NUR 590 Achieving patient safety assignment

NUR 590 Achieving patient safety assignment

NUR 590 Achieving patient safety assignment

Achieving patient safety implores nurses and other healthcare professionals to develop interventions that improve quality care and reduces occurrence of hospital acquired infections (HAIs). The use of evidence-based practice interventions like hand hygiene protocols and measures that include handwashing with soap and water alongside sanitizers can prevent and reduce the prevalence of hospital acquired infections (Zhao et al., 2017). Nurses in pediatric care settings should set high levels of hygiene to minimize the occurrence of HAIs in these settings. The integration of EBP interventions mitigates the increasing prevalence of HAIs and their associated cost burden to patients, their families and the health care system (Akanji et al., 2017). Hospital acquired infections constitute a significant part of the increased mortality and morbidity and poor outcomes among pediatric patients. The purpose of this presentation is to detail the evidence-based practice project proposal on hand hygiene measures involving handwashing with soap and water alongside use of hand sanitizer by healthcare workers, especially nurses, in reducing and preventing the occurrence of hospital acquired infections in pediatric care settings.

Findings show that religious engagement among students declines during college, but their spirituality shows substantial growth. “Students become more caring, more tolerant, more connected with others, and more actively engaged in a spiritual quest.” (“Cultivating the Spirit – Spirituality in Higher Education”) The authors also found that spiritual growth enhances other outcomes, such as academic performance, psychological well-being, leadership development, and satisfaction with college. The study also identified a number of college activities that contribute to students’ spiritual growth. Some of these–study abroad, interdisciplinary studies, and service learning–appear to be effective because they expose students to new and diverse people, cultures, and ideas. Spiritual development is also enhanced if students engage in “inner work” through activities such as meditation or self-reflection, or if their professors actively encourage them to explore questions of meaning and purpose. (“Cultivating the Spirit – Spirituality in Higher (Alexander W, 2010)”). By raising public awareness of the key role that spirituality plays in student learning and development, by alerting academic administrators, faculty, and curriculum committees to the importance of spiritual development, and by identifying strategies for enhancing that development, this work encourages institutions to give greater priority to these spiritual aspects of students’ educational and professional development

Evidence-based practice continues to be a critical component of enhancing care delivery among patients in different settings. The use of EBP entails incorporation of research evidence together with patient preferences and clinician’s care experience. Evidence-based practice aims at optimization of provider and team behavior to support changes in patient conduct to attain quality care, and provides education to reduce the risks of hospital acquired infections and improve different aspects of care provision (Melnyk & Fineout-Overholt, 2019). EBP also encourages the use of resources and services, and improvement in patients and their families’ satisfaction (Zhao et al., 2018). The EBP project will also focus on enhancing patient safety, improving adherence to hand hygiene measures, and improving outcomes and quality management to reduce adverse events. The project also focuses on decreasing the overall cost of infections, length of stay, and readmissions, and ensure that providers can make better care decisions in managing adverse events resulting from HAIs. The PICOT Question for the project is

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Among healthcare worker in pediatric settings (P), how does handwashing with soap and water alongside hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), with six months (T)?

Organizational culture is an essential part of implementing change as it mirrors values, mission, and vision and employee perception to adopting new ways of doing things. A decentralized and hierarchical culture where employees get involved in decision-making and has robust values and norms leads to effective implementation of EBP project proposal. The proposed structure enhances employee motivation and diversification. Decentralization improves communication and ensures implementation of new approaches to doing things to enhance quality care (Melnyk & Fineout-Overholt, 2019).  Organizations ready to implement the proposed EBP interventions should focus on patient-centered care and health promotion to save lives in pediatric settings.

The project uses the Organizational Capacity Assessment Tool (OCAT) developed by the United Nations Development Program (UNDP). The tool assesses overall readiness to enhance health interventions in organizations. The tool identifies substantive capacities and strengths that exist and the need for more to attain expected outcomes. Implementing the proposed EBP requires organizations to have capabilities and resources with a superb culture based on their mission, purpose and best values. Threats to readiness include need for resources to implement the project and technologies to reduce HAIs. Teamwork leads to effective flow of information to implement the project and attain expected outcomes.

Assessment Description

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers.

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.

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

Create a 12- to 15-slide PowerPoint presentation outlining your evidence-based practice project proposal. Create 100-250 word speaker notes for each slide. Loom can be used to produce a voice-over or a video for your PowerPoint presentation. For more information on recording your presentation with Loom, see the topic Resources. Include an extra slide for the Loom link at the start and another for References at the conclusion. Consider your unique approach and tone throughout the recorded presentation.

A project proposal for evidence-based practice can be distributed in two ways: internally or externally. EBP findings

are disseminated to a large public healthcare or clinical research population by communicating data and actions. The fundamental purpose of dissemination is to develop and promote evidence-based solutions in order to improve patient experience and implementation. One internal technique for propagating evidence-based practice is the hospital board. The hospital board is made up of health-care workers like nurses, doctors, and other professionals involved in patient care. When disseminating the EBP, face-to-face communication with the hospital board is the ideal option. During questioning sessions, the technique fosters participation and fast answer (M, 2019). Presenting at professional organization conferences, such as the American Nurses Association, is an external technique. The professional association would be an ideal place for communicating with a large number of nurses. Face-to-face consultation and conversation with other nursing specialists would be used in the conference. Internal and exterior communication channels would be distinct.

Also Check Out: NUR 590 Evidence-Based Practice Project Proposal Evaluation Plan

Individuals who care about or are interested in hospital initiatives are known as stakeholders. A stakeholder is the project sponsor, who is usually an executive in the management system. A management system is a collection of people who provide resources and enforce project decisions. Stakeholders include clients, freelancers, manufacturers, and even the government (Watt, 2018). Stakeholders include the project manager, project team members, and managers from various business divisions. A project has both internal and external stakeholders. Internal stakeholders include top management, project team members, the boss, colleagues, the resource manager, and internal customers. External stakeholders include customers, the government, contractors and subcontractors, and suppliers.

M, J. (2019, May 27). Dissemination of evidence-based practice project results in nursing. The Nursing Ace; The Nursing Ace.

Watt, A. (2018, August 15). 5. Stakeholder Management – Project Management.


This is very intriguing. Carolee, most healthcare institutions are now implementing evidence-based practice to improve the quality of healthcare outcomes. Disseminating evidence-based practices entails spreading research findings or evidence-based practices. In various organizations, disseminating evidence-based practices takes various forms (M, J., 2019). Stakeholder participation is one of the most effective methods of disseminating evidence-based practices. Stakeholders have a large impact or influence on the spread of evidence-based practices. For example, they can pioneer new approaches to incorporating research findings or evidence-based practices into actual healthcare processes. Sponsors, the community, other healthcare organizations with similar interests, and governmental institutions frequently assist in the dissemination of evidence-based practices. Internal stakeholders include employees, management, patients, and healthcare professionals such as doctors, nurses, pharmacists, and physicians (Warren et al., 2021). The success of evidence-based practice is dependent on all stakeholders contributing positively.


M, J. (2019, May 27). Dissemination of evidence-based practice project results in nursing. The Nursing Ace; The Nursing Ace.

Warren, A. M., Constantinides, S. V., Blake, C. E., & Frongillo, E. A. (2021). Advancing knowledge about stakeholder engagement in multisectoral nutrition research. Global Food Security29.

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. Evidence-Based Practice Project Proposal Presentation NUR 590

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.

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.

Evidence-based practice (EBP) implementation involves actualizing ideas or best practices established by providers through their research. The implementation process entails several aspects that must be followed systematically to integrate a best practice identified in the research. In this case, the implementation plan focuses on the use of Fall TIPS (tailoring interventions for patient safety) as a bundled care approach to reduce and prevent the occurrence of falls among hospitalized adult patients in medical-surgical units by 20% within six months. Studies and evidence from the Agency for Healthcare Research and Quality (AHRQ) (2021) show that the Fall TIPS toolkit optimizes patient and family efforts in reducing falls. The implementation plan focuses on different aspects of executing the intervention for effective patient care quality delivery and outcomes. The purpose of this paper is to describe the implementation plan of the EBP project propose by exploring the different components of the plan, from setting to timelines and resources, methods and instruments as well as the interventions of the delivery process and barriers.

Setting and Access to Potential Subjects

The project’s setting is the medical-surgical ward with patients who are susceptible to falls due to their health status. The medical-surgical ward provides services to patients recovering from surgical procedures and a majority are susceptible to falls because of being weak. Patients in the unit will all be potential subjects (Barber, 2018). However, only those who will provide their informed consent voluntarily will be part of the subjects. The consent will be critical as it demonstrates their free will to be part of the project to reduce falls.


The implementation timeline will be six months. The timeline will have different aspects that include creating an inter-professional collaboration team comprising all providers including nurses, nurse managers, and physicians. The initial week will be about planning and project requirement identification as well as the selection of research design. Nurse training will also happen in the first week on various aspects of the evaluation of the project. The entire activities and components of the time are in the appendix section of the paper.

Resources Required

Effective implementation of an evidence-based practice (EBP) project requires access to and availability of required resources. The EBP project will require resources from organizational leaders and managers as well as sufficient financial resources to implement Fall TIPs as an intervention in the facility to reduce falls (DeNisco, 2019). Human resources for the project will entail nurses, and trainers on the Fall TIPS as a bundled care approach and management. Financial resources for the project will be critical to facilitate training, purchase of required materials and equipment, especially technologies, and installation of the various components of the Fall TIPS. Nurses will require resources to produce informational sheets, enter key data on patients’ health status in electronic health records, and communicate within the setting.

Qualitative or Quantitative Design in Collecting Data and Effectiveness

The project will use a qualitative approach to collect data and perspectives from participants. Falls remain a critical health issue because the Center for Medicare and Medicaid Services (CMS) describes them as never events implying that facilities cannot be compensated for resources used in fall prevention efforts. Using a qualitative design is essential as it allows researchers to deploy techniques that include interviews, focus groups, observation, and literature through systematic review (DeNisco, 2019). The qualitative method would be effective for the proposed project as providers will implement a host of interventions that include fall risk assessment, safe ambulation, safe toileting, effective staff communication, early warning, and patient education. The use of different interventions means that providers will collect data, thoughts, experiences, and perspectives from patients and offer education or awareness information on the best strategies to address falls. Observation of the effects of each intervention would also be tabulated and focus groups will be established to implement certain aspects to assess the overall effectiveness of the Fall TIPS.

The proposed EBP project proposal focuses on reducing and preventing patient falls in the medical-surgical unit among adults. Through these interventions, providers will work collaboratively with all healthcare workers, patients, and their families to reduce the burden of falls by customizing the interventions based on patient needs (Dykes et al., 2018). As such, the project would be effective as it will help improve the quality of care for these patients, improve understanding of the efficacy of each intervention, and allow organizations to get reimbursement from CMS for quality improvement by reducing patient falls.

Monitoring Methods and Instruments

The project will have different methods and instruments or tools to monitor overall results for patients and the medical-surgical unit and the nurses. The team will use an audit tool and a patient satisfaction survey during the implementation process. The satisfaction survey will involve the research participants giving their opinions and perspectives on the overall efficacy of the different interventions. For instance, participants will identify an intervention that is suitable to their condition (Rebekah & Ravindran, 2018). The audit tool will assess the overall level of implementation of the different approaches and those that work for certain types of patients based on their conditions. Through these tools, stakeholders will evaluate the common effects of the Fall TIPS in improving patients’ overall mobility during their stay in the unit.

Intervention Delivery Process

Delivering the intervention will entail having an inter-professional team comprising different healthcare workers in the medical-surgical unit, especially nurses and other specialty nurses like anesthetists and those specializing in areas like ambulation, and data. The intervention will include having staff training on all aspects of the Fall TIPS, developing approaches to safe toileting, effective communication, and patient education. Patients and their families will get the education and know the possible signs of falls, and learn to use bed alarms where necessary, while nurses will learn and apply risk assessment approaches to the issue to ensure effective implementation.

Stakeholders Needed to Implementing the Plan

Stakeholders play a crucial role in the implementation of evidence-based practice project proposal since they offer resources, input, and feedback, collaborate to have a common goal and implement the recommended intervention to improve the quality of care and patient outcomes. The project will require a host of stakeholders, especially internal (Heng et al., 2020). These would include nurses, nurse leaders and managers, project team and trainers, patients and their families, organizational management, and health information technology vendors. The nurses, nurse leaders, and managers will implement the different parts of the Fall TIPS intervention while the project will be in charge of all actions, activities, and timelines for effective deliverables (Tang, 2019). Patients and families will be the beneficiaries of these interventions and will require knowledge as well as skills to improve their gait, mobility, and overall functioning. The organizational management and leaders will offer the resources needed to implement the project and support it.

Aspects of the Implementation Plan: Barriers, Challenges, and Proposed Strategies

The entire success of this EBP project proposal will rely on how stakeholders, especially the project manager, and team, handle different components of the initiative. The EBP implementation will encounter barriers that include resistance to change, limited resources, the need for organizational leaders’ support, and insufficient knowledge and skills by nurses on Fall TIPS (Pop et al., 2020). As such, the project will require facilitators who include organizational leaders and managers, nurse leaders, and change champions who will motivate others to accept the use of Fall TIPS as a bundled care approach to reduce and prevent falls in the medical-surgical unit.

The management and project team should take an active role and integrate all stakeholders in the project. This requires effective communication and the application of models like Lewin’s change theory for employees to accept and embrace change. The integration and involvement of all nurses will ensure that the project attains its intended purpose. Again, predictable timelines would be critical for the success of this project.

Feasibility of the Project

The feasibility of the Fall TIPS intervention is high based on its cost-benefit analysis and approach. The cost incurred in implementing the intervention will be estimated and evaluate overall benefits that will accrue to patients and healthcare organizations, especially the medical-surgical unit (Tang, 2019). Based on the cost of implementation and the associated benefit compared to the effects of falls, the facility and unit will implement the Fall TIPS to reduce and prevent falls while improving the quality of care offered to patients.


Implementing this proposed EBP project to reduce and prevent falls in the medical-surgical unit will be critical to improving the quality of care offered to patients. Through the elaborate stages, stakeholders will assess the overall positive effects of the Fall TIPS intervention to reduce falls and improve the quality of life and patient outcomes. The implementation will focus on ensuring that all healthcare providers in the facility participate and develop a common goal to improve care provision. The Fall TIPS framework will help the unit reduce fall rates and improve the overall quality of care and patient satisfaction.



Agency for Healthcare Research and Quality (AHRQ) (2021). Fall TIPS: A Patient-Centered

Fall Prevention Toolkit.

Dykes, P. C., Adelman, J. S., Alfieri, L., Bogaisky, M., Carroll, D., Carter, E., … & Spivack, L.

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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

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

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