NUR 590 EBP Project Proposal Implementation Plan

NUR 590 EBP Project Proposal Implementation Plan

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:

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. Explain the process for delivering the intervention and indicate if any training will be needed.
7. Discuss the stakeholders that are needed to implement the plan.
8. Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
9. 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.

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