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NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

Grand Canyon University NUR 590 Week 8 Assignment Evidence-Based Practice Presentation-Step-By-Step Guide

 

This guide will demonstrate how to complete the Grand Canyon University  NUR 590 Week 8 Assignment Evidence-Based Practice Presentation assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation                                   

 

Whether one passes or fails an academic assignment such as the Grand Canyon University   NUR 590 Week 8 Assignment Evidence-Based Practice Presentation depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation                                   

 

The introduction for the Grand Canyon University   NUR 590 Week 8 Assignment Evidence-Based Practice Presentation is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation                                   

 

After the introduction, move into the main part of the NUR 590 Week 8 Assignment Evidence-Based Practice Presentation assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation                                   

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation                                   

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

The wellness of a population’s health using improved patient safety protocols implores healthcare workers (HCWs) especially nurses, to develop evidence-based practice interventions to reduce and prevent occurrence of adverse events like hospital acquired infections (HAIs) and medication administration errors (MAEs) among others. These adverse events lead to poor patient outcomes, increase the overall cost of care and disease burden, and lowers the quality of care delivered by healthcare professionals. Hospital acquired infections are some of the leading healthcare concerns that affect patient safety and quality of care. Many patients suffer from these infections that result into lengthened stays in hospitals, increased cost of care, and in extreme circumstances death.

The wellness of a population’s health using improved patient safety protocols implores healthcare workers (HCWs) especially nurses, to develop evidence-based practice interventions to reduce and prevent occurrence of adverse events like hospital acquired infections (HAIs) and medication administration errors (MAEs) among others. These adverse events lead to poor patient outcomes, increase the overall cost of care and disease burden, and lowers the quality of care delivered by healthcare professionals. Hospital acquired infections are some of the leading healthcare concerns that affect patient safety and quality of care. Many patients suffer from these infections that result into lengthened stays in hospitals, increased cost of care, and in extreme circumstances death.

Nurse practitioners and other healthcare professionals transmit infections to patients through poor hand hygiene measures and protocols (Alotaibi & Federico, 2017). As such, nurses and other providers should leverage evidence-based practice (EBP) interventions to reduce and prevent the occurrence of hospital acquired infections and guarantee quality care. The use of evidence-based practice interventions allows these providers to offer better services through increased quality, increased engagement of patients and their preferences, and leveraging clinical experience and expertise. The purpose of this evidence-based practice project proposal paper is to discuss how nurses in pediatric settings can integrate hand hygiene measures and protocols to reduce and prevent the occurrence of hospital acquired infections. These measures and protocols include handwashing using soap and water alongside hand sanitizers compared to handwashing with water and soap alone.

Problem Statement

Hospital acquired infections or nosocomial infections are newly acquired infections that patients contract during their stay in hospital settings or facilities. The transmission of the nosocomial infections happens through healthcare workers, patients, hospital equipment like catheters and interventional procedures that include catheterization. Studies demonstrate that healthcare workers who include nurse practitioners infect patients when they fail to adhere to effective hand hygiene measures like handwashing with soap or using alcohol-based sanitizers and hand rubs when handling and interacting with patient in the care process (Liana 2021). The use of evidence-based practice interventions using PICOT question is important in assisting nurses to implement better practices to reduce the susceptibility of patients acquiring nosocomial infections that have adverse effects on overall care delivery and quality. These infections lead to increased length of stay in hospitals, a rise in cost of healthcare and cause deaths, especially in critical care settings like pediatric units (Setty et al., 2019). Hand hygiene measures that include handwashing with soap and water alongside sanitizer will improve patient safety among healthcare workers. The implication is that healthcare workers will adhere to these measures in pediatric settings to reduce hospital acquired infections within six months’ period and improve quality outcomes.

PICOT Statement

Population- Healthcare workers in pediatric settings

Intervention-Hand Hygiene using handwashing with soap and water and sanitizer

Comparison-Handwashing with soap and water alone

Outcome- Reduced Hospital acquired infections

Time- in Six months

Refined PICOT Question

The refined PICOT question for the EBP project is “Among healthcare workers in pediatric setting (P), does hand hygiene practices that include handwashing with soap and water alongside hand sanitizer (I) compared to handwashing with soap and water alone (C) reduce hospital acquired infections (O) within six months (T)?”

Organizational Culture and Readiness

The culture of an organization is essential in implementing changes and it impacts its overall vision, mission and values and employees’ perception in embracing new ways of executing tasks. A culture entails employees with strong norms and values, management and approaches to overall way of doing things.  A culture that involves employees, possesses strong values and norms, and encourages an open-door policy with decentralized approach is important in achieving set change objectives in an organization (Real et al., 2017). To effectively implement this EBP project proposal, pediatric healthcare settings and practitioners should use a decentralized organizational and leadership structure. The model is effective in enhancing motivation of subordinates and enhancing growth and increased diversification. Decentralization in healthcare organizations leads to better communication and adoption of innovative practices, ideas and strategies to improve quality of care. Through decentralization, the management leads a transformational approach to enhance agility and respond to new and best practices in care delivery.

The implementation of this EBP project proposal requires organizational culture that focuses on patient-centered care delivery. Through being patient-centered, an organization can support change programs to improve patient safety, quality and access while minimizing the occurrence of hospital acquired infections (HAIs). Increasing patient engagement and promoting inter-professional collaboration leads to a competitive advantage for healthcare organizations.

The evaluation of an organization’s readiness for change based on its culture is essential in implementing evidence-based practice projects. Readiness demonstrates the level to which organizational members are prepared to implement and embrace change, behaviorally and psychologically. Dearing (2018) opines that readiness is a psychological state of the mind that shows commitment to certain course of actions. As such, this EBP project proposal will leverage the Organizational Capacity Assessment Tool developed by the United Nations Development Program (UNDP) that assesses an organization’s readiness in promoting and enhancing the use of global health interventions. Through the tool, organizations identify substantive capacities and strengths that are present and the required one to attain their set objective. In this case, pediatric settings that aim to implement this EBP recommendations should demonstrate exemplary capacities in their attributes, have a superb and influential culture based on their missions, purposes and better values (De la Perrelle et al.., 2020). The capacity assessment tool looks at the various capabilities that include human resources, processes, financial resources, and systems as critical components of readiness for change implementation. Ready organizations possess sufficient strengths that include having the best skills, effective communication and adequate resources, availability of sufficient nurse workforce and effective engagement of their stakeholders.

The organizational readiness also evaluates the process and systems that require improvement to effectively implement the requisite changes (Vax et al., 2021). For instance, the improvement that pediatric care settings require include their patient handling process, the need for healthcare workers to adhere to hand hygiene measures and protocols, and delivery of patient-centered quality care. The organization will need quality improvement and collaborative approaches to enhance implementation. These organizations will also require quality data assessment tools for better and accurate analysis of their respective data (Dearing, 2018). The readiness will also include engagement of stakeholders and integration of information and communication technologies to ensure that all components to implement the project proposal are present. Using selected technologies, the project team and practitioners will pursue outcomes based on patient needs through enhanced alerts, reminders, and notifications on the need to comply with set hand hygiene protocols and measures that include effective handwashing and use of hand sanitizers to reduce hospital acquired infections in the pediatric settings.

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.

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

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.

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

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation
NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

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:

  1. Introduction (include PICOT statement)
  2. Organizational Culture and Readiness
  3. Problem Statement and Literature Review
  4. Change Model, or Framework
  5. Implementation Plan
  6. Evaluation Plan
  7. Conclusion

You are required to cite a minimum of six 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.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

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.

Sample Answer 3 for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

The Food and Drug Administration (FDA) established an Institutional Review Board (IRB) to review and monitor human subjects translational research. The IRB is responsible for a variety of tasks, including approving or rejecting research proposals (Nurunnabi, 2014). For example, in order for a study to be approved by the IRB, certain ethical requirements, such as informed consent, scientific validity, fair subject selection, subject respect, and many others, must be met. If the research does not meet IRB requirements, the study may be rejected or the design modified. Furthermore, the IRB has been tasked with training investigators on how to protect human subjects from harm during research (Nurunnabi, 2014). Furthermore, before investigators submit research proposals for funding, the IRB must review the proposals to ensure that ethical principles are followed. Among the ethical research considerations specific to population health are fidelity, nonmaleficence, and beneficence (DeCamp et al., 2018). Fidelity entails an individual’s respect, trust, and autonomy, which the investigator should consider before beginning the research. Non-maleficence implies that the study should not harm human subjects, whereas beneficence implies that the study should act in the patients’ best interests (DeCamp et al., 2018).

Indeed, investigators must ensure that people, potential benefits, and the burden of the research are all respected, and that justice is upheld throughout the translation process. Individuals, for example, should be treated as autonomous subjects with the right to absolute safety. Investigators must ensure that the research is conducted in the best interests of the patients and that the results will benefit population health. Once again, research costs should be reasonable and affordable. Following the research, the research benefits should be distributed fairly and equitably to participants. When an investigator takes all of these factors into account, the research is ethically balanced.

Also Read: NUR 590 Week 7 Assignment  Benchmark – Evidence-Based Practice Proposal Final Paper

The dissemination of evidence-based practice (EBP) information is an important part of effective care delivery for providers as it allows stakeholders to implement different changes to meet patient expectations. Dissemination involves the spread and sharing of clinical, research, and theoretical findings with goals of transitioning new knowledge to points of care (DeNisco, 2019). Dissemination requires organizations to have effective culture and be ready for change as well as selection of the best EBP model to implement new change. The use of Fall TIPS to reduce falls in medical-surgical units reduces the adverse effects of fall, improves patient safety and overall satisfaction. The purpose of this presentation is to disseminate the outcomes of the proposed EBP project for effective implementation in the medical-surgical unit to reduce the prevalence of patient falls.

The evidence-based practice process involve the integration of research findings, clinician’s care experience and patient preferences. EBP projects focus on optimizing providers and team conduct to support changes for patients to get quality care and reduce adverse effects of falls like injuries and associated complications and costs. Patient satisfaction and engagement are important while implementing EBP in health care settings. In this case, the need to reduce falls through tailoring interventions for patient safety (TIPS) is essential to offering quality care and considering the concerns that patients may have and critical to improving their response to safety measures by providers

Among hospitalized adult patients in medical-surgical units (P) does the use of TIPS toolkit as a bundled care approach (I) compared to normal falls prevention approach (C) reduce the prevalence of falls by 20%(O) within 6 months (T)?

Organizational culture which entails values, mission, vision and operational efficiencies is important on implementing or introducing changes to nursing units or workplace. The implementation of EBP project proposal to reduce falls through Fall TIPS approach requires organizations to have a change-oriented culture and values. Evaluation is essential as it allows project team to determine the level of readiness and acceptance of change. In this case, the organizational structure in the medical-surgical unit is positive. The findings from the Organizational Capacity Assessment Tool (OCAT) created by the United Nations Development Program (UNDP) shows that the unit has decentralized structure that allows engagement and participation of nurses to implement changes to improve the quality of patient care (Ratnapalan, 2019.

The OCAT tool assesses  overall readiness and highlights organizational capacities and strengths. Based on the model, the overall organizational culture and readiness for change is positive since the unit as part of the entire facility has capacities and strengths. These include having effective teamwork to improve communication, integration of providers’ perspectives when implementing new approaches to care, and better communication and effective collaboration among the internal stakeholders. Data analysis tools are also essential to improving overall efficacy of the proposed solution (DeNisco, 2019). The organizational culture also focuses on health promotion and saving lives through involvement of all stakeholders at different levels of care delivery.

Falls are a major concern and public health issue because they affect quality of care and patient safety. The Centers for Disease Control and Prevention (CDC) (2021) observes that one in every four older people experiences falls. Close to 800,000 individuals are hospitalized each year due to falls, especially in critical care settings. more than 95% of hip fracture occur due to falls and falls are the most prevalent cause of traumatic brain injuries (Heng et al., 2020). The Centers for Medicare and Medicaid Services (CMS) categorize falls as never events since a majority of them are preventable. Falls also increase hospital stays and increase cost of care. Therefore, reducing falls is a critical part of improving patient safety ad overall care delivery (PSNet, 2019). Existing literature supports the use of Fall TIPS as an EBP intervention to reduce and prevent falls.

The proposed interventions should be appropriate through a review of existing literature consisting of previous research studies to support implementation and expected benefits to the targeted population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project involved the definition and use of terms associated with Fall TIPS and its benefits for patients, especially in medical-surgical settings. The review also employed appropriate search engines and databases associated with the nursing issue to ensure that the generated articles focus on the problem under investigation (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and focus on effective interventions to reduce falls and efficacy of Fall TIPS implementation.

The proposed project reviewed several research studies based on the inclusion and exclusion criteria to ascertain support for the intervention to enhance patient safety and quality of care through fall prevention using the Fall TIPS model. Literature synthesis and critical analysis show increased support for the intervention of using Fall TIPS model to reduce falls. Studies by LeLaurin et al. (2019); Xia et al. (2022); Kelly (2022), and Dykes et al. (2020) agree that fall prevention bundles through the TIPS model reduce incidences of falls and improve overall patent safety. The studies show that Fall TIPS is effective and should be implemented on diverse settings that include medical-surgical units because of their benefits like being customized to meet patient needs and situations. The studies also emphasize the need for effective guideline for providers to enhance their adoption of fall TIPS in their practice settings.

The selected model is the Iowa EBP framework. The Iowa model focuses on the entire healthcare system and stakeholders who comprise of patients, practitioners, and infrastructure. The framework uses a problem-solving and implores staff to question the current nursing practices and if they can improve care through using current evidence. The model is effective for the project as it focuses on promoting quality care using EBP interventions (DeNisco, 2019). The initial stage of the model is identification and selection of a health problem while the second stage involved determining if the issue is healthcare organization’s priority areas for patient care (Melnyk & Fineout-Overholt, 2019). The third stage requires reflection about the issue of interest and engaging stakeholders while the fourth stage is to identify availability and merit of the chosen evidence (Cullen et al., 2020). The fifth stage entails implementation of a pilot change based on the available evidence and its credibility. The sixth stage is to appraise the pilot practice change based on the degree of success and subsequent dissemination of findings to the providers and organizations.

The project will be set in the medical-surgical unit/ward with the patients as the main participants. They will have informed consent and voluntary accept to participate in the study. The implementation timeline would be six months. The timeline will have different aspects as defined by the project scope and activities. Nurse training and requirement definition as well a project schedule will be part of these activities. Resources needed will include both financial and human for the implementation of the project. The project will employ a qualitative approach in collecting data. The qualitative approach is appropriate as it allows the use of different techniques like interviews, observation, review of literature and even focus groups (Tang, 2019). The implementation team will use an audit tool and a patient survey. The survey tool will collect feedback and opinions from participants on the effectiveness of the fall TIPS framework. Using these tools will help determine the overall effects of the Fall TIPS.

The delivery of the intervention will entail having an inter-professional team consisting of different healthcare providers in the medical-surgical unit. The interventions will entail staff training on all components of the TIPS bundles, development of safe toileting, effective communication and patient education. The project will have different stakeholders who would include nurses and nurse leaders, nurse managers, project team and manager, trainers and patients as well as their families (Amit-Aharon et al., 2019). Others will be organizational management and health information technology vendors. The implementation plan will encounter barriers and challenges like resistance to change, limited resources to implement the plan, and insufficient knowledge and skills by nurses on Fall TIPS (Pop et al. (2020). There will also be facilitators like sufficient resource allocation. The project’s overall feasibility is high due to its cost-effectiveness and associated benefits to patients and the healthcare system.

The main outcome is to reduce patient falls in the medical-surgical unit by 30% in six months of its implementation. The Fall TIPS will enable nurses and other providers to customize fall prevention intervention based patient’s conditions and preferences and not a one-fits-all approach. The EBP project will employ qualitative design implying that it will use questionnaires and focus groups to collect data. It will also observation to determine the level of implementation (Grove et al., 2019). The statistical test in this case would be the t-test because of its suitability to the project.

Using data collected through semi-structured questionnaires, the researchers will measure patient outcomes and experiences (Lengnick-Hall et al., 2020). They will then tabulate the data to determine if there are changes after the implementation of the Fall TIPS. The research will the deploy computation tools to determine rates of improvement based on the reduction of falls within the unit. Strategies to improve outcome will include re-examination of the implemented intervention through analyzing the process and all associated components at each level. The team will also formulate timelines and explore corrective measures to improve outcomes . The sustenance of the EBP will entail training, continuous monitoring of quality care, and creating teams that will review areas of concern and ensure that Fall TIPS integrate patients and concerns.

REFERENCES

Amit-Aharon, A., Melnikov, S., & Warshawski, S. (2020). The effect of evidence-based

practice perception, information literacy self-efficacy, and academic motivation

on nursing students’ future implementation of evidence-based practice. Journal of

  professional nursing, 36(6), 497-502. DOI: 10.1016/j.profnurs.2020.04.001.

Centers for Disease Control and Prevention (CDC) (2021). Facts About Falls.

https://www.cdc.gov/falls/facts.html

Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research-e-book: A workbook for evidence-based

  practice. Elsevier Health Sciences.

Lengnick-Hall, R., Willging, C. E., Hurlburt, M. S., & Aarons, G. A. (2020). Incorporators, early investors, and

learners: A longitudinal study of organizational adaptation during EBP implementation and

sustainment. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-01031-w

Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &

  Healthcare: A Guide to Best Practice. Wolters Kluwer.

Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing

Nursing Education,19(1), 62-70. https://www.ijcne.org/text.asp?2018/19/1/62/28649

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates,

  1. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce

falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11),

e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:

  Essential Knowledge for the Profession. Jones & Bartlett Learning.

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital

falls prevention with patient education: a scoping review. BMC Geriatrics, 20, 1-12. DOI:

https://doi.org/10.1186/s12877-020-01515-w

Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a

comprehensive bundled intervention for ED fall prevention. Journal of emergency

  nursing, 46(2), 225-232. DOI: 10.1016/j.jen.2019.11.010.

Ratnapalan, S. (2019). 37 Leading and managing change in healthcare organizations. BMJ

  Leader, 3(Suppl 1), A14-A14. http://dx.doi.org/10.1136/leader-2019-FMLM.37

Kelley, R. J. (2022). Preventing Falls in the Surgical Setting by

  Implementing a Fall Prevention Bundle.

http://hdl.handle.net/10713/18736

Xia, L., Zheng, Y., Lin, Z., Chen, P., Mei, K., Zhao, J., … & Gu, Z.

(2022). Gap between risk factors and prevention strategies? A

nationwide survey of fall prevention among medical and

surgical patients. Journal of Advanced Nursing, 78(8), 2472-

  1. https://doi.org/10.1111/jan.15177

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized

patients: state of the science. Clinics in geriatric medicine, 35(2),

273-283. doi: 10.1016/j.cger.2019.01.007

Patient Safety Net (2019). Falls. https://psnet.ahrq.gov/primer/falls

Sample Answer 3 for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

The dissemination of evidence-based practice (EBP) information is an important part of effective care delivery for providers as it allows stakeholders to implement different changes to meet patient expectations. Dissemination involves the spread and sharing of clinical, research, and theoretical findings with goals of transitioning new knowledge to points of care (DeNisco, 2019). Dissemination requires organizations to have effective culture and be ready for change as well as selection of the best EBP model to implement new change. The use of Fall TIPS to reduce falls in medical-surgical units reduces the adverse effects of fall, improves patient safety and overall satisfaction. The purpose of this presentation is to disseminate the outcomes of the proposed EBP project for effective implementation in the medical-surgical unit to reduce the prevalence of patient falls.

The evidence-based practice process involve the integration of research findings, clinician’s care experience and patient preferences. EBP projects focus on optimizing providers and team conduct to support changes for patients to get quality care and reduce adverse effects of falls like injuries and associated complications and costs. Patient satisfaction and engagement are important while implementing EBP in health care settings. In this case, the need to reduce falls through tailoring interventions for patient safety (TIPS) is essential to offering quality care and considering the concerns that patients may have and critical to improving their response to safety measures by providers

Among hospitalized adult patients in medical-surgical units (P) does the use of TIPS toolkit as a bundled care approach (I) compared to normal falls prevention approach (C) reduce the prevalence of falls by 20%(O) within 6 months (T)?

Organizational culture which entails values, mission, vision and operational efficiencies is important on implementing or introducing changes to nursing units or workplace. The implementation of EBP project proposal to reduce falls through Fall TIPS approach requires organizations to have a change-oriented culture and values. Evaluation is essential as it allows project team to determine the level of readiness and acceptance of change. In this case, the organizational structure in the medical-surgical unit is positive. The findings from the Organizational Capacity Assessment Tool (OCAT) created by the United Nations Development Program (UNDP) shows that the unit has decentralized structure that allows engagement and participation of nurses to implement changes to improve the quality of patient care (Ratnapalan, 2019.

The OCAT tool assesses  overall readiness and highlights organizational capacities and strengths. Based on the model, the overall organizational culture and readiness for change is positive since the unit as part of the entire facility has capacities and strengths. These include having effective teamwork to improve communication, integration of providers’ perspectives when implementing new approaches to care, and better communication and effective collaboration among the internal stakeholders. Data analysis tools are also essential to improving overall efficacy of the proposed solution (DeNisco, 2019). The organizational culture also focuses on health promotion and saving lives through involvement of all stakeholders at different levels of care delivery.

Falls are a major concern and public health issue because they affect quality of care and patient safety. The Centers for Disease Control and Prevention (CDC) (2021) observes that one in every four older people experiences falls. Close to 800,000 individuals are hospitalized each year due to falls, especially in critical care settings. more than 95% of hip fracture occur due to falls and falls are the most prevalent cause of traumatic brain injuries (Heng et al., 2020). The Centers for Medicare and Medicaid Services (CMS) categorize falls as never events since a majority of them are preventable. Falls also increase hospital stays and increase cost of care. Therefore, reducing falls is a critical part of improving patient safety ad overall care delivery (PSNet, 2019). Existing literature supports the use of Fall TIPS as an EBP intervention to reduce and prevent falls.

The proposed interventions should be appropriate through a review of existing literature consisting of previous research studies to support implementation and expected benefits to the targeted population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project involved the definition and use of terms associated with Fall TIPS and its benefits for patients, especially in medical-surgical settings. The review also employed appropriate search engines and databases associated with the nursing issue to ensure that the generated articles focus on the problem under investigation (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and focus on effective interventions to reduce falls and efficacy of Fall TIPS implementation.

The proposed project reviewed several research studies based on the inclusion and exclusion criteria to ascertain support for the intervention to enhance patient safety and quality of care through fall prevention using the Fall TIPS model. Literature synthesis and critical analysis show increased support for the intervention of using Fall TIPS model to reduce falls. Studies by LeLaurin et al. (2019); Xia et al. (2022); Kelly (2022), and Dykes et al. (2020) agree that fall prevention bundles through the TIPS model reduce incidences of falls and improve overall patent safety. The studies show that Fall TIPS is effective and should be implemented on diverse settings that include medical-surgical units because of their benefits like being customized to meet patient needs and situations. The studies also emphasize the need for effective guideline for providers to enhance their adoption of fall TIPS in their practice settings.

The selected model is the Iowa EBP framework. The Iowa model focuses on the entire healthcare system and stakeholders who comprise of patients, practitioners, and infrastructure. The framework uses a problem-solving and implores staff to question the current nursing practices and if they can improve care through using current evidence. The model is effective for the project as it focuses on promoting quality care using EBP interventions (DeNisco, 2019). The initial stage of the model is identification and selection of a health problem while the second stage involved determining if the issue is healthcare organization’s priority areas for patient care (Melnyk & Fineout-Overholt, 2019). The third stage requires reflection about the issue of interest and engaging stakeholders while the fourth stage is to identify availability and merit of the chosen evidence (Cullen et al., 2020). The fifth stage entails implementation of a pilot change based on the available evidence and its credibility. The sixth stage is to appraise the pilot practice change based on the degree of success and subsequent dissemination of findings to the providers and organizations.

The project will be set in the medical-surgical unit/ward with the patients as the main participants. They will have informed consent and voluntary accept to participate in the study. The implementation timeline would be six months. The timeline will have different aspects as defined by the project scope and activities. Nurse training and requirement definition as well a project schedule will be part of these activities. Resources needed will include both financial and human for the implementation of the project. The project will employ a qualitative approach in collecting data. The qualitative approach is appropriate as it allows the use of different techniques like interviews, observation, review of literature and even focus groups (Tang, 2019). The implementation team will use an audit tool and a patient survey. The survey tool will collect feedback and opinions from participants on the effectiveness of the fall TIPS framework. Using these tools will help determine the overall effects of the Fall TIPS

The delivery of the intervention will entail having an inter-professional team consisting of different healthcare providers in the medical-surgical unit. The interventions will entail staff training on all components of the TIPS bundles, development of safe toileting, effective communication and patient education. The project will have different stakeholders who would include nurses and nurse leaders, nurse managers, project team and manager, trainers and patients as well as their families (Amit-Aharon et al., 2019). Others will be organizational management and health information technology vendors. The implementation plan will encounter barriers and challenges like resistance to change, limited resources to implement the plan, and insufficient knowledge and skills by nurses on Fall TIPS (Pop et al. (2020). There will also be facilitators like sufficient resource allocation. The project’s overall feasibility is high due to its cost-effectiveness and associated benefits to patients and the healthcare system.

The main outcome is to reduce patient falls in the medical-surgical unit by 30% in six months of its implementation. The Fall TIPS will enable nurses and other providers to customize fall prevention intervention based patient’s conditions and preferences and not a one-fits-all approach. The EBP project will employ qualitative design implying that it will use questionnaires and focus groups to collect data. It will also observation to determine the level of implementation (Grove et al., 2019). The statistical test in this case would be the t-test because of its suitability to the project.

Using data collected through semi-structured questionnaires, the researchers will measure patient outcomes and experiences (Lengnick-Hall et al., 2020). They will then tabulate the data to determine if there are changes after the implementation of the Fall TIPS. The research will the deploy computation tools to determine rates of improvement based on the reduction of falls within the unit. Strategies to improve outcome will include re-examination of the implemented intervention through analyzing the process and all associated components at each level. The team will also formulate timelines and explore corrective measures to improve outcomes . The sustenance of the EBP will entail training, continuous monitoring of quality care, and creating teams that will review areas of concern and ensure that Fall TIPS integrate patients and concerns.

References

Amit-Aharon, A., Melnikov, S., & Warshawski, S. (2020). The effect of evidence-based

practice perception, information literacy self-efficacy, and academic motivation

on nursing students’ future implementation of evidence-based practice. Journal of

  professional nursing, 36(6), 497-502. DOI: 10.1016/j.profnurs.2020.04.001.

Centers for Disease Control and Prevention (CDC) (2021). Facts About Falls.

https://www.cdc.gov/falls/facts.html

Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research-e-book: A workbook for evidence-based

  practice. Elsevier Health Sciences.

Lengnick-Hall, R., Willging, C. E., Hurlburt, M. S., & Aarons, G. A. (2020). Incorporators, early investors, and

learners: A longitudinal study of organizational adaptation during EBP implementation and

sustainment. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-01031-w

Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &

  Healthcare: A Guide to Best Practice. Wolters Kluwer.

Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing

Nursing Education,19(1), 62-70. https://www.ijcne.org/text.asp?2018/19/1/62/28649

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates,

  1. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce

falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11),

e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:

  Essential Knowledge for the Profession. Jones & Bartlett Learning.

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital

falls prevention with patient education: a scoping review. BMC Geriatrics, 20, 1-12. DOI:

https://doi.org/10.1186/s12877-020-01515-w

Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a

comprehensive bundled intervention for ED fall prevention. Journal of emergency

  nursing, 46(2), 225-232. DOI: 10.1016/j.jen.2019.11.010.

Ratnapalan, S. (2019). 37 Leading and managing change in healthcare organizations. BMJ

  Leader, 3(Suppl 1), A14-A14. http://dx.doi.org/10.1136/leader-2019-FMLM.37

Kelley, R. J. (2022). Preventing Falls in the Surgical Setting by

  Implementing a Fall Prevention Bundle.

http://hdl.handle.net/10713/18736

Xia, L., Zheng, Y., Lin, Z., Chen, P., Mei, K., Zhao, J., … & Gu, Z.

(2022). Gap between risk factors and prevention strategies? A

nationwide survey of fall prevention among medical and

surgical patients. Journal of Advanced Nursing, 78(8), 2472-

  1. https://doi.org/10.1111/jan.15177

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized

patients: state of the science. Clinics in geriatric medicine, 35(2),

273-283. doi: 10.1016/j.cger.2019.01.007

Patient Safety Net (2019). Falls. https://psnet.ahrq.gov/primer/falls

Sample Answer 4 for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

During the program, many discussions and assignments have necessitated external research to understand various concepts in more detail. In this case, students’ answers are obtained from external sources and paraphrased appropriately. In professional writing, citing external information and formating it in a presentable way is crucial. The APA format is highly recommended in nursing and health care, and many school and online resources guide students on its correct utilization in scholarly work.

The APA Writing Checklist outlines the key features of a correctly formatted APA paper. Essentials include a title page, a well-defined topic, a thesis statement, and paragraph development. One way in which I have improved by utilizing the checklist is by ensuring that my work has a comprehensive thesis statement that guides the rest of the writing. In professional writing, a thesis statement identifies the topic and the points discussed in a paper at the end of the introduction (DeNisco, 2023; Orsini & Kleinman, 2022). I have also improved my writing through more knowledge of paragraph development. As the checklist highlights, each paragraph should have an introductory statement, several sentences that make up the body, and a transition sentence. As a result, I ensure that my paragraphs have a topic sentence (the introductory statement), are organized and that every source of information is paraphrased and cited appropriately.

Students can struggle in many aspects of the APA style, including proper citation, referencing, and getting credible sources. If unable to reference sources properly, one can copy the article’s title on the Google Scholar site, and the full citation will be provided in the APA format, among other styles. In this era of artificial intelligence and a lot of online information, students should be wary of plagiarized work, even if it is properly cited. Therefore, paraphrasing is crucial, which involves rephrasing other researchers’ information in different words without changing the meaning (Wahyudi & Pamuji, 2023). Importantly, peer-reviewed journals should dominate the external sources to ensure one’s work is authoritative and appropriate for nursing.

Sample Answer 5 for NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

Organizational Readiness 

Time limitation was a major barrier to implementation. Staff reported a heavy workload, which left them with no time to review new evidence. Time constraints resulted in limited experience in implementing EBP. Facilitators observed was on-site providers who are ready to champion EBP regardless of the time constraints faced (Schaefer & Welton, 2018). To enhance integration, providers will be trained on EBP to improve their confidence and motivation. The training will help them outline areas that require improvement. Research will then be executed on the identified weak areas and possible solutions tabled for approval. Policy to guide on implementation will then be created to help in adopting the approved solutions.

PICOT and Literature Review

Research executed indicated that mindfulness practice reduces burnout syndrome. Penque (2019) supported this notion with a quasi-experimental study  where the main aim was to establish if mindfulness-based stress reduction programs reduced burnout and enhanced work satisfaction. Findings indicated that not only did the program reduce burnout, but also enhanced psychological factors like mindfulness, self-compassion, and serenity. A non-randomized controlled study executed by Duarte and Pinto-Gouvenia (2017) outlined that mindfulness mediated changes resulted in reduced compassion fatigue and better self-compassion, which reduced anxiety, stress, burnout and increases satisfaction with life. A systematic review by Burton et al. (2017) reported that mindfulness-based interventions improve burnout among health professionals. Nurses in a cross-sectional survey by Vivian et al. (2019) reported least dispositional mindfulness creating a need to come up with interventions that address the weakness. Flatt and Dabney (2019) executed a systematic review that revealed that mindfulness-based programs help in dealing with compassion fatigue, depression, distress, stress, and burnout.

Solution Description

The proposed intervention aligns with the culture of our organization. The mission of the institution is to promote excellence in innovation and research as a way of improving the care and experiences of the patients. The proposed intervention is an innovation and research at the same time. Therefore, its execution will underpin the realization of the organization’s mission of promoting excellence in healthcare through research and innovation. Through it, the organization provides excellent experiences to the patients seeking care in the organization. Employees in the organization are also encouraged to engage in activities that will contribute to improvement in nursing experiences and quality of care given to patients

The main outcome includes a reduction in the rate of stress and anxiety among oncology nurses. However, it is also expected the intervention will result in an improvement in overall job satisfaction among oncology nurses and a decline in their intent to leave the organization. Lastly, the quality of care is expected to improve as evidenced by the outcomes of reduced medical errors and subjective satisfaction of patients with nursing care.

The intervention group will enroll in a mindfulness-based program where they will practice yoga, meditation, and mindfulness techniques (Slatyer, Craigie, Rees, Davis, Dolan, & Hegney, 2018). The period of the classes will be two and a half hours every week for the duration of the intervention. They will also have a retreat after five months of the intervention. Data will be obtained throughout the interventional phase to determine its impacts. Participants in the control group will not be given any additional program assistance and continue with usual work-life routine.

The outcome will have a significant impact on the quality of the care offered in the institution. Reduced rate of burnout among the oncology nurses will increase their attention in the provision of care. It will also reduce the risk of medical errors in addition to reducing job dissatisfaction among oncology nurses. The outcomes will result in an improvement in the quality of care in the institution. There is also anticipated decline in the cost incurred in the organization. The decline is attributed to reduced rates of staff turnover and medical errors alongside the costs related to re-hospitalizations due to low quality of care.

Change Model

Stagnation stage occurs due to the lack of effective leadership, low level of knowledge and awareness among the adopters, and ineffective collaboration from the stakeholders involved. Often, the adopters of the change agent feel hopeless and do not see any sense of adopting the change. The preparation aim of this stage is to create a basis for successful implementation of an EBP project. The nurses working in the oncology unit will be provided with training on the use of mindfulness-based interventions. The implementation is  characterized by a majority of the nurses working in the oncology unit and other interested stakeholders are enthusiastic about the project. Determination is the stage where the adopters of the change agent have begun to accept the integration of the change into practice and discover the need for the change in their daily activities. The fruition is characterized by the oncology nurses feeling confident with the use of the proposed interventions.

Implementation Plan

The Optimal Health Center, which is an inpatient facility where the project leader is currently employed. The hospital functions similarly to a center for research and has strong ties with surrounding universities. The hospital also has an oncology unit where providers assume responsibility for cancer cases ranging from moderate to severe. The potential subjects for the project will include staff nurses who are employed on the oncology unit at the hospital. Oncology nurses who have worked in the unit for at least six months would be included in this project. It is assumed that these nurses have experienced the work-related challenges that increase their risk of burnout in the organization. Oncology nurses who are not on any other form of cognitive behavioral therapy will also be included. This will ensure that the obtained results are not due to the influence of other interventions. The exclusion criteria will include nurses who have worked in the unit for less than six months, those who are on cognitive behavioral therapy, and those who decline to participate in the intervention. The consenting process for nurse participants will occur through a verbal consenting process. The other nursing personnel who will participate in other phases of the project, such as data collection and implementation of the mindfulness practice, will provide written consent.

This project is expected to extend over a ten-month period. The project roll-out will occur in three phases in order to ensure the comprehensiveness and effectiveness of the intervention. The first phase will encompass educating the nurses that will be conducting the data collection as well as those that will be delivering the intervention piece of the project. The second phase will entail recruiting the oncology nurses from the facility into the project. The final phase of the project will include the deployment of mindfulness practices to the nurses with the integration of ongoing, recurrent data collection.

The collection of parameters such as emotional distress, wellbeing, compassion, and empathy before enrollment into the program and after completion of the intervention. A biostatistician will be consulted to conduct a power analysis in order to determine the appropriate sample size for the program. The adoption of the Beckham et al. (2010) tool will be used to determine the level of knowledge that the instructors have regarding various mindfulness-based programs.

Per the literature, health care administrators are less likely to approve projects that do not produce viable impacts. As such, grant funding through donors will also be explored. The space barrier may be overcome through the adoption of online programs. Program effectiveness will be determined following data analysis. If the mindfulness programs are statistically significantly correlated with a decrease in the incidence of nurse burnout, then the adoption of these programs into the hospital’s safety and wellness programs for oncology nurses can be discussed. Alternative mindfulness programs, such as yoga, may be introduced if the mindfulness programs do not produce statistically significant results.

Evidence-Based Practice Evaluation

The application of the survey will be important as it allows for the collection of subjective data from a large sample of oncology nurses. Moreover, the data extracted from the survey tool can enable a biostatistician to manipulate it using statistical methodologies. Numerical data will be obtained from the participants for statistical analysis of the data. Demographic data will also be obtained. This will allow for the determination of whether demographic data influences the effectiveness of the intervention. It is expected that the results obtained from the survey results will give the project a larger statistical power, while the project will also benefit from the availability of validated models.

A statistically significant reduction in the select variables of anxiety, absenteeism, sick leaves, and the improvement in some of the parameters such as quality of service, patients’ satisfaction, and nurse satisfaction will demonstrate the achievement of the project objectives. In specific, a reduction in the rate of staff turnover by 15% will be considered statistically significant. Patient satisfaction rate above 80% will also imply that the quality of care has been improved with the adoption of the intervention. Nurse satisfaction rate of 75% will also be considered to statistically significant.

The measurements of the project outcomes will occur in a manner that is founded in assessing the validity of the frameworks and tools adopted. The process will be based on assessing the truthfulness of the data collected and its value in guiding the implementation of the project into practice. On the other hand, the usage of test-retest method may be employed to determine the uniformity of the outcomes for purposes of testing the project outcome’s reliability. The emphasis of the re-evaluation if desired outcomes are not achieved will be to alter the variables associated with mindfulness-based practices to ensure conformity with the anticipated outcomes.

The interventions associated with the project would be integrated into health care practice in oncology units in order to positively impact currently employed nurses. It is expected to improve the satisfaction of nurses, which will improve their quality of care being provided. However, future research that encompasses nurse burnout in oncology units should focus on areas that will ensure that the wellbeing of nurses is thoroughly addressed.

References

uBreedvelt, J., Amanvermez, Y., Harrer, M., Karyotaki, E., Gilbody, S., Bockting, C. L., … & Ebert, D. D. (2019). The effects of meditation, yoga and mindfulness on depression, anxiety and stress in tertiary education students: A meta-analysis. Frontiers in psychiatry, 10, 193.

uBregman, R., & Manton, E. (2017). Utopia for realists. New York, NY: Little, Brown and Company.

uBurton, A., Burgess, C., Dean, S., Koutsopoulou, G. Z., & Hugh‐Jones, S. (2017). How effective are mindfulness‐based interventions for reducing stress among healthcare professionals? A systematic review and meta‐analysis. Stress and Health, 33(1), 3-13.

uDuarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International journal of nursing studies, 64, 98-107.

uEgeland, K. M., Ruud, T., Ogden, T., Lindstrøm, J. C., & Heiervang, K. S. (2016). Psychometric properties of the Norwegian version of the Evidence-Based Practice Attitude Scale (EBPAS): To measure implementation readiness. Health research policy and systems, 14(1), 47.

uFlatt, T., & Dabney, B. W. (2019). Mindfulness-Based Stress Reduction and Workplace Burnout: A Literature Review. Sigma Theta Tau International.

uPenque, S. (2019). Mindfulness to promote nurses’ well-being. Nursing Management, 50(5), 38-44.

uSchaefer, J. D., & Welton, J. M. (2018). Evidence-based practice readiness: A concept analysis. Journal of nursing management, 26(6), 621-629.