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Assignment: Evidence Based Practice Project

Assignment: Evidence Based Practice Project

Assignment: Evidence Based Practice Project

Evidence-Based Practice Project Proposal: Evaluation Plan

Evaluating the implementation of an evidence-based practice (EBP) project proposal is essential to ascertain that it meets the set goals and objectives. Diabetes mellitus is a public health concern and a chronic condition affecting millions of individuals across the United States and around the world. Evaluation of self-care management interventions as implemented by patients in their home settings is critical to attaining better or quality outcomes (Alhaiti et al., 2020). The essence of this evaluation plan on implementation of self-care management for diabetes mellitus patients is to explore the anticipated outcomes, review data collection tools related to chosen research design and select a suitable statistical test and methods to apply in collection of data and assessing the outcomes of the tools.

Expected Outcomes from the EBP Project Proposal

The implementation of this EBP project aims at improving self-care management and effective adherence to treatment interventions for patients with diabetes mellitus in their home settings. Evidence shows that self-management leads to better patient outcomes by enhancing adherence to glycemic control, effective use of blood sugar levels monitoring devices and increased participation of patients in decision-making and taking actions to address the disease. The expected outcomes include enhanced information on self-management, better understanding of control of different aspects like sugar levels and effective use of digital monitoring devices, including deployment of telehealth to enhance overall adherence (Hunter, 2018). Through this approach, the project will reduce possible adverse cases, increased emergency room visits and involvement of caregivers at home for the patient to attain quality care.

Data Collection Tools based on the Chosen Research Design

The proposed EBP project will use a qualitative research design in collecting data and perspectives from patients. Through a qualitative design, the researcher can appreciate thoughts, ideas and experiences of the participants in relation to the proposed project and its importance to their self-management approaches of diabetes mellitus. Qualitative design uses a host of data collection approaches that include focus groups, interviews and observation as well as literature review.

The selected research data tool for the project is interviews where participating patients will fill questionnaires showing their experiences and ideas about the efficacy of the intervention. They will give their opinions, views and experiences on changes coming as a result of implementing the intervention. The other tool that will be deployed is observation where patients will record the number of times that they engaged in self-management practices like monitoring of blood sugar levels and taking necessary actions to prevent any exacerbation (Melnyk & Fineout-Overholt, 2019). These tools will complement each as they will allow the participants to translate what they observe into experiences and generate the most-effective way to manage blood sugar levels.

Statistical Tool for the Proposed EBP Project

Statistical tests provide an approach for stakeholders in a project to make better and effective decision concerning a study. The main purpose of statistical tests is to assess a hypothesis about the significance of a given study sample and interactions between predictor variables and outcome variables. The proposed EBP project will deploy regression as a parametric statistical test. Regression tests contain stringent requirements which ensure that they are strong inferences when analyzing the collected data. Regression test will demonstrate the cause-and-effect perspective about the phenomenon under investigations (Melnyk & Fineout-Overholt, 2019). This tool will show the cause of increased emergency room visits and the effect of using self-care management to enhance adherence to blood sugar levels monitoring.

Methods of Data Collection Tool, Measurement and Outcome Evaluation

The primary methods of data collection in this project will be interviews and observations that participants will record before, during and after the implementation of this intervention. The interviews will detail their experiences, practices, and self-initiatives to improve adherence to blood sugar monitoring to prevent adverse events and even hospitalizations. The outcome measurement will be founded on the collected data through analysis of the responses and observations recorded by the participants with the help of their caregivers in their homes (Mikhael et al., 2019). The project will deploy satisfaction surveys to assess the effectiveness of the measures deployed to enhance adherence and self-management. Positive outcomes will comprise of reduced exacerbations of diabetic, effective monitoring of blood sugar levels, and better ways to enhance the quality of life for patients and their families.

Strategies based on Positive Outcomes or Expected Results

The notion that nothing new happened after the implementation of the project means that status quo remained and patients endure increased exacerbation of their conditions leading to a rise in demand for emergency room visits and poor self-management practices. If the outcome does not offer the anticipated or positive outcomes, it will be essential to analyze the cause of the failure and institute effective remedies (Melnyk & Fineout-Overholt, 2019). For instance, it would be important to review the use of data collection methods, the patient satisfaction survey tool, and institute new approaches to getting quality care outcomes. The expected positive outcomes will demonstrate the self-care management is an EBP intervention that helps patients to manage diabetes

Sustainability of the Project

The project manager and the team should develop plans to maintain, expand, review or stop the proposed solution after overall execution. As such, the incorporation of recommended practices on self-management and increased evaluation of the effects of these interventions will allow the implementers to control and sustain the project (Vandermause et al., 2018). Secondly, knowledge dissemination will entail extending best practices to all patients in the diabetes program in the facility while providers leverage telehealth and other technologies to expand project scope. Thirdly, the team should review and revise certain areas of the project to ensure that they are based on patients and their unique situations as they propagate self-management of diabetes mellitus.

Conclusion

Evaluation of the EBP project’s implementation is essential in ascertaining its overall effectiveness and efficacy based on the expected outcomes. evaluation assists to revise and review the expected outcomes and how they will be achieved. Evaluation leads to a comprehensive analysis of the different components of the project for effective care delivery. Therefore, the project team will evaluate and sustain this project to attain expected outcomes.

References

Alhaiti, A. H., Senitan, M., Dator, W. L. T., Sankarapandian, C., Baghdadi, N. A., Jones, L. K.,

… & Lenon, G. B. (2020). Adherence of type 2 diabetic patients to self-care activity: tertiary care setting in Saudi Arabia. Journal of Diabetes Research, 2020(7). https://doi.org/10.1155/2020/4817637

Hunter, S. (2018). Not All Evidence is Created Equal: Changes in practice require the highest

possible level of statistical testing. EMS World, 46(10), 46-50.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and

healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Mikhael, E. M., Hassali, M. A., Hussain, S. A., & Shawky, N. (2019). Self-management

knowledge and practice of type 2 diabetes mellitus patients in Baghdad, Iraq: a qualitative study. Diabetes, metabolic syndrome and obesity: targets and therapy, 12, 1. DOI: https://doi.org/10.2147/DMSO.S183776

Vandermause, R., Barg, F. K., Esmail, L., Edmundson, L., Girard, S., & Perfetti, A. R. (2018).

Qualitative methods in patient-centered outcomes research. Qualitative health research, 27(3), 434-442. doi: 10.1177/1049732316668298

Evidence Based Practice Project: PICOT Paper

Exclusive breastfeeding is essential for healthy term neonates and their parents or mothers as it increases release of oxytocin, reduces stress, and promotes bonding. The World Health Organization (WHO) (2020) recommends exclusive breastfeeding for the first six months for babies born without any complications to improve their immune system and growth. As such, implementation of such intervention in healthcare settings, especially in mother and child health (MCH) settings is essential to improve quality of life, not just for the new born but also the mother during the postpartum period. As an evidence-based practice project, exclusive breastfeeding allows mothers to reduce stress and focus more on their neonates through developing effective bonding. The purpose of this paper is to describes aspects of the PICOT that include population, intervention, comparison, outcome and time concerning the use of skin-to-skin care for newborns to improve bonding and breastfeeding.

Refined PICOT statement/Question

In healthy, term neonates (P), does skin-to-skin contact (I) when compared to neonates without skin-to-skin contact with the mother (C) lead to increased exclusive breastfeeding rates (O) over a course of 6 months (T)?

Evidence-based practice is defined as the deliberate integration of best research evidence, clinical expertise, and patient values and needs in the delivery of high-quality, low-cost care.

Nurses can use a PICO format to better articulate their clinical questions and search for answers to those questions. This format can help nurses understand how to find answers to their clinical questions and search for answers to those questions.

Clinical practice guidelines are systematically developed statements or recommendations that serve as a link between research and practice.

The IOWA model can help practitioners. They serve as a link between practice and research. Module 4: Finding Evidence for Evidence-Based Practice Project

Magnet hospitals (or those that have achieved it) incorporate evidence-based practice into nursing care. THE IOWA MODEL MUST BE USED. A total of four resources must be used. Module 4: Finding Evidence for Evidence-Based Practice Project

ORDER NOW FOR AN ORIGINAL PAPER ON MODULE 4: EBP PROJECT: FINDING THE EVIDENCE Submit by the due date and time specified in your syllabus.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: Assignment: Evidence Based Practice Project

Overview

This assignment will allow you to design an evidence-based practice project that includes the creation of a PICO question and adheres to the first steps of the Iowa Model. Your findings will be presented in an APA formatted paper.

Making a Submission for your Evidence-Based Practice Project: Finding the Evidence Assignment

Save this document as a Word document to your desktop.
Review the assignment instructions and grading rubric by opening the document from your desktop.
Make a new Word document for your paper.
Return to Blackboard and upload your paper and the nursing research article that your coach approved in Module 2 to the assignment submission link in Module Four.
Please keep in mind that if you fail to upload your nursing quantitative research article, your paper will receive a 5 point penalty.
Finding the Evidence Assignment Instructions for Completing Your Evidence-Based Practice Project

Step one: Identify a nursing clinical practice question to investigate using the topic you chose for Module 2 Searching for a Quantitative Nursing article.
Step two: Finish the Module Four readings. Using the readings from Module Four, create a PICO chart for your nursing clinical practice question.
Step three: Use Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other database that contains nursing research articles to find a nursing quantitative research article (or two) that relates to your PICO question.
Please keep in mind that you may be able to use the article you submitted in Module Two to fulfill this requirement.
The article you are looking for must meet the following requirements:
It must be based on the attached topic list.
It must be from a nursing research journal or written by a nurse.
It cannot be older than five years from the current publication year.
It must contain implications and/or interventions relevant to nursing practice.
It may not be a qualitative article, systematic review, meta-synthesis, meta-analysis, meta-summary, integrative review, or a quality improvement study. Grove, Gray, and Burns (2015), pp. 22-24, provide more information on how to identify these types of articles.

It may not be a clinical information article or “how-to” article.
Step four: If you have questions about your PICO question formatting or the nursing quantitative research article that you found, post them to the Q & A discussion board for feedback from your peers.
Self-check: if you choose the wrong type of nursing quantitative research article for your paper (the one that you will be using to write paragraph 2, 3, 4, & 5) the best grade you could make is a 55. Yikes!!!  Please make sure that you have selected a nursing quantitative research article that meets the criteria for this assignment and ask for help if you are not sure. Please note: you may be able to use the article that you submitted in Module Two to meet this requirement.
Step Five: Collecting More Evidence (Do the research)Find a resource published within the past 5 years that provides you with at least two facts (ex. costs, morbidity, mortality, safety, or other related statistics) for why your clinical problem is important (provide statistics). (The internet is a great place to get this information…just don’t forget to cite this information and add it to your reference page).
Find a clinical practice guideline at http://www.guideline.gov/browse/by-topic.aspx that relates to your question. It must have information that relates to the role of the nurse.  Guideline is the most recent version or published within the past five years. (It is true that guidelines are not always updated within 5 years so you will need to discuss this.)
Find a clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website published within the past 5 years that relates to your practice question.
Hint: Did you notice that you will be finding a total of four different sources of information for your PICO question? To re-cap, these four sources are:
Statistics you are reporting in paragraph one.
Nursing quantitative research article for paragraphs 2, 3, 4, and 5.
Clinical Practice Guideline (paragraph 6)
A source of your choosing (paragraph 7)