NUR 590 EBP Project Proposal Implementation Plan

Grand Canyon University NUR 590 EBP Project Proposal Implementation Plan-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 590 EBP Project Proposal Implementation Plan 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 EBP Project Proposal Implementation Plan

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 EBP Project Proposal Implementation Plan 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 EBP Project Proposal Implementation Plan

The introduction for the Grand Canyon University NUR 590 EBP Project Proposal Implementation Plan 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 EBP Project Proposal Implementation Plan

After the introduction, move into the main part of the NUR 590 EBP Project Proposal Implementation Plan 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 EBP Project Proposal Implementation Plan

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 EBP Project Proposal Implementation Plan

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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Assessment Description

In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Include a draft of the form as an appendix at the end of your paper.
Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Include a draft of the budget and resource list as an appendix at the end of your paper.
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.
Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of five 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.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Sample Answer for NUR 590 EBP Project Proposal Implementation Plan

Nurses play a valuable role in ensuring patients receive high-quality care in safe environments. Achieving this goal requires an in-depth understanding of patient needs and a commitment to address practice issues hampering health outcomes. Patient problems inhibiting care quality and safety significantly impede patient satisfaction and trust in healthcare providers. In response, nurses should use their skills and experience to implement evidence-based interventions. These interventions are informed by scientific evidence and seek to improve care safety, quality, and effectiveness. The purpose of this paper is to describe the implementation plan of the evidence-based practice (EBP) project on advanced wound dressing and care protocols for adults with hospital-acquired pressure ulcers.

Setting and Access to Potential Subjects

Pressure ulcers are a considerable risk to patients, increasing the danger of extended hospital stays and high healthcare costs. They are characterized by local skin or underlying tissue damage because of unreleased pressure or pressure stemming from shear or friction (Geng et al., 2020). Adults requiring extended care and under long treatment cycles in the inpatient setting are highly vulnerable to pressure ulcers, and preventing the resultant skin damage should be a priority for every nurse. Advanced wound dressing and related protocols promote healing, reduce bacterial load, and prevent further pain and trauma (Geng et al., 2020; Chadwick & Ousey, 2019). Since the project involves human subjects, informed consent is necessary to ensure they understand the intervention’s risks, benefits, and procedures (Appendix A).

Implementation Timeline

Evidence-based projects are resource-intensive and consume much time. Consequently, a clear timeline is crucial to ensure critical activities are executed within the specified period. A timeline also allows the project leader to make appropriate adjustments based on the activity levels and emergencies as situations oblige. As stated in the PICOT, positive outcomes should be realized in four months. Project-related activities include planning and approval, pre-implementation education to participants, looking for essential materials and human support, implementation, and outcome evaluation. The time for each activity varies, as specified in Appendix B.

Budget and Resource List

The effectiveness of change implementation depends on the availability of financial, human, and material resources. Human resources include the project leader and nurses and will play a supportive role in the wound dressing process and documentation of critical processes and changes in the patients’ health. The budget estimated for these functions is $120 throughout the implementation period. Supplies and equipment include wound dressing materials depending on the patient’s risk of pressure ulcers. Wound dressing practices include wet dressings, foam dressings, silver ion dressings, and hydrocolloid dressings (Geng et al., 2020). Other supplies include protective clothing for the implementation team and supervisors. The supplies and equipment budget is $720. Computer-related costs include an internet connection for continuous communication, electronic devices to record progress, and electronic risk assessment forms. Since the devices are available at the facility, these costs have been adjusted to $150 as outlined in Appendix C (draft of the budget and resource list).

Data Collection and Evaluation

Data is crucial for informed decision-making in nursing. Evaluating the effectiveness of an EBP project helps to determine whether the targeted goals were achieved (Schuler et al., 2021). I would select a quantitative design to collect data and evaluate the effectiveness of the EBO project proposal. In change implementation and research, a quantitative design focuses on the quantity of responses. Therefore, the project leader uses numerical data to gain insights into the project’s appropriateness in addressing the problem (Leavy, 2022). Such an approach enhances accuracy since results are quantified. It also takes less time compared to the qualitative design.

Methods and Instruments

Continuous monitoring is crucial for the project leader to determine whether critical project’s phases are being implemented as expected and whether the expected goals would be achieved. An appropriate tool for monitoring the implementation process is the pressure ulcers (PU) instrument. In diverse healthcare settings, nursing professionals use the pressure ulcer prevention (PUPreP) instrument for assessing skin care, risk of pressure ulcers, nutrition, and repositioning (Parisod et al., 2022). The PU instrument will monitor risk, skin condition, and repositioning and rate them appropriately (Appendix D). A short questionnaire of patients’ experiences with the wound dressing procedure will also be part of the monitoring process to ensure all variables of an effective project are monitored comprehensively.

Delivering the Intervention

As the timeline indicates (Appendix B), the project should have realized its goals in four months. The most critical part is the wound dressing process and related advanced protocols to promote wound healing and prevent potential trauma and extended hospital stays. To deliver this intervention, the group receiving the intervention should be prepared physically and mentally to ensure patients participate willingly and understand the project’s purpose. The wound dressing process follows as the hospitalized patients receive different wound dressings according to the severity of their wounds and risk levels. Nurses offering support in various capacities will be oriented accordingly to enable them to assess patients and document accurate data.

Stakeholders Needed to Implement the Plan

EBP project implementation is a collaborative process involving different stakeholders. The complexity of such projects and the organization’s culture necessitates diverse professionals to work together for a shared goal. In the healthcare change context, stakeholders involve people directly affected by the implementation of the proposed project (Quanbeck, 2019). In this project, such stakeholders include the organization’s management to provide the necessary material and financial resources. Inevitably, successful change occurs in settings where leaders encourage and support innovation through change-oriented cultures, motivation, and resources. Others include nurses and nurse leaders to offer a supportive role during wound dressing and documentation of results.

Barriers to the Implementation Plan and Response Strategies

EBP project implementation is not straightforward since it must align with the organization’s culture, circumstantial needs, and strategic goals. Thus, it faces numerous barriers depending on the type and scope of a project. Potential implementation barriers include resource problems, time, and inadequate support. In this case, the organization may be unable to provide all the essential financial and material resources for a smooth project implementation. This challenge would then lengthen the implementation time or lead to a total collapse of the project. Besides implementation knowledge, poor attitude to change among nurses impedes EBP implementation (Al-Busaidi et al., 2019). Hence, individuals and leaders with poor attitudes to change may not provide the support needed to complete the project seamlessly and within four months as expected. Due to the profound impacts of these barriers, stakeholders’ active engagement is necessary at all phases. They should understand the importance of the project, their roles, and why their support is crucial for improved health outcomes. The other strategy is to rely exclusively on the internally available resources to reduce costs as much as possible.

The Feasibility of the Implementation Plan

Project leaders should formulate practical plans to address various practice problems. This implementation plan is feasible since it is outcome-driven. It is designed to optimize health and reduce healthcare management costs by addressing an issue that extends hospital stay. As a result, it will get the much-needed stakeholder support. Besides, it relies heavily on internal human and material resources, implying a cost-effective activity. The probability of resistance is low, hence a high likelihood of implementation within the projected timeline.

Conclusion

EBP is the spine of improved outcomes for patients, staff, and leaders in healthcare facilities. As change leaders, nursing professionals should be actively involved in EBP implementation to address issues hampering patient safety and care quality. This implementation plan describes the key components of the project to ensure that advanced wound dressing for hospital-acquired pressure ulcers in adults achieves the desired results. Stakeholder support is a critical success factor, and there is a high expectation that organizational leaders and nurses will offer support and guidance for a seamless implementation.

References

Al-Busaidi, I. S., Al Suleimani, S. Z., Dupo, J. U., Al Sulaimi, N. K., & Nair, V. G. (2019). Nurses’ knowledge, attitudes, and implementation of evidence-based practice in Oman: a multi-institutional, cross-sectional study. Oman Medical Journal, 34(6), 521–527. https://doi.org/10.5001/omj.2019.95

Chadwick, P., & Ousey, K. (2019). Bacterial-binding dressings in the management of wound healing and infection prevention: a narrative review. Journal of Wound Care, 28(6), 370–382. https://doi.org/10.12968/jowc.2019.28.6.370

Geng, J., Zhao, Y., Wang, Z., Wang, M., & Wei, Z. (2020). Dressing interventions to heal pressure ulcers: a protocol for an overview of systematic reviews and meta-analysis. Medicine, 99(41), e22699. https://doi.org/10.1097/MD.0000000000022699

Leavy, P. (2022). Quantitative, qualitative, mixed methods, arts-based, and community-based participatory research approaches. Guilford Publications.

Parisod, H., Holopainen, A., Kielo‐Viljamaa, E., Puukka, P., Beeckman, D., & Haavisto, E. (2022). Attitudes of nursing staff towards pressure ulcer prevention in primary and specialised health care: A correlational cross‐sectional study. International Wound Journal, 19(2), 399-410. https://doi.org/10.1111/iwj.13641

Quanbeck, A. (2019). Using stakeholder values to promote implementation of an evidence-based mobile health intervention for addiction treatment in primary care settings. JMIR mHealth and uHealth, 7(6), e13301. https://doi.org/10.2196/13301

Schuler, E., Mott, S., Forbes, P. W., Schmid, A., Atkinson, C., & DeGrazia, M. (2021). Evaluation of an evidence-based practice mentorship programme in a paediatric quaternary care setting. Journal of Research in Nursing, 26(1-2), 149-165. https://doi.org/10.1177/1744987121991417

Sample Answer 2 for NUR 590 EBP Project Proposal Implementation Plan

Nursing research is extensive and provides varying evidence on many clinical questions and practice issues. When reviewing the literature for the evaluation plan and evidence that supports the proposed project, several gaps in findings emerged. These gaps necessitate future, more comprehensive research. In some instances, the design should be different, and the length of the study extended to ascertain the validity of the results.

The proposed project recommends a tailored twice-weekly physical exercise program for improving functional fitness/performance and independence among older adults with type 2 diabetes. Broadly, current research supports implementing such a program since it results in positive differences in muscle strength, flexibility, balance ability, and endurance (Kanaley et al., 2022; Syue et al., 2022). Compared to baseline, positive outcomes are experienced from the fourth to sixth week, underlining the need for consistent participation in moderate to vigorous physical exercises. As a result, there needs to be more clarity regarding the minimum and maximum sessions older adults should conduct to achieve the desired goals. The other gap is whether positive outcomes in balance, flexibility, endurance and other aspects are achieved simultaneously or occur in an ordered way. It is also unclear whether the program could be applied universally, irrespective of the influence of potential diabetes co-morbidities.

The purpose of research is to provide new knowledge to improve health interventions. As Nyanchoka et al. (2020) posited, research gaps provide additional context information about the evidence available about a particular topic. Consequently, it informs researchers on the design and conduct of future research. Similarly, these gaps could influence other researchers to conduct more extensive and focused studies to examine the relationship between physical activities and functional performance and independence among older adults. Such research could also provide insight into the differences in outcomes when the program is implemented at home, in healthcare settings, and communities.

Sample Answer 3 for NUR 590 EBP Project Proposal Implementation Plan

Health care processes need continuous quality improvement to enable them to address patient needs effectively. Evidence-based practice (EBP) projects are highly effective in bringing the desired organizational change (Lehane et al., 2019). Such projects examine an area that is not performing as expected and proposed evidence-based interventions to improve outcomes. Health care organizations need to embrace EBP by promoting a culture of change and support full implementation to achieve their benefits. Implementation requires facilitation and significant system changes. This paper describes the implementation plan by examining how to reach potential subjects, timeline, budget, and evaluation, among other critical elements.

Describing the Setting and Access to Potential Subjects

Like many health care organizations, my setting is structured in a way that patients receive general and specialized care. The desire to achieve optimal care and satisfy patients is among the core values, and the management is highly committed to bringing the desired changes to improve health outcomes. The readiness assessment tool showed that processes aimed at enhancing outcomes receive huge administrative support. Leaders are at the pinnacle of the organization, where many decisions trickle down to other departments. In such a setup, access to potential subjects requires administrative approval, which does not require a consent form at the moment. With leaders being highly supportive and accessible, it is not challenging to access potential subjects, provided that the EBP project does not pose any significant human threat.

Timeline

The success of EBP projects depends, largely, on how they are implemented and the time used. With time highly valuable and stakeholders engaged, it is important to complete the project within the least time possible. However, it is important to ensure that each process gets adequate time during the implementation. The entire process is projected to take six months, as illustrated in Appendix A. The first month will mainly involve meeting stakeholders and preparing the organization in readiness for change. As the change leader, I will collaborate with the administration to communicate the importance of the project and why the entire stakeholder team should support it. The second month should be for looking for resources, including peer trainers, finances, and communication technologies. Training and project piloting will occur in the third and fourth months as the evaluation occurs to make desired changes. The project’s recommendations will become part of every day’s practice (full integration) in the fifth month. The last month will involve closure, quality assessment, and sharing findings as appropriate.

The Budget and Resource List

The financial implications of EBP projects cannot be overlooked. They are huge investments that require significant resource allocation. Communication will be needed, alongside other resources such as training, peer support payment, and technologies (Appendix B). One of the most needed resources is peer support trainers. As part of the human resources needed for the project’s success, the trainers will ensure that the peer support team integrates conveniently with the rest of the health care team to facilitate peer support for trauma-informed care. Their facilitation is projected to consume up to $6,400. Personnel, consumable supplies, and equipment costs include computer and projector hiring and meals during the training and bonding program projected to consume $2,500. Other costs as appropriate include communication costs, venue, damages, and expert consultation ($3,500). Overheads ($1,500) and information dissemination ($2,000) are also expected to consume a considerable budget portion. The administration is expected to provide the necessary financial allocation, convinced that implementing the EBP project will enhance patient satisfaction and reduce issues related to readmissions and costly procedures.

Design: Data Collection and EBP Project Evaluation

As the implementation continues, it is important to assess whether all processes occur as projected and within the desired timelines. Change leaders can use a qualitative or quantitative design to collect data and evaluate the effectiveness of the project. I would consider a quantitative design since, unlike qualitative design that deals with words and meanings, quantitative design deals with numbers and statistics (Oflazoglu, 2017). By expressing concepts in numbers, it is more convincing to test and confirm theories and assumptions. Quantified data is also effective in establishing generalizable facts about a subject matter (Oflazoglu, 2017). Since the sample population where the EBP project implementation occurs is known, numbers would be the most effective to determine the effectiveness of the project. Outcomes can also be rated compared to the initial projections to measure success.

Methods and Instruments for Monitoring the Implementation

Quantitative data collection methods can be in the form of observations, experimentation, or surveys. In this project, surveys would be the most appropriate- closed choice questions will be asked. Outcomes will also be rated using observations. For instance, a comparative analysis of when several aspects of the project were completed against the timeline can be done through observation. Other aspects such as the change in patient’s feelings, readmission rates, and satisfaction/attitude can be rated through surveys. Health care workers’ perception of peer support for trauma-informed care can also be analyzed through surveys (Appendix C).

Process of Delivering the Intervention

The culture assessment results confirmed the organization’s readiness to support and sustaining evidence-based change by incorporating peer support in trauma-informed care. After nurses and physicians confirm trauma in patients, they will develop treatment plans as they direct patients to therapists and peer support workers. In this case, instead of the standard therapy, patients will receive peer support to improve their recovery and share experiences. White et al. (2020) described peer support for mental health as an opportunity to promote holistic healing by building on shared experiences and mutual exchange. Training will be necessary for peer support workers to ensure that they are adequately informed on peer support interventions and identifying patients requiring specialized care. Peer support is expected to help patients overcome isolation related to traumatic experiences and recovery enhanced by connecting with people with similar experiences. Peer support is vital for providing emotional support and social interaction that improves the recovery process (Strand et al., 2020). Eventually, peer support will be supplementing psychotherapy outcomes and be adopted as organizational culture.

Stakeholders Needed to Implement the Plan

In many instances, an EBP project starts as an idea that requires stakeholder support to succeed. Change leaders usually lack the resources needed to promote the desired change. Stakeholders needed include hospital administrators, nurses, physicians, therapists, peer support trainers, and peer support workers. The hospital administrator will be tasked with overseeing the project’s activities and approving the resource allocation necessary for the project’s completion. When providing peer support in mental health, nurses and physicians are responsible for screening patients for trauma, developing patients’ treatment plans, and referring patients to therapists and peer support workers (Shalaby & Agyapong, 2020). They will be assigned the same role in the project. As their professional mandate obligates, therapists will be involved in providing psychotherapy to patients with trauma. Peer support trainers will provide special training to peer support workers before they are part of the care team. The last stakeholder group is peer support workers responsible for implementing peer support interventions to overcome challenges that patients with trauma face to enhance recovery.

Potential Barriers and Interventions

A glance at the implementation plan shows that the organization is characterized by consensus decision-making, transparent team communication, and leaders that support change. However, some barriers can hinder the project’s success, including shortage of qualified peer support workers, self-care needs of peer workers, and lack of finances to pay for service and wages of peer support workers. Since these barriers are resource-centered, the administration should be actively engaged to allocate the required resources. Also, external financing is necessary, which can be obtained from donors. The other practical intervention of overcoming the barriers is to look for peer support volunteers. They can include mental health students that can be trained on providing peer support or people with direct experiences and can comfortably work without remuneration.

Feasibility of the Implementation Plan

The practicality of an EBP project becomes visible after doing a cost-benefit analysis. As explained under the budget and resource list section, the EBP project requires a substantial budgetary allocation. However, it is a quality improvement program that helps a health care organization track, evaluate, and enhance health care outcomes (De La Perrelle et al., 2020). Through the project, process and outcome measures will improve as patients receive peer support besides psychotherapy services. By promoting speedy and full recovery through peer support for trauma-informed care, the project will be integral in minimizing waste and costs associated with readmissions and medications for trauma. Overall, it is a cost-effective project whose return on investment is justifiable.

Conclusion

EBP projects seek to bring transformative change in health care organizations. The proposed project is based on the same premise where health outcomes enhancement is the principal objective. Peer support is crucial for patients with trauma to promote healing. It should be integrated into trauma-informed care to help patients connect with peers with similar experiences to enhance health outcomes. Overall, the proposal is a quality improvement project that the administration should support to achieve the projected outcomes.

References

De La Perrelle, L., Radisic, G., Cations, M., Kaambwa, B., Barbery, G., & Laver, K. (2020). Costs and economic evaluations of quality improvement collaboratives in healthcare: a systematic review. BMC Health Services Research, 20(1), 1-10. https://doi.org/10.1186/s12913-020-4981-5

Oflazoglu, S. (Ed.). (2017). Qualitative versus quantitative research. BoD–Books on Demand.

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., … & Hegarty, J. (2019). Evidence-based practice education for healthcare professions: An expert view. BMJ evidence-Based Medicine, 24(3), 103-108. http://dx.doi.org/10.1136/bmjebm-2018-111019

Shalaby, R. A. H., & Agyapong, V. I. (2020). Peer support in mental health: literature review. JMIR Mental Health, 7(6), e15572. https://doi.org/10.2196/15572

Strand, M., Eng, L. S., & Gammon, D. (2020). Combining online and offline peer support groups in community mental health care settings: a qualitative study of service users’ experiences. International journal of mental health systems, 14, 1-12. https://doi.org/10.1186/s13033-020-00370-x

White, S., Foster, R., Marks, J., Morshead, R., Goldsmith, L., Barlow, S., … & Gillard, S. (2020). The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis. BMC Psychiatry, 20(1), 1-20. https://doi.org/10.1186/s12888-020-02923-3