3. Unit evaluation focus group Tutorial (2 hr) LO1 LO2 LO5 LO6

Attendance and class requirements

  • Attendance and participation: The Sydney Nursing School Resolutions specifically outline attendance requirements. Resolution 8.2 states that if students are absent without leave for more than 10% of classes in a particular unit of study in any one semester, the Dean may call upon them to show cause why they should not be deemed to have failed that unit of study. Students must also attend 100% of all clinical simulation laboratories (CSL) and off campus clinical, which are supplemented with online and group activities. Students are required to attend 100% of all clinical hours. These clinical hours must be reported to the Nurses and Midwives Board of NSW as a requirement for registration on completion of the nursing program clinical requirements.
  • Referencing style: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing Style. This is an author-date style of referencing. You are permitted to use either the 6th or 7th Edition however it is important you remain consistent with the chosen edition.
  • Assignment formatting guidelines: Unless the unit coordinator has indicated otherwise, please make sure your submitted assessments are formatted as follows:
    • font: use Calibri or Times New Roman in 11 - 12 point
    • double line spacing
    • margins: 2.5cm each side
    • use page numbers
    • refer to assessment instructions for use of title and headings

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

Required texts

Greenhalgh, T. M. (2021). Understanding research methods for evidence-based practice in health (2nd Ed.). Melbourne, Australia: Wiley.


Michie S, Atkins L, West R (2014), The Behaviour Change Wheel. A Guide to Designing Interventions. Silverback Publishing. ISBN 978-1-912141-00-5.

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. understand and value the role of research and evidence as a foundation for quality nursing practice, clinical governance and healthcare delivery
  • LO2. analyse the relationship between research question, study design, and method
  • LO3. conduct an appropriate search of the literature to acquire the highest quality evidence
  • LO4. critically appraise and synthesise research findings and integrate them with clinical practice and patient preferences and values
  • LO5. integrate the best evidence with clinical expertise, and patient preferences and values
  • LO6. apply ethical principles and standards for designing and conducting research in health
  • LO7. create an implementation plan for putting research evidence into practice
  • LO8. apply an appropriate framework for evaluating the implementation plan.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9

Alignment with Competency standards

Outcomes Competency standards
LO1
National Practice Standards for Nurses in General Practice - ANMF
1.1. Standard 1: Demonstrates an understanding of primary health care principles and nursing in general practice.
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.7. Contributes to quality improvement and relevant research
3.3. Uses a lifelong learning approach for continuing professional development of self and others
3.7. Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people
LO2
Registered Nurses Standards for Practice - NMBA
4.3. Works in partnership to determine factors that affect, or potentially affect, the health and well being of people and populations to determine priorities for action and/or for referral
5.1. Uses assessment data and best available evidence to develop a plan
LO3
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.7. Contributes to quality improvement and relevant research
3.3. Uses a lifelong learning approach for continuing professional development of self and others
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
4.4. Assesses the resources available to inform planning.
5.1. Uses assessment data and best available evidence to develop a plan
LO4
Registered Nurses Standards for Practice - NMBA
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.7. Contributes to quality improvement and relevant research
2.3. Recognises that people are the experts in the experience of their life
2.4. Provides support and directs people to resources to optimise health related decisions
5.4. Plans and negotiates how practice will be evaluated and the time frame of engagement
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
LO5
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.4. Provides support and directs people to resources to optimise health related decisions
2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
4.3. Works in partnership to determine factors that affect, or potentially affect, the health and well being of people and populations to determine priorities for action and/or for referral
5.1. Uses assessment data and best available evidence to develop a plan
LO6
Registered Nurses Standards for Practice - NMBA
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
2.1. Establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
LO7
Registered Nurses Standards for Practice - NMBA
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
1.7. Contributes to quality improvement and relevant research
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.6. Uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
2.8. Participates in and/or leads collaborative practice
4.4. Assesses the resources available to inform planning.
5.1. Uses assessment data and best available evidence to develop a plan
5.4. Plans and negotiates how practice will be evaluated and the time frame of engagement
5.5. Coordinates resources effectively and efficiently for planned actions
7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons
LO8
Registered Nurses Standards for Practice - NMBA
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
1.7. Contributes to quality improvement and relevant research
7.1. Evaluates and monitors progress towards the expected goals and outcomes
7.2. Revises the plan based on the evaluation
7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons

This section outlines changes made to this unit following staff and student reviews.

Each year student feedback is systematically accounted for and contributes to ongoing unit improvement.

Work, health and safety

There is a now a new edition (2nd) of the textbook 

Greenhalgh, T. M. (2021). Understanding research methods for evidence-based practice in health (2nd Ed.). Melbourne, Australia: Wiley.

You will find the 1st edition (2016) useful if you cannot access the latest edition.

Pandemic restrictions may interfere with some planned face to face teaching activities.  We have developed the unit to mitigate any frustration or inconvenience this may cause. But please get in touch with your tutor if there is anything that could be done to improve your experience.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.