End your discussion with a reflection on how this article is useful to you as you consider your role as an advanced practice nurse leading others to use the best evidence to strengthen nursing practice and improve nursing sensitive patient outcomes.

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1. Describe the change made and comment on the strength of the research evidence utilized and the whether the change led to improved patient outcomes.
2. Note any barriers to change that were identified and how they were overcome.
3. End your discussion with a reflection on how this article is useful to you as you consider your role as an advanced practice nurse leading others to use the best evidence to strengthen nursing practice and improve nursing sensitive patient outcomes.
4. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion

 
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