Attached Files:
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Chang_et_al-2011-Journal_of_Clinical_Nursing.pdf (96.899 KB)
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Chang Annotations.pdf (237.803 KB)
Read the attached article, “Relationships Between Critical Thinking Ability and Nursing Competence in Clinical Nurses” by Chang et al., on the importance of critical thinking skills in nursing. Then watch the videos where Rebecca Wolf demonstrates HOW TO:
1) annotate the text,
2) use the Cornell Notes format to complete a basic summary of the text,
3) use the Cornell Notes advanced format to record notes around her own specific questions.
Here is an exemplar of the Cornell Notes on the Chang article so you can see how to use this note taking system to keep track of specific quotes, paraphrases, and summaries of the articles you read and how to differentiate this information from YOUR ideas about the topic. This exercise is to teach you a skill and provide you with a tool to make your writing easier. You will take notes on an article of your choosing, not this one.
You will use the Cornell notes method to take notes on an article of your choice. Since we haven’t covered literature search skills yet, a list of articles is provided for you, but you may find your own peer-reviewed literature review or study if you prefer. (If the article you want requires purchase, make sure you are logged in to Miner Library, refresh, and try the link again. Or you can search for that same article on the Miner website. You should not have to pay for any articles!) The article should be related to the problem you choose in your problem statement worksheet.
Your notes should include:
- Reference information (You won’t be graded on APA format, but take a stab at it. Here’s how to reference a journal article, which is the type of source required for this assignment.)
- Important definitions
- Problem/Research question/thesis stated
- Methods (including instruments and data analysis used) correctly stated (Summarize in your own words! Try to be concise. Simple is good!)
- Results (how participants scored on instruments) accurately recorded (Paraphrase)
- Discussion (what the authors learned about their research question from doing the study, including interpretation of results)
- Relevance (how can this information be applied to clinical practice/your problem?)
- Takeaway summarizes key point gathered from article, questions still unanswered
- Quotation marks are used if more than three consecutive words are taken from article, with page number noted. Paraphrase whenever you can!
- Abbreviations and sentence fragments are OK, but keep in mind that your professor and you-in-the-future have to read it, so try not to baffle us.
Remember, these are supposed to be notes. They should be significantly shorter than the original! (As a rough estimate, I’d say notes should be about 1/4 to 1/3 of the length of the source, at most.) You don’t have to include every little thing, just the potentially useful stuff. Also, notes must be accurate or you are likely to wind up plagiarizing when you draft! Notes must accurately represent the original meaning of the source material (don’t “spin” what you read or oversimplify), indicate quoted wording (3 or more words in a row that exactly match the source should be in quotes), and indicate the primary source of secondary material (see Who Gets Credit and How to Keep Track).
Please use the blank Cornell Notes file attached above. Save it with a filename that includes your last name and whatever will help you remember the specific article you took notes on (maybe a shortened version of the article title, the author’s last name, or a few key details like “Australia retirement factor survey”). As you take notes on more sources for your essay, you won’t want to be looking at a dozen files all titled “Smith Cornell Notes” or “Smith Retention article notes.”
I am not sure how long it should be, depends on the article. I will put down 2 pages. If you do it in one that is fine too.
Cornell notes-Sample Solution
Cornell Notes: Nurses’ Perceptions of Practice Change
| Cornell Notes | Topic: Nurses’ Perceptions about Practice Change | Name: | |
| Reference Information: Knudsen, É. N. A., King, B. J., & Steege, L. M. (2021). The realities of practice change: Nurses’ perceptions. Journal of Clinical Nursing, 30(9-10), 1417-1428. https://doi.org/10.1111/jocn.15693 | |||
| Essential Question: What are the perceptions of registered nurses of practice change? | |||
| Questions/Main Ideas: | Paraphrased information from the text (include page number): | ||
| Definition: What is Practice change? | Practice change refers to a transdisciplinary approach to developing and integrating evidence-based practices into clinical nursing practice.(Cornell notes Essay Example) | ||
| Research Question/Thesis | “Changes in practice are needed to consistently provide optimal patient care and improve patient outcomes” (Knudsen et al., 2021, p. 1418). However, the nurses affected by these changes are often not involved in designing the processes, leading to negative experiences which may affect patient outcomes. As a result, the study explores the perceptions of these nurses and the factors influencing healthcare facilities to adopt the practice changes.(Cornell notes Essay Example) | ||
| Methods | The authors collected data for the qualitative study using semi-structured interviews. Knudsen et al. (2021, p. 1419) recruited the interviewees, consisting of 11 registered nurses from two hospitals with the same health system, through fliers and emails. They were offered interview questions on a one-on-one basis and completed a demographic questionnaire to summarize the content of the interview. The demographic data included the number of years the nurses worked at the hospital, the unit assigned to, the patient population within the unit, their roles, age, and their level of qualification. Afterward, the researchers employed inductive content analysis to analyze the data. Finally, they analyzed, prepared, organized, and reported the findings while adhering to the Consolidated Criteria for Reporting Qualitative Studies (COREQ).(Cornell notes Essay Example) | ||
| Results | The study findings indicate that the nurses had 63 different experiences with the changes. Knudsen et al. (2021, p. 1420) explain that the nurses highlighted practice changes like changes in human resources, such as the distribution of assignments among team members. Besides, they also identified significant changes that directly affect the care process, like interdisciplinary rounds and bedside shift reports, to impact their performance. On the other hand, others were uncomfortable with the frequent changes implemented in their lines of work. The authors categorized the nurse’s perceptions into four categories, namely, “(1) There is A History; (2) It’s A Lot of Work; (3) It Happens to Nurses; and (4) Doing Right for the Patient,” (Knudsen et al., 2021, p. 1421). (Cornell notes Essay Example) | ||
| Discussion
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Based on the findings, nurses experience various practice changes that negatively impact their adoption rates. However, most healthcare facilities implement the changes simultaneously without establishing strategies to bolster their adoption. In this case, these organizations can promote practice change by employing measures like the “Implementation Strategies for Evidence-Based Practice guide, which nurses developed for nurses” (Knudsen et al., 2021, p. 1426). It outlines measures for organizing, planning, and implementing practice change processes, aligned with the nurses’ potential adoption rates. Besides, organizations should consider the healthcare environment’s complexity before implementing any practice change to avert negative experiences associated with bulk work and nurses’ feeling of being undervalued.(Cornell notes Essay Example)
Additionally, these organizations should pilot the practice change and communicate it to the nurses before implementation (Knudsen et al., 2021, p. 1426). Engaging nurses in planning and recognizing their experience levels are necessary for reducing the burdens associated with practice change. Therefore, nurses should be actively involved in practice change processes to help the organization identify and distinguish implementation based on ease of adoption.(Cornell notes Essay Example) |
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| Relevance to Clinical Practice | The nurses’ negative perception of practice change result from the organization’s failure to incorporate their input. In this case, the study findings provide a broader understanding of the concept of practice change, providing suggestions for healthcare organizations to improve their approach to the process and enhance patient outcomes. Also, future research should examine nurses’ perceptions about the impact of practice change from multiple healthcare organizations.(Cornell notes Essay Example) | ||
| Key Take Away/How to use this information in my paper/New questions:
Practice changes directly affect nurses’ experiences and patient outcomes. Therefore, organizations should establish protocols and strategies for implementing the changes to ensure that patients are safe from the hands of fatigued, undervalued, and unmotivated nurses.(Cornell notes Essay Example) |
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Reference
Knudsen, É. N. A., King, B. J., & Steege, L. M. (2021). The realities of practice change: Nurses’ perceptions. Journal of Clinical Nursing, 30(9-10), 1417-1428. https://doi.org/10.1111/jocn.15693
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