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NUR590 Evidence Based Practice Project Week 2 Assignment Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550. Section A: Organizational Culture and Readiness Assessment It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization. Submit a summary of your results. The actual survey results do not need to be included. Section B: Proposal/Problem Statement and Literature Review In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following: Refine your PICOT into a proposal or problem statement. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.
-SAMPLE ANSWER-
Section A: Organizational Culture and Readiness Assessment
In order to assess the readiness of my organization for evidence-based practice (EBP) implementation, I chose to use the Organizational Readiness for Change Assessment tool. This survey instrument measures various factors such as leadership support, staff involvement, and organizational culture, which are all crucial for the success of EBP implementation.
The results of the survey indicate that my organization has a moderate level of readiness for EBP implementation. The scores for leadership support and staff involvement were significantly high, indicating that there is support from leadership and staff are willing to participate in the process. However, the score for organizational culture was significantly low, indicating that the current culture may not fully support the integration of EBP.
To address this issue, strategies that can be implemented to strengthen the organization’s weaker areas include:
Provide education and training on EBP for staff and leadership to increase understanding and buy-in.
Involve staff in the EBP implementation process to increase ownership and engagement.
Incorporate EBP principles into the organization’s mission and values to align the culture with the EBP initiative.
Clinical inquiry can be integrated into the organization by encouraging staff to question current practices and seek out the best evidence to inform their decision making. This can be done by providing resources such as access to evidence-based databases and promoting a culture of inquiry and learning.
Section B: Proposal/Problem Statement and Literature Review
Refined PICOT statement:
In acute care hospitals, how does implementing a standardized hand hygiene protocol compared to a non-standardized protocol affect the rate of hospital-acquired infections among adult patients?
Research Summary:
The research conducted to support this PICOT statement includes studies that have compared the effectiveness of standardized hand hygiene protocols to non-standardized protocols in reducing the rate of hospital-acquired infections in acute care hospitals. The subjects of these studies were adult patients in acute care settings. The methods used in these studies include observational studies and randomized controlled trials.
The key findings from the research indicate that implementing a standardized hand hygiene protocol is effective in reducing the rate of hospital-acquired infections among adult patients in acute care settings. The studies also found that compliance with the standardized protocol was higher compared to non-standardized protocols.
Limitations of the research include the lack of generalizability to other populations and settings, and the potential for bias in observational studies. Further research is needed to confirm these findings and determine the best approach for implementing a standardized hand hygiene protocol in different settings.
NUR590 Evidence Based Practice Project Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria: Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.
NUR590 Evidence Based Practice Project Week 4 Assignment Evidence-Based Practice Proposal – Section D: Change Model Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model. In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan: Identify the selected model or theoretical framework and discuss its relevance to your project. Discuss each of the stages in the change model/framework. Describe how you would apply each stage in your proposed implementation. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.
NUR590 Evidence Based Practice Project Week 5 Assignment Evidence-Based Practice Proposal – Section E: Implementation Plan In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. 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. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper. Explain the process for delivering the (intervention) solution and indicate if any training will be needed. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper. Describe the strategies to deal with the management of any barriers, facilitators, and challenges. Establish the feasibility of the implementation plan. Address 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). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
NUR590 Evidence Based Practice Project Week 6 Assignment Evidence-Based Practice Proposal – Section F: Assessment of Process In 500-750 words, develop an Assessment plan to be included in your final evidence-based practice project. Provide the following criteria in the Assessment, making sure it is comprehensive and concise: Describe the rationale for the methods used in collecting the outcome data. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability. Describe strategies to take if outcomes do not provide positive results. Describe implications for practice and future research.
NUR590 Evidence Based Practice Project Week 7 Assignment Benchmark – Evidence-Based Practice Proposal Final Paper Throughout this course, you have developed a formal, evidence-based practice proposal. The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals must be submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed (3,500 and 5,000 words). The cover sheet, abstract, references pages, and appendices are not included in the word count. Section headings for each section component are required. Assessment of the proposal in all sections will be based upon the extent to which the depth of content reflects graduate-level critical thinking skills. This project contains seven formal sections: Section A: Organizational Culture and Readiness Assessment Section B: Proposal/Problem Statement and Literature Review Section C: Solution Description Section D: Change Model Section E: Implementation Plan Section F: Assessment of Process Each section (A-F) will be submitted as a separate assignment in Topics 1-6 so your instructor can provide feedback (refer to applicable topics for complete descriptions of each section). The final paper submission in Topic 7 will consist of the completed project (with revisions to all sections), title page, abstract, compiled references list, and appendices. Appendices will include a conceptual model for the project, handouts, data and Assessment collection tools, a budget, a timeline, resource lists, and approval forms, as previously assigned in individual section assignments.
NUR590 Evidence Based Practice Project Week 8 Assignment Evidence-Based Practice Presentation Develop a 10-15-slide presentation with comprehensive speaker’s notes that covers all of the major areas of your evidence-based practice proposal. You will need to post a rough draft of your evidence-based practice presentation to the Main Forum in Topic 8 DQ 1 for peer feedback. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references compiled from the final project should be presented using APA documentation guidelines, which can be 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.
