NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing – Example Solution Provided
NUR 590 Topic 1 Discussion Question One
Based on the PICOT you developed for NUR-550 summarize the intervention you are proposing. Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Sample Answer
Alzheimer’s patients were disproportionately affected by COVID-19 (Azarpazhooh, 2020; Wang, 2021). While there is a biologic/genetic component to the mortality rates (Wang et al., 2020), it is unknown whether the quarantine induced social isolation contributed to mortality rates. Since COVID-19 vaccines have high efficacy (CDC, 2021) and have increased the safety of the elderly in community settings, it has become more common for facilities to allow Alzheimer’s family member act as a caregiver and advocate. The importance of family/friends to Alzheimer’s patients can not be denied. During the initial COVID-19 lock-downs of community settings and long-term care, dementia patients neuropsychiatric symptoms and confusion increased due to the dramatic change and loss of their loved ones (Boutoleau-Bretonnière,2020). Therefore, during the pandemic, caregivers were eventually allowed into the facilities for compassionate visitation. The question facing the community as it faces future pandemics and lock-downs, is how to keep the Alzheimer’s patients safe without the dramatic social isolation from their family caregivers. Therefore, like paid caregivers and medical staff, family caregivers should receive basic infection control training. The PICOT is defined by: Will educating Alzheimer’s’ caregivers in disease transmission control help reduce community acquired infections in Alzheimer’s patients living in community settings (i.e., long term care or assisted living) over a 3-month period? Population: Alzheimer’s patients Intervention: disease transmission education Comparison: education complete versus not Outcome: reduce community acquired infections (i.e. COVID-19, pneumonia, etc.) Time period: 3 months By educating family caregivers, it adds to the resources of the community settings. In the case of long-term care, the patient receives better care from their family member with staff support and reduces demands on staff time. This reduces staff stress and caseload while increasing the availability of staff to other patients.References
- Azarpazhooh, M. R., Amiri, A., Morovatdar, N., Steinwender, S., Rezaei Ardani, A., Yassi, N., Biller, J., Stranges, S., Tokazebani Belasi, M., Neya, S. K., Khorram, B., Sheikh Andalibi, M. S., Arsang-Jang, S., Mokhber, N., & Di Napoli, M. (2020). Correlations between COVID-19 and burden of dementia: An ecological study and review of literature. Journal of the Neurological Sciences, 416, 117013. https://doi.org/10.1016/j.jns.2020.117013
- Boutoleau-Bretonnière, C., Pouclet-Courtemanche, H., Gillet, A., Bernard, A., Deruet, A., Gouraud, I., Mazoue, A., Lamy, E., Rocher, L., Kapogiannis, D., El Haj, M. (2020). The effects of confinement on neuropsychiatric symptoms in Alzheimer’s disease during the COVID-19 crisis. Journal of Alzheimer’s Disease. 76(1):41-47. doi: https://10.3233/JAD-200604. PMID: 32568211.
- Wang Q., Davis P., Gurney M., Xu, R. (2021) COVID‐19 and dementia: Analyses of risk, disparity, and outcomes from electronic health records in the US. Alzheimer’s Dementia, 2021, 1– 10. https://doi.org/10.1002/alz.12296
NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Example 2
Obesity is a growing health issue in the United States that can contribute negative outcomes with to other health conditions. It is seen as primary precursor to unhealthy outcomes and conditions as well as a major risk factor to chronic conditions. Reducing obesity within populations can be an important intervention in increasing the overall health quality and increase preventative efforts. These efforts would include nutrition changes, weight loss programs, and physical activity programs (Pascual et al., 2019). Based on this, my PICOT includes providing information and education about nutritious diets that would aim to reduce body mass index and produce a decrease in obesity rates. My formulated PICOT is as follows: In obese adults (P), does an education of nutrient dense diets (I) compared to individuals with no provided education (C) achieve a decrease in Body Mass Index (BMI) (O) within three months (T)? Research based interventions is important in my role as an advanced registered nurse. Increasing the quality of health and wellness in the population is part of the obligation advanced nurses have to the public or populations. In the case of obesity, interventions to decrease obesity rates could lead to better health outcomes, prevention or treatment of chronic conditions and public health maintenance all of which can be advocated through advanced nurses (Al-Nimr, et al., 2020).References:
- Pascual, R. W., Phelan, S., La Frano, M. R., Pilolla, K. D., Griffiths, Z., & Foster, G. D. (2019). Diet Quality and Micronutrient Intake among Long-Term Weight Loss Maintainers. Nutrients, 11(12), 3046. https://doi.org/10.3390/nu11123046
- Al-Nimr, R. I., Wright, K. C. S., Aquila, C. L., Petersen, C. L., Gooding, T. L., & Batsis, J. A. (2020). Intensive nutrition counseling as part of a multi-component weight loss intervention improves diet quality and anthropometrics in older adults with obesity. Clinical Nutrition ESPEN, 40, 293–299. https://doi-org.lopes.idm.oclc.org/10.1016/j.clnesp.2020.09.002
Summarize the Intervention you are Proposing Responses
Hi Abe, You have an interesting research here. Obesity is an increasing, global public health issue, so it makes sense that you are researching for ways to curb the epidemic. Patients with obesity are at major risk for developing a range of comorbid conditions, including cardiovascular disease (CVD), gastrointestinal disorders, type 2 diabetes (T2D), joint and muscular disorders, respiratory problems, and psychological issues, which may significantly affect their daily lives as well as increasing mortality risks. A relatively small and simple reduction in weight, for example, of around 5%, can improve patient outcomes and may act as a catalyst for further change, with sustainable weight loss achieved through a series of incremental weight loss steps (Fruh, 2017).Reference
- Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3–S14. https://doi.org/10.1002/2327-6924.12510
Reference
- Schetz, M., De Jong, A., Deane, A. M., Druml, W., Hemelaar, P., Pelosi, P., … & Jaber, S. (2019). Obesity in the critically ill: a narrative review. Intensive care medicine, 45(6), 757-769.
Topic 1 DQ 2
Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.NUR-550 Literature Review – Resubmission Instructions
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment. You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to LopesWrite.Resources
NUR-550 Literature Review – Resubmission
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment. You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to LopesWrite.Resources
Advanced Nursing Research: From Theory to Practice Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice. Evidence-Based Medicine Toolkit Explore the “Evidence-Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta website … http://www.ebm.med.ualberta.ca/ Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas … http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817 Evidence-Based Practice Tutorial Read the Evidence-Based Practice tutorial, located on the Duke University website. http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002 Centre for Evidence Based Medicine: Resources Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website. http://www.cebm.net/category/ebm-resources/ Evidence Based Medicine Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a resource http://researchguides.uic.edu/ebm Centre for Evidence-Based Medicine: About Us Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website. http://www.cebm.net/about Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,” https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel https://link.gale.com/apps/doc/A616904277/AONE?u=canyonuniv&sid=AONE&xid=f2d66c7c Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,” https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=01741002-900000000-99523&PDF=yNUR 590 Topic 2: Making the Case for Evidence-Based Practice
Objectives:
- Describe effective strategies to create an evidence-based practice culture within a healthcare setting.
- Identify stakeholders needed for the evidence-based practice project.
- Assess organizational readiness for the evidence-based practice project.
Topic 2 DQ 1
Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.Topic 2 DQ 2
Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness
In order to successfully implement a change within an organization, the change agent must assess the organization’s culture and readiness for change. In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed. You will use the assessment of the organization’s culture and readiness in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal. Include the following:- Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.
- Select an organizational readiness tool and assess the level or readiness for change within your organization. Identify the readiness tool and summarize the survey results. Discuss the degree to which the culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources. Provide rationale.
- Discuss what healthcare process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
- Propose strategies to better facilitate the readiness of the organization.
- Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
- Explain what information and communication technologies are needed for the implementation and how they will be integrated into the setting by the internal stakeholders. Explain how these will help improve nursing practice and care delivery for individuals and populations for your intervention.
Resources
Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Mat … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104283177&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehostEvidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. View Resource
Agency for Healthcare Research and Quality Explore the Agency for Healthcare Research and Quality (AHRQ) website. http://www.ahrq.gov/
Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice Read “Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice,” by Ost, Blalock, Fagan, Sweeney, an … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143440827&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
JBI EBP Resources Use the JBI EBP Resources to search for EBP resources related to your project. https://jbi.global/ebp
Organizational Readiness Tools for Global Health Intervention: A Review Read “Organizational Readiness Tools for Global Health Intervention: A Review,” by Dearing, from Frontiers in Public Health</ … Read More https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/
The Checklist: Recognize Limits, but Harness Its Power Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017). https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=125112053&site=ehost-live&scope=site
Cochrane Library Explore the Cochrane Library website. http://www.thecochranelibrary.com/view/0/index.html
A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing Read “A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing,” by Pitmann et al., fr … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137966882&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession. View Resource
Readiness Assessment Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website. https://www.ahrq.gov/teamstepps/readiness/index.html
Cultivate a Culture of Excellence at the Point of Care Read “Cultivate a Culture of Excellence at the Point of Care,” by Medeiros, from Nursing Management (2020). https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202005000-00002&LSLINK=80&D=ovft
The Cochrane Collaboration Explore the Cochrane Collaboration website. http://www.cochrane.org/
6 Steps for Transforming Organizational EBP Culture Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management< … Read More https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006247-201005000-00004&LSLINK=80&D=ovft
NUR 590 Topic 3: Theoretical Framework and Models for Change
Objectives:
- Apply a change model or framework to the evidence-based practice project proposal.
- Describe the relationship between bias and a framework or model.
Topic 3 DQ 1
Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?Topic 3 DQ 2
Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change
Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal. Include the following:- Identify the selected model or framework for change and discuss its relevance to your project.
- Discuss each of the stages in the change model/framework.
- Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
- Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Resources
Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession. View ResourceEvidence Based Medicine: Levels of Evidence Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo … Read More http://researchguides.uic.edu/content.php?pid=232200&sid=1921074
A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121082056&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Iowa Model of Evidence-Based Practice: Revisions and Validation Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Bas … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123692132&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Sur … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142632269&site=ehost-live&scope=site
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. … Read More View Resource
Critical Appraisal Tools Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website. https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools
Study Designs Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website. https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs
Worksheet for Using Practice Guidelines Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and S … Read More http://www.ebm.med.ualberta.ca/CPGWorksheet.html
Guidelines and Measures Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website. https://www.ahrq.gov/gam/index.html
Star Model Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website. https://www.uthscsa.edu/academics/nursing/star-model
Nursing Best Practice Guidelines Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website. http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133
Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlo … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655401478390
NUR 590 Topic 4: Data Collection and Data Analysis
Objectives:
- Select a research design for the evidence-based project proposal.
- Select a statistical test for the evidence-based project proposal.
Topic 4 DQ 1
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.Topic 4 DQ 2
Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test. What kind of information will this test provide about your outcomes?Resources
The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review Read “The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review,” by Radbro … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134685673&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehostOffice for Human Research Protections Explore the Office for Human Research Protections (OHRP) website. http://www.hhs.gov/ohrp/
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice Read Chapter 6 and review Chapter in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. View Resource
Statistics and Data Analysis Read “Statistics and Data Analysis,” by Wienclaw, from Salem Press Encyclopedia (2019). https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=89163982&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1
Advanced Nursing Research: From Theory to Practice Read Chapters 13-15 in Advanced Nursing Research: From Theory to Practice. View Resource
Statistical Analysis in Nursing Research Read “Statistical Analysis in Nursing Research,” by Rebekah and Ravindran, from Indian Journal of Continuing Nursing Educatio … Read More https://www.ijcne.org/article.asp?issn=2230-7354;year=2018;volume=19;issue=1;spage=62;epage=70;aulast=Rebekah
Data Collection Methods Read “Data Collection Methods,” by Polit, from Encyclopedia of Nursing Research (2017). https://lopes.idm.oclc.org/login?url=https://search.credoreference.com/content/entry/spennurres/data_collection_methods/0?institutionId=5865
Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing Read “Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing,” by Hunte … Read More https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=125493531&site=ehost-live&scope=site
NUR 590 Topic 5: Evidence-Based Practice Implementation
Objectives:
- Propose an implementation plan for the evidence-based practice proposal.
- Propose strategies for overcoming barriers to the implementation of the evidence-based practice proposal.
Topic 5 DQ 1
What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation for your EBP project.Topic 5 DQ 2
Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation? Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.Evidence-Based Practice Project Proposal: Implementation Plan
In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal. Include the following:- Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Include a draft of the form as an appendix at the end of your paper.
- Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
- Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Include a draft of the budget and resource list as an appendix at the end of your paper.
- Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide a rationale to support your selection.
- Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
- Explain the process for delivering the intervention and indicate if any training will be needed.
- Discuss the stakeholders that are needed to implement the plan.
- Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
- Establish the feasibility of the implementation plan.
Resources
Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Studies Review and Qualitative Synthesis Read “Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Stu … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/strategies-facilitators-barriers-implementation/docview/2186617926/se-2?accountid=7374Advanced Nursing Research: From Theory to Practice Read Chapter 25 in Advanced Nursing Research: From Theory to Practice. View Resource
30 Safe Practices for Better Health Care Read “30 Safe Practices for Better Health Care,” located in the Archive section of the Agency for Healthcare Research and Quality … Read More http://archive.ahrq.gov/research/findings/factsheets/errors-safety/30safe/30-safe-practices.html
Implementation Science Training and Resources for Nurses and Nurse Scientists Read “Implementation Science Training and Resources for Nurses and Nurse Scientists,” by Boehm, Stolldorf, and Jeffery, from … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/implementation-science-training-resources-nurses/docview/2338944244/se-2?accountid=7374
Improving 3-Hour Sepsis Bundled Care Outcomes: Implementation of a Nurse-Driven Sepsis Protocol in the Emergency Department Read “Improving 3-Hour Sepsis Bundled Care Outcomes: Implementation of a Nurse-Driven Sepsis Protocol in the Emergency Department,
… Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/improving-3-hour-sepsis-bundled-care-outcomes/docview/2312493328/se-2?accountid=7374
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice Review Chapter 1 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. View Resource
Center for Theory of Change Explore the Center for Theory of Change website. http://www.theoryofchange.org/
Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession. View Resource
The Teach Back Project: A System-Wide Evidence Based Practice Read “The Teach Back Project: A System-Wide Evidence Based Practice,” by Klingbeil and Gibson, from Journal of Pediatric Nurs … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0882596317305523
NUR 590 Topic 6: Evaluating Practice Change
Objectives:
- Develop an evaluation plan for the evidence-based project proposal.
- Identify gaps in the literature based on findings.
- Evaluate evidence to determine and implement the best evidence for practice.
Topic 6 DQ 1
When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?Topic 6 DQ 2
Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?Evidence-Based Practice Project Proposal: Evaluation Plan
In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:- Discuss the expected outcomes for your evidence-based practice project proposal.
- Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
- Select a statistical test for your project and explain why it is best suited for the tool you choose.
- Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
- Propose strategies that will be taken if outcomes do not provide positive or expected results.
- Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Resources
Reliability and Validity: Linking Evidence to Practice Read “Reliability and Validity: Linking Evidence to Practice,” by Kamper, from Journal of Orthopaedic and Sports Physical The … Read More https://doi-org.lopes.idm.oclc.org/10.2519/jospt.2019.0702Advanced Nursing Research: From Theory to Practice Review Chapter 25 in Advanced Nursing Research: From Theory to Practice. View Resource
Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative Read “Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative,” by Schirm, Banz, Swartz, and Richmo … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0897189717301118#s0030
Comparing Clinical Significance and Statistical Significance – Similarities and Differences Read “Comparing Clinical Significance and Statistical Significance – Similarities and Differences,” by Zbrog (2021), located on t … Read More https://www.mhaonline.com/faq/clinical-vs-statistical-significance
Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters” (2015), from AORN Journal. https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109809571&site=eds-live&scope=site
Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What Is Taught and How It I s Measured Read “Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What is Taught and How it is Measured,” by … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/evidence-based-practice-educational-intervention/docview/2089734479/se-2?accountid=7374
A Practical Definition of Evidence-Based Practice for Nursing Read “A Practical Definition of Evidence-Based Practice for Nursing,” by Stannard, from Journal of PeriAnesthesia Nursing … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1089947219303181
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice Read Chapter 4 and review Chapter 3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. View Resource
Advanced Practice Nursing: Essential Knowledge for the Profession Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession. View Resource
NUR 590 Topic 7: Disseminating Evidence
Objectives:
- Propose strategies used to disseminate evidence to influence health care outcomes.
Topic 7 DQ 1
Propose strategies for disseminating your evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate.Topic 7 DQ 2
After implementation, dissemination of the evidence-based practice outcomes is essential for evaluating the success of the project for ensuring sustainability. Propose strategies that you could use for disseminating the outcomes of your evidence-based practice project proposal. Consider what information would need to be communicated, which stakeholders would need to be involved and the communication methods that would be needed.Evidence-Based Practice Project Proposal Presentation
The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes. For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers. Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal. Create speaker notes of 100-250 words for each slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for References at the end. Be sure to consider your personal demeanor and tone during the recorded presentation. Include the following in your presentation:- Introduction (include PICOT statement)
- Organizational Culture and Readiness
- Problem Statement and Literature Review
- Change Model, or Framework
- Implementation Plan
- Evaluation Plan
- Conclusion
Resources
Advanced Nursing Research: From Theory to Practice Read Chapters 22 and 23 in Advanced Nursing Research: From Theory to Practice. View ResourceWriting an Abstract for a Poster or Oral Presentation Read “Writing an Abstract for a Poster or Oral Presentation,” by Bodin and McDaniel, from Alabama Nurse (2019). https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136923973&site=ehost-live&scope=site
Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge Read “Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge,” by Sawaya, from International Journal of Chi … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123698144&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Loom Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software … Read More https://support.gcu.edu/hc/en-us/articles/115015942807-Third-Party-Contact-Information
Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference Read “Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference,” by Douglas, Jackson, Woods, … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/innovations-research-dissemination-participants/docview/2327516899/se-2?accountid=7374
Advanced Practice Nursing: Essential Knowledge for the Profession Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession. View Resource
Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities Read “Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities,” by Cunningham- … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/engagement-community-stakeholders-develop/docview/2443277489/se-2?accountid=7374
Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects Read “Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects,” by Siedleck … Read More https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00002800-201809000-00004&PDF=y
Using Storylines for Bilingual Dissemination of a Grounded Theory Read “Using Storylines for Bilingual Dissemination of a Grounded Theory,” by Ligita, Francis, Wicking, Harvey, and Nurjannah, fro … Read More https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/using-storylines-bilingual-dissemination-grounded/docview/2327522196/se-2?accountid=7374
NUR 590 Topic 8: Evidence-Based Practice Appraisal
Objectives:
- Propose strategies for incorporating evidence-based practice into a personal practice.
Topic 8 DQ 1
For professional writing in nursing and health care, APA style is expected. It is also expected for the remainder of your graduate program and in doctoral programs for nursing. Discuss what you have learned, or how you have improved, by completing the “APA Writing Checklist” and from receiving feedback from your instructors. What aspects of APA do you still struggle with? In your response to peers, provide a resource from the Student Success Center (or in addition to something in the Student Success Center) or a suggestion for an area in which someone still struggles.Topic 8 DQ 2
The evidence-based practice (EBP) process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.Benchmark – Evidence-Based Practice Project Proposal Final Paper
For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.Final Paper
The final paper should:- Incorporate all necessary revisions and corrections suggested by your instructors.
- Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
- Contain supporting research for the evidence-based practice project proposal.
Main Body of the Paper
The main body of your paper should include the following sections:- Problem Statement
- Organizational Culture and Readiness
- Literature Review
- Change Model, or Framework
- Implementation Plan
- Evaluation Plan
Appendices
The appendices at the end of your paper should include the following:- All final changes or revisions for the drafts that will be included in the appendices of your paper.
- Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style.
General Requirements
You are required to cite 10-12 peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark Information This benchmark assignment assesses the following programmatic competencies: MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing 1.1: Translate research and knowledge gained from practice, while adhering to ethical research standards, to improve patient outcomes and clinical practice. 5.1: Design ethically sound, evidence-based solutions to complex health care issues related to individuals, populations, and systems of care.Resources
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice Read “Making Connections: An EBP Exemplar” in Unit 6 in Evidence-Based Practice in Nursing and Healthcare: A Guide t … Read More View ResourceTranslating Evidence Into Practice Through Knowledge Implementation Read “Translating Evidence Into Practice Through Knowledge Implementation,” by Campione, Wampler-Kuhn, and Fisher, from Rehab … Read More https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01893697-202104000-00006&LSLINK=80&D=ovft
Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice Read “Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at … Read More https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000703-201711000-00004&LSLINK=80&D=ovft
Advanced Nursing Research: From Theory to Practice Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.